Efficacy/Safety of Imprime PGG With Cetuximab & Paclitaxel/Carboplatin Therapy in Pts With Untreated Advanced Non-Small Cell Lung Cancer

NCT ID: NCT00874848

Last Updated: 2016-11-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2015-08-31

Brief Summary

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The Phase 2 study described in this protocol will serve to evaluate the antitumor activity, safety and pharmacokinetic profile of Imprime PGG when combined with cetuximab and concomitant paclitaxel and carboplatin therapy in patients with previously untreated advanced NSCLC. Additionally, this study will provide guidance for the design of more definitive efficacy studies of Imprime PGG in NSCLC patients.

Detailed Description

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Conditions

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NSCLC

Keywords

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Imprime PGG NSCLC Cetuximab

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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Imprime PGG

Imprime PGG Injection + Cetuximab + Paclitaxel/Carboplatin

Group Type EXPERIMENTAL

Imprime PGG Injection

Intervention Type BIOLOGICAL

4 mg/kg i.v. over 2 hrs, weekly, in three week cycles

Cetuximab

Intervention Type BIOLOGICAL

initial loading dose of 400 mg/m\^2 over 120 min and subsequent doses at 250 mg/m\^2 over 60 min, weekly on Days 1, 8 and 15 of each 3-week treatment cycle

Paclitaxel

Intervention Type DRUG

200 mg/m\^2 i.v. over 3 hr on Day 2 of each 3-week treatment cycle for the first 4 to 6 treatment cycles

Carboplatin

Intervention Type DRUG

dose equal to an AUC of 6 mg/mL · min based on the Calvert formula; i.v. over 30 min on Day 2 of each 3-week treatment cycle for the first 4 to 6 treatment cycles

Control

Cetuximab + Paclitaxel/Carboplatin

Group Type ACTIVE_COMPARATOR

Cetuximab

Intervention Type BIOLOGICAL

initial loading dose of 400 mg/m\^2 over 120 min and subsequent doses at 250 mg/m\^2 over 60 min, weekly on Days 1, 8 and 15 of each 3-week treatment cycle

Paclitaxel

Intervention Type DRUG

200 mg/m\^2 i.v. over 3 hr on Day 2 of each 3-week treatment cycle for the first 4 to 6 treatment cycles

Carboplatin

Intervention Type DRUG

dose equal to an AUC of 6 mg/mL · min based on the Calvert formula; i.v. over 30 min on Day 2 of each 3-week treatment cycle for the first 4 to 6 treatment cycles

Interventions

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Imprime PGG Injection

4 mg/kg i.v. over 2 hrs, weekly, in three week cycles

Intervention Type BIOLOGICAL

Cetuximab

initial loading dose of 400 mg/m\^2 over 120 min and subsequent doses at 250 mg/m\^2 over 60 min, weekly on Days 1, 8 and 15 of each 3-week treatment cycle

Intervention Type BIOLOGICAL

Paclitaxel

200 mg/m\^2 i.v. over 3 hr on Day 2 of each 3-week treatment cycle for the first 4 to 6 treatment cycles

Intervention Type DRUG

Carboplatin

dose equal to an AUC of 6 mg/mL · min based on the Calvert formula; i.v. over 30 min on Day 2 of each 3-week treatment cycle for the first 4 to 6 treatment cycles

Intervention Type DRUG

Other Intervention Names

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Erbitux Abraxane Taxol Onxol Nov-Onxol Paraplatin

Eligibility Criteria

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Inclusion Criteria

1. Has read, understood and signed the informed consent form (ICF) approved by the Independent Review Board/Ethics Committee (IRB/EC)
2. Is between the ages of 18 and 75 years old, inclusive
3. Has histologically or cytologically confirmed stage IIIB (malignant pericardial or pleural effusion) or stage IV non-small cell lung cancer
4. Has measurable disease, defined as at least one tumor that fulfills the criteria for a target lesion according to RECIST
5. Has an ECOG performance status of 0 or 1
6. Has a life expectancy of \> 3 months
7. Has adequate hematologic function as evidenced by:

* ANC ≥ 1,500/μL
* PLT ≥ 100,000/μL
* HGB ≥ 9 g/dL obtained within 1 week prior to the first dose of study medication;
8. Has adequate renal function as evidenced by:

* Serum creatinine ≤ 1.5 X the upper limit of normal (ULN) for the reference lab
* Urine dipstick for proteinuria of \< 1+ (i.e., either 0 or trace) within 2 weeks of Day 1 If urine dipstick is ≥ 1+, then urine protein excretion must be ≤ 500 mg over a 24 hour collection obtained within 1 week prior to the first dose of study medication;
9. Has adequate hepatic function as evidenced by:

