NCT04633564

Brief Summary

Assess the Efficacy and Safety of MYL-1402O Compared with Avastin®, in the First-line Treatment of Patients with Stage IV Non-Squamous Non-Small Cell Lung Cancer

Trial Health

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
671

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jan 2017

Typical duration for phase_3

Geographic Reach
17 countries

102 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

January 21, 2017

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 5, 2019

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 22, 2019

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

November 2, 2020

Completed
16 days until next milestone

First Posted

Study publicly available on registry

November 18, 2020

Completed
3 months until next milestone

Results Posted

Study results publicly available

February 1, 2021

Completed
Last Updated

March 16, 2022

Status Verified

March 1, 2022

Enrollment Period

2.4 years

First QC Date

November 2, 2020

Results QC Date

January 11, 2021

Last Update Submit

March 15, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Primary Efficacy Analysis of Overall Response Rate ( ORR) of MYL-1402O as Compared to Avastin

    The primary efficacy endpoint Overall Response Rate (ORR) will be based on best tumor responses as assessed by an independent review at any time point during the first 18 weeks, and assessed according to RECIST 1.1. The primary efficacy analysis is based on the ratio of the MYL-1402O ORR to the Avastin ORR at Week 18 based on the Intent to Treat ( ITT) set of patients.

    18 weeks after first dosing per patient

Study Arms (2)

MYL-1402O

EXPERIMENTAL

Patients will begin Period 1 receiving bevacizumab combination therapy (MYL-1402O15 mg/kg IV + Carboplatin AUC 6 IV+ Paclitaxel 200 or 175 mg/m2 IV) on Day 0 of Cycle 1 for up to 6 cycles of therapy. Each cycle will consist of 3 weeks (21 days ± 3 days) and a cycle will start with the administration of bevacizumab (as MYL-1402O ). In Period 2, eligible patients will continue to receive bevacizumab ( MYL- 1402O) every 3 weeks as monotherapy.

Biological: Bevacizumab as MYL-1402O

Avastin

ACTIVE COMPARATOR

Patients will begin Period 1 receiving bevacizumab combination therapy ( Avastin15 mg/kg IV + Carboplatin AUC 6 IV+ Paclitaxel 200 or 175 mg/m2 IV) on Day 0 of Cycle 1 for up to 6 cycles of therapy. Each cycle will consist of 3 weeks (21 days ± 3 days) and a cycle will start with the administration of bevacizumab (as Avastin). In Period 2, eligible patients will continue to receive bevacizumab (Avastin) every 3 weeks as monotherapy.

Biological: Bevacizumab as Avastin

Interventions

Bevacizumab as MYL-1402O 15 mg/kg IV + Carboplatin AUC 6 IV+ Paclitaxel 200 or 175 mg/m2 IV

MYL-1402O

Bevacizumab as Avastin 15 mg/kg IV + Carboplatin AUC 6 IV+ Paclitaxel 200 or 175 mg/m2 IV

Avastin

Eligibility Criteria

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

You may qualify if:

  • Written and signed informed consent
  • Male or female at least 18 years of age with documented imaging diagnosis of Stage IV unresectable, recurrent or metastatic nsNSCLC with at least one measurable lesion as defined by RECIST 1.1
  • Documented histologic or cytologic diagnosis of advanced nsNSCLC with negative or unknown sensitizing epidermal growth factor receptor (EGFR) mutation, and negative or unknown echinoderm microtubule-associated protein like 4 anaplastic lymphoma kinase (EML4 ALK) rearrangement.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Has not received any prior systemic therapy for first-line treatment of advanced lung cancer, except adjuvant chemotherapy, and remained disease-free for at least 12 months from time of surgery, and at least 6 months from last dose of chemotherapy.
  • Treated and stable brain metastasis.

You may not qualify if:

  • Documented squamous NSCLC or small cell type or large cell neuroendocrine histology
  • History of significant hemoptysis, central tumors with proximity to large vessels and tumor with cavitation
  • Received prior treatment with paclitaxel, bevacizumab or anthracycline or had known hypersensitivity to any of these components.
  • Recent significant cardiac condition or vascular event or inadequately controlled hypertension.
  • On anticoagulant therapy not considered stable
  • Risk of hemorrhage in the central nervous system
  • Recent history of surgery, nonhealing wound, active ulcer, or untreated bone fracture.
  • History of gastrointestinal fistula, perforation, or abscess.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (102)

Grodno Clinical Regional Hospital

Grodno, Hrodzenskaya Voblasts, 230017, Belarus

Location

Mogilev Regional Oncology Dispensary

Minsk, Minsk Oblast, 220013, Belarus

Location

Babruysk Interregional Oncological Dispensary

Babruysk, 213825, Belarus

Location

State Institution NN Alexandrov Republican Scientific and Practical Centre of Oncology And Medical R

