A Prospective Multi-center Phase III Randomized Controlled Trial
NACA
Nedaplatin or Cisplatin Combined With Pemetrexed in the First Line Treatment of Advanced Adenocarcinoma:A Prospective Multi-center Phase III Randomized Controlled Trial
1 other identifier
interventional
293
1 country
1
Brief Summary
The purpose of this study is to investigate the PFS, ORR, OS and overall toxicity value(OTV)on advanced adenocarcinoma treated with nedaplatin or cisplatin combined with pemetrexed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Aug 2015
Longer than P75 for phase_3
1 active site
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
August 1, 2015
CompletedFirst Submitted
Initial submission to the registry
November 16, 2015
CompletedFirst Posted
Study publicly available on registry
November 18, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2022
CompletedFebruary 25, 2022
February 1, 2022
6.8 years
November 16, 2015
February 8, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
progression free-survival(PFS)
Progression-free survival is defined as the time from the starting date of study drug to the date of first documentation of disease progression or death, whichever occurs first
12months
Secondary Outcomes (4)
objective response rate (ORR)
12months
overall survival(OS)
24 months
overall toxicity value
12 months
Progression-Free Survival (PFS) rate at 18 weeks
20 weeks
Study Arms (2)
Nedaplatin and Pemetrexed
EXPERIMENTALnedaplatin 90mg/m2 d1+pemetrexed 500mg/m2 d1 (Every three weeks for a treatment cycle)
Cisplatin and Pemetrexed
ACTIVE COMPARATORcisplatin 25mg/m2 d1-3+pemetrexed 500mg/m2 d1 (Every three weeks for a treatment cycle)
Interventions
cisplatin 25mg/m2 d1-3+pemetrexed 500mg/m2 d1 (Every three weeks for a treatment cycle)
nedaplatin 90mg/m2 d1+pemetrexed 500mg/m2 d1 (Every three weeks for a treatment cycle)
Eligibility Criteria
You may qualify if:
- Patient who was confirmed primary adenocarcinoma by pathologic histology or cytology
- The TNM staging system according to IASLC2009 was stageIV or those stageIIIB who were not fit for operation or radiotherapy
- Including one available evaluation lesion at least according to RECIST criteria
- Adult patients (≥18 years and ≤75 years). ECOG Performance Status 0 or 1 .Life expectancy of at least 12 weeks.Haemoglobin ≥90g/dl, Absolute neutrophil count (ANC)≥ 2x 109/L, platelets ≥100 x 109/L. Total bilirubin ≤upper limit of normal (ULN). ALT and AST ≤ 2.5 x ULN. Creatinine clearance ≥60ml/min (calculated according to Cockcroft-gault formula).
- Patients who had never received any antineoplastic therapy
You may not qualify if:
- Patient who has another cancer in recent 5 years,not including basal cell carcinoma or cervical carcinoma in situ
- Patient with brain metastases whose intracranial pressure symptoms can not control by using glucocorticoid or mannitol
- Previous radiotherapy(Palliative radiotherapy in order to pain management can be excluded)
- Patient who has used chemotherapy before(bisphosphonate can be excluded )
- Serious uncontrolled systemic disease including active infection,uncontrolled hypertension,diabetes,unstable angina,congestive heart failure,myocardial infarction,severe arrhythmia which needs drugs,hepatic、renal and metabolic disease
- Patient who is allergic to drugs we need to use
- Patients who are in pregnancy or lactation
- AST or ALT 》2.5 \* upper limit of normal (ULN),and ALP》5\*ULN
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sun Yat-sen University of cancer center
Guangzhou, Guangdong, 510000, China
Related Publications (1)
Pfister DG, Johnson DH, Azzoli CG, Sause W, Smith TJ, Baker S Jr, Olak J, Stover D, Strawn JR, Turrisi AT, Somerfield MR; American Society of Clinical Oncology. American Society of Clinical Oncology treatment of unresectable non-small-cell lung cancer guideline: update 2003. J Clin Oncol. 2004 Jan 15;22(2):330-53. doi: 10.1200/JCO.2004.09.053. Epub 2003 Dec 22. No abstract available.
PMID: 14691125RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
li-kun Chen, Doctor
Sun Yat-sen University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- associate professor
Study Record Dates
First Submitted
November 16, 2015
First Posted
November 18, 2015
Study Start
August 1, 2015
Primary Completion
June 1, 2022
Study Completion
December 1, 2022
Last Updated
February 25, 2022
Record last verified: 2022-02