MedPath

Study of Carboplatin/Paclitaxel With or Without Investigational Drug (CS-7017) in Subjects With Metastatic Non-small Cell Lung Cancer

Phase 2
Completed
Conditions
Metastatic Non-small Cell Lung Cancer
Interventions
Drug: CS7017 tablets
Drug: Placebo Tablets
Registration Number
NCT00806286
Lead Sponsor
Daiichi Sankyo
Brief Summary

The study has a safety and a Phase 2 portion. In the safety portion of the study, subjects with metastatic non-small cell lung cancer will be treated with study drug (CS-7017) in combination with carboplatin and paclitaxel to evaluate safety. In the Phase 2 portion of the study, subjects will receive study drug (CS-7017) or placebo in combination with carboplatin and paclitaxel to evaluate effectiveness and safety. The study will find out if adding CS-7017 to carboplatin and paclitaxel will be safe and improve progression free survival in subjects with metastatic non-small cell lung cancer.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
111
Inclusion Criteria
  • Histologically or cytologically confirmed metastatic (stage IV) NSCLC with no significant pleural effusion or pleural involvement from the tumor
  • Age greater than or equal to 18 years
  • Adequate organ and bone marrow function
Exclusion Criteria
  • Any prior systemic therapy for NSCLC
  • Major surgical procedure or other investigational agents within 4 weeks before study enrollment
  • Need for concomitant use of other thiazolidinediones during the study
  • History of any of the following conditions within 6 months prior to initiating study treatment: Diabetes mellitus requiring treatment with insulin or sulfonylureas or thiazolidinediones (TZDs) agents; Myocardia infarction with significant impairment of cardia function; Malabsorption syndrome, chronic diarrhea, inflammatory bowel disease or partial bowel obstruction;
  • Clinically active brain metastases, uncontrolled seizure disorder; spinal cord compression or carcinomatous meningitis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Paclitaxel and CarboplatinCarboplatin-
CS-7017 with Paclitaxel and CarboplatinPaclitaxel-
CS-7017 with Paclitaxel and CarboplatinCarboplatin-
Paclitaxel and CarboplatinPlacebo Tablets-
CS-7017 with Paclitaxel and CarboplatinCS7017 tablets-
Paclitaxel and CarboplatinPaclitaxel-
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Progression-Free Survival Based on Radiologic and Clinical Assessments and Death After Carboplatin/Paclitaxel With or Without CS-7017 in Chemotherapy-naïve Participants With Metastatic Non-small Cell Lung Cancer18 weeks postdose

Progression-free survival (PFS) was defined as the time from the date of randomization to the earlier of the dates of the first objective documentation of disease progression (based upon radiographic tumor assessments) or death. Disease progression was determined in accordance with the RECIST version 1.0 criteria.

Percentage of Participants With Progression-Free Survival at 18 Weeks Following Administration of Carboplatin/Paclitaxel With or Without CS-7017 in Chemotherapy-naïve Participants With Metastatic Non-small Cell Lung Cancer18 weeks postdose

Progression-free survival (PFS) was defined as the time from the date of randomization to the earlier of the dates of the first objective documentation of disease progression (based upon radiographic tumor assessments) or death. As per Response Evaluation Criteria for Solid Tumors v1.0, disease progression was characterized as confirmed complete response (CR) defined as disappearance of all target lesions, confirmed partial response (PR) defined as ≥30% decrease from baseline, stable disease (SD) defined as neither progressive disease (PD) nor PR, and PD defined as ≥20% increase from smallest sum of longest diameter recorded since treatment started.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Best Overall Tumor Response and Objective Response Rate Following Administration of Carboplatin/Paclitaxel With or Without CS-7017 in Chemotherapy-naïve Participants With Metastatic Non-small Cell Lung CancerBaseline to disease progression, death, or withdrawal from study, up to approximately 2 years postdose

As per Response Evaluation Criteria for Solid Tumors v1.0, the best overall response was characterized as confirmed complete response (CR) defined as disappearance of all target lesions, confirmed partial response (PR) defined as ≥30% decrease from baseline, stable disease (SD) defined as neither progressive disease (PD) nor PR, and PD defined as ≥20% increase from smallest sum of longest diameter recorded since treatment started. Objective response rate (ORR) was defined as CR + PR.

Number of Participants With Treatment-Emergent Adverse Events Related to CS-7017/Placebo Following Administration of Carboplatin/Paclitaxel With or Without CS-7017 in Chemotherapy-naïve Participants With Metastatic Non-small Cell Lung CancerBaseline up to approximately 2 years postdose
Summary of Kaplan-Meier Analysis of Overall Survival Following Administration of Carboplatin/Paclitaxel With or Without CS-7017 in Chemotherapy-naïve Participants With Metastatic Non-small Cell Lung CancerBaseline to date of death, up to approximately 2 years postdose

Overall survival (OS) is defined as the time from randomization to the date of death resulting from any cause.

Trial Locations

Locations (27)

Michiana Hematology-Oncology

🇺🇸

South Bend, Indiana, United States

Southern Illinois Hematology/Oncology

🇺🇸

Centralia, Illinois, United States

Signal Point Clinical Research Center

🇺🇸

Middletown, Ohio, United States

Penn State Milton Hershey Cancer Center

🇺🇸

Hershey, Pennsylvania, United States

Kidwai Memorial Institute of Oncology

🇮🇳

Bangalore, Karnataka, India

Meenakshi Mission Hospital

🇮🇳

Madurai, Tamil Nadu, India

Pentagon Research

🇮🇳

Aundh, Maharashtra, India

Noble Hospital

🇮🇳

Pune, India

Oddzial Chemioterapii ZOZ MSWiA

🇵🇱

Olsztyn, Poland

Institutul Oncologic Prof. Dr. Alexandru Trestioreanu

🇷🇴

Bucuresti, Romania

Institutul Oncologic Prof. Dr. Ion Chiricuta

🇷🇴

Cluj-Napoca, Romania

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Eastern Virginia Medical School

🇺🇸

Norfolk, Virginia, United States

Apollo Specialty Hospital

🇮🇳

Chennai, India

Oddzial Onkologii Klinicznej z Pododdzialem Dziennej Chemioterapii

🇵🇱

Poznan, Poland

Harbor View Cancer Center

🇺🇸

Baltimore, Maryland, United States

Specjalistyczny Szpital im. Prof. Alfresa Sokolowskiego

🇵🇱

Szczecin, Poland

Oncomed SRL

🇷🇴

Timisoara, Judet Timis, Romania

Spitalul Municipal Ploiesti

🇷🇴

Ploiesti, Prahova, Romania

Centrul de Oncologie Medicala

🇷🇴

Iasi, Romania

University Colorado Cancer Center

🇺🇸

Aurora, Colorado, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Shatabdi Super Specialty Hospital

🇮🇳

Nashik, Mumbai Naka, India

Hemato-Oncology Clinic, Vedanta

🇮🇳

Gujarat, Navrangpura, Ahmedabad, India

Georgetown Univ. Medical Center

🇺🇸

Washington, District of Columbia, United States

Orchid Nursing Home

🇮🇳

Kolkata, West Bengal, India

Ruby Hall Clinic

🇮🇳

Pune, India

© Copyright 2025. All Rights Reserved by MedPath