A Study of Aflibercept Administered in Combination With Pemetrexed and Cisplatin in Participants With Advanced Carcinoma

NCT ID: NCT00794417

Last Updated: 2020-12-10

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2011-06-30

Brief Summary

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The purpose of the study was to determine whether the combination of aflibercept, pemetrexed and cisplatin is safe and effective in treating non-small cell lung cancer (NSCLC).

Detailed Description

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The study was conducted in two phases. In phase 1, patients with advanced cancer received different doses of aflibercept in combination with approved doses of pemetrexed and cisplatin. The objective of phase 1 was to determine the safest dose of the combined study medications. This dose was administered to patients with previously untreated NSCLC in phase 2. The phase 2 portion of the study determined if the combination is effective in treating NSCLC.

Conditions

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Advanced Carcinoma Non-small Cell Lung Cancer

Keywords

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advanced cancer lung cancer NSCLC Non-small Cell Lung Cancer aflibercept chemotherapy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin

Participants received intravenous infusion of aflibercept 6 mg/kg followed by pemetrexed 500 mg/m\^2 and then cisplatin 75 mg/m\^2 on Day 1 of each 3 week cycle (1 Cycle = 21 Days in this study) until disease progression, unacceptable toxicity, withdrawal of consent or if another study withdrawal criterion has been met.

Group Type EXPERIMENTAL

Aflibercept

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Pemetrexed

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Cisplatin

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Phase 1: Aflibercept 2 mg/kg and Pemetrexed and Cisplatin

Participants received intravenous infusion of aflibercept 2 milligrams per kilogram (mg/kg) followed by pemetrexed 500 mg/square meter (m\^2) and then cisplatin 75 mg/m\^2 on Day 1 of each 3 week cycle (1 Cycle = 21 Days in this study) until disease progression, unacceptable toxicity, withdrawal of consent or if another study withdrawal criterion has been met.

Group Type EXPERIMENTAL

Aflibercept

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Pemetrexed

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Cisplatin

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Phase 1: Aflibercept 4 mg/kg and Pemetrexed and Cisplatin

Participants received intravenous infusion of aflibercept 4 mg/kg followed by pemetrexed 500 mg/m\^2 and then cisplatin 75 mg/m\^2 on Day 1 of each 3 week cycle (1 Cycle = 21 Days in this study) until disease progression, unacceptable toxicity, withdrawal of consent or if another study withdrawal criterion has been met.

Group Type EXPERIMENTAL

Aflibercept

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Pemetrexed

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Cisplatin

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Phase 2: Aflibercept 6 mg/kg and Pemetrexed and Cisplatin

Participants received intravenous infusion of aflibercept 6 mg/kg followed by pemetrexed 500 mg/m\^2 and then cisplatin 75 mg/m\^2 on Day 1 of each 3 week cycle (1 Cycle = 21 Days in this study) for 6 cycles.

Group Type EXPERIMENTAL

Aflibercept

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Pemetrexed

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Cisplatin

Intervention Type DRUG

Administered in combination with the other two interventions via intravenous infusion.

Interventions

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Aflibercept

Administered in combination with the other two interventions via intravenous infusion.

Intervention Type DRUG

Pemetrexed

Administered in combination with the other two interventions via intravenous infusion.

Intervention Type DRUG

Cisplatin

Administered in combination with the other two interventions via intravenous infusion.

Intervention Type DRUG

Other Intervention Names

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Alimta Platinol

Eligibility Criteria

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Inclusion Criteria

* Confirmation of cancer by biopsy (tissue sample)
* Phase 1: patients with advanced or metastatic disease that have failed conventional therapy
* Phase 2: patients with previously untreated NSCLC, excluding squamous cell histology and cavitating lesions
* Age ≥18 years
* Eastern Cooperative Oncology Group (ECOG) performance status 0-1
* Adequate renal, liver and bone marrow function.
* Negative pregnancy test (serum or urine) in females of childbearing potential within 7 days of the initial dose of aflibercept
* Ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures
* Institutional Review Board (IRB) approved, signed and dated informed consent form

Exclusion Criteria

* Prior treatment with study medications
* Untreated, symptomatic, or progressive Central Nervous System cancer and/or spinal cord compression. Patients with treated brain metastases must have been without symptoms for at least 3 months
* Surgery up to 4 weeks prior to the initial administration of aflibercept and/or incomplete wound healing
* Anti-VEGF therapy up to 4 weeks prior to the initial administration of aflibercept (for phase 1 only)
* Chemotherapy up to 4 weeks prior to the initial administration of aflibercept (for phase 1 only)
* Other investigational treatment up to 4 weeks prior to the initial administration of aflibercept
* Any of the following up to 6 months (24 weeks) prior to the initial administration of aflibercept:

* Severe cardiovascular disease or event
* Cerebrovascular accident, transient ischemic attack, or moderate to severe peripheral neuropathy
* Erosive esophagitis or gastritis, infectious or inflammatory bowel disease, and diverticulitis
* Deep vein thrombosis, pulmonary embolism, or other clotting event
* Episode(s)of moderate to severe, continuous bleeding
* Breast-feeding or pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Arizona Cancer Institute, LLC

Tucson, Arizona, United States

Site Status

University of Arkansas for Medical Science

Little Rock, Arkansas, United States

Site Status

Stanford University Medical Center

Stanford, California, United States

Site Status

Palm Beach Institute of Hematology and Oncology

Boynton Beach, Florida, United States

Site Status

Edward Hines Jr. VA Medical Center

Hines, Illinois, United States

Site Status

Kentucky Cancer Clinic

Hazard, Kentucky, United States

Site Status

Sidney Kimmel Comprehensive Cancer Center

Baltimore, Maryland, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

UNM Cancer Clinic

Albuquerque, New Mexico, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Presbyterian Hospital Center for Cancer Research

Charlotte, North Carolina, United States

Site Status

Erie Regional Cancer Center

Erie, Pennsylvania, United States

Site Status

Schiffler Cancer Center - Medical Oncology Division

Wheeling, West Virginia, United States

Site Status

Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Diaz-Padilla I, Siu LL, San Pedro-Salcedo M, Razak AR, Colevas AD, Shepherd FA, Leighl NB, Neal JW, Thibault A, Liu L, Lisano J, Gao B, Lawson EB, Wakelee HA. A phase I dose-escalation study of aflibercept administered in combination with pemetrexed and cisplatin in patients with advanced solid tumours. Br J Cancer. 2012 Aug 7;107(4):604-11. doi: 10.1038/bjc.2012.319. Epub 2012 Jul 17.

Reference Type RESULT
PMID: 22805331 (View on PubMed)

Chen H, Modiano MR, Neal JW, Brahmer JR, Rigas JR, Jotte RM, Leighl NB, Riess JW, Kuo CJ, Liu L, Gao B, Dicioccio AT, Adjei AA, Wakelee HA. A phase II multicentre study of ziv-aflibercept in combination with cisplatin and pemetrexed in patients with previously untreated advanced/metastatic non-squamous non-small cell lung cancer. Br J Cancer. 2014 Feb 4;110(3):602-8. doi: 10.1038/bjc.2013.735. Epub 2013 Nov 28.

Reference Type RESULT
PMID: 24292447 (View on PubMed)

Other Identifiers

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TCD10767

Identifier Type: -

Identifier Source: secondary_id

VGFT-ST-0708

Identifier Type: -

Identifier Source: org_study_id