Pemetrexed +/- Carboplatin as Second Line Treatment in NSCLC

NCT ID: NCT00786331

Last Updated: 2009-08-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2009-12-31

Brief Summary

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The aim of this study is to compare time to progression between the combination pemetrexed-carboplatin and pemetrexed alone in previously treated patients with locally advanced or metastatic NSCLC.

Detailed Description

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In spite of the superiority of single agent over best supportive care in second-line NSCLC, the prognosis of these patients remains poor with a median survival of 6-7 months, justifying the evaluation of new regimens in this setting. An open question in the second-line treatment of NSCLC remains the possible superiority of combination chemotherapy over single agent, as it has been clearly demonstrated in first-line. Particularly, the addition of platinum to either docetaxel or pemetrexed should be further investigated especially in patients with prior response/stable disease to platinum-based first-line chemotherapy. Pemetrexed has shown anti-tumor activity in combination with other chemotherapy agents, including gemcitabine, vinorelbine, taxanes, cisplatin and carboplatin. In this multicenter, open label, randomized phase II trial, pemetrexed 500 mg/m2 and carboplatin AUC 5 will be administered on day 1 every 3 weeks until progression of disease or for a maximum of 4 courses in the experimental arm. The control arm will be pemetrexed as single agent at 500 mg/m2 on day 1 every 3 weeks until progression of disease or for a maximum of 4 courses.

Conditions

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Advanced Non-Small Cell Lung Cancer

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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A

Monochemotherapy

Group Type ACTIVE_COMPARATOR

Pemetrexed

Intervention Type DRUG

Pemetrexed 500 mg/m2 i.v. over approximately 10 minutes on day 1 of a 21 days cycle

B

Combination chemotherapy

Group Type EXPERIMENTAL

Pemetrexed plus carboplatin

Intervention Type DRUG

Pemetrexed 500 mg/m2 i.v. over approximately 10 minutes on day 1 and Carboplatin AUC 5 i.v. over approximately 30 minutes on day 1 (beginning approximately 30 minutes after the end of the pemetrexed infusion) of a 21 days cycle

Interventions

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Pemetrexed

Pemetrexed 500 mg/m2 i.v. over approximately 10 minutes on day 1 of a 21 days cycle

Intervention Type DRUG

Pemetrexed plus carboplatin

Pemetrexed 500 mg/m2 i.v. over approximately 10 minutes on day 1 and Carboplatin AUC 5 i.v. over approximately 30 minutes on day 1 (beginning approximately 30 minutes after the end of the pemetrexed infusion) of a 21 days cycle

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* written informed consent
* Histologically or cytologically confirmed non-small-cell lung cancer
* Unresectable stage IIIB, stage IV and unresectable local relapse or metastatic disease, with evidence of disease progression after first line chemotherapy which should have included a platinum agent.
* ECOG performance status lower than or equal to 2
* Adequate hematological, hepatic and renal functions
* Life expectancy greater than or equal to 12 weeks
* Prior treatment with only 1 chemotherapy regimen for the treatment of advanced disease which should have included a platinum agent
* At baseline, presence of at least one measurable target lesion as per RECIST criteria

Exclusion Criteria

* Prior treatment with pemetrexed.
* Patients who are pregnant or lactating
* Patients with any underlying medical condition that might be aggravated by treatment or which cannot be controlled.
* Symptomatic brain metastases
* History of another malignancy within the past five years except basal cell carcinoma of the skin or carcinoma in situ of the cervix.
* Concomitant treatment with any other anticancer drug.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gruppo Oncologico Italiano di Ricerca Clinica

OTHER

Sponsor Role lead

Responsible Party

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GOIRC

Principal Investigators

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Andrea Ardizzoni, MD

Role: PRINCIPAL_INVESTIGATOR

Gruppo Oncologico Italiano di Ricerca Clinica

Locations

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Azienda Ospedaliero-Universitaria Umberto I, Clinica di Oncologia Medica

