Paclitaxel-bevacizumab in Advanced Lung Cancer

NCT ID: NCT01763671

Last Updated: 2023-03-14

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2017-04-30

Brief Summary

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The study objective is to evaluate the efficacy of paclitaxel-bevacizumab comparing to docetaxel.

Docetaxel is a standard treatment of 2nd or 3rd line in lung cancer. It was validated by numerous clinical trials but sometimes toxicities are difficult to manage.

Bevacizumab is an antiangiogenic treatment which was validated by numerous clinical trials in association with platinum in first ligne. Different clinical and preclinical data suggest that there could exist a synergy between paclitaxel and bevacizumab. This association is already used in metastatic breast cancer, it permits almost to double the response rate and progression free survival. In lung cancer, the association was evaluated by two retrospective studies which demonstrated a benefit with a favourable safety profile.

Detailed Description

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Conditions

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Non-squamous Non-small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Docetaxel

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

75 mg/m² IV on day one of 21 days cycle Number of Cycles: until progression or unacceptable toxicity develops.

Paclitaxel - Bevacizumab

Group Type EXPERIMENTAL

Paclitaxel

Intervention Type DRUG

90 mg/m² IV on day 1, 8 and 15 of 28 days cycle Number of Cycles: until progression or unacceptable toxicity develops.

Bevacizumab

Intervention Type DRUG

10 mg/kg IV on day 1 and 15 of 28 days cycle Number of Cycles: until progression or unacceptable toxicity develops.

Interventions

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Docetaxel

75 mg/m² IV on day one of 21 days cycle Number of Cycles: until progression or unacceptable toxicity develops.

Intervention Type DRUG

Paclitaxel

90 mg/m² IV on day 1, 8 and 15 of 28 days cycle Number of Cycles: until progression or unacceptable toxicity develops.

Intervention Type DRUG

Bevacizumab

10 mg/kg IV on day 1 and 15 of 28 days cycle Number of Cycles: until progression or unacceptable toxicity develops.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 2nd or 3rd line of non squamous non small cell lung cancer of stage III or IV
* Document progression at the time of the inclusion. At least, one previous chemotherapy line with platinum. Patient who had previous treatment with bevacizumab can be included.
* Patient with active mutation of EGFR must have had on line of chemotherapy with platinum and one with Tyrosine kinase inhibitor of EGFR.
* Patient with ALK rearrangement must have had at least one line of chemotherapy with platinum and one with crizotinib.

Exclusion Criteria

* Mixed cancer small cells and non small cells or squamous lung cancer.
* Central nervous system symptomatic metastasis or requiring immediate cerebral radiotherapy
* patient who have had previous treatment with taxane (docetaxel, paclitaxel). Peri-operatory chemotherapy or chemoradiotherapy with taxane allowed if stopped more than 6 months before.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Intergroupe Francophone de Cancerologie Thoracique

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexis CORTOT, MD

Role: PRINCIPAL_INVESTIGATOR

CHRU LILLE

Benjamin BESSE, MD

Role: PRINCIPAL_INVESTIGATOR

Gustave Roussy, Cancer Campus, Grand Paris

Locations

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Amiens - CHU

Amiens, , France

Site Status

Centre Hospitalier

Annemasse, , France

Site Status

Hôpital Privé d'Antony

Antony, , France

Site Status

Avignon - Institut Sainte-Catherine

Avignon, , France

Site Status

CH de la Côte Basque

Bayonne, , France

Site Status

Béziers - CH

Béziers, , France

Site Status

Bordeaux - Polyclinique Nord

Bordeaux, , France

Site Status

Caen - Centre François Baclesse

Caen, , France

Site Status

Caen - CHU Côte de Nacre

Caen, , France

Site Status

Castelnau Le Lez - Clinique

Castelnau, , France

Site Status

CH de Chartres Hôpital Louis Pasteur

Chartres, , France

Site Status

Chauny - CH

Chauny, , France

Site Status

CH

Cholet, , France

Site Status

Hôpital Percy-Armées - Pneumologie

Clamart, , France

Site Status

Hôpitral Gabriel Montpied - Pneumologie

Clermont-Ferrand, , France

Site Status

CH

Colmar, , France

Site Status

CH Compiègne - Pneumologie

Compiègne, , France

Site Status

CHI Créteil

Créteil, , France

Site Status

CHRU Grenoble

Grenoble, , France

Site Status

Harfleur - Clinique du Petit Colmoulins

Harfleur, , France

Site Status

CH Région Saint-Omer

Helfaut, , France

Site Status

Le Mans - Centre Hospitalier

Le Mans, , France

Site Status

CHU (Hôpital Calmette) - Pneumologie

Lille, , France

Site Status

CH de Longjumeau

Longjumeau, , France

Site Status

Lorient - CHBS

Lorient, , France

Site Status

Lyon - Hôpital Jean Mermoz

Lyon, , France

Site Status

Lyon - Hôpital Louis Pradel (Pneumologie)

Lyon, , France

Site Status

Mantes La Jolie - CH

Mantes-la-Jolie, , France

Site Status

Marseille - Hôpital Sainte Marguerite

Marseille, , France

Site Status

Maubeuge - Polyclinique du Parc

Maubeuge, , France

Site Status

CH de Macon

Mâcon, , France

Site Status

CH Montélimar

Montélimar, , France

Site Status

Mulhouse - CH

Mulhouse, , France

Site Status

Nantes - Centre René Gauducheau

Nantes, , France

Site Status

CHR d'Orléans La Source

Orléans, , France

Site Status

Paris - Saint Louis

Paris, , France

Site Status

Hopital Tenon - Pneumologie

Paris, , France

Site Status

HIA Val-de-Grâce

Paris, , France

Site Status

Hôpital Bichat - Claude - Bernard

Paris, , France

Site Status

Paris - Pitié-salpêtrière

Paris, , France

Site Status

Pau - CH

Pau, , France

Site Status

Lyon Sud

Pierre-Bénite, , France

Site Status

Rouen - CHU

Rouen, , France

Site Status

CHU Saint-Etienne Pneumologie

Saint-Etienne, , France

Site Status

Saint Quentin - CH

Saint-Quentin, , France

Site Status

Strasbourg - NHC

Strasbourg, , France

Site Status

Suresnes - Hopital Foch

Suresnes, , France

Site Status

Thonon les bains - CH

Thonon-les-Bains, , France

Site Status

Toulon - CHI

Toulon, , France

Site Status

Toulon - HIA

Toulon, , France

Site Status

Toulouse - CHU Larrey

Toulouse, , France

Site Status

Tours - CHU

Tours, , France

Site Status

Valenciennes - Clinique

Valenciennes, , France

Site Status

CH de Villefranche - Pneumologie

Villefranche, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Countries

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France

References

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Cortot AB, Audigier-Valette C, Molinier O, Le Moulec S, Barlesi F, Zalcman G, Dumont P, Pouessel D, Poulet C, Fontaine-Delaruelle C, Hiret S, Dixmier A, Renault PA, Becht C, Raffy O, Dayen C, Mazieres J, Pichon E, Langlais A, Morin F, Moro-Sibilot D, Besse B. Weekly paclitaxel plus bevacizumab versus docetaxel as second- or third-line treatment in advanced non-squamous non-small-cell lung cancer: Results of the IFCT-1103 ULTIMATE study. Eur J Cancer. 2020 May;131:27-36. doi: 10.1016/j.ejca.2020.02.022. Epub 2020 Apr 8.

Reference Type DERIVED
PMID: 32276179 (View on PubMed)

Related Links

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Other Identifiers

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IFCT-1103

Identifier Type: -

Identifier Source: org_study_id

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