A Randomized, Open-label, Multicenter, Phase 3 Study to Compare the Efficacy and Safety of Eribulin With Treatment of Physician's Choice in Subjects With Advanced Non-Small Cell Lung Cancer

NCT ID: NCT01454934

Last Updated: 2023-06-22

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

540 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-09

Study Completion Date

2016-05-02

Brief Summary

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This is a randomized, open-label, multicenter, Phase 3 study, comparing efficacy and safety of eribulin with TPC in subjects with advanced and disease progression following at least two prior regimens for advanced disease, which should have included a platinum-based regimen.

Detailed Description

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Conditions

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Non-Small Cell Lung Cancer (NSCLC)

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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Arm A

Group Type EXPERIMENTAL

Eribulin

Intervention Type DRUG

Administration of eribulin mesylate at a dose of 1.4 mg/m2 i.v. over 2 to 5 minutes on Days 1 and Day 8 of every cycle, where the duration of each cycle is 21 days.

Arm B

Group Type ACTIVE_COMPARATOR

TPC -Vinorelbine,Gemcitabine,Docetaxel, and Pemetrexed

Intervention Type DRUG

* Vinorelbine 30 mg/m2 i.v. on Day 1, every 7 days
* Gemcitabine 1250 mg/m2 i.v. on Days 1 and 8, every 21 days
* Docetaxel 75 mg/m2 i.v. on Day 1 every 21 days
* Pemetrexed 500 mg/m2 i.v. on Day 1 every 21 days (nonsquamous histology only).

Interventions

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Eribulin

Administration of eribulin mesylate at a dose of 1.4 mg/m2 i.v. over 2 to 5 minutes on Days 1 and Day 8 of every cycle, where the duration of each cycle is 21 days.

Intervention Type DRUG

TPC -Vinorelbine,Gemcitabine,Docetaxel, and Pemetrexed

* Vinorelbine 30 mg/m2 i.v. on Day 1, every 7 days
* Gemcitabine 1250 mg/m2 i.v. on Days 1 and 8, every 21 days
* Docetaxel 75 mg/m2 i.v. on Day 1 every 21 days
* Pemetrexed 500 mg/m2 i.v. on Day 1 every 21 days (nonsquamous histology only).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Subjects must meet all of the following criteria to be included in this study:

1. Histologically or cytologically confirmed diagnosis of NSCLC.
2. Documented evidence of advanced NSCLC not amenable to surgery or radiotherapy.
3. Confirmation of the presence or absence of EGFR mutations prior to study enrolment in all subjects.
4. Subjects must have received at least two prior regimens for advanced NSCLC, which should have included a platinum-based regimen and, in all subjects with tumors harbouring EGFR mutations, an EGFR TKI.
5. Radiographic evidence of disease progression on, or after, the last anti-cancer regimen prior to study entry.
6. Presence of measurable disease.
7. ECOG performance status of 0, 1, or 2.
8. Adequate bone marrow
9. Adequate renal function.
10. Adequate liver function.
11. Female subjects of child-bearing potential must agree to use two forms of highly effective contraception.
12. Male subjects and their female partners who are of child-bearing potential must agree to use two forms of highly effective contraception.
13. Voluntary agreement to provide written informed consent and the willingness and ability to comply with all aspects of the protocol.
14. Males or females aged at least 18 years (or any age greater than 18 years as determined by country legislation) at the time of informed consent.

Exclusion:

Subjects who meet any of the following criteria will be excluded from this study:

1. Subjects who have received any anti-cancer therapy within 14 days, or five half-lives of the drug (whichever is longer), prior to randomization.
2. Subjects who have not recovered from toxicities as a result of prior anti-cancer therapy to less than Grade 2.
3. Subjects who have previously been treated, or participated in a study with eribulin, whether treated with eribulin or not. The TPC option must not include the same agent which the subject received in a prior regimen.
4. Peripheral neuropathy more than CTCAE Grade 2.
5. Significant cardiovascular impairment.
6. Subjects with a high probability of Long QT Syndrome, or QTc interval \>500 ms.
7. Subjects with brain or subdural metastases are not eligible, unless the metastases are asymptomatic and do not require treatment or have been adequately treated by local therapy.
8. Any serious concomitant illness.
9. Known HIV positive, or have an infection requiring treatment.
10. Any malignancy that required treatment, or has shown evidence of recurrence (except for NSCLC, non-melanoma skin cancer, or histologically confirmed complete excision of carcinoma in-situ) during the 5 years prior to study entry.
11. Female subjects must not be pregnant, and must not be breastfeeding.
12. Hypersensitivity to either HalB or HalB chemical derivatives or both, or to any of the excipients of the eribulin formulation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eisai Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Los Angeles, California, United States

