Safety and Tolerability Study of ISIS EIF4E Rx in Combination With Carboplatin and Paclitaxel

Phase 1

Completed

• Conditions: Non-small Cell Lung Cancer
• Interventions: Drug: ISIS EIF4E Rx; Drug: Paclitaxel; Drug: Carboplatin

• Registration Number: NCT01234038
• Lead Sponsor: Ionis Pharmaceuticals, Inc.

Brief Summary

The purpose of this study is to examine the overall survival of patients with Stage IV non-small cell lung cancer (NSCLC) treated with ISIS EIF4E Rx in combination with carboplatin and paclitaxel.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-11
• Study First Submitted: 2010-11-02
• Study First Submitted QC: 2010-11-03
• Study First Posted: 2010-11-04
• Primary Completion: 2012-10
• Study Completion: 2013-01
• Status Verified: 2018-06
• Disposition First Submitted: 2018-06-21
• Disposition First Submitted QC: 2018-06-21
• Last Update Submitted: 2018-06-21
• Disposition First Posted: 2018-06-27
• Last Update Posted: 2018-06-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 116

Inclusion Criteria

• Male or female patients age >/= 18 years

• Histologically or cytologically confirmed diagnosis of NSCLC

• Stage IV disease (including patients with pleural effusion who were previously classified as Stage IIIB)

• All of the following if patient has had prior radiation therapy:

  1. Lesion(s) used for determination of response were not previously irradiated or have increased in size since the completion of radiotherapy
  2. The patient has recovered from any acute effects of the radiotherapy
  3. Radiotherapy was completed at least 4 weeks prior to Screening

• Part 1: Have at least non-measurable evaluable disease (e.g., lesions which are smaller than the minimum size required for measurability; other non-measurable lesions such as bone metastases, malignant pleural effusion)

• Part 2: Have measurable disease, defined as at least 1 lesion that can be accurately measured in at least 1 dimension

• Performance status of 0 or 1 on the ECOG Performance Status Scale

• Have an estimated life expectancy of at least 12 weeks

• Adequate organ function within 14 days prior to first study dose (ISIS EIF4E Rx or carboplatin/paclitaxel, whichever occurs first) as defined by:

  1. Absolute neutrophil count (ANC) >/= 1.5 x 109/L
  2. Platelet count >/= 100 x 109/L
  3. Hemoglobin >/=9 g/dL (>/= 5.6 mmol/L). Patients may receive packed RBC transfusion to achieve this level at the discretion of the investigator.
  4. Total bilirubin < 1.5 x upper limit of normal (ULN) unless elevated secondary to conditions such as Gilbert's Disease
  5. Aspartate aminotransferase (AST) < 3 x ULN (< 5 x ULN in the presence of hepatic metastases)
  6. Alanine aminotransferase (ALT) < 3 x ULN (< 5 x ULN in the presence of hepatic metastases)
  7. Alkaline phosphatase < 3.0 x ULN
  8. Calculated creatinine clearance >/= 60 mL/min per Cockcroft and Gault formula

• Satisfy one of the following:

  1. Females: non-pregnant and non-lactating; surgically sterile, post-menopausal, or patient or partner compliant with a reliable contraceptive regimen, as determined by Investigator, for 4 weeks prior to Screening. Patients of reproductive potential must test negative for pregnancy at Screen and must agree to use a reliable method of birth control during the study and for the 10 weeks following the last dose of ISIS EIF4E Rx.
  2. Males: surgically sterile or patient or partner must agree to use a reliable contraceptive method, as determined by the Investigator during the study and for the 10 weeks following the last dose of ISIS EIF4E Rx.

• For Part 1: have discontinued all prior chemotherapies, biological therapies, and other investigational therapies for cancer for at least 4 weeks (6 weeks for mitomycin-C or nitrosoureas) prior to study treatment and recovered from the acute effects of therapy.

