Cabazitaxel in Relapsed and Metastatic NSCLC
A Pilot Phase II Trial of Cabazitaxel in Patients With Metastatic NSCLC Progressing After Docetaxel-based Treatment
1 other identifier
interventional
46
1 country
5
Brief Summary
The investigators propose to study the single agent activity of Cabazitaxel in a Phase II trial of subjects with relapsed or refractory non-small cell lung cancer pretreated with docetaxel, given the fact of its significant activity and its acceptable toxicity profile.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Sep 2012
Shorter than P25 for phase_2
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2012
CompletedFirst Submitted
Initial submission to the registry
May 9, 2013
CompletedFirst Posted
Study publicly available on registry
May 13, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2013
CompletedSeptember 28, 2015
September 1, 2015
11 months
May 9, 2013
September 25, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall Response Rate
Disease evaluation at Week 6
Secondary Outcomes (4)
Disease control rate
Disease evaluation at Week 6
Progression Free Survival
1 year
Overall Survival
1 year
Toxicity profile
Every 3 weeks
Study Arms (1)
1
EXPERIMENTALInterventions
Cabazitaxel: 25 mg/m² i.v over 1 h on day 1. Cycles repeated ever 3 weeks
Eligibility Criteria
You may qualify if:
- Age\>18 years old
- Cytologically or histologically documented NSCLC
- PS 0-2 (WHO scale)
- Measurable disease according to Response Evaluation Criteria in Solid Tumors (at least one measurable lesion)
- Documented disease progression to previous treatment with docetaxel regimen in 1st or 2nd line setting assessed by Response Evaluation Criteria in Solid Tumors with at least one visceral or soft-tissue metastatic lesion.
- Brain metastases are allowed, given that are clinically stable and the patient does not present neurologic symptoms.
- Previous radiotherapy, either in the adjuvant setting or for the treatment of bone metastases, is allowed provided that the measurable lesions are outside the radiation fields. Patients who were irradiated to ≥ 40% of bone marrow are not eligible for the study.
- Patients must have a recent (within 7 days prior to treatment start) biochemical and hematogical assessment as defined by adequate bone marrow (absolute neutrophil count ≥1.5 x 109 cells/L, platelets ≥100 x 109cells/L and hemoglobin ≥9 g/dL), liver (AST \& ALT ≤ 2.5x ULN, total bilirubin within normal range) and renal (serum creatinine \< 1.5 x ULN). If creatinine 1.0 - 1.5 x ULN, creatinine clearance will be calculated according to CKD-EPI formula and patients with creatinine clearance \<60 mL/min should be excluded) function tests
- Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.
- Before patient enrollment, written informed consent must be given according to ICH/GCP and national/local regulations.
You may not qualify if:
- Persistence of clinically relevant treatment-related toxicities from previous chemotherapy or radiotherapy.
- Treatment with other investigational drugs or treatment in another clinical trial within the past four weeks before start of treatment or concomitantly with this trial.
- Other malignancy within the past five years other than basal cell skin cancer or carcinoma in situ of the cervix.
- Patient with reproductive potential not implementing accepted and effective method of contraception
- History of severe hypersensitivity reaction (≥grade 3) to polysorbate 80 containing drugs or to docetaxel
- Uncontrolled severe illness or medical condition (including uncontrolled diabetes mellitus, hypertension, heart failure ≤ NYHA II, history of myocardial infarction within the past 6 months, angina, chronic obstructive pulmonary disease (COPD), serious infections requiring systemic antibiotic therapy (e.g. antimicrobial, antifungal, antiviral)
- Concurrent or planned treatment with strong inhibitors or strong inducers of cytochrome P450 3A4/5 (a one week wash-out period is necessary for patients who are already on these treatments) (see Appendix A and B)
- Prior surgery, radiation, chemotherapy, within 4 weeks prior to treatment
- Active grade ≥2 peripheral neuropathy
- Active grade ≥2 stomatitis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (5)
"Ag. Georgios" General Hospital of Chania
Chania, Crete, Greece
University Hospital of Crete, Dep of Medical Oncology Heraklion, Greece
Heraklion, Crete, Greece
"IASO" General Hospital of Athens Athens, Greece
Athens, Greece
Air Forces Military Hospital of Athens Athens, Greece
Athens, Greece
"PAPAGEORGIOY" General Hospital of Thessaloniki
Thessaloniki, Greece
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Athanasio Kotsakis, MD
University Hospital of Herklion
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 9, 2013
First Posted
May 13, 2013
Study Start
September 1, 2012
Primary Completion
August 1, 2013
Study Completion
August 1, 2013
Last Updated
September 28, 2015
Record last verified: 2015-09