NCT00077350

Brief Summary

Drugs used in chemotherapy, such as 3-AP and gemcitabine, work in different ways to stop tumor cells from dividing so they stop growing or die. Giving 3-AP together with gemcitabine may kill more tumor cells. This phase II trial is studying how well giving 3-AP together with gemcitabine works as second-line therapy in treating patients with progressive or recurrent non-small cell lung cancer

Trial Health

80
On Track

Trial Health Score

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

Enrollment
48

participants targeted

Target at P25-P50 for phase_2

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

First Submitted

Initial submission to the registry

February 10, 2004

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 12, 2004

Completed
5 months until next milestone

Study Start

First participant enrolled

July 1, 2004

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2005

Completed
Last Updated

February 27, 2013

Status Verified

February 1, 2013

Enrollment Period

9 months

First QC Date

February 10, 2004

Last Update Submit

February 26, 2013

Conditions

Outcome Measures

Primary Outcomes (1)

  • Objective response rate

    A true objective response rate of at least 25% will be considered evidence for further exploration of this regimen. A true response rate less than or equal to 5% will be considered evidence of minimal activity not worthy of further study.

    Up to 1.5 years

Secondary Outcomes (5)

  • Rate of stable disease

    Up to 1.5 years

  • Time to treatment progression

    Up to 1.5 years

  • Duration of response

    Up to 1.5 years

  • Overall survival

    Up to 1.5 years

  • Toxicity using NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0

    Up to 1.5 years

Study Arms (1)

Treatment (triapine and gemcitabine hydrochloride)

EXPERIMENTAL

Patients receive 3-AP (Triapine\^®) IV over 2 hours and gemcitabine IV over 30 minutes on days 1, 8, and 15. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

Drug: triapineDrug: gemcitabine hydrochlorideOther: laboratory biomarker analysis

Interventions

Given IV

Also known as: 3-AP, OCX-191
Treatment (triapine and gemcitabine hydrochloride)

Given IV

Also known as: dFdC, difluorodeoxycytidine hydrochloride, gemcitabine, Gemzar
Treatment (triapine and gemcitabine hydrochloride)

Correlative studies

Treatment (triapine and gemcitabine hydrochloride)

Eligibility Criteria

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

You may qualify if:

  • Patients must have histologically confirmed non-small cell lung cancer (NSCLC); cytology alone is not acceptable
  • Patients must have progressive or recurrent NSCLC, and must have failed one and only one prior cytotoxic chemotherapy regimen for advanced disease; patients must not have received prior gemcitabine chemotherapy
  • Patients must have measurable disease, as defined by RECIST, within 4 weeks prior to registration
  • Patients must have an ECOG performance status of 0 or 1
  • Bilirubin \< 1.5 x upper limit of normal
  • AST (SGOT) \< 3 x upper limit of normal
  • Serum creatinine =\< 1.5 mg/dL, or calculated creatinine clearance \>= 60 mL/min
  • Absolute granulocyte count \>= 1500/mm3 and WBC \>= 3000/mm\^3
  • Hemoglobin \>= 9 g/L
  • Platelet count \>= 100,000/mm\^3
  • Patients must have completed any radiation therapy \>= 3 weeks prior to registration
  • Patients must have completed prior cytotoxic chemotherapy \>= 3 weeks prior to registration and have recovered from adverse effects from the chemotherapy to =\< Grade 1, or baseline
  • Patients with brain metastases which have been treated are eligible if the patient is \> 3 weeks post completion of treatment for their brain metastases, and patient is neurologically stable; patients with previous brain metastases who have not yet received therapy specifically intended for their brain metastases are not eligible to enroll in this protocol
  • Life expectancy greater than 3 months
  • Pregnant women are excluded from this study because Triapine® is a heterocyclic carboxaldehyde thiosemicarbazone with the potential for teratogenic or abortifacient effects; because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with Triapine®, breastfeeding should be discontinued if the mother is treated with Triapine®; women must not be pregnant or breastfeeding due to the absence of information regarding the use of these agents in these populations; a negative serum pregnancy test is required within 14 days of study entry; the effects of Triapine® on the developing human fetus at the recommended therapeutic dose are unknown; for this reason and because heterocyclic carboxaldehyde thiosemicarbazones as well as other therapeutic agents used in this trial are known to be teratogenic, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation; should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Eastern Cooperative Oncology Group

Boston, Massachusetts, 02215, United States

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

3-aminopyridine-2-carboxaldehyde thiosemicarbazoneGemcitabine

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Study Officials

  • Anne Traynor

    Eastern Cooperative Oncology Group

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 10, 2004

First Posted

February 12, 2004

Study Start

July 1, 2004

Primary Completion

April 1, 2005

Last Updated

February 27, 2013

Record last verified: 2013-02

Locations