* Serum total bilirubin ≤ 1.0 mg/dL
* AST ≤ 2.5X ULN for the reference lab (≤ 5X ULN for subjects with known hepatic metastases)
* ALT ≤ 2.5X ULN for the reference lab (≤ 5X ULN for subjects with known hepatic metastases) obtained within 1 week prior to the first dose of study medication;
10. If a woman of childbearing potential or a fertile man (and his partners), must agree to use an effective form of contraception (hormonal contraceptive, double-barrier method or abstinence) during the study.

Exclusion Criteria

1. Has received prior systemic chemotherapy at any time for lung cancer;
2. Has received previous radiation therapy to \>30% of active bone marrow or any radiation therapy within 3 weeks of Day 1
3. Has a known hypersensitivity to baker's yeast, or has an active yeast infection
4. Has had previous exposure to Betafectin® or Imprime PGG
5. Has an active infection
6. Presents with any of the following medical diagnoses/conditions at the time of screening:

* Central nervous system (CNS) metastases
* Uncontrolled hypertension (\>150/100 mmHg) or hypertension that requires \> two agents for adequate control
* Peripheral neuropathy ≥ grade 2 from any cause
* Fever of \>38.5° C within 3 days prior to screening or Day 1, initial dosing
* Known HIV/AIDs, Hepatitis B, Hepatitis C, connective tissue or autoimmune disease, or other clinical diagnosis, ongoing or intercurrent illness that in the physician's opinion could interfere with participation
7. Has a history of any of the following medical diagnoses/conditions:

* Myocardial infarction or an unstable or uncontrolled disease or condition related to or impacting cardiac function (e.g., unstable angina, congestive heart failure) within the previous 6 months
* Second malignancy within the previous 5 years, other than basal cell carcinoma, cervical intra-epithelial neoplasia or curatively treated prostate cancer with a PSA of \<2.0 ng/mL
8. Has a known hypersensitivity to cetuximab, murine proteins, or any component of cetuximab
9. Has a know sensitivity to Cremophor EL
10. Has previously received treatment with cetuximab
11. If female, is pregnant or breast-feeding
12. Is receiving concurrent investigational therapy or has received investigational therapy within a period of 30 days prior to the first scheduled day of dosing (investigational therapy is defined as treatment for which there is currently no regulatory-authority-approved indication)
13. Has previously received an organ or progenitor/stem cell transplant.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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HiberCell, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Folker Schneller, MD

Role: PRINCIPAL_INVESTIGATOR

Technical University, Munich

Locations

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Medical College of Georgia

Augusta, Georgia, United States

Site Status

Providence Medical Group

Terre Haute, Indiana, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Mary Crowley Medical Research Center

Dallas, Texas, United States

Site Status

Allison Cancer Center

Midland, Texas, United States

Site Status

Helios Clinic Emil von Behring

Berlin, , Germany

Site Status

Municipal Clinic Frankfurt Hoescht

Frankfurt, , Germany

Site Status

Georg-August University Gottingen

Göttingen, , Germany

Site Status

University Clinical Heidelberg

Heidelberg, , Germany

Site Status

Clinic Minden

Minden, , Germany

Site Status

Techincal University of Munich

Munich, , Germany

Site Status

Clinic Nurnberg Nord

Nuremberg, , Germany

Site Status

Universitätsklinikum Ulm

Ulm, , Germany

Site Status

HELIOS Klinikum Wuppertal, Medizinische Klinik 1

Wuppertal, , Germany

Site Status

Countries

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United States Germany

References

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Thomas M, Sadjadian P, Kollmeier J, Lowe J, Mattson P, Trout JR, Gargano M, Patchen ML, Walsh R, Beliveau M, Marier JF, Bose N, Gorden K, Schneller F 3rd. A randomized, open-label, multicenter, phase II study evaluating the efficacy and safety of BTH1677 (1,3-1,6 beta glucan; Imprime PGG) in combination with cetuximab and chemotherapy in patients with advanced non-small cell lung cancer. Invest New Drugs. 2017 Jun;35(3):345-358. doi: 10.1007/s10637-017-0450-3. Epub 2017 Mar 16.

Reference Type DERIVED
PMID: 28303530 (View on PubMed)

Other Identifiers

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BT-CL-PGG-LCA0822

Identifier Type: -

Identifier Source: org_study_id