Panitumumab Plus Pemetrexed and Cisplatin (PemCisP) Versus PemCis in the First-line Treatment of Patients With Non-small Cell Lung Cancer

Phase 2

Suspended

• Conditions: Carcinoma, Non-Small-Cell Lung
• Interventions: Drug: Panitumumab; Drug: Pemetrexed; Drug: Cisplatin

• Registration Number: NCT01088620
• Lead Sponsor: WiSP Wissenschaftlicher Service Pharma GmbH

Brief Summary

The purpose of this trial is to estimate the therapeutic efficacy of the experimental targeted regimen including the EGFR antibody panitumumab (in combination with pemetrexed and cisplatin) in relation to the standard combination in patients with a KRAS wild-type stage IIIB or IV primary nonsquamous non-small cell lung cancer. It is expected that the progression free survival rate at 6 months is improved by the targeted regimen.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2010-03-16
• Study First Submitted QC: 2010-03-16
• Study First Posted: 2010-03-17
• Study Start: 2010-04
• Primary Completion: 2013-01
• Status Verified: 2013-03
• Last Update Submitted: 2013-03-13
• Last Update Posted: 2013-03-14
• Study Completion: 2014-01

Recruitment & Eligibility

• Status: SUSPENDED
• Sex: All
• Target Recruitment: 134

Inclusion Criteria

• Histologically confirmed diagnosis of inoperable stage IIIB or IV primary pulmonary nonsquamous NSCLC (according to UICC staging valid until 2008)

• Sufficient representative sample material for KRAS analysis

• Wild-type KRAS

• Informed consent of the patient

• Aged at least 18 years

• WHO Performance Status 0-2

• At least one unidimensional, measurable tumour parameter according to RECIST

• Life expectancy of al least 12 weeks

• Adequate haematological, hepatic, renal and metabolic function parameters:

  • Leukocytes > 3000/mm³, ANC ≥ 1500/mm3, platelets ≥ 100,000/mm3, Creatinine clearance ≥ 50 ml/min and serum creatinine ≤ 1.5 x upper limit of normal
  • Bilirubin ≤ 1.5 x upper limit of normal, GOT-GPT ≤ 2.5 x upper limit of normal in absence of liver metastases, or ≤ 5 x upper limit of normal in presence of liver metastases, AP ≤ 5 x upper limit of normal
  • Magnesium ≥ lower limit of normal; calcium ≥ lower limit of normal

Exclusion Criteria

• Prior chemotherapy
• Clinically manifest, uncontrolled brain metastases
• Prior radiotherapy of the parameters to be measured
• Peripheral neuropathy NCI grade > 1
• Subject pregnant or breast feeding, or planning to become pregnant within 6 months after the end of treatment.
• Subject (male or female) is not willing to use highly effective methods of contraception (per institutional standard) during treatment and for 6 months (male or female) after the end of treatment (adequate: oral contraceptives, intrauterine device or barrier method in conjunction with spermicidal jelly).
• Serious concurrent diseases.
• Major surgery within the last 4 weeks before recruitment
• On-treatment participation in a clinical study in the period 30 days prior to inclusion.
• Clinically significant cardiovascular disease in (incl. myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 1 year before enrolment.
• Ongoing or active infection, including active tuberculosis or known infection with human immunodeficiency virus.
• Superior vena cava syndrome contraindicating hydration.
• History of interstitial lung disease, e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan.
• Patient with mild to moderate renal insufficiency who are unable to interrupt salicylates (like aspirin) or other nonsteroidal anti-inflammatory drugs (NSAIDS) for a 5-day period starting 2 days before administration of pemetrexed (8-day period for long-acting agents such as piroxicam). Exception: Low dose aspirin (acetyl salicylic acid) intake up to 150 mg per day is permitted without interruption.
• Presence of clinically significant third-space fluid collections, for example, ascites or pleural effusions that cannot be controlled by drainage or other procedures
• Inability or unwillingness to take folic acid, vitamin B12 supplementation or dexamethasone (or equivalent corticosteroid); or any other inability to comply with protocol or study related procedures
• Prior or concurrent malignancy (≤ 5 years prior to enrolment in study) except non-melanoma skin cancer or cervical carcinoma FIGO stage 0-1 if the patient is continuously disease-free
• Known allergic reactions on study medication

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Panitumumab plus pemetrexed and cisplatin (PemCisP)	Cisplatin	-
Panitumumab plus pemetrexed and cisplatin (PemCisP)	Panitumumab	-
Panitumumab plus pemetrexed and cisplatin (PemCisP)	Pemetrexed	-
Pemetrexed and cisplatin (PemCis)	Pemetrexed	-
Pemetrexed and cisplatin (PemCis)	Cisplatin	-

Primary Outcome Measures

Name	Time	Method
Progression free survival rate at 6 months	6 months

Secondary Outcome Measures

Name	Time	Method
Determination of the tumour response	6 months
Duration of response	6 months
Overall survival	6 month
Adverse effects / toxicity	6 months
Quality of life assessment	6 months

Trial Locations

Locations (20)

LMU-Klinikum der Universität München, Medizinische Klinik München-Innenstadt; 🇩🇪 München, Germany

Universitätsklinikum Jena, Klinik für Innere Medizin I; 🇩🇪 Jena, Germany

UK-SH, Campus Lübeck, Med. Klinik III; 🇩🇪 Lübeck, Germany

Universitätsklinikum Charité - Campus Mitte; 🇩🇪 Berlin, Germany

Oncologianova GmbH; 🇩🇪 Recklinghausen, Germany

Kliniken der Stadt Köln, Krankenhaus Merheim; 🇩🇪 Köln, Germany

Schwerpunktpraxis für Hämatologie und Internistische Onkologie, Gesundheitszentrum St. Marien GmbH; 🇩🇪 Amberg, Germany

Augusta-Kranken-Anstalt gGmbH; 🇩🇪 Bochum, Germany

Medizinische Fakultät Carl Gustav Carus der Technischen Universität Dresden Medizinische Klinik 1; 🇩🇪 Dresden, Germany

HELIOS Klinikum Emil von Behring - Lungenklinik Heckeshorn; 🇩🇪 Berlin, Germany

Johanniter-Krankenhaus Bonn; 🇩🇪 Bonn, Germany

Krankenhaus Großhansdorf GmbH Onkologischer Schwerpunkt; 🇩🇪 Großhansdorf, Germany

Charité Campus Benjamin Franklin Medizinische Klinik m. S. Hämatologie und Onkologie; 🇩🇪 Berlin, Germany

Carl-Thiem-Klinikum Cottbus gGmbH; 🇩🇪 Cottbus, Germany

Katholisches Klinikum Duisburg/St. Johannes-Hospital; 🇩🇪 Duisburg, Germany

Klinikum Frankfurt (Oder) GmbH; 🇩🇪 Frankfurt (Oder), Germany

Universitätsklinikum Halle (Saale), Klinik und Poliklinik für Innere Medizin I; 🇩🇪 Halle/Saale, Germany

Krankenhaus - Martha-Maria Halle-Dölau GmbH; 🇩🇪 Halle/Saale, Germany

Onkologische Schwerpunktpraxis Dr. Stauch; 🇩🇪 Kronach, Germany

Uniklinikum Ulm, Klinik für Innere Medizin II, Pneumologie; 🇩🇪 Ulm, Germany