First Line IRESSA™ Versus Carboplatin/Paclitaxel in Asia

NCT ID: NCT00322452

Last Updated: 2013-11-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1329 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Study Completion Date

2010-06-30

Brief Summary

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The purpose of this study is to compare gefitinib with carboplatin / paclitaxel doublet chemotherapy given as first line treatment in terms of progression free survival in selected NSCLC patients with the objective of demonstrating non-inferiority.

Detailed Description

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Conditions

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Non-Small Cell Lung Cancer

Keywords

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NSCLC Gefitinib

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

gefitinib

Group Type EXPERIMENTAL

Gefitinib

Intervention Type DRUG

oral tablet

2

Carboplatin/Paclitaxel

Group Type ACTIVE_COMPARATOR

Carboplatin

Intervention Type DRUG

IV

Paclitaxel

Intervention Type DRUG

IV

Interventions

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Gefitinib

oral tablet

Intervention Type DRUG

Carboplatin

IV

Intervention Type DRUG

Paclitaxel

IV

Intervention Type DRUG

Other Intervention Names

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Iressa ZD1839

Eligibility Criteria

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Inclusion Criteria

* Locally advanced Stage IIIB not amenable to local therapy or Stage IV (metastatic) NSCLC with adenocarcinoma histology.
* Never smokers or light ex-smokers.(ceased smoking at least 15 years before Day 1 of study treatment and 10 pack-years or fewer)

Exclusion Criteria

* Had prior chemotherapy, biological (including targeted therapies such as EGFR and vascular epidermal growth factor (VEGF) inhibitors) or immunological therapy.
* Pre-existing idiopathic pulmonary fibrosis evidence by CT scan at baseline.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alison Armour, MD

Role: STUDY_DIRECTOR

AstraZeneca

Locations

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Research Site

Fuzhou, Fujian, China

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Guangzhou, Guangdong, China

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Wuhan, Hubei, China

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Nanjing, Jiangsu, China

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Dalian, Liaoning, China

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Chongqing, Sichuan, China

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Beijing, , China

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Chengdu, , China

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Hangzhou, , China

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Shanghai, , China

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Hong Kong, , Hong Kong

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Semarang, Central Java, Indonesia

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Malang, East Java, Indonesia

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Jakarta, , Indonesia

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Solo, , Indonesia

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Surabaya, , Indonesia

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Yogyakarta, , Indonesia

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Nagoya, Aichi-ken, Japan

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Okazaki, Aichi-ken, Japan

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Kashiwa, Chiba, Japan

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Matsuyama, Ehime, Japan

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Fukuoka, Fukuoka, Japan

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Sapporo, Hokkaido, Japan

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Akashi, Hyōgo, Japan

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Kobe, Hyōgo, Japan

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Kanazawa, Ishikawa-ken, Japan

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Yokohama, Kanagawa, Japan

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Kumamoto, Kumamoto, Japan

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Ōmura, Nagasaki, Japan

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Okayama, Okayama-ken, Japan

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Izumisano, Osaka, Japan

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Osaka, Osaka, Japan

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Sakai, Osaka, Japan

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Sayama, Osaka, Japan

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Sunto-gun, Shizuoka, Japan

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Bunkyo-ku, Tokyo, Japan

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Koto-ku, Tokyo, Japan

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Shinjuku, Tokyo, Japan

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Ube, Yamaguchi, Japan

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Kota Kinabalu, Sabah, Malaysia

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George Town, , Malaysia

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Kampung Baharu Nilai, , Malaysia

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Kuala Lumpur, , Malaysia

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Petaling Jaya, , Malaysia

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Cebu City, , Philippines

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Manila, , Philippines

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Quezon City, , Philippines

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Singapore, , Singapore

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Changhua, , Taiwan

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Kaohsiung City, , Taiwan

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Taipei, , Taiwan

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Taoyuan District, , Taiwan

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Khon Kaen, , Thailand

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Songkhla, , Thailand

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Countries

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China Hong Kong Indonesia Japan Malaysia Philippines Singapore Taiwan Thailand

References

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Nagase M, Aksenov S, Yan H, Dunyak J, Al-Huniti N. Modeling Tumor Growth and Treatment Resistance Dynamics Characterizes Different Response to Gefitinib or Chemotherapy in Non-Small Cell Lung Cancer. CPT Pharmacometrics Syst Pharmacol. 2020 Mar;9(3):143-152. doi: 10.1002/psp4.12490. Epub 2020 Feb 7.

