Safety and Efficacy Study of Abraxane as Maintenance Treatment After Abraxane Plus Carboplatin in 1st Line Stage IIIB / IV Squamous Cell Non-small Cell Lung Cancer

NCT ID: NCT02027428

Last Updated: 2020-08-17

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

427 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-11

Study Completion Date

2019-08-01

Brief Summary

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Maintenance treatment of advanced stage squamous cell NSCLC.

Phase III, randomized, open-label, multi-center study of nab-paclitaxel with best supportive care (BSC) or BSC alone as maintenance treatment after response or stable disease (SD) with nab-paclitaxel plus carboplatin as induction in subjects with stage IIIB/IV squamous cell NSCLC.

Subjects who discontinued treatment from the maintenance part for any reason other than withdrawal of consent, lost to follow-up, or death, were entered into a Follow-up period that had a visit 28 days after progression or discontinuation.

Those who entered Follow-up without progression continued with follow-up scans according to standard of care (SOC) until documentation of progression of disease. Additionally, subjects were followed for OS by phone approximately every 90 days for a minimum of 18 months, for up to approximately 5 years after the last subject was randomized.

Detailed Description

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The sponsor used 15 Sep 2017 as the database cut-off date.

Conditions

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Squamous Cell Carcinoma, Non-Small-Cell Lung

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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Abraxane + Best Supportive Care (BSC)

Dosing will occur in two phases - induction and maintenance. During induction, the subject will receive Abraxane plus carboplatin as standard of care. At the end of 4 cycles, if the subject has a complete response, partial response, or stable disease, he/she will continue on to the maintenance phase. Maintenance dosing on this arm includes Abraxane plus best supportive care.

Group Type EXPERIMENTAL

Abraxane (Induction)

Intervention Type DRUG

100 mg/m2 IV infusion over 30 minutes on Days 1 and 8 and 15 of each 21-day cycle, administered as standard of care

Carboplatin (Induction)

Intervention Type DRUG

6 mg/min/mL IV on Day 1 of each 21-day cycle after completion of nab-paclitaxel infusion

Abraxane (Maintenance)

Intervention Type DRUG

100 mg/m2 IV infusion over 30 minutes on Days 1 and 8 of each 21-day cycle, administered as standard of care

Best Supportive Care (Maintenance)

Intervention Type OTHER

The best palliative care per investigator (including but not limited to: antibiotics, analgesics, antiemetics, thoracentesis, pleurodesis, blood transfusions, nutritional support, and/or focal external-beam radiation for control of pain, cough, dyspnea, or hemoptysis), excluding antineoplastic agents

Best Supportive Care (BSC)

Dosing will occur in two phases - induction and maintenance. During induction, the subject will receive Abraxane plus carboplatin as standard of care. At the end of 4 cycles, if the subject has a complete response, partial response, or stable disease, he/she will continue on to the maintenance phase. Maintenance dosing on this arm includes best supportive care only.

Group Type OTHER

Abraxane (Induction)

Intervention Type DRUG

100 mg/m2 IV infusion over 30 minutes on Days 1 and 8 and 15 of each 21-day cycle, administered as standard of care

Carboplatin (Induction)

Intervention Type DRUG

6 mg/min/mL IV on Day 1 of each 21-day cycle after completion of nab-paclitaxel infusion, administered as standard of care

Best Supportive Care (Maintenance)

Intervention Type OTHER

The best palliative care per investigator (including but not limited to: antibiotics, analgesics, antiemetics, thoracentesis, pleurodesis, blood transfusions, nutritional support, and/or focal external-beam radiation for control of pain, cough, dyspnea, or hemoptysis), excluding antineoplastic agents

Interventions

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Abraxane (Induction)

100 mg/m2 IV infusion over 30 minutes on Days 1 and 8 and 15 of each 21-day cycle, administered as standard of care

Intervention Type DRUG

Carboplatin (Induction)

