Albumin-Bound Paclitaxel and Gemcitabine in Patients With Untreated Stage IV or Recurrent Squamous Cell Lung Cancers

NCT ID: NCT02525653

Last Updated: 2021-01-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2019-05-31

Brief Summary

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The purpose of this study is to test the safety and effectiveness of albumin-bound paclitaxel plus gemcitabine in patients with advanced squamous cell lung cancers. The investigators would like to determine the percentage of patients with squamous cell lung cancers who experience shrinkage of their tumors following treatment with this regimen. This combination of drugs is not a standard therapy for patients with squamous cell lung cancers. However, each of these drugs, when given alone or with other chemotherapies, is FDA-approved for the treatment of this disease.

Detailed Description

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Conditions

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Lung Cancer Untreated Stage IV or Recurrent Squamous Cell Lung Cancers

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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Albumin-Bound Paclitaxel and Gemcitabine

During each 21-day cycle, albumin-bound paclitaxel at 100mg/mg2 over 120 minutes and gemcitabine at 1000mg/m2 over 30 minutes will be given intravenously on days 1 and 8 of each 21 day cycle. Treatment will continue until disease progression or intolerable side effects. After the 4th cycle of treatment, patients will have the option of discontinuing gemcitabine and proceeding with weekly albumin-bound paclitaxel as maintenance therapy.

Group Type EXPERIMENTAL

albumin-bound paclitaxel

Intervention Type DRUG

gemcitabine

Intervention Type DRUG

Interventions

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albumin-bound paclitaxel

Intervention Type DRUG

gemcitabine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed squamous cell lung cancer
* Newly diagnosed untreated Stage IV and/or recurrent after adjuvant therapy with metastatic disease
* Patients previously treated with immune checkpoint inhibitor therapy are eligible
* Measurable disease as per RECIST 1.1
* Greater than 6 months since receiving neo-adjuvant or adjuvant chemotherapy.
* Age ≥ 18 years
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
* Women of childbearing potential and sexually active men enrolled in the study must agree to practice effective contraception method during treatment and for three months after completing treatment
* Negative serum or urine β-hCG pregnancy test at screening for patients of childbearing potential
* \< Grade 2 pre-existing peripheral neuropathy (per CTCAE)
* Marrow and organ function as follows:
* ANC ≥ 1500 cells/mm3
* Platelets \> 100,000 cells/mm3
* Hemoglobin\>9g/dL
* Creatinine clearance ≥ 40mL/min
* Bilirubin ≤ 1.5 mg/dL
* AST/ALT≤2.5 x upper limit of normal range (ULN),
* alkaline phosphatase ≤ 2.5 X upper limit of normal, unless bone metastasis in present in the absence of liver metastasis

Exclusion Criteria

* Prior treatment with albumin-bound paclitaxel or gemcitabine
* Prior systemic anticancer therapy for advanced squamous cell lung cancer
* Untreated brain metastasis. Patients with treated brain metastases who are off steroids are eligible
* Peripheral neuropathy greater than grade 1
* Malignancies within the past 5 years other than non-melanoma skin cancer or insitu cervical cancer status post treatment
* Patients with other serious medical illnesses including, ongoing or active infection, unstable angina pectoris, or psychiatric illness/social situations that would limit compliance with study requirements
* Class III or IV congestive heart failure by New York Heart Association
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene Corporation

INDUSTRY

Sponsor Role collaborator

Miami Cancer Institute

OTHER

Sponsor Role collaborator

Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Paul Paik, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Miami Cancer Institute Baptist Health South Florida

Miami, Florida, United States

Site Status

Memorial Sloan Kettering at Basking Ridge

Basking Ridge, New Jersey, United States

Site Status

Memorial Sloan Kettering Commack

Commack, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Memorial Sloan Kettering Rockville Centre

Rockville Centre, New York, United States

Site Status

Memorial Sloan Kettering Westchester

Sleepy Hollow, New York, United States

Site Status

Countries

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United States

References

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Paik PK, Kim RK, Ahn L, Plodkowski AJ, Ni A, Donoghue MTA, Jonsson P, Villalona-Calero M, Ng K, McFarland D, Fiore JJ, Iqbal A, Eng J, Kris MG, Rudin CM. A Phase II Trial of Albumin-Bound Paclitaxel and Gemcitabine in Patients with Newly Diagnosed Stage IV Squamous Cell Lung Cancers. Clin Cancer Res. 2020 Apr 15;26(8):1796-1802. doi: 10.1158/1078-0432.CCR-19-3060. Epub 2020 Jan 9.

Reference Type DERIVED
PMID: 31919132 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://www.mskcc.org/

Memorial Sloan Kettering Cancer Center

Other Identifiers

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15-054

Identifier Type: -

Identifier Source: org_study_id

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