NCT00415194

Brief Summary

This study will compare the effects of pemetrexed plus cisplatin versus cisplatin alone in head and neck cancer patients.

Trial Health

98
On Track

Trial Health Score

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

Enrollment
795

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Dec 2006

Typical duration for phase_3

Geographic Reach
21 countries

94 active sites

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

December 1, 2006

Completed
19 days until next milestone

First Submitted

Initial submission to the registry

December 20, 2006

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 22, 2006

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2010

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

April 6, 2011

Completed
Last Updated

June 28, 2011

Status Verified

June 1, 2011

Enrollment Period

3.2 years

First QC Date

December 20, 2006

Results QC Date

March 10, 2011

Last Update Submit

June 23, 2011

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall Survival (OS)

    OS duration is defined as the time from the date of randomization to the date of death from any cause. For each participant who is not known to have died as of the data-inclusion cut-off date, OS duration will be censored at the date of the participant's last contact prior to that cut-off date.

    Baseline to date of death from any cause up to 36 months

Secondary Outcomes (5)

  • Progression-free Survival (PFS)

    baseline to measured progressive disease up to 33 months

  • Percent of Participants With a Tumor Response (Response Rate)

    Baseline to progressive disease or discontinuation of study treatment up to 11 months

  • Duration of Response (DoR)

    time of response to progressive disease up to 24 months

  • Time to Treatment Worsening in Functional Assessment of Cancer Therapy - Head and Neck Cancer (FACT-H&N) Total Score

    Baseline (</=Day 1 of first dose) and Day 1 of every subsequent cycle to 30-day post-study completion up to 33 months

  • Correlation Between Biomarkers and Treatment Effect

    Baseline

Study Arms (2)

Pemetrexed/Cisplatin

EXPERIMENTAL

Pemetrexed 500 milligrams per meter square (mg/m\^2) administered intravenously (IV) plus cisplatin 75 mg/m\^2 IV on Day 1 every 21 days. Pretreatment, Both Treatment Arms: Dexamethasone administered orally (po): 4 milligrams (mg) twice daily (BID) taken on the day before, the day of, and day after study treatment. Vitamin B12 administered intramuscularly (im): 1000 micrograms (μg) taken 1 to 2 weeks before treatment and every 9 weeks until 3 weeks after last treatment dose. Folic Acid administered orally (po): 350 μg to 1000 μg taken 1 to 2 weeks before treatment and continue daily until 3 weeks after last treatment dose.

Drug: pemetrexedDrug: cisplatin

Placebo/Cisplatin

PLACEBO COMPARATOR

Placebo (approximately 100 mL normal saline) administered intravenously (IV) plus cisplatin 75 mg/m\^2 on Day 1 every 21 days. Pretreatment - Both Treatment Arms: Dexamethasone administered orally (po): 4 milligrams (mg) twice daily (BID) taken on the day before, the day of, and day after study treatment. Vitamin B12 administered intramuscularly (im): 1000 micrograms (μg) taken 1 to 2 weeks before treatment and every 9 weeks until 3 weeks after last treatment dose. Folic Acid administered orally (po): 350 μg to 1000 μg taken 1 to 2 weeks before treatment and continue daily until 3 weeks after last treatment dose.

Drug: cisplatinDrug: placebo

Interventions

500 mg/m\^2, IV, every 21 days, six 21 day cycles

Also known as: Alimta, LY231514
Pemetrexed/Cisplatin

75 mg/m\^2, administered IV, every 21 days, six 21 day cycles

Pemetrexed/CisplatinPlacebo/Cisplatin

Approximately 100 mL normal saline administered IV, every 21 days, six 21 day cycles

Placebo/Cisplatin

Eligibility Criteria

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

You may qualify if:

  • You must have head and neck cancer that has returned and cannot be treated with surgery or other types of treatment. OR You must have head and neck cancer that was just found and has spread to other parts of your body.
  • You must have a performance status of 0,1 or 2. This means that you must at least be able to get around, be able to take care of yourself and must be up and about most of the day.
  • Your test results must show that your liver, kidneys and blood cells are working normally.
  • You must understand and sign the form that gives your agreement to willingly be part of the study.
  • You must be at least 18 years of age.