6 mg/min/mL IV on Day 1 of each 21-day cycle after completion of nab-paclitaxel infusion

Intervention Type DRUG

Abraxane (Maintenance)

100 mg/m2 IV infusion over 30 minutes on Days 1 and 8 of each 21-day cycle, administered as standard of care

Intervention Type DRUG

Best Supportive Care (Maintenance)

The best palliative care per investigator (including but not limited to: antibiotics, analgesics, antiemetics, thoracentesis, pleurodesis, blood transfusions, nutritional support, and/or focal external-beam radiation for control of pain, cough, dyspnea, or hemoptysis), excluding antineoplastic agents

Intervention Type OTHER

Abraxane (Induction)

100 mg/m2 IV infusion over 30 minutes on Days 1 and 8 and 15 of each 21-day cycle, administered as standard of care

Intervention Type DRUG

Carboplatin (Induction)

6 mg/min/mL IV on Day 1 of each 21-day cycle after completion of nab-paclitaxel infusion, administered as standard of care

Intervention Type DRUG

Best Supportive Care (Maintenance)

The best palliative care per investigator (including but not limited to: antibiotics, analgesics, antiemetics, thoracentesis, pleurodesis, blood transfusions, nutritional support, and/or focal external-beam radiation for control of pain, cough, dyspnea, or hemoptysis), excluding antineoplastic agents

Intervention Type OTHER

Other Intervention Names

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nab-paclitaxel nab-paclitaxel

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18 years of age at the time of signing the Informed Consent Form.
2. Understand and voluntarily provide written consent to the Informed Consent Form prior to conducting any study related assessments/procedures.
3. Able to adhere to the study visit schedule and other protocol requirements

Disease Specific
4. Histologically or cytologically confirmed Stage IIIB or IV squamous cell Non Small Cell Lung Cancer at study entry.
5. No other current active malignancy requiring anticancer therapy.
6. Radiographically documented measurable disease at study entry (as defined by the Response Evaluation Criteria In Solid Tumors \[RECIST\] v1.1 criteria).
7. No prior chemotherapy for the treatment of metastatic disease at study entry. Adjuvant chemotherapy is permitted providing cytotoxic chemotherapy was completed 12 months prior to starting the study and without disease recurrence.
8. Absolute neutrophil count ≥ 1500 cells/mm\^3.
9. Platelets ≥ 100,000 cells/mm\^3.
10. Hemoglobin ≥ 9 g/dL.
11. Aspartate transaminase/serum glutamic oxaloacetic transaminase, alanine transaminase/serum glutamic pyruvic transaminase ≤ 2.5 × upper limit of normal range or ≤ 5.0 × upper limit of normal range if liver metastases.
12. Total bilirubin ≤ 1.5 × upper limit of normal range except in cases of Gilbert's disease and liver metastases.
13. Creatinine ≤ 1.5 mg/dL.
14. Expected survival of \> 12 weeks for the Induction part of the study.
15. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
16. For Maintenance part of the study, subjects must have received at least one dose of nab-paclitaxel in each of the 4 cycles during Induction

Pregnancy
17. Females of childbearing potential \[defined as a sexually mature woman who (1) have not undergone hysterectomy (the surgical removal of the uterus) or bilateral oophorectomy (the surgical removal of both ovaries) or (2) have not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time during the preceding 24 consecutive months)\] must:

1. agree to take a pregnancy test prior to starting study medication and throughout the study participation.
2. commit to complete abstinence from heterosexual contact, or agree to use medical doctor-approved contraception throughout the study without interruption, and while receiving study medication or for a longer period if required by local regulations.
18. Male subjects must:

c. agree to complete abstinence from heterosexual contact or use a condom during sexual contact with a female of child bearing potential while receiving study medication and within 6 months after last dose of study medication, even if he has undergone a successful vasectomy.
19. Females must abstain from breastfeeding during study participation and 3 months after IP discontinuation.

