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Trial in Extensive-Disease Small Cell Lung Cancer (ED-SCLC) Subjects Comparing Ipilimumab Plus Etoposide and Platinum Therapy to Etoposide and Platinum Therapy Alone

Phase 3
Completed
Conditions
Small Cell Lung Carcinoma
Interventions
Biological: Placebo matching Ipilimumab
Biological: Ipilimumab
Drug: Etoposide
Drug: Cisplatin
Drug: Carboplatin
Registration Number
NCT01450761
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of the study is to determine whether the addition of Ipilimumab to Etoposide and Platinum therapy will extend the lives of patients with Extensive-Stage Disease Small Cell Lung Cancer (ED-SCLC) more than Etoposide and Platinum therapy alone.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1351
Inclusion Criteria
  • Extensive-Stage Disease Small Cell Lung Cancer (ED-SCLC)
  • Eastern Cooperative Oncology Group (ECOG) of 0 or 1
Read More
Exclusion Criteria
  • Prior systemic therapy for lung cancer
  • Symptomatic Central Nervous System (CNS) metastases
  • History of autoimmune disease
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo matching Ipilimumab+Etoposide+Cisplatin/CarboplatinPlacebo matching IpilimumabPlacebo matching Ipilimumab: IV solution, IV, 0 mg/kg, Once every 3 weeks for 4 doses, then every 12 weeks, Until progression of disease or unacceptable toxicity, or until the maximum treatment period of 3 years is reached Etoposide: IV solution, IV, 100 mg/m2, Days 1-3 every 3 weeks, 4 cycles Cisplatin: IV solution, IV, 75 mg/m2, Once every 3 weeks, 4 doses Carboplatin: IV Solution, IV, Area Under the Curve (AUC) 5, Once every 3 weeks, 4 doses
Ipilimumab+Etoposide+Cisplatin/CarboplatinCisplatinIpilimumab: IV solution, Intravenous (IV), 10 mg/kg, Once every 3 weeks for 4 doses, then every 12 weeks, Until progression of disease or unacceptable toxicity, or until the maximum treatment period of 3 years is reached Etoposide: IV solution, IV, 100 mg/m2, Days 1-3 every 3 weeks, 4 cycles Cisplatin: IV solution, IV, 75 mg/m2, Once every 3 weeks, 4 doses Carboplatin: IV Solution, IV, Area Under the Curve (AUC) 5, Once every 3 weeks, 4 doses
Ipilimumab+Etoposide+Cisplatin/CarboplatinIpilimumabIpilimumab: IV solution, Intravenous (IV), 10 mg/kg, Once every 3 weeks for 4 doses, then every 12 weeks, Until progression of disease or unacceptable toxicity, or until the maximum treatment period of 3 years is reached Etoposide: IV solution, IV, 100 mg/m2, Days 1-3 every 3 weeks, 4 cycles Cisplatin: IV solution, IV, 75 mg/m2, Once every 3 weeks, 4 doses Carboplatin: IV Solution, IV, Area Under the Curve (AUC) 5, Once every 3 weeks, 4 doses
Ipilimumab+Etoposide+Cisplatin/CarboplatinEtoposideIpilimumab: IV solution, Intravenous (IV), 10 mg/kg, Once every 3 weeks for 4 doses, then every 12 weeks, Until progression of disease or unacceptable toxicity, or until the maximum treatment period of 3 years is reached Etoposide: IV solution, IV, 100 mg/m2, Days 1-3 every 3 weeks, 4 cycles Cisplatin: IV solution, IV, 75 mg/m2, Once every 3 weeks, 4 doses Carboplatin: IV Solution, IV, Area Under the Curve (AUC) 5, Once every 3 weeks, 4 doses
Ipilimumab+Etoposide+Cisplatin/CarboplatinCarboplatinIpilimumab: IV solution, Intravenous (IV), 10 mg/kg, Once every 3 weeks for 4 doses, then every 12 weeks, Until progression of disease or unacceptable toxicity, or until the maximum treatment period of 3 years is reached Etoposide: IV solution, IV, 100 mg/m2, Days 1-3 every 3 weeks, 4 cycles Cisplatin: IV solution, IV, 75 mg/m2, Once every 3 weeks, 4 doses Carboplatin: IV Solution, IV, Area Under the Curve (AUC) 5, Once every 3 weeks, 4 doses
Placebo matching Ipilimumab+Etoposide+Cisplatin/CarboplatinEtoposidePlacebo matching Ipilimumab: IV solution, IV, 0 mg/kg, Once every 3 weeks for 4 doses, then every 12 weeks, Until progression of disease or unacceptable toxicity, or until the maximum treatment period of 3 years is reached Etoposide: IV solution, IV, 100 mg/m2, Days 1-3 every 3 weeks, 4 cycles Cisplatin: IV solution, IV, 75 mg/m2, Once every 3 weeks, 4 doses Carboplatin: IV Solution, IV, Area Under the Curve (AUC) 5, Once every 3 weeks, 4 doses
Placebo matching Ipilimumab+Etoposide+Cisplatin/CarboplatinCarboplatinPlacebo matching Ipilimumab: IV solution, IV, 0 mg/kg, Once every 3 weeks for 4 doses, then every 12 weeks, Until progression of disease or unacceptable toxicity, or until the maximum treatment period of 3 years is reached Etoposide: IV solution, IV, 100 mg/m2, Days 1-3 every 3 weeks, 4 cycles Cisplatin: IV solution, IV, 75 mg/m2, Once every 3 weeks, 4 doses Carboplatin: IV Solution, IV, Area Under the Curve (AUC) 5, Once every 3 weeks, 4 doses
Placebo matching Ipilimumab+Etoposide+Cisplatin/CarboplatinCisplatinPlacebo matching Ipilimumab: IV solution, IV, 0 mg/kg, Once every 3 weeks for 4 doses, then every 12 weeks, Until progression of disease or unacceptable toxicity, or until the maximum treatment period of 3 years is reached Etoposide: IV solution, IV, 100 mg/m2, Days 1-3 every 3 weeks, 4 cycles Cisplatin: IV solution, IV, 75 mg/m2, Once every 3 weeks, 4 doses Carboplatin: IV Solution, IV, Area Under the Curve (AUC) 5, Once every 3 weeks, 4 doses
Primary Outcome Measures
NameTimeMethod
Overall Survival (OS) in Participants Who Received at Least One Dose of Blinded Study TherapyRandomization until date of death, up to March 2015, approximately 38 months