Ancona, , Italy

Site Status ACTIVE_NOT_RECRUITING

Azienda Ospedaliera Ospedali Riuniti di Bergamo, UO di Oncologia Medica

Bergamo, , Italy

Site Status RECRUITING

Azienda Istituti Ospitalieri di Cremona, UO di Oncologia Medica

Cremona, , Italy

Site Status RECRUITING

Azienda Sanitaria Ospedaliera S. Croce e Carle, UO di Oncologia Medica

Cuneo, , Italy

Site Status RECRUITING

Ospedale S. Croce, U.O. di Oncologia Medica

Fano, PU, , Italy

Site Status RECRUITING

Azienda Ospedaliera Careggi, UO di Oncologia Medica

Florence, , Italy

Site Status RECRUITING

EO Ospedali Galliera, SC Oncologia Medica

Genova, , Italy

Site Status RECRUITING

Ospedale Versilia, UO di Oncologia Medica

Lido Di Camaiore, LU, , Italy

Site Status RECRUITING

USL 6, Presidio Ospedaliero di Livorno, U.O. di Oncologia MedicaAzienda

Livorno, , Italy

Site Status RECRUITING

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori-IRST, Oncologia Medica

Meldola, FC, , Italy

Site Status RECRUITING

Istituto Nazionale Tumori, SC di Oncologia 2

Milan, , Italy

Site Status RECRUITING

Azienda Ospedaliero-Universitaria di Modena-Policlinico, U.O. di Oncologia Medica ed Ematologia

Modena, , Italy

Site Status RECRUITING

AO S. Gerardo, Nuovo Ospedale S. Gerardo-settore A, Oncologia Medica

Monza, MI, , Italy

Site Status NOT_YET_RECRUITING

Azienda Ospedaliero-Universitaria di Parma, UOC di Oncologia Medica

Parma, , Italy

Site Status RECRUITING

Ospedale Silvestrini, S.C. di Oncologia Medica

Perugia, , Italy

Site Status RECRUITING

Arcispedale Santa Maria Nuova, UO di Oncologia Medica

Reggio Emilia, , Italy

Site Status RECRUITING

Azienda Ospedaliera S. Camillo-Forlanini, U.O. di Oncologia Medica

Roma, , Italy

Site Status RECRUITING

Ospedale SS. Annunziata, UO di Oncologia Medica

Sassari, , Italy

Site Status RECRUITING

Azienda Sanitaria Ospedaliera Molinette, U.O. di Oncologia Medica

Torino, , Italy

Site Status RECRUITING

P.O. Treviglio-Caravaggio, U.O. di Oncologia Medica

Treviglio, BG, , Italy

Site Status NOT_YET_RECRUITING

Policlinico "G. B. Rossi"-Borgo Roma, U.O. di Oncologia Medica Clinicizzata

Verona, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Luca Boni, MD

Role: CONTACT

+39 0557947553

References

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van Kruijsdijk RC, Visseren FL, Boni L, Groen HJ, Dingemans AM, Aerts JG, van der Graaf Y, Ardizzoni A, Smit EF. Pemetrexed plus carboplatin versus pemetrexed in pretreated patients with advanced non-squamous non-small-cell lung cancer: treating the right patients based on individualized treatment effect prediction. Ann Oncol. 2016 Jul;27(7):1280-6. doi: 10.1093/annonc/mdw154. Epub 2016 Apr 6.

Reference Type DERIVED
PMID: 27052652 (View on PubMed)

Ardizzoni A, Tiseo M, Boni L, Vincent AD, Passalacqua R, Buti S, Amoroso D, Camerini A, Labianca R, Genestreti G, Boni C, Ciuffreda L, Di Costanzo F, de Marinis F, Crino L, Santo A, Pazzola A, Barbieri F, Zilembo N, Colantonio I, Tibaldi C, Mattioli R, Cafferata MA, Camisa R, Smit EF. Pemetrexed versus pemetrexed and carboplatin as second-line chemotherapy in advanced non-small-cell lung cancer: results of the GOIRC 02-2006 randomized phase II study and pooled analysis with the NVALT7 trial. J Clin Oncol. 2012 Dec 20;30(36):4501-7. doi: 10.1200/JCO.2012.43.6758. Epub 2012 Oct 29.

Reference Type DERIVED
PMID: 23109689 (View on PubMed)

Other Identifiers

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EudraCT number 2006-004009-24

Identifier Type: -

Identifier Source: secondary_id

GOIRC 02/2006

Identifier Type: -

Identifier Source: org_study_id

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