Exclusion Criteria

The presence of any of the following will exclude a subject from enrollment into the Induction and Maintenance parts of the study (except if specified at study entry only):

1. Evidence of active brain metastases, including leptomeningeal involvement (prior evidence of brain metastasis are permitted only if treated and stable and off therapy for ≥ 4 weeks prior to first dose of study drug).
2. Only evidence of disease is non-measurable at study entry.
3. Preexisting peripheral neuropathy of Grade 2, 3, or 4 (per Common Terminology Criteria for Adverse Events v4.0).
4. Venous thromboembolism within 6 months prior to signing Informed Consent Form.
5. Current congestive heart failure (New York Heart Association class II-IV).
6. History of the following within 6 months prior to first administration of a study drug: a myocardial infarction, severe/unstable angina pectoris, coronary/peripheral artery bypass graft, New York Heart Association (NYHA) Class III-IV heart failure, uncontrolled hypertension, clinically significant cardiac dysrhythmia or clinically significant electrocardiogram (ECG) abnormality, cerebrovascular accident, transient ischemic attack, or seizure disorder.
7. Treatment with any investigational product within 28 days prior to signing Informed Consent Form.
8. History of allergy or hypersensitivity to nab-paclitaxel or carboplatin.
9. Currently enrolled in any other clinical protocol or investigational trial that involved administration of experimental therapy and/or therapeutic devices.
10. Any other clinically significant medical condition and/or organ dysfunction that will interfere with the administration of the therapy according to this protocol.
11. Subject has any other malignancy within 5 years prior to randomization. Exceptions include the following: squamous cell carcinoma of the skin, in-situ carcinoma of the cervix, uteri, non-melanomatous skin cancer, carcinoma in situ of the breast, or incidental histological finding of prostate cancer (TNM stage of T1a or T1b) - all treatments that should have been completed 6 months prior to signing informed consent form (ICF).
12. Subject has received radiotherapy ≤ 4 weeks or limited field radiation for palliation ≤ 2 weeks prior to starting investigational product (IP), and/or from whom ≥ 30% of the bone marrow was irradiated. Prior radiation therapy to a target lesion is permitted only if there has been clear progression of the lesion since radiation was completed.
13. Pregnant and nursing females.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Teng Jin Ong, MD

Role: STUDY_DIRECTOR

Celgene

Locations

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Clearview Cancer Institute Oncology Specialties, P.C

Huntsville, Alabama, United States

Site Status

Palo Verde Hematology Oncology, Ltd.

Glendale, Arizona, United States

Site Status

Arizona Clinical Research Center

Tucson, Arizona, United States

Site Status

Genesis Cancer Center

Hot Springs, Arkansas, United States

Site Status

City of Hope Cancer Center

Duarte, California, United States

Site Status

Cancer Care Associates of Fresno Medical Group Inc

Fresno, California, United States

Site Status

University of California San Diego Moores Cancer Center

La Jolla, California, United States

Site Status

Clinical Trials and Research Associates

Montebello, California, United States

Site Status

VA Palo Alto Health Care System

Palo Alto, California, United States

Site Status

Rocky Mountain Cancer Centers, LLP

Denver, Colorado, United States

Site Status

Yale Cancer Center

New Haven, Connecticut, United States

Site Status

Lynn Cancer Institute

Boca Raton, Florida, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Watson Clinic, LLP Center for Cancer Care and Research

Lakeland, Florida, United States

Site Status

University of Miami Miller School of Medicine Jackson Memorial Hospital

Miami, Florida, United States

Site Status

Ocala Oncology Center

Ocala, Florida, United States

Site Status

Orlando Health, Inc

Orlando, Florida, United States

Site Status

Memorial Cancer Institute West

Pembroke Pines, Florida, United States

Site Status

Florida Cancer Specialists

St. Petersburg, Florida, United States

Site Status

Moffitt Cancer Center

Tampa, Florida, United States

Site Status

University Cancer and Blood Center, LLC

Athens, Georgia, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Joliet Oncology-Hematology Associates, Ltd.

Joliet, Illinois, United States

Site Status

Illinois Cancer Specialists

Niles, Illinois, United States

Site Status

Indiana University Medical Center

Indianapolis, Indiana, United States

Site Status

Investigative Clinical Research of Indiana, LLC

Indianapolis, Indiana, United States

Site Status

Kansas University Medical Center

Westwood, Kansas, United States

Site Status

Cancer Center of Kansas (MAT)

Wichita, Kansas, United States

Site Status

Kentucky Cancer Clinic

Hazard, Kentucky, United States

Site Status

Norton Healthcare

Louisville, Kentucky, United States

Site Status

University of Louisville, J.G. Brown Cancer Center

Louisville, Kentucky, United States

Site Status

Norton Cancer Institute Louisville Oncology

Louisville, Kentucky, United States

Site Status

LSU Health Sciences Center

New Orleans, Louisiana, United States

Site Status

Maine Research Associates

Auburn, Maine, United States

Site Status

Eastern Maine Medical Center

Brewer, Maine, United States

Site Status

Center For Cancer and Blood Disorders

Bethesda, Maryland, United States

Site Status

Meritus Medical Center

Hagerstown, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Detroit Clinical Research Center

Farmington Hills, Michigan, United States

Site Status

Western Michigan Cancer Center

Kalamazoo, Michigan, United States

Site Status

St Joseph Oncology

Saint Joseph, Missouri, United States

Site Status

Mercy Medical Research Institute

Springfield, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Englewood Hospital and Medical Center

Englewood, New Jersey, United States

Site Status

Hematology-Oncology Associates of NNJ, P

Morristown, New Jersey, United States

Site Status

New York Oncology Hematology P.C.

Albany, New York, United States

Site Status

Clinical Research Alliance

Lake Success, New York, United States

Site Status

NYU Langone Medical Center

Lake Success, New York, United States

Site Status

Beth Israel Medical Centers

New York, New York, United States

Site Status

NYU Langone Medical Center

New York, New York, United States

Site Status

Icahn School of Medicine at Mount Sinai Medical Center

New York, New York, United States

Site Status

Rochester General Hospital

Rochester, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Montefiore Medical Center Albert Einstein Cancer Center

The Bronx, New York, United States

Site Status

Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status

Southeastern Medical Oncology Center

Goldsboro, North Carolina, United States

Site Status

Moses H. Cone Regional Cancer Center

Greensboro, North Carolina, United States

Site Status

Hematology and Oncology Associates, Inc.

Canton, Ohio, United States

Site Status

Oncology Hematology Care, Inc.

Cincinnati, Ohio, United States

Site Status

University Hospitals Case Medical Center

Cleveland, Ohio, United States

Site Status

The Mark H. Zangmeister Center

Columbus, Ohio, United States

Site Status

Tri-County Hematology and Oncology Associates

Massillon, Ohio, United States

Site Status

Toledo Community Oncology Program

Toledo, Ohio, United States

Site Status

Mercy Clinic Oklahoma Communities, Inc.

Oklahoma City, Oklahoma, United States

Site Status

University of Oklahoma Peggy and Charles Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Site Status

Erie Regional Cancer Center

Erie, Pennsylvania, United States

Site Status

Abramson Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

University of Pennsylvania Health Systems

Philadelphia, Pennsylvania, United States

Site Status

Allegheny Singer Research Institute

Pittsburgh, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center - Cancer Pavilion

