A Safety and Efficacy Trial of Amplimexon Plus Taxotere in Metastatic Non-Small Cell Lung Cancer

Phase 2

Withdrawn

• Conditions: Carcinoma, Non-Small-Cell Lung
• Interventions: Drug: Imexon + docetaxel

• Registration Number: NCT00697060
• Lead Sponsor: AmpliMed Corporation

Brief Summary

Protocol AMP-024 is a Phase 2 study of imexon plus docetaxel for patients with previously treated lung cancer that has spread in the body. Docetaxel is approved by the Food and Drug Administration (FDA) as a second line therapy for this cancer. The imexon is administered on days 1-5 and the docetaxel on day 1 of every 3 week cycle. The objective of the protocol is to determine if the combination of imexon plus docetaxel is safe and effective.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2008-06-11
• Study First Submitted QC: 2008-06-12
• Study First Posted: 2008-06-13
• Study Start: 2010-08
• Primary Completion: 2011-08
• Study Completion: 2012-08
• Status Verified: 2015-06
• Last Update Submitted: 2015-06-22
• Last Update Posted: 2015-06-24

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

1. Subjects with histologically or cytologically confirmed NSCLC.

2. Subject with metastatic disease (Appendix D) who have received no more than 2 prior chemotherapy regimens for their metastatic disease.

   • Adjuvant chemotherapy is considered one prior regimen.
   • Immunological and targeted agents such as bevacizumab, erlotinib or gefitinib are considered prior regimens.

3. Subjects must have at least one measurable lesion by RECIST criteria (Appendix C). If the only measurable lesion is a lymph node, it must measure at least 20 mm in LD, and if the only target lesion is a single lesion, a cytological or histological confirmation of NSCLC is required.

4. Resolution of all chemotherapy or radiotherapy-related toxicities to CTCAE grade 1 or lower, except for stable sensory neuropathy of < grade 2 and/or alopecia.

5. Men and women age > 18 years.

6. ECOG performance status of 0 - 1 (Appendix E).

7. Not pregnant nor lactating.

8. If of child bearing potential must be able and agree to use adequate contraception.

9. Adequate renal function defined by:

   • serum creatinine level < 2.0 mg/dL.

10. G6PD (quantitative) greater than or equal to the lower limit of normal.

11. Adequate hematologic function defined by:

    • absolute neutrophil count (ANC) >1,500/mm³, and
    • platelet count > 100,000/mm³, and
    • hemoglobin level > 9 g/dL.

12. Adequate hepatic function defined by:

    • total bilirubin level < ULN, and
    • AST and ALT levels < 1.5 x ULN
    • Alkaline phosphatase < 2.5x ULN

13. Prior brain metastasis are allowed but must have been treated and controlled for > 1 month prior and be off steroids.

14. Subjects willing and able to comply with the study protocol for the duration of the study.

15. Able to render written informed consent and to follow protocol requirements.

Exclusion Criteria

1. Subjects who have received previous treatment with docetaxel.
2. Subjects who have received chemotherapy or radiation treatments within 4 weeks of study treatment start.
3. Prior high dose chemotherapy with hematopoietic stem cell rescue within the past two years.
4. Pulmonary lymphangitic involvement that results in pulmonary dysfunction requiring active treatment, including the use of oxygen and/or the medical management of recurrent pleural effusions.
5. Subjects with meningeal carcinomatosis.
6. Women who are pregnant or breast-feeding, women of child bearing potential (WOCBP) with either a positive serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) or no pregnancy test; WOCBP unless (1) surgically sterile (hysterectomy, or bilateral oophorectomy) or (2) not using adequate measures of contraception in the opinion of the Investigator. Perimenopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential.
7. Severe or uncontrolled intercurrent infection or other illness.
8. Significant cardiovascular disease including but not limited to a history of congestive heart failure of > NYHA grade II (Appendix E), unstable angina or a myocardial infarction within the past six months, or serious and uncontrolled arrhythmia.
9. Subjects with organ allografts.
10. Subjects who have had a prior malignancy, other than carcinoma in situ of the cervix, non-melanoma skin cancer, and superficial bladder cancer unless the prior malignancy was diagnosed and definitively treated > 5 years previously with no subsequent evidence of recurrence.
11. Subjects with pre-existing neuropathy > CTCAE Grade 2.
12. Subjects with other significant disease or disorders that, in the opinion of the Investigator, would exclude the subject from the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Stage 1/2	Imexon + docetaxel	Imexon plus docetaxel

Primary Outcome Measures

Name	Time	Method
Overall response rates (CR + PR) in subjects with measurable disease will be determined by RECIST methodology.	every 6 weeks

Secondary Outcome Measures

Name	Time	Method
Stable disease rate at 2 months.	2 months
Duration of response and stable disease.	throughout the study
Progression-free survival (PFS), as measured from the date of registration to the date of recorded disease progression (PD) or death from any cause.	throughout the study
Safety parameters (AEs, laboratory parameters, concomitant medication, study drug exposure, drug related toxicities, etc.)	throughout the study
Overall survival, as measured from the date of registration to the date of death from any cause.	throughout the study
Survival at 1-year.	1 year

Trial Locations

Locations (3)

USC Norris Cotton Cancer Center; 🇺🇸 Los Angeles, California, United States

Massachusetts General Hospital; 🇺🇸 Boston, Massachusetts, United States

Mary Crowley Research Center; 🇺🇸 Dallas, Texas, United States