Open-label, Multicenter, Randomized Phase II Trial of Treatment With Cisplatin and Pemetrexed or Cisplatin and Oral Vinorelbine in Chemotherapy Naïve Patients Affected by Stage IIIB-IV Non-Squamous Non-Small Cell Lung Cancer With High Thymidylate Synthase Expression
NCT02919462 · Status: TERMINATED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 2
Last updated 2018-01-16
Summary
This is an open-label, multicentre, randomized phase II trial.
Eligible patients with Non Small Cell Lung Cancer (NSCLC) with high Thymidylate Synthase (TS) expression , will be randomly assigned with 1:1 ratio to the following treatment Arms:
A. 4 cycles of Cisplatin + Oral Vinorelbine followed by maintenance with Metronomic Oral Vinorelbine until disease progression
B. 4 cycles of Cisplatin + Pemetrexed followed by maintenance with Pemetrexed until disease progression
Treatment will be repeated every 21 days .
Conditions
- Carcinoma, Non-Small-Cell Lung
- Secondary
- Advanced Stage IIIB
- High Thymidylate Synthase Expression
Interventions
- DRUG
-
Oral vinorelbine
Oral vinorelbine 60-80 mg/m2 on days 1 and 8 (first cycle 60 mg/m2) every 3 weeks, for 4 cycles
- DRUG
-
Cisplatin 80 mg/m2 on day 1 every 3 weeks, for 4 cycles
- DRUG
-
Maintenance with Metronomic Oral Vinorelbine
Maintenance with Metronomic Oral Vinorelbine 50 mg three times a week on Monday, Wednesday and Friday continuously until disease progression, patient refusal or excessive toxicity (1 cycle: 3 weeks).
- DRUG
-
Pemetrexed
Pemetrexed, 500 mg/m2, day 1 every 3 weeks, for 4 cycles
- DRUG
-
Cisplatin 75 mg/m2, day 1 every 3 weeks, for 4 cycles
- DRUG
-
Maintenance with Pemetrexed
Maintenance with Pemetrexed 500 mg/m2 day1 q 21 until disease progression (1 cycle: 3 weeks)
Sponsors & Collaborators
-
Pierre Fabre Laboratories
collaborator INDUSTRY -
Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS
lead OTHER
Principal Investigators
-
Claudio Dazzi, MD · UOC Oncologia Medica - PO di Ravenna - AUSL della Romagna-RAVENNA Viale Randi 5 - 48121 Ravenna
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-03-31
- Primary Completion
- 2017-05-31
- Completion
- 2017-05-31
Countries
- Italy
Study Locations
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