Exclusion Criteria

• Part 1: More than 2 prior chemotherapy or biological therapy regimens (approved or experimental) for NSCLC, not counting adjuvant and neoadjuvant treatment. A regimen is defined as two or more consecutive cycles of treatment.
• Part 2: Any prior chemotherapy or biological therapy (approved or experimental) for NSCLC including adjuvant and neoadjuvant treatments
• Treatment with another investigational drug, biological agent, or device within 4 weeks (6 weeks for biological agents) before Screening or 5 half-lives of study agent, whichever is longer
• Patients with treated or untreated parenchymal brain metastases or leptomeningeal disease. Brain imaging is required for symptomatic patients to rule out brain metastases, but is not required in asymptomatic patients.
• Patients with known pericardial effusion
• Have active infection or serious concomitant systemic disorder (for example, heart failure) incompatible with the study (at the discretion of the Investigator)
• Presence or history of malignancy other than NSCLC, carcinoma in situ of the cervix, or non-melanoma skin cancer. In the case of other malignancies, patients may be considered for participation if the prior malignancies were diagnosed and definitively treated at least five years previously with no subsequent evidence of recurrence.
• Presence of an underlying disease state associated with active bleeding
• Ongoing therapy with oral or parenteral anticoagulants (e.g., heparin, warfarin/coumadin). Low-dose anticoagulants for maintenance of catheter patency and low dose aspirin (≤ 325 mg/day) and nonsteroidal anti-inflammatory agents are not exclusionary.
• Concurrent treatment with other anticancer drugs
• Pre-existing peripheral neuropathy >/=Common Terminology Criteria for Adverse Events Version 4.0 (CTCAE) Grade 2
• Known history of HIV, HCV, or chronic HBV infection
• Previous treatment with a therapeutic antisense oligonucleotide or siRNA
• Planned concomitant participation in another clinical trial of an experimental agent, vaccine, or device
• Have any other medical conditions that in the opinion of the Investigator, would make the patient unsuitable for enrollment, or could interfere with the patient participating in or completing the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Part 1 Cohort 1	ISIS EIF4E Rx	-
Part 1 Cohort 1	Paclitaxel	-
Part 1 Cohort 2	ISIS EIF4E Rx	-
Part 1 Cohort 2	Paclitaxel	-
Part 2 Arm B	ISIS EIF4E Rx	-
Part 1 Cohort 1	Carboplatin	-
Part 2 Arm A	Carboplatin	-
Part 1 Cohort 2	Carboplatin	-
Part 2 Arm A	Paclitaxel	-
Part 2 Arm B	Carboplatin	-
Part 2 Arm B	Paclitaxel	-

Primary Outcome Measures

Name	Time	Method
Progression free survival	At the end of each 21 day cycle

Trial Locations

Locations (29)

Alojzy Pawelec Provincial Hospital of Lung Diseases; 🇵🇱 Wodzislaw Slaski, Poland

Semmelweis University Faculty of Medicine; 🇭🇺 Budapest, Hungary

Independent Public Teaching Hospital No. 4 In Lublin; 🇵🇱 Lublin, Poland

Genesis Cancer Center; 🇺🇸 Hot Springs, Arkansas, United States

Achieve Clinical Research; 🇺🇸 Birmingham, Alabama, United States

University of Debrecen, Medical and Health Science Center; 🇭🇺 Debrecen, Hungary

Cancer Therapy and Research Center, University of Texas Health Science Center at San Antonio; 🇺🇸 San Antonio, Texas, United States

Hospital for Thoracic Diseases of Csongrad County Local Governmental; 🇭🇺 Deszk, Hungary

Koranyi National Institute of TBC and Pulmonology; 🇭🇺 Budapest, Hungary

Bekes Country Pandy Kalman Hospital; 🇭🇺 Gyula, Hungary

St. Petersburg State Healthcare Institution: "City Clinical Oncology Center"; 🇷🇺 Saint Petersburg, Russian Federation

K. Dluski Provincial Specialist Hospital; 🇵🇱 Bialystok, Poland

State Medical Institution: Arkhangelsk Regional Clinical Oncology Center, Chemotherapy department; 🇷🇺 Arkhangelsk, Russian Federation

State Budget Healthcare Institution: Sverdlovsk Regional Oncology Center, Radiotherapy Department; 🇷🇺 Ekaterinburg, Russian Federation

Kenmar Research Institute; 🇺🇸 Los Angeles, California, United States

Little Rock Cancer Clinic; 🇺🇸 Little Rock, Arkansas, United States

Highlands Oncology Group; 🇺🇸 Fayetteville, Arkansas, United States

University of Louisville - James Graham Brown Cancer Center; 🇺🇸 Louisville, Kentucky, United States

Jewish Hospital & St. Mary's Healthcare; 🇺🇸 Louisville, Kentucky, United States

Idependent Public Tuberculosis an Lung Diseases Facilities; 🇵🇱 Olsztyn, Poland

Specialist Tuberculosis and Lung Diseases Hospitals; 🇵🇱 Rzeszow, Poland

State Therapeutical and Prophylactic Institution: Chelyabinsk Regional Clinical Oncology Center, Chemotherapy Department; 🇷🇺 Chelyabinsk, Russian Federation

State Healthcare Institution: Ivanovo Regional Oncology Center, Chemotherapy Department; 🇷🇺 Ivanovo, Russian Federation

Non-State Medical Institution: Central Clinical Hospital #2 n.a. N.A. Semashko under OJSC Russian Railways, Chemotherapy Dept.; 🇷🇺 Moscow, Russian Federation

State Higher Educational Institution: St. Petersburg State Medica University n.a.I.P. Pavlov under the Federal Agency for Healthcare and Social Development, Pulmonology Research Institute; 🇷🇺 Saint Petersburg, Russian Federation

State Institution: Samara Regional Clinical Oncology Center, Chemotherapy Department; 🇷🇺 Samara, Russian Federation

Joliet Hematology Oncology Associates; 🇺🇸 Joliet, Illinois, United States

State Healthcare Institution: Leningrad Regional Clinical Hospital, Thoracic Surgery Department; 🇷🇺 Saint Petersburg, Russian Federation

Gabrail Cancer Center; 🇺🇸 Canton, Ohio, United States