Reference Type DERIVED
PMID: 31920008 (View on PubMed)

Wu YL, Saijo N, Thongprasert S, Yang JC, Han B, Margono B, Chewaskulyong B, Sunpaweravong P, Ohe Y, Ichinose Y, Yang JJ, Mok TS, Young H, Haddad V, Rukazenkov Y, Fukuoka M. Efficacy according to blind independent central review: Post-hoc analyses from the phase III, randomized, multicenter, IPASS study of first-line gefitinib versus carboplatin/paclitaxel in Asian patients with EGFR mutation-positive advanced NSCLC. Lung Cancer. 2017 Feb;104:119-125. doi: 10.1016/j.lungcan.2016.11.022. Epub 2016 Nov 30.

Reference Type DERIVED
PMID: 28212993 (View on PubMed)

Yang JC, Wu YL, Chan V, Kurnianda J, Nakagawa K, Saijo N, Fukuoka M, McWalter G, McCormack R, Mok TS. Epidermal growth factor receptor mutation analysis in previously unanalyzed histology samples and cytology samples from the phase III Iressa Pan-ASia Study (IPASS). Lung Cancer. 2014 Feb;83(2):174-81. doi: 10.1016/j.lungcan.2013.11.021. Epub 2013 Dec 1.

Reference Type DERIVED
PMID: 24361280 (View on PubMed)

Wu YL, Fukuoka M, Mok TS, Saijo N, Thongprasert S, Yang JC, Chu DT, Yang JJ, Rukazenkov Y. Tumor response and health-related quality of life in clinically selected patients from Asia with advanced non-small-cell lung cancer treated with first-line gefitinib: post hoc analyses from the IPASS study. Lung Cancer. 2013 Aug;81(2):280-7. doi: 10.1016/j.lungcan.2013.03.004. Epub 2013 Mar 26.

Reference Type DERIVED
PMID: 23540718 (View on PubMed)

Wu YL, Chu DT, Han B, Liu X, Zhang L, Zhou C, Liao M, Mok T, Jiang H, Duffield E, Fukuoka M. Phase III, randomized, open-label, first-line study in Asia of gefitinib versus carboplatin/paclitaxel in clinically selected patients with advanced non-small-cell lung cancer: evaluation of patients recruited from mainland China. Asia Pac J Clin Oncol. 2012 Sep;8(3):232-43. doi: 10.1111/j.1743-7563.2012.01518.x. Epub 2012 Apr 23.

Reference Type DERIVED
PMID: 22897752 (View on PubMed)

Mok TS, Wu YL, Thongprasert S, Yang CH, Chu DT, Saijo N, Sunpaweravong P, Han B, Margono B, Ichinose Y, Nishiwaki Y, Ohe Y, Yang JJ, Chewaskulyong B, Jiang H, Duffield EL, Watkins CL, Armour AA, Fukuoka M. Gefitinib or carboplatin-paclitaxel in pulmonary adenocarcinoma. N Engl J Med. 2009 Sep 3;361(10):947-57. doi: 10.1056/NEJMoa0810699. Epub 2009 Aug 19.

Reference Type DERIVED
PMID: 19692680 (View on PubMed)

Other Identifiers

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Iressa Pan Asian Study (IPASS)

Identifier Type: -

Identifier Source: secondary_id

D791AC00007

Identifier Type: -

Identifier Source: org_study_id