NCT00005838

Brief Summary

Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. Radiation therapy uses high-energy x-rays to damage tumor cells. AE-941 may help shrink or slow the growth of non-small cell lung cancer cells. It is not yet known if combination chemotherapy plus radiation therapy is more effective with or without AE-941 for non-small cell lung cancer. This randomized phase III trial is studying combination chemotherapy and radiation therapy given with AE-941 to see how well they work compared to combination chemotherapy and radiation therapy alone in treating patients with stage III non-small cell lung cancer that cannot be removed by surgery

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
756

participants targeted

Target at P75+ for phase_3

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2000

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

June 2, 2000

Completed
2.7 years until next milestone

First Posted

Study publicly available on registry

January 27, 2003

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2007

Completed
Last Updated

January 23, 2013

Status Verified

January 1, 2013

Enrollment Period

6.9 years

First QC Date

June 2, 2000

Last Update Submit

January 22, 2013

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall survival

    Survival distributions will be compared by use of the log-rank test. The stratified log-rank test (nominal or categorical covariates) may be used to simultaneously control for important prognostic factors. Kaplan-Meier curves will also be plotted to illustrate the comparative survival experience of both groups over the entire study period.

    From randomization until date of death or last follow-up, assessed up to 7 years

Secondary Outcomes (4)

  • Progression-free survival every 3 months

    From randomization until disease progression, assessed up to 7 years

  • Tumor response rate

    Up to 7 years

  • Tumor response duration

    From first observation of at least a partial response to detection of disease progression or death due to any cause, assessed up to 7 years

  • Metastasis-free survival

    From randomization until metastasis documented by imaging procedures, assessed up to 7 years

Study Arms (2)

Arm I (shark cartilage extract AE-941)

EXPERIMENTAL

Patients receive oral AE-941 (Neovastat) twice daily beginning on day 1 or within 10 days of initiation of chemotherapy. All patients receive induction chemotherapy with 1 of the following platinum-based regimens: cisplatin IV on days 1, 22, 50, and 71 and vinorelbine IV on days 1, 8, 22, 29, 50, 57, 71, and 78 carboplatin IV over 30 minutes and paclitaxel IV over 3 hours on days 1, 22, 50, 57, 64, 71, 78, and 85. All patients receive radiotherapy beginning on day 50 for 6 weeks. Treatment in both arms continues in the absence of unacceptable toxicity.

Drug: shark cartilage extract AE-941Drug: cisplatinDrug: vinorelbine tartrateDrug: carboplatinDrug: paclitaxelRadiation: radiation therapy

Arm II (placebo)

PLACEBO COMPARATOR

Patients receive oral placebo twice daily beginning on day 1 or within 10 days of initiation of chemotherapy. All patients receive induction chemotherapy with 1 of the following platinum-based regimens: cisplatin IV on days 1, 22, 50, and 71 and vinorelbine IV on days 1, 8, 22, 29, 50, 57, 71, and 78 carboplatin IV over 30 minutes and paclitaxel IV over 3 hours on days 1, 22, 50, 57, 64, 71, 78, and 85. All patients receive radiotherapy beginning on day 50 for 6 weeks. Treatment in both arms continues in the absence of unacceptable toxicity.

Other: placeboDrug: cisplatinDrug: vinorelbine tartrateDrug: carboplatinDrug: paclitaxelRadiation: radiation therapy

Interventions

Given orally

Also known as: AE-941, Neovastat, Neovastat/AE-941
Arm I (shark cartilage extract AE-941)
placeboOTHER

Given orally

Also known as: PLCB
Arm II (placebo)

Given IV

Also known as: CACP, CDDP, CPDD, DDP
Arm I (shark cartilage extract AE-941)Arm II (placebo)

Given IV

Also known as: Eunades, navelbine ditartrate, NVB, VNB
Arm I (shark cartilage extract AE-941)Arm II (placebo)

Given IV

Also known as: Carboplat, CBDCA, JM-8, Paraplat, Paraplatin
Arm I (shark cartilage extract AE-941)Arm II (placebo)

Given IV

Also known as: Anzatax, Asotax, TAX, Taxol
Arm I (shark cartilage extract AE-941)Arm II (placebo)

Undergo radiotherapy

Also known as: irradiation, radiotherapy, therapy, radiation
Arm I (shark cartilage extract AE-941)Arm II (placebo)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed newly diagnosed, untreated, unresectable stage IIIA or stage IIIB non-small cell lung cancer
  • Squamous cell carcinoma, adenocarcinoma, or large cell carcinoma of the lung
  • Mixed tumors allowed if non-small cell elements identified
  • Contralateral supraclavicular and/or scalene lymph node involvement allowed
  • No disease extending into the cervical region
  • At least 1 bidimensionally or unidimensionally measurable lesion
  • No pleural effusion unless cytologically negative or too small to safely aspirate
  • Not scheduled for curative cancer surgery
  • Performance status - ECOG 0-1
  • Absolute neutrophil count greater than 1,500/mm\^3
  • Platelet count greater than 100,000/mm\^3
  • Hematocrit greater than 30%
  • SGOT or SGPT less than 1.5 times upper limit of normal
  • Bilirubin normal
  • Creatinine less than 1.5 mg/dL
  • +19 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

M D Anderson Cancer Center

Houston, Texas, 77030, United States

Location

MeSH Terms

Conditions

Adenocarcinoma of LungCarcinoma, Non-Small-Cell Lung

Interventions

shark cartilage extractCisplatinVinorelbineCarboplatinPaclitaxelTaxesRadiotherapyRadiation

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteCarcinoma, BronchogenicBronchial NeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Chlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsHeterocyclic CompoundsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizinesCoordination ComplexesOrganic ChemicalsTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsDiterpenesTerpenesEconomicsHealth Care Economics and OrganizationsTherapeuticsPhysical Phenomena

Study Officials

  • Charles Lu

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 2, 2000

First Posted

January 27, 2003

Study Start

March 1, 2000

Primary Completion

February 1, 2007

Last Updated

January 23, 2013

Record last verified: 2013-01

Locations