Lung Cancer, Non-Small CellPhase 2NCT00065182
Comparison of IV Topotecan/Docetaxel to Docetaxel Alone in Second-Line Stage IIIB/IV Non-Small Cell Lung Cancer
A Phase 2 study testing Topotecan/Docetaxel combination and Docetaxel in people with Lung Cancer, Non-Small Cell and Non-Small-Cell Lung Cancer, run by GlaxoSmithKline at 85 sites in 3 countries.
Trial summary
The purpose of this study is to compare the efficacy and safety of a weekly regimen of two FDA approved drugs in combination versus one FDA approved drug in subjects with advanced non-small cell lung cancer who have received one previous chemotherapy excluding TAXOTERE or HYCAMTIN. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lung Cancer, Non-Small Cell, Non-Small-Cell Lung Cancer
- What is being tested?
- Topotecan/Docetaxel combination and Docetaxel
- How many people
- 399 participants
- Where
- 85 sitesin 3 countries
- Study dates
- 14 Aug 2003to 30 Aug 2007
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent
- At least 18 years old
- Confirmed advanced non-small cell lung carcinoma (NSCLC)
- Received one prior chemotherapy for metastatic NSCLC excluding TAXOTERE or HYCAMTIN. In addition, subjects are allowed to have previously received a non-cytotoxic therapy, such as an endothelial growth factor receptor (EGFR) or angiogenesis inhibitor.
- Presence of either measurable or non-measurable disease by radiologic study or physical examination.
- Full recovery and at least 21 days from prior treatment for NSCLC; 42 days from treatment with mitomycin or nitrosureas and 30 days from prior non-cytotoxic therapy.
Show all 10Show fewer
- At least 3 weeks since last major surgery (a lesser period is acceptable if deemed in the best interest of the patient).
- At least 7 days since prior radiotherapy.
- A probable life expectance of at least 3 months.
- Adequate bone marrow reserve, CBC/Platelet, kidney and liver function.
Who cannot join
- Concomitant malignancies or other malignancies within the last five years.
- Symptoms of brain metastases requiring treatment with steroids.
- Active infection.
- Severe medical problems other than the diagnosis of NSCLC that would limit the ability of the subject to follow study guidelines or expose the subject to extreme risk.
- Ongoing or planned chemotherapy (other than treatment during this study), immunotherapy, radiotherapy, or investigational therapy for the treatment of NSCLC.
- Use of investigational drug within 30 days or 5 half-lives prior to the first dose of study medication.
Show all 10Show fewer
- Women who are pregnant or lactating.
- Subjects of child-bearing potential refusing to practice adequate contraception.
- Prior treatment with or history of allergic reaction to either HYCAMTIN or TAXOTERE.
- Subjects who cannot receive steroid premedication.
Trial locations and contacts
85 sites in 3 countries.
85 sites in 3 countries
United States67 sites
GSK Investigational Site
Abingdon, Virginia, 24211
GSK Investigational Site
Baton Rouge, Louisiana, 70808
GSK Investigational Site
Boca Raton, Florida, 33428
GSK Investigational Site
Boca Raton, Florida, 33486
GSK Investigational Site
Boston, Massachusetts, 02118
GSK Investigational Site
Bowling Green, Kentucky, 42101
GSK Investigational Site
Buffalo, New York, 14215-1199
GSK Investigational Site
Canton, Ohio, 44718
GSK Investigational Site
Casper, Wyoming, 85601
GSK Investigational Site
Columbia, South Carolina, 29203
GSK Investigational Site
Columbus, Georgia, 31902
GSK Investigational Site
Decatur, Illinois, 62526
GSK Investigational Site
Denver, Colorado, 80210
GSK Investigational Site
Dunmore, Pennsylvania, 18512
GSK Investigational Site
East Syracuse, New York, 13057
GSK Investigational Site
Elk Grove Village, Illinois, 60007
GSK Investigational Site
Fayetteville, North Carolina, 28302-2000
GSK Investigational Site
Frederick, Maryland, 21701
GSK Investigational Site
Fresno, California, 93720
GSK Investigational Site
Grosse Pointe Woods, Michigan, 48236
GSK Investigational Site
Hackensack, New Jersey, 07601
GSK Investigational Site
Hilton Head Island, South Carolina, 29926
GSK Investigational Site
Huntsville, Alabama, 35801
GSK Investigational Site
Indianapolis, Indiana, 46202
GSK Investigational Site
Irving, Texas, 75038
GSK Investigational Site
Knoxville, Tennessee, 37916
GSK Investigational Site
Lafayette, Louisiana, 70506
GSK Investigational Site
Lake Charles, Louisiana, 70601
GSK Investigational Site
Lakeland, Florida, 33805
GSK Investigational Site
Las Vegas, Nevada, 89106
GSK Investigational Site
Little Rock, Arkansas, 72205
GSK Investigational Site
Los Angeles, California, 90067
GSK Investigational Site
Louisville, Kentucky, 40207
GSK Investigational Site
Louisville, Kentucky, 40215
GSK Investigational Site
Manhasset, New York, 11030
GSK Investigational Site
Miami Shores, Florida, 33138
GSK Investigational Site
Milwaukee, Wisconsin, 53295
GSK Investigational Site
Minneapolis, Minnesota, 55407-3799
GSK Investigational Site
Minneapolis, Minnesota, 55417
GSK Investigational Site
Mobile, Alabama, 36608
GSK Investigational Site
Nashville, Tennessee, 37203
GSK Investigational Site
New Hyde Park, New York, 11040
GSK Investigational Site
Norfolk, Virginia, 23502
GSK Investigational Site
Norfolk, Virginia, 23507
GSK Investigational Site
Nyack, New York, 10960
GSK Investigational Site
Orange Park, Florida, 32073
GSK Investigational Site
Orlando, Florida, 32804
GSK Investigational Site
Philadelphia, Pennsylvania, 19114
GSK Investigational Site
Poway, California, 92064
GSK Investigational Site
Reno, Nevada, 89502
GSK Investigational Site
Robbinsdale, Minnesota, 55422
GSK Investigational Site
Rochester, New York, 14623
GSK Investigational Site
Sheboygan, Wisconsin, 53081
GSK Investigational Site
Skokie, Illinois, 60077
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
Spokane, Washington, 99204
GSK Investigational Site
Springfield, Missouri, 65807
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Stuart, Florida, 34994
GSK Investigational Site
Tacoma, Washington, 98405
GSK Investigational Site
The Bronx, New York, 10467
GSK Investigational Site
Tucson, Arizona, 85712
GSK Investigational Site
Tyler, Texas, 75701
GSK Investigational Site
Urbana, Illinois, 61801
GSK Investigational Site
Washington D.C., District of Columbia, 20307-5001
GSK Investigational Site
Washington D.C., District of Columbia, 20422
GSK Investigational Site
Winston-Salem, North Carolina, 27103
Canada13 sites
GSK Investigational Site
Calgary, Alberta, T2N 4N2
GSK Investigational Site
Greenfield Park, Quebec, J4V 2H1
GSK Investigational Site
Kingston, Ontario, K7L 5P9
GSK Investigational Site
Kitchener, Ontario, N2G 1G3
GSK Investigational Site
Lévis, Quebec, G6V 3Z1
GSK Investigational Site
London, Ontario, N6A 4L6
GSK Investigational Site
Moncton, New Brunswick, E1C 8X3
GSK Investigational Site
Ottawa, Ontario, K1H 1C4
GSK Investigational Site
Sainte-Foy, Quebec, G1V 4G5
GSK Investigational Site
St. Catharines, Ontario, L2R 5K3
GSK Investigational Site
Toