Neoadjuvant Nimotuzumab Plus Gemcitabine and Carboplatin in Unresectable Stage III Squamous Cell Lung Carcinoma

NCT ID: NCT02428764

Last Updated: 2024-12-10

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-01

Study Completion Date

2027-10-01

Brief Summary

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The purpose of this study is studying induction nimotuzumab plus gemcitabine and carboplatin followed by surgery to see how well it works in treating patients with unresectable stage III squamous cell lung carcinoma.

Detailed Description

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Concurrent chemoradiotherapy is the recommended therapeutic approach for patients with unresectable stage III non-small cell lung cancer (NSCLC), although surgery offers the chance of cure. With combined-modality therapy with radiation therapy and chemotherapy, the prognosis of stage III NSCLC remains poor. Nimotuzumab, a human anti-EGFR monoclonal antibody, has shown its efficacy in the treatment of head/neck squamous cell carcinoma, nasopharyngeal carcinoma as well as lung cancer. This study is studying neoadjuvant nimotuzumab plus gemcitabine and carboplatin followed by surgery to see how well it works in treating patients with unresectable stage III squamous cell lung carcinoma.

Conditions

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Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention group

Patients were assigned to receive neoadjuvant nimotuzumab plus gemcitabine and carboplatin followed by surgery.

Group Type EXPERIMENTAL

Nimotuzumab

Intervention Type DRUG

Nimotuzumab was given 200 mg i.v. injection over 30 min on days 1 and 8

Gemcitabine

Intervention Type DRUG

Gemcitabine was given 1000 mg/m2 i.v. injection on days1 and 8.

Carboplatin

Intervention Type DRUG

carboplatin was given dosed to an area under the serum concentration-time curve (AUC) of 5 i.v. on day 1.

Surgery

Intervention Type PROCEDURE

Patients' resectability was assessed by a medical team, including thoracic surgeons, medical oncologists, and radiologists.

Interventions

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Nimotuzumab

Nimotuzumab was given 200 mg i.v. injection over 30 min on days 1 and 8

Intervention Type DRUG

Gemcitabine

Gemcitabine was given 1000 mg/m2 i.v. injection on days1 and 8.

Intervention Type DRUG

Carboplatin

carboplatin was given dosed to an area under the serum concentration-time curve (AUC) of 5 i.v. on day 1.

Intervention Type DRUG

Surgery

Patients' resectability was assessed by a medical team, including thoracic surgeons, medical oncologists, and radiologists.

Intervention Type PROCEDURE

Other Intervention Names

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Gemzar CBP

Eligibility Criteria

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Inclusion Criteria

* Target population is unresectable stage III squamous cell lung carcinoma.
* Written informed consent provided.
* Male and female patients aged ≥18 years, ≤75 years.
* Able to comply with the required protocol and follow-up procedures, and able to receive oral medications.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
* Life expectancy ≥12 weeks.
* Adequate hematological function: Absolute neutrophil count (ANC) ≥2.0 x 109/L, and Platelet count ≥100 x 109/L, and Hemoglobin ≥9 g/dL (may be transfused to maintain or exceed this level).
* Adequate liver function: Total bilirubin ≤ 1.5 x upper limit of normal (ULN), Aspartate aminotransferase (AST), alanine aminotransferase (ALT) ≤ 2.5 x ULN in subjects without liver metastases; ≤ 5 x ULN in subjects with liver metastases.
* Adequate renal function: Serum creatinine ≤ 1.25 x ULN, or ≥ 60 ml/min.
* Female subjects should not be pregnant or breast-feeding.

Exclusion Criteria

* Known severe hypersensitivity to nimotuzumab or any of the excipients of this product.
* Inability to comply with protocol or study procedures.
* A serious concomitant systemic disorder that, in the opinion of the investigator, would compromise the patient's ability to complete the study.
* A serious cardiac condition, such as myocardial infarction within 6 months, angina, or heart disease.
* Patients with prior exposure to agents directed at the HER axis (e.g. erlotinib, gefitinib, cetuximab, trastuzumab).
* Patients with prior chemotherapy or therapy with systemic anti-tumour therapy (e.g. monoclonal antibody therapy).
* Patients with prior radiotherapy
* History of another malignancy in the last 5 years with the exception of the following: other malignancies cured by surgery alone and having a continuous disease-free interval of 5 years are permitted. Cured basal cell carcinoma of the skin and cured in situ carcinoma of the uterine cervix are permitted.
* Any unstable systemic disease (including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, myocardial infarction within the previous year, serious cardiac arrhythmia requiring medication, hepatic, renal, or metabolic disease).
* Evidence of any other disease, neurological or metabolic dysfunction, physical examination or laboratory finding giving reasonable suspicion of a disease or condition that contraindicated the use of an investigational drug or puts the subject at high risk for treatment-related complications.
* Patient who has active serious infection (e.g. pyrexia of or 38.0℃ over).
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Si-Yu Wang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Si-Yu Wang, MD

Role: PRINCIPAL_INVESTIGATOR

Guangdong Province Association Study of Thoracic Oncology

Locations

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Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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wsy006

Identifier Type: OTHER

Identifier Source: secondary_id

GASTO1010

Identifier Type: -

Identifier Source: org_study_id