Pharmaco-economic Study of a Second Line Treatment in Advanced Non Small Cell Lung Cancer
A Randomized Cost-minimization Trial Comparing Pemetrexed (Alimta®) Versus Docetaxel (Taxotere®) as Second Line Treatment in Advanced Non Small Cell Lung Cancer (NSCLC): Study 05-06 of Groupe Français de Pneumo-Cancérologie (GFPC).
1 other identifier
interventional
150
1 country
18
Brief Summary
The indication of chemotherapy of 2nd line treatment in advanced non small cell lung cancer is now well established. The two treatments of reference are pemetrexed (alimta) and docetaxel (taxotere). Effectiveness and toxicity of the two drugs are largely documented in the literature. Economic analyses are currently one of the criteria used in medical decision, beside effectiveness, quality of life and toxicities. However, Economical comparison shows significant variations in the acquisition costs of the two drugs. Consequently, it appears interesting to carry out a randomized prospective study with on exclusive economical criteria of judgment. As there is no difference in the effectiveness between the two treatments, a cost-minimization analysis will be carried out to appreciate the ratio benefit/risks from an economical point of view (payer).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Feb 2006
Typical duration for phase_3
18 active sites
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
January 31, 2006
CompletedFirst Posted
Study publicly available on registry
February 1, 2006
CompletedStudy Start
First participant enrolled
February 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2009
CompletedJuly 24, 2025
March 1, 2010
3.8 years
January 31, 2006
July 21, 2025
Conditions
Keywords
Study Arms (2)
ALIMTA
EXPERIMENTALDocetaxe
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Histologically or cytologically proved stage IV or pleural stage III NSCLC (neoplastic pleurisy confirmed).
- Metastatic relapses allowed if asymptomatic.
- Progressive disease during or after a standard first line platinum-based chemotherapy (without taxotere or alimta)
- Only one chemotherapeutic line including adjuvant and neo adjuvant treatment.
- Irradiation allowed if \< 25% bone medulla . It may be ended 2 weeks before the second line treatment.
- At least one measurable target lesion according to recist criteria in non previously irradiated area.
- Performance status \<=2
- Age between 18 and 70 years
- Life expectancy \> 12 weeks.
- Normal hepatic function
- Normal renal function
- Normal serum calcium
- Absolute neutrophil count\>1.5 gigal/l,platelets\>100 gigal/l,haemoglobin\>9.0 g/dl
- Written informed consent
You may not qualify if:
- SCLC, bronchioli-alveolar and neuro-endocrine carcinoma.
- Symptomatic brain metastases.
- Superior vena cava syndrome.
- Uncontrolled fluid retention in the third space (pleural or ascitic collection)
- Prior chemotherapy without platin
- Other concomitant diseases: heart failure, angina pectoris, tachyarrythmia, recent myocardial infarction, active infections.
- Peripheral neuropathy grade ≥ 2.
- Past or concomitance of another cancer except baso-cellular carcinoma of the skin or in situ cervical carcinoma.
- Hypersensitivity to docetaxel or polysorbate 80.
- Unability or unwillingness to take folic acid, vitamin B12 supplementation or corticosteroids.
- Pregnancy or breast feeding.
- Follow-up of the patient impossible.
- Prisoners
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (18)
Service de Pneumologie, CHU Angers
Angers, 49033, France
Service de pneumologie; Centre Hospitalier d'Annecy
Annecy, 74011, France
Service de Pneumologie; Centre Hospitalier
Beauvais, 60 021, France
Service de Pneumologie ; Centre hospitalier
Charleville-Mézières, 08 000, France
Service de Pneumologie; Centre Hospitalier
Draguignan, 83300, France
Service de Pathologie Respiratoire; CHU de Limoges
Limoges, 87000, France
Service de Pneumologie; Hôpital de la Croix Rousse
Lyon, 69317, France
Service de Pneumologie-Neurologie ; Centre Hospitalier F. Quesnay
Mantes-la-Jolie, 78200, France
Département des Maladies Respiratoires ; Hôpital Sainte Marguerite
Marseille, 13274, France
Service de Pneumologie et Réanimation ; Hôpital Hôtel Dieu - Paris
Paris, 75181, France
Service de Pneumologie - Hôpital St Antoine, Paris
Paris, 75571, France
Service de Pneumologie ; Hôpital saint Antoine, Paris
Paris, France
Service de Pneumologie-Allergologie; Centre Hospitalier Général
Périgueux, 24019, France
Service de Pneumologie; CHG de Roanne
Roanne, 42300, France
Clinique Pneumologique; Hôpital Charles Nicolle
Rouen, 76031, France
Service de Pneumologie; Hôpital Bois Guillaume
Rouen, 76233, France
Service d'Oncologie Médicale; Clinique Sainte Marguerite
Toulon, 83000, France
Service de Pathologie Respiratoire; Hôpital d'Instruction des Armées Sainte-Anne
Toulon Naval, 83800, France
Related Publications (1)
Vergnenegre A, Corre R, Berard H, Paillotin D, Dujon C, Robinet G, Crequit J, Bota S, Thomas P, Chouaid C; 0506 GFPC Team. Cost-effectiveness of second-line chemotherapy for non-small cell lung cancer: an economic, randomized, prospective, multicenter phase III trial comparing docetaxel and pemetrexed: the GFPC 05-06 study. J Thorac Oncol. 2011 Jan;6(1):161-8. doi: 10.1097/JTO.0b013e318200f4c1.
PMID: 21150465RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alain Vergnenegre, MD
CHU Limoges
- STUDY CHAIR
Christos Chouaid, MD
Hôpital Saint Antoine; Paris
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 31, 2006
First Posted
February 1, 2006
Study Start
February 1, 2006
Primary Completion
December 1, 2009
Study Completion
December 1, 2009
Last Updated
July 24, 2025
Record last verified: 2010-03