Site Status

Pleasant Hill, California, United States

Site Status

San Diego, California, United States

Site Status

Aurora, Colorado, United States

Site Status

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

Site Status

Port Saint Lucie, Florida, United States

Site Status

Decatur, Illinois, United States

Site Status

Southfield, Michigan, United States

Site Status

Lebanon, New Hampshire, United States

Site Status

Lake Success, New York, United States

Site Status

Portland, Oregon, United States

Site Status

Spokane, Washington, United States

Site Status

Madison, Wisconsin, United States

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Herston, Queensland, Australia

Site Status

Frankston, Victoria, Australia

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Strasbourg, Bas Rhin, France

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Marseille, Bouches-du-Rhone, France

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Marseille, Bouches-duRhone, France

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Bordeaux, Gironde, France

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Toulouse, Haute Garonne, France

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Limoges, Haute Vienne, France

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Rennes, Ille Et Vilaine, France

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Saint-Herblain, Loire Atlantique, France

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Lille, Nord, France

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Paris, Paris, France

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Pierre-Bénite, Rhone, France

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Villejuif, Val De Marne, France

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Aschaffenburg, Bavaria, Germany

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Gauting, Bavaria, Germany

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Munich, Bavaria, Germany

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Cologne, North Rhine-Westphalia, Germany

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Essen, North Rhine-Westphalia, Germany

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Recklinghausen, North Rhine-Westphalia, Germany

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Mainz, Rhineland-Palatinate, Germany

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Halle, Saxony-Anhalt, Germany

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Hong Kong, , Hong Kong

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Lido di Camaiore, Lucca, Italy

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Monza, Milano, Italy

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Aviano, Pordenone, Italy

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Cremona, , Italy

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Milan, , Italy

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Siena, , Italy

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Nagoya, Aichi-ken, Japan

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Kashiwa-shi, Chiba, Japan

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Fukuoka, Fukuoka, Japan

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Hiroshima, Hiroshima, Japan

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Sapporo, Hokkaido, Japan

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Kobe, Hygo-Ken, Japan

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Akashi-shi, Hyōgo, Japan

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Sendai, Miyagi, Japan

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Nigata-shi, Nigata-Ken, Japan

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Kurashiki-shi, Okayama-ken, Japan

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Habinko-shi, Osaka, Japan

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Osaka, Osaka, Japan

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Osakasayama-shi, Osaka, Japan

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Sunto-gun, Shizuoka, Japan

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Chūōku, Tokyo-to, Japan

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Kōtoku, Tokyo-To, Japan

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Ube-shi, Yamaguchi, Japan

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Kitaadachi-gun, , Japan

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Gdansk, , Poland

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Mrozy, , Poland

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Otwock, , Poland

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Sczedin, , Poland

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Warsazawa, , Poland

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Barnaul, , Russia

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Novosibirsk, , Russia

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Saint Petersburg, , Russia

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Singapore, , Singapore

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Seongnam-si, Gyeonggi-do, South Korea

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Suwon, Gyeonggi-do, South Korea

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Seoul, Korea, South Korea

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Sabadell, Barcelona, Spain

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Terrassa, Barcelona, Spain

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Pamplona, Navarre, Spain

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Barcelona, , Spain

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Madrid, , Spain

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Taichung, , Taiwan

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Tainan City, , Taiwan

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Taipei, , Taiwan

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London, Greater London, United Kingdom

Site Status

Manchester, Greater Manchester, United Kingdom

Site Status

Sutton, Surrey, United Kingdom

Site Status

Countries

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United States Australia France Germany Hong Kong Italy Japan Poland Russia Singapore South Korea Spain Taiwan United Kingdom

References

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Katakami N, Felip E, Spigel DR, Kim JH, Olivo M, Guo M, Nokihara H, Yang JC, Iannotti N, Satouchi M, Barlesi F. A randomized, open-label, multicenter, phase 3 study to compare the efficacy and safety of eribulin to treatment of physician's choice in patients with advanced non-small cell lung cancer. Ann Oncol. 2017 Sep 1;28(9):2241-2247. doi: 10.1093/annonc/mdx284.

Reference Type DERIVED
PMID: 28911085 (View on PubMed)

Other Identifiers

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E7389-G000-302

Identifier Type: -

Identifier Source: org_study_id

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