You may not qualify if:

  • You cannot have previously been given other treatment for cancer that has spread to other parts of your body.
  • You cannot have a serious sickness that might keep you from finishing the study (for example a bad infection).
  • You cannot have any extra fluid in your chest or bowel area unless your doctor tells you it can be drained before you join the study.
  • You cannot have any cancer called nasopharyngeal cancer, paranasal sinus cancer, lip cancer, or salivary gland cancer.
  • If you are taking high dose aspirin or other medicines called non-steroidal anti-inflammatory drugs and cannot stop taking them for at least 5 days, you cannot be in the study. Your doctor or a member of the study team can explain which drugs are non-steroidal anti-inflammatory drugs.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (94)

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Orange, California, 92868, United States

Location

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Orlando, Florida, 32806, United States

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St. Petersburg, Florida, 33708, United States

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Atlanta, Georgia, 30322, United States

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Chicago, Illinois, 60637, United States

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Beech Grove, Indiana, 46107, United States

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Wichita, Kansas, 67214, United States

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Louisville, Kentucky, 40202, United States

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Ann Arbor, Michigan, 48109, United States

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Minneapolis, Minnesota, 55455, United States

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St Louis, Missouri, 63110, United States

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Stony Brook, New York, 11794, United States

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Chapel Hill, North Carolina, 27599, United States

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Oklahoma City, Oklahoma, 73112, United States

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North Smithfield, Rhode Island, 02896, United States

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Buenos Aires, C1185AAT, Argentina

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S.M. de Tucuman, 4000, Argentina

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Santa Fé, 3000, Argentina

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Tucumain, 4000, Argentina

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Antwerp, 2020, Belgium

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Edegem, 2650, Belgium

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Belo Horizonte, 30140-083, Brazil

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Rio de Janeiro, 20231050, Brazil

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Guangzhou, 510060, China

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Nanning, 530000, China

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Shanghai, 200032, China

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Wuhan, 430030, China

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Aarhus, 8000, Denmark

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Odense, 5000, Denmark

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Avignon, 84082, France

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Tours, 37044, France

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Berlin, 13125, Germany

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Erlangen, D-91054, Germany

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Essen, 45122, Germany

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Frankfurt, D-65929, Germany

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Hanover, 30625, Germany

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Heidelberg, 69120, Germany

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Leipzig, 04103, Germany

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Lübeck, 23538, Germany

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Budapest, 1122, Hungary

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Nyíregyháza, H-4400, Hungary

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Bangalore, 560 029, India

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Bhopal, 462001, India

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Hyderabaad, 500034, India

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Jaipur, 302013, India

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Kochi, 682304, India

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Kolkata, 700053, India

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New Delhi, 110 029, India

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Patna, 801505, India

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Pune, 411004, India

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Trivandrum, 695 011, India

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Confreria, 12100, Italy

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Genova, 16132, Italy

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Milan, 20133, Italy

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Padua, 35128, Italy

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Durango, 34208, Mexico

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Mexico City, 15900, Mexico

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Michoacán, 58080, Mexico

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Monterrey, Mexico

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Roma Sur, 06760, Mexico

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Toluca, CP50180, Mexico

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Amsterdam, 1081 HV, Netherlands

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Nijmegen, 6500 HB, Netherlands

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Gdansk, 80-211, Poland

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Krakow, 31-531, Poland

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Olsztyn, 10-228, Poland

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Warsaw, 02-781, Poland

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San Juan, 00935, Puerto Rico

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Bucharest, 022328, Romania

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Cluj-Napoca, 3400, Romania

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Oradea, 3700, Romania

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Târgu Mureş, 540136, Romania

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Barnaul, 656049, Russia

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Chelyabinsk, 454087, Russia

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Moscow, 115478, Russia

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Murmansk, 183047, Russia

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Saint Petersburg, 198255, Russia

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Bloemfontein, 9300, South Africa

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Durban, 4091, South Africa

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Parktown, 2193, South Africa

Location

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Daegu, 700-721, South Korea

Location

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Hwasun-Gun, 519-809, South Korea

Location

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Pusan, 609 735, South Korea

Location

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Seoul, 134-791, South Korea

Location

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Barcelona, 08036, Spain

Location

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Madrid, 28041, Spain

Location

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Murcia, 30008, Spain

Location

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Pamplona, 31008, Spain

Location

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Seville, 41013, Spain

Location

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Valencia, 46014, Spain

Location

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Changhua, 500, Taiwan

Location

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Hualien City, 970, Taiwan

Location

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Liouying/Tainan, 736, Taiwan

Location

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Taipei, 112, Taiwan

Location

Related Links

MeSH Terms

Conditions

Head and Neck Neoplasms

Interventions

PemetrexedCisplatin

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasms

Intervention Hierarchy (Ancestors)

GuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, DicarboxylicChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum Compounds

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

December 20, 2006

First Posted

December 22, 2006

Study Start

December 1, 2006

Primary Completion

March 1, 2010

Study Completion

March 1, 2010

Last Updated

June 28, 2011

Results First Posted

April 6, 2011

Record last verified: 2011-06

Locations