A Randomized, Phase III, Open-Label Study of Oral Topotecan Plus Whole-Brain Radiation Therapy (WBRT) Compared With WBRT Alone in Patients With Brain Metastases From Non-Small Cell Lung Cancer
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 472
- 试验地点
- 1
- 主要终点
- Overall Survival
研究概览
简要总结
The current prognosis for patients with metastatic brain cancer from NSCLC is very poor. The current standard treatment for this disease is radiation therapy to the brain. The goal of the current study is to test whether the combination of orally administered HYCAMTIN capsules and whole brain radiation therapy will prolong the survival time of patients with this potentially serious condition.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
topotecan plus radiation
topotecan 1.1 mg/m2 followed by whole brain radiation 3 Gy/day for 10 days, followed by optional continuation therapy with topotecan 2.3 mg/m2 for 5 days Q21 days as monotherapy.
干预措施: HYCAMTIN, oral capsules (Drug)
topotecan plus radiation
topotecan 1.1 mg/m2 followed by whole brain radiation 3 Gy/day for 10 days, followed by optional continuation therapy with topotecan 2.3 mg/m2 for 5 days Q21 days as monotherapy.
干预措施: Radiation (Radiation)
Whole brain radiation
Whole brain radiation 3 Gy/day for 10 days
干预措施: Radiation (Radiation)
结局指标
主要结局
Overall Survival
时间窗: From the time of Randomization until the date of death due to any cause (up to 195 weeks)
Overall survival is defined as the time from randomization until the date of death due to any cause. The date of last contact was used for those participants who had not died or were lost to follow-up. These participants were classified as having been censored.
次要结局
- Six-month Survival(Month 6)
- Number of Participants With a Complete Response (CR) or a Partial Response (PR) (Central Nervous System [CNS]-Radiologic)(From the time of Randomization until the time of CR or PR (up to 75 weeks))
- Time to Response (TTR) (CNS-radiologic)(From the time of Randomization until the first documented evidence of CR or PR (up to 75 weeks))
- Time to Progression (TTP) (CNS-radiologic)(From the time of Randomization until the first documented sign of disease progression (up to 75 weeks))
- Time to Progression (TTP) (All Sites of Disease-radiologic)(From the time of Randomization until the first documented sign of disease progression (up to 75 weeks))
- Number of Participants Who Ranked Each Individual Indicated Neurological Sign and Symptom as None, Mild, Moderate, or Severe at Months 1 and 3(Months 1 and 3)
- Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Level of Consciousness at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Headache at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Dizziness/Lightheadedness at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Vertigo at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Nausea/Vomiting at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Visual Problem at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Seizure at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment for the Neurological Sign and Symptom of Other Neurological Symptoms at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Cranial Nerves II-XII at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Language (Dysphasia or Aphasia) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Strength (Right Upper Extremity) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Strength (Left Upper Extremity) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Strength (Right Lower Extremity) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Strength (Left Lower Extremity) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Sensation at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Ataxia (Right Upper Extremity: Finger to Nose Testing) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Ataxia (Left Upper Extremity: Finger to Nose Testing) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Ataxia (Gait) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With the Indicated Investigator Assessment of Ataxia (Balance) at Baseline, Month 1, and Month 3(Baseline, Month 1, and Month 3)
- Number of Participants With Any Adverse Event (AE; Both Serious and Non-serious) or Serious Adverse Event (SAE)(From Randomization until the last clinic visit associated with the study, up until 35 days after the start of the last course of treatment (up to 75 weeks))
- Number of Participants With the Indicated Worst-case Change From Baseline in the Indicated Chemistry Parameters With Respect to the Normal Range(From Randomization until the last clinic visit associated with the study, up until 35 days after the start of the last course of treatment (up to 75 weeks))
- Lesion Assessment and Measurement(From the time of Randomization until the time of CR or PR (up to 75 weeks))
- Brain Symptoms(Baseline, Month 1, and Month 3)
- Number of Participants Who Died or Progressed(From Randomization until the last clinic visit associated with the study, up until 35 days after the start of the last course of treatment (up to 75 weeks))