Minsk, 223040, Belarus

Location

Grodno Clinical Regional Hospital

Mogilev, 212018, Belarus

Location

Clinical Hospital Mostar

Mostar, Bosnia and Herzegovina

Location

Clinical Center University of Sarajevo

Sarajevo, 71000, Bosnia and Herzegovina

Location

Javna zdravstvena ustanova bolnica Trebinje

Trebinje, 89101, Bosnia and Herzegovina

Location

County Hospital Zenica

Zenica, Bosnia and Herzegovina

Location

Complex Oncology Center-Veliko Tarnovo

Veliko Tarnovo, 5000, Bulgaria

Location

Complex Oncology Center - Vratsa EOOD

Vratsa, 30001, Bulgaria

Location

Clinical Hospital Centre Osijek

Osijek, 31000, Croatia

Location

General Hospital Sibenik

Šibenik, 22000, Croatia

Location

Clinical Hospital Center Zagreb - PPDS

Zagreb, 10000, Croatia

Location

Research Institute of Clinical Medicine

Tbilisi, 112, Georgia

Location

LTD High Technology Medical Center University Clinic

Tbilisi, 144, Georgia

Location

Orszagos Koranyi Pulmonologiai Intezet

Budapest, Hungary

Location

Semmelweis Egyetem

Budapest, Hungary

Location

Debreceni Egyetem Klinikai Kozpont

Debrecen, Hungary

Location

Veszprem Megyei Tudogyogyintezet

Farkasgyepü, Hungary

Location

Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktató Kórház

Miskolc, Hungary

Location

City Cancer Center

Vijayawada, Andhra Pradesh, 520002, India

Location

Mahatma Gandhi Medical College and Hospital

Visakhapatnam, Andhra Pradesh, 530017, India

Location

Regional Cancer Centre Indira Gandhi Institute of Medical Sciences

Patna, Bihar, 800014, India

Location

HCG Cancer Center

Ahmedabad, Gujarat, 380060, India

Location

Shree Giriraj Multispeciality Hospital

Rajkot, Gujarat, 360005, India

Location

Synexus Affiliate - Apple Hospital

Surat, Gujarat, 395002, India

Location

Unique Hospital - Multispeciality & Research Institute

Surat, Gujarat, 395002, India

Location

Aadhar Health Institute

Hisar, Haryana, 125001, India

Location

BGS Global Hospital

Bangalore, Karnataka, 560060, India

Location

Sri Venkateshwara Hospital

Bangalore, Karnataka, 560068, India

Location

Shetty's Hospital

Bengaluru, Karnataka, 560068, India

Location

Amravati Cancer Foundation Sujan Surgical and Cancer Hospital

Amravati, Maharashtra, 444606, India

Location

United CIIGMA Institute of Medical Sciences Pvt.Ltd.

Aurangabad, Maharashtra, 431005, India

Location

Seth Nandlal Dhoot Hospital

Aurangabad, Maharashtra, 431210, India

Location

Government Medical College

Nagpur, Maharashtra, 440003, India

Location

Curie Manavata Cancer Centre

Nashik, Maharashtra, 422004, India

Location

Ruby Hall Clinic

Pune, Maharashtra, 411001, India

Location

Acharya Tulsi Regional Cancer Institute and Research Centre

Bikaner, Rajasthan, 334003, India

Location

Malpani Multispecialty Hospital

Jaipur, Rajasthan, 302013, India

Location

Institute of Respiratory Diseases (Chest and TB Hospital)

Jaipur, Rajasthan, 302016, India

Location

Apex Hospital

Jaipur, Rajasthan, 302017, India

Location

Bhagwan Mahaveer Cancer Hospital and Research Centre

Jaipur, Rajasthan, 302017, India

Location

Rajiv Gandhi Government General Hospital

Chennai, Tamil Nadu, 600003, India

Location

Meenakshi Mission Hospital and Research Center

Madurai, Tamil Nadu, 625107, India

Location

Shatabdi Superspeciality Hospital

Lucknow, Uttar Pradesh, 226003, India

Location

Chittaranjan National Cancer Institute

Kolkata, West Bengal, 700026, India

Location

KLES Dr Prabhakar Kore Hospital and Medical Research Centre

Belagāve, 590010, India

Location

Prince Aly Khan Hospital Mumbai

Mumbai, 400010, India

Location

Jaslok Hospital and Research Centre

Mumbai, 400026, India

Location

Sahyadri Speciality Hospital

Pune, 411004, India

Location

Kailash Cancer Hospital and Research Centre

Vadodara, 391760, India

Location

Ospedale Felice Lotti De Pontedera

Pontedera, 56025, Italy

Location

Philippine General Hospital

Manila, National Capital Region, 1000, Philippines

Location

Cardinal Santos Medical Center

San Juan City, National Capital Region, 1502, Philippines

Location

Med-Polonia Sp. z o.o.