Overall Survival was defined as the time from the date of randomization until the date of death from any cause. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.

Secondary Outcome Measures
NameTimeMethod
Overall Survival in All Randomized ParticipantsFrom randomization until date of death, up to March 2015, approximately 38 months

Overall Survival was defined as the time from the date of randomization until the date of death from any cause. For participants without documentation of death, OS was censored on the last date the participant was known to be alive.

Progression Free Survival (PFS) Time in Participants Who Have Received at Least One Dose of Blinded Study TherapyFrom randomization until disease progression, up to March 2015, approximately 38 months

Progression-Free Survival was defined as the time from the date of randomization to the date of progression per modified World Health Organization (mWHO) criteria or death, whichever occured first. A participant who died without reported progression per mWHO criteria was considered progressed on the date of death. For those participants who remained alive and did not progress, PFS was censored on the date of last evaluable tumor assessment. For those participants who remained alive and had no recorded post-baseline tumor assessment, PFS was censored on the day of randomization.

Trial Locations

Locations (43)

University Of Texas, M. D. Anderson Cancer Center

🇺🇸

Houston, Texas, United States

University Hospitals

🇺🇸

Cleveland, Ohio, United States

Mary Babb Randolph Cancer Center

🇺🇸

Morgantown, West Virginia, United States

The Jones Clinic, PC

🇺🇸

Germantown, Tennessee, United States

Presence Medical Group Hematology Oncology

🇺🇸

Skokie, Illinois, United States

Medical Oncology, LLC

🇺🇸

Augusta, Georgia, United States

Tennessee Oncology, PLLC

🇺🇸

Nashville, Tennessee, United States

Local Institution

🇬🇧

Truro, United Kingdom

Chattanooga Oncology Hematology Associates

🇺🇸

Chattanooga, Tennessee, United States

Tennessee Cancer Specialists

🇺🇸

Knoxville, Tennessee, United States

Florida Cancer Specialists S.

🇺🇸

Fort Myers, Florida, United States

Thompson Cancer Survival Center

🇺🇸

Knoxville, Tennessee, United States

Sutter Medical Center

🇺🇸

Auburn, California, United States

Lake City Cancer Care

🇺🇸

Lake City, Florida, United States

St Joseph Mercy Hospital

🇺🇸

Ypsilanti, Michigan, United States

Associated in Oncology and Hematology

🇺🇸

Chattanooga, Tennessee, United States

University Of Kentucky

🇺🇸

Lexington, Kentucky, United States

UCSD Moores Cancer Center

🇺🇸

La Jolla, California, United States

Genesis Cancer Center

🇺🇸

Hot Springs, Arkansas, United States

Quincy Medical Group

🇺🇸

Quincy, Illinois, United States

Cancer Center Of Kansas

🇺🇸

Wichita, Kansas, United States

Oncology Hematology Care, Incorporated

🇺🇸

Cincinnati, Ohio, United States

Henry-Joyce Cancer Center

🇺🇸

Nashville, Tennessee, United States

Huntsman Cancer Hospital

🇺🇸

Salt Lake City, Utah, United States

Southeast Nebraska Hematology & Oncology Consultants, P.C.

🇺🇸

Lincoln, Nebraska, United States

Regional Cancer Care Associates, LLC/Cherry Hill Division

🇺🇸

Cherry Hill, New Jersey, United States

Memorial Sloan Kettering Nassau

🇺🇸

New York, New York, United States

Oklahoma Cancer Specialists and Research Institute, LLC

🇺🇸

Tulsa, Oklahoma, United States

Cancer Specialists, LLC

🇺🇸

Jacksonville, Florida, United States

Florida Cancer Specialists

🇺🇸

Saint Petersburg, Florida, United States

SIU School Of Medicine

🇺🇸

Springfield, Illinois, United States

St. Francis Medical Group Oncology And Hematology Specialist

🇺🇸

Indianapolis, Indiana, United States

Montgomery Cancer Center

🇺🇸

Mount Sterling, Kentucky, United States

Ashland Bellefonte Cancer Center

🇺🇸

Ashland, Kentucky, United States

Gabrail Cancer Center

🇺🇸

Canton, Ohio, United States

Signal Point Clinical Research Center, Llc

🇺🇸

Middletown, Ohio, United States

Joe Arrington Cancer Research And Treatment Center

🇺🇸

Lubbock, Texas, United States

St. Luke'S Cancer Institute

🇺🇸

Kansas City, Missouri, United States

University Of Colorado Cancer Center

🇺🇸

Aurora, Colorado, United States

Kaiser Permanente

🇺🇸

Portland, Oregon, United States

Virginia Commonwealth University

🇺🇸

Richmond, Virginia, United States

Virginia Cancer Institute

🇺🇸

Richmond, Virginia, United States

Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

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