Pittsburgh, Pennsylvania, United States

Site Status

Greenville Hospital System

Greenville, South Carolina, United States

Site Status

Chattanooga Oncology Hematology Care

Chattanooga, Tennessee, United States

Site Status

Associates in Oncology and Hematology

Chattanooga, Tennessee, United States

Site Status

Thompson Cancer Survival Center

Knoxville, Tennessee, United States

Site Status

Sarah Cannon Cancer Center

Nashville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

TX Onc, PA- Beaumont

Beaumont, Texas, United States

Site Status

Brooke Army Medical Center Francis Street Medical Center

Fort Sam Houston, Texas, United States

Site Status

Center for Cancer and Blood Disorders

Fort Worth, Texas, United States

Site Status

Houston Methodist Cancer Center

Houston, Texas, United States

Site Status

UT Health Oncology

Houston, Texas, United States

Site Status

Millenium Oncology

Houston, Texas, United States

Site Status

TX Onc Tyler Cancer Center

Tyler, Texas, United States

Site Status

Columbia Basin Hematology and Oncology

Kennewick, Washington, United States

Site Status

Swedish Cancer Institute

Seattle, Washington, United States

Site Status

St Mary's Medical Center

Huntington, West Virginia, United States

Site Status

West Virginia University, Berkeley Medical Center, Cancer and Infusion Center

Martinsburg, West Virginia, United States

Site Status

West Virginia University, Berkeley Medical Center, Cancer and Infusion Center

Morgantown, West Virginia, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Kliniken der Stadt Koln gGmbH - Krankenhaus Merheim

Cologne, , Germany

Site Status

St. Antonius Hospital

Eschweiler, , Germany

Site Status

Asklepios Fachkliniken Muenchen Gauting

Gauting, , Germany

Site Status

Universitatsklinikum Halle Saale

Halle, , Germany

Site Status

Diakoniekrankenhaus Halle

Halle, , Germany

Site Status

Thorax Klinik

Heidelberg, , Germany

Site Status

Universitat Des Saarlandes

Homburg, , Germany

Site Status

Lungenklinik Lostau gGmbH

Lostau, , Germany

Site Status

Klinik Loewenstein gGmbH

Löwenstein, , Germany

Site Status

Universitatsklinikum Ulm

Ulm, , Germany

Site Status

Azienda Ospedaliera di Rilievo Nazionale e di Alta Specialita San Giuseppe Moscati

Avellino, , Italy

Site Status

Azienda Ospedaliero Universitaria Di Bologna - Policlinico S.Orsola Malpighi

Bologna, , Italy

Site Status

Azienda Ospedaliera Istituti Ospitalieri di Cremona

Cremona, , Italy

Site Status

Istituto Nazionale Per La Ricerca Sul Cancro

Genova, , Italy

Site Status

Istituto Europeo di Oncologia

Milan, , Italy

Site Status

Azienda Ospedaliera San Gerardo

Monza, , Italy

Site Status

Istituto Nazionale Tumori Regina Elena di Roma

Roma, , Italy

Site Status

Ospedale San Vincenzo Taormina

Taormina, , Italy

Site Status

Intituto Catalán de Oncología de Girona

Girona, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, Madrid, , Spain

Site Status

Hospital Universitario Central de Asturias

Oviedo, , Spain

Site Status

Hospital General Universitario de Valencia

Valencia, , Spain

Site Status

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, , Spain

Site Status

Hospital Universitario Lozano Blesa

Zaragoza, , Spain

Site Status

Churchhill Hospital

Oxford, , United Kingdom

Site Status

Royal Marsden Hospital

Sutton, , United Kingdom

Site Status

Countries

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United States Germany Italy Spain United Kingdom

References

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Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Statistical Analysis Plan

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Document Type: Study Protocol: ABI-007-NSCL-003_protocol_AM1_Redacted 28 October 2014

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Document Type: Study Protocol: ABI-007-NSCL-003_protocol_AM2_Redacted.27May2015

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Document Type: Study Protocol: ABI-007-NSCL-003_protocol_AM3_Redacted.13March2017

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Document Type: Study Protocol: ABI-007-NSCL-003.OriginalProtocolRedacted.27September2013

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Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2014-003804-66

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ABI-007-NSCL-003

Identifier Type: -

Identifier Source: org_study_id

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