Poznan, 60-693, Poland

Location

Radomskie Centrum Onkologii

Radom, 26-600, Poland

Location

Medisprof SRL

Cluj-Napoca, Cluj, 400641, Romania

Location

Ploiesti Municipal Hospital

Ploieşti, Prahova, 100337, Romania

Location

Spitalul Judetean de Urgenta Sf. Pantelimon Focsani

Focşani, Vrancea, 620165, Romania

Location

Elias Emergency University Hospital

Bucharest, 11461, Romania

Location

Prof. Dr. Alexandru Trestioreanu Oncologic Institute

Bucharest, 22328, Romania

Location

Spitalul Clinic Judetean de Urgenta Sf. Apostol Andrei Constanta

Constanța, 900591, Romania

Location

Oncology Center Sfantul Nectarie

Craiova, Romania

Location

Arkhangelsk Regional Clinical Oncology Dispensary

Arkhangelsk, 163045, Russia

Location

Chelyabinsk Regional Clinical Oncology Dispensary

Chelyabinsk, 454087, Russia

Location

Kaluga Regional Oncology Dispensary

Kaluga, 248007, Russia

Location

Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic

Kazan', 420029, Russia

Location

Kursk Regional Oncology Centre

Kursk, 305524, Russia

Location

Vitamed

Moscow, 129515, Russia

Location

City Clinical Hospital #1

Novosibirsk, 630047, Russia

Location

Clinical Oncology Dispensary

Omsk, 644013, Russia

Location

Stavropol Regional Clinical Oncology Centre Pyatigorsk Affiliate

Pyatigorsk, 357502, Russia

Location

Ryazan State Medical University n.a. I.P. Pavlov

Ryazan, 390011, Russia

Location

Research Institute of Phtisio-pneumology

Saint Petersburg, 191036, Russia

Location

Leningrad Regional Clinical Hospital

Saint Petersburg, 194291, Russia

Location

Railway Clinical Hospital JSC RZhD

Saint Petersburg, 195271, Russia

Location

Clinical Theoretical and Practical Center of Specialized Kinds of Medical Care

Saint Petersburg, 197758, Russia

Location

Scientific Research Institute of Oncology n.a. N.N. Petrov

Saint Petersburg, 197758, Russia

Location

City Clinical Oncology Dispensary

Saint Petersburg, 198255, Russia

Location

Mordovia State University

Saransk, 430000, Russia

Location

Research Oncology Institute of Tomsk Scientific Center

Tomsk, 634028, Russia

Location

Volgograd Regional Clinical Oncology Dispensary

Volgograd, 400138, Russia

Location

Regional Clinical Oncology Hospital

Yaroslavl, 150040, Russia

Location

Hospital Universitario Vall d'Hebrón - PPDS

Barcelona, 8035, Spain

Location

Hospital Son Llatzer

Palma de Mallorca, 7198, Spain

Location

Kaohsiung Medical University Hospital

Kaohsiung City, 807, Taiwan

Location

E-DA hospital

Kaohsiung City, 82544, Taiwan

Location

Taichung Veterans General Hospital

Taichung, 40705, Taiwan

Location

Mackay Memorial Hospital-Taipei branch

Taipei, 10449, Taiwan

Location

Gazi University Medical Faculty Gazi Hospital

Ankara, 6500, Turkey (Türkiye)

Location

Ege Universitesi Tip Fakultesi Hastanesi

Izmir, 35100, Turkey (Türkiye)

Location

Municipal Institution City Clinical Hospital #4 of Dnipro City Council - PPDS

Dnipropetrovsk, 49102, Ukraine

Location

Municipal Institution SubCarpathian ClinicalOncological Centre

Ivano-Frankivsk, 76018, Ukraine

Location

MI Kryvyi Rih Oncology Dispensary of Dnipropetrovsk Regional Council

Kryvyi Rih, 50048, Ukraine

Location

Municipal non profit enterprise of Sumy Regional Council Sumy Regional Clinical Oncology Dispensary

Sumy, 40022, Ukraine

Location

MNPE Central City Clinical Hospital of Uzhhorod City Council

Uzhhorod, 88000, Ukraine

Location

MI of Zaporizhzhia Regional Council Zaporizhzhia Regional Clinical Oncology Dispensary

Zaporizhzhia, 69040, Ukraine

Location

Bach Mai Hospital

Hanoi, 100000, Vietnam

Location

National Cancer Hospital

Hanoi, 100000, Vietnam

Location

National Lung Hospital

Hanoi, 100000, Vietnam

Location

Cho Ray Hospital

Ho Chi Minh City, 700000, Vietnam

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

Bevacizumab

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Keri Vaughan, Senior Director
Organization
Mylan GmbH

Study Officials

  • Tazeen A Idris, MD

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Double blind
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Multicenter, Double-Blind, Randomized, Parallel-Group
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 2, 2020

First Posted

November 18, 2020

Study Start

January 21, 2017

Primary Completion

June 5, 2019

Study Completion

November 22, 2019

Last Updated

March 16, 2022

Results First Posted

February 1, 2021

Record last verified: 2022-03

Locations