Lung Cancer Clinical Trial

Study of the Effect on Non-small Cell Lung Cancer of the Investigational Drug Motexafin Gadolinium When Used in Combination With Docetaxel (Taxotere)

Summary

The purpose of this study is to determine if the addition of motexafin gadolinium (study drug) to standard treatment with docetaxel will improve the response rate in patients with non-small cell lung cancer.

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Full Description

Preclinical and clinical data suggest that MGd has activity in NSCLC and that the combination of MGd and docetaxel may be more effective that docetaxel alone. In this trial, patients will receive 10 mg/kg MGd followed by 75 mg/m2 once every 3 weeks. This dosing regimen was well tolerated in the Phase I dose escalation trial. A Simon 2-stage trial design will be used; if at least 4 out of 39 evaluable patients in the first stage of the trial demonstrate objective clinical response, the study will proceed to Stage 2, where an additional 22 evaluable patients will be enrolled following the same treatment regimen and assessment schedule as in Stage 1. Patients with stable disease, CR, or PR will continue dosing up to 12 cycles and will be followed for response every 6 weeks until PD, death, or end of study.

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Eligibility Criteria

Inclusion Criteria:

≥ 18 years old
Histologically or cytologically confirmed diagnosis of NSCLC
Inoperable Stage IIIA, unresectable Stage IIIB or metastatic NSCLC patients who have received 1 prior platinum-based chemotherapy regimen
Measurable disease per RECIST
ECOG performance status score of 0 or 1
Willing and able to provide written informed consent

Exclusion Criteria:

Laboratory values of: ANC < 1500/mm³, Platelet count < 100,000/mm³, hemoglobin < 10 g/dL, AST or ALT > 2.5 x upper limit of normal (ULN), Alkaline phosphatase > 5 x ULN, bilirubin > 1.5 x ULN, serum creatinine > 2.0 mg/dL (176 umol/dL), albumin < 3.0 g/dL (30 g/L)
Symptomatic or uncontrolled (untreated or treated and progressing) brain metastases
Evidence of meningeal metastasis
> 1 prior cytotoxic regimen (not counting adjuvant or neo-adjuvant cytotoxic chemotherapy if completed > 12 months prior to cytotoxic regimen, or prior MGd)
Chemotherapy, radiation therapy, experimental therapy, immunotherapy, or systemic biologic anticancer therapy within 21 days before beginning study treatment
Significant weight loss ≥ 10% of body weight within preceding 6 weeks
Treatment for another cancer within 3 years before enrollment, except basal cell carcinoma of the skin or cervical cancer in situ
Myocardial infarction within 6 months of enrollment or congestive heart failure rated New York Heart Association Class III or IV
Uncontrolled hypertension (systolic blood pressure > 160 mm Hg and diastolic blood pressure > 110 mm Hg on maximal medical therapy)
Known history of porphyria (testing not required at screening visit)
Known history of glucose-6-phosphate dehydrogenase (G6PD) deficiency (testing not required at screening visit)
History of hypersensitivity to taxanes or polysorbate 80
Known history of HIV infection (testing not required at screening visit)
Female who is pregnant or lactating (serum pregnancy test is required for all female patients of childbearing potential)
Sexually active male or female of childbearing potential unwilling to use adequate contraceptive protection
Physical or mental condition that makes patient unable to complete specified follow-up assessments

Study is for people with:

Lung Cancer

Phase:

Phase 2

Estimated Enrollment:

50

Study ID:

NCT00373204

Recruitment Status:

Terminated

Sponsor:

Pharmacyclics LLC.

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There is 1 Location for this study

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Wilshire Oncology Medical Group
La Verne California, , United States
University of Rochester
Rochester New York, , United States
Tri-County Hematology & Oncology Associates
Canton Ohio, , United States
University of Cincinnati
Cincinnati Ohio, , United States
The Cleveland Clinic Foundation
Cleveland Ohio, , United States
Pennsylvania Oncology Hematology Associates
Philadelphia Pennsylvania, , United States
Cancer Specialists of Tidewater
Chesapeake Virginia, , United States
Cancer Centre of Southeastern Ontario
Kingston Ontario, , Canada
Hospital Charles Lemoyne
Greenfield Park Quebec, , Canada
Jewish General Hospital
Montreal Quebec, , Canada
Chelyabinsk Regional Oncology Dispensary
Chelyabinsk , , Russian Federation
Blokhin Cancer Research Center (Dept. of Chemotherapy)
Moscow , , Russian Federation
Blokhin Cancer Research Center (Dept. of Clinical Pharmacology and Chemotherapy)
Moscow , , Russian Federation
Central Clinical Hospital
Moscow , , Russian Federation
Moscow Oncology Hospital #62
Moscow , , Russian Federation
Samara Regional Oncology Center
Samara , , Russian Federation
St. Petersburg City Oncology Center
St. Petersburg , , Russian Federation
Regional Oncology Dispensary
Yaroslavl , , Russian Federation
Clinic for Pulmonary Diseases, Military Medical Academy
Belgrade , , Serbia
Clinic for Pulmonary Diseases
Belgrade , , Serbia
Institute for Oncology and Radiology of Serbia
Belgrade , , Serbia
Institute for Pulmonary Diseases of Vojvodina
Sremska Kamenica , , Serbia

How clear is this clinincal trial information?

Study is for people with:

Lung Cancer

Phase:

Phase 2

Estimated Enrollment:

50

Study ID:

NCT00373204

Recruitment Status:

Terminated

Sponsor:


Pharmacyclics LLC.

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