EUCTR2008-002072-10-NLActive, not recruitingNot Applicable
Multicenter, randomised, double-blind, Phase III trial to investigate theefficacy and safety of oral BIBF 1120 plus standard pemetrexed therapycompared to placebo plus standard pemetrexed therapy in patients withstage IIIB/IV or recurrent non small cell lung cancer after failure of firstline chemotherapy - BIBF plus Pemetrexed in 2nd line NSCLC patients
Boehringer Ingelheim International GmbH0 sites1,300 target enrollmentStarted: November 4, 2008Last updated:
Conditions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Enrollment
- 1,300
Study Overview
Brief Summary
No summary available.
Study Design
- Study Type
- Interventional clinical trial of medicinal product
Eligibility Criteria
- Sex
- All
Inclusion Criteria
- •Male or female patient aged 18 years or older
- •Histologically or cytologically confirmed Stage IIIB, IV (according to AJCC) or
- •recurrent NSCLC (non squamous histologies)
- •Relapse or failure of one first line chemotherapy (in the case of recurrent disease one additional prior regimen is allowed for adjuvant ,neoadjuvant or neoadjuvant plus adjuvant therapy)
- •At least one target tumor lesion that has not been irradiated within the past three
- •months and that can accurately be measured by magnetic resonance imaging (MRI) or computed tomography (CT) in at least one dimension (longest diameter to be
- •recorded) as =20 mm with conventional techniques or as =10 mm with spiral CT
- •Life expectancy of at least three months
- •ECOG score of 0 or 1
- •Patient has given written informed consent which must be consistent with the
- •International Conference on Harmonization – Good Clinical Practice (ICH-GCP) and
- •local legislation
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
Exclusion Criteria
- •- More than one prior chemotherapy regimen for advanced and/or metastatic disease of NSCLC
- •- More than one chemotherapy treatment regimen (either neoadjuvant or adjuvant or neoadjvant plus adjuvant) prior to first line chemotherapy of advanced and/or metastatic NSCLC
- •- Previous therapy with other VEGFR inhibitors (other than bevacizumab) or
- •pemetrexed for treatment of NSCLC
- •- Persistence of clinically relevant therapy related toxicities from previous
- •chemotherapy and/or radiotherapy
- •- Treatment with other investigational drugs or treatment in another clinical trial within the past four weeks before start of therapy or concomitantly with this trial
- •- Chemo-, hormone-, immunotherapy or therapy with monoclonal antibodies or small
- •tyrosine kinase inhibitors within the past four weeks prior to treatment with the trial
- •drug, i.e., the minimum time elapsed since the last anticancer therapy and the first
- •administration of BIBF 1120 must be four weeks
- •- Radiotherapy (except extremities and brain) within the past three months prior to
- •baseline imaging
- •- Patients taking NSAIDS with short half lives unable or unwilling to interrupt
- •NSAIDsS for a five day period (2 days before pemetrexed, day of pemetrexed, 2 days
- •after pemetrexed)
- •Patients taking NSAIDS with long half lives must interrupt NSAID for 8 days (5 days
- •before, day of and 2 days after treatment with pemetrexed)
- •- Active brain metastases (e.g. stable for < 4 weeks, no adequate previous treatment with radiotherapy, symptomatic, requiring treatment with anti-convulsants; dexamethasone therapy will be allowed if administered as stable dose for at least one month before randomisation)
- •- leptomeningeal disease
- •- Radiographic evidence of cavitary or necrotic tumors
- •- Centrally located tumors with radiographic evidence (CT or MRI) of local invasion of
- •major blood vessels
- •- History of clinically significant haemoptysis within the past 3 months (more than one tea spoon of fresh blood per day)
- •- Therapeutic anticoagulation (except low dose heparin and/or heparin flush as needed for maintenance of an indwelling intravenous device) or antiplatelet therapy (except for chronic low-dose therapy with acetylsalicylic acid =?325mg per day)
- •- History of major thrombotic or clinically relevant major bleeding event in the past
- •- Known inherited predisposition to bleeding or thrombosis
- •- Significant cardiovascular diseases (i.e., hypertension not controlled by medical
- •therapy, unstable angina, history of myocardial infarction within the past 6 months,
- •congestive heart failure > NYHA II, serious cardiac arrhythmia, pericardial effusion)
- •- Calculated creatinine clearance by Cockcroft Gault <45ml/min
- •- Proteinuria CTCAE grade 2 or greater
- •- Total bilirubin above the upper limit of normal
- •- ALT and/or AST > 2.5 x upper limit of normal in the presence of live metastasis or
- •ALT and/or AST >1.5 x upper limit of normal in patients without liver metastasis.
- •- Prothrombin time and/or partial thromboplastin time greater than 50% deviation from normal limits
- •- Absolute neutrophil count (ANC) < 1500 neutrophils /mm3
- •- Platelets < 100,000 platelets/mm
- •- Haemoglobin < 9.0 g/dL
- •- Significant weight loss (> 10 %) within the past 6 weeks prior to treatment in the
- •present trial
- •Major injuries and/or surgery within the past ten days prior to randomisation with
- •incomplete wound healing
- •- Current peripheral neuropathy =?CTCAE grade 2 except due to trauma
- •- Preexisting ascites and/or clinically significant pleural effusion
Investigators
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