Anamorelin HCl in the Treatment of Non-Small Cell Lung Cancer-Cachexia (NSCLC-C): An Extension Study (ROMANA 3)

NCT ID: NCT01395914

Last Updated: 2017-09-14

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

513 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2015-02-28

Brief Summary

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The administration of Anamorelin HCl in patients with Non-Small Cell Lung Cancer-Cachexia (NSCLC-C) is expected to increase appetite, lean body mass, weight gain, and muscle strength.

Detailed Description

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This is a randomized, double-blind, parallel-group, placebo-controlled, extension study to assess the safety and efficacy of Anamorelin HCl in NSCLC-C patients.

Conditions

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Cachexia Non-Small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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100 mg QD

100 mg yellow coated, oval tablet; oral administration once daily

Group Type EXPERIMENTAL

Anamorelin HCl

Intervention Type DRUG

Placebo

Placebo tablets identical in appearance to active tablets; oral administration once daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Anamorelin HCl

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Has completed the Day 85 Visit in the original trial (Study HT-ANAM-301 or HT-ANAM-302) and is considered appropriate to continue to receive additional study drug; must start dosing on the extension study within 5 days of completing dosing on the original trial
* ECOG performance status ≤2
* Life expectancy of \>4 months at time of screening
* If woman of childbearing potential or a fertile man, he/she must agree to use an effective form of contraception during the study and for 30 days following the last dose of study drug (an effective form of contraception is abstinence, a hormonal contraceptive, or a double-barrier method)
* Must be willing and able to give signed informed consent and, in the opinion of the Investigator, to comply with the protocol tests and procedures

Exclusion Criteria

* Women who are pregnant or breast-feeding
* Had major surgery (central venous access placement and tumor biopsies are not considered major surgery) within 4 weeks prior to enrollment into the extension study; patients must be well recovered from acute effects of surgery prior to screening; patients should not have plans to undergo major surgical procedures during the treatment period
* Currently taking prescription medications intended to increase appetite or treat weight loss; these include, but are not limited to, testosterone, androgenic compounds, megestrol acetate, methylphenidate, and dronabinol
* Inability to readily swallow oral tablets; patients with severe gastrointestinal disease (including esophagitis, gastritis, malabsorption, or obstructive symptoms) or intractable or frequent vomiting are excluded
* Has an active, uncontrolled infection
* Has known or symptomatic brain metastases
* Receiving strong CYP3A4 inhibitors
* Receiving tube feedings or parenteral nutrition (either total or partial); patients must have discontinued these treatments for at least 6 weeks prior to Day 1, and throughout the study duration
* Other clinical diagnosis, ongoing or intercurrent illness that in the Investigator's opinion would prevent the patient's participation
* Patients actively receiving a concurrent investigational agent, other than Anamorelin HCl
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Helsinn Therapeutics (U.S.), Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Corona, California, United States

Site Status

Fountain Valley, California, United States

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Fullerton, California, United States

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Glendale, California, United States

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La Jolla, California, United States

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Riverside, California, United States

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Washington D.C., District of Columbia, United States

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Orange City, Florida, United States

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Quincy, Illinois, United States

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Indianapolis, Indiana, United States

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Louisville, Kentucky, United States

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Boston, Massachusetts, United States

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Lake Success, New York, United States

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Durham, North Carolina, United States

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Cleveland, Ohio, United States

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Sylvania, Ohio, United States

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West Reading, Pennsylvania, United States

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Charleston, South Carolina, United States

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Falls Church, Virginia, United States

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Prairiewood, New South Wales, Australia

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Adelaide, , Australia

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East Bentleigh, , Australia

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Victoria, , Australia

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Brest, , Belarus

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Lesnoy, , Belarus

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Minsk, , Belarus

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Antwerp, , Belgium

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Brussels, , Belgium

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Genk, , Belgium

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Ghent, , Belgium

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Liège, , Belgium

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Edmonton, Alberta, Canada

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Sault Ste. Marie, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Benešov, , Czechia

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Brno, , Czechia

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Hlučín, , Czechia

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Liberec, , Czechia

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Nymburk, , Czechia

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Lyon, , France

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Villejuif, , France

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Großhansdorf, , Germany

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Halle, , Germany

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Budapest, , Hungary

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Kassai, , Hungary

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Beersheba, , Israel

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Petach Tikvah, , Israel

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Tel Litwinsky, , Israel

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Ẕerifin, , Israel

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Piacenza, , Italy

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Bydgoszcz, , Poland

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Grudziądz, , Poland

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Katowice, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Szczecin, , Poland

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Warsaw, , Poland

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Krasnodar, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Yekaterinburg, , Russia

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Belgrade, , Serbia

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Kamenitz, , Serbia

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Ljubljana, , Slovenia

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Barcelona, , Spain

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Seville, , Spain

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Valencia, , Spain

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Dnipropetrovsk, , Ukraine

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Kharkiv, , Ukraine

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Kyiv, , Ukraine

Site Status

Countries

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United States Australia Belarus Belgium Canada Czechia France Germany Hungary Israel Italy Poland Russia Serbia Slovenia Spain Ukraine

References

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Currow D, Temel JS, Abernethy A, Milanowski J, Friend J, Fearon KC. ROMANA 3: a phase 3 safety extension study of anamorelin in advanced non-small-cell lung cancer (NSCLC) patients with cachexia. Ann Oncol. 2017 Aug 1;28(8):1949-1956. doi: 10.1093/annonc/mdx192.

Reference Type DERIVED
PMID: 28472437 (View on PubMed)

Other Identifiers

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HT-ANAM-303

Identifier Type: -

Identifier Source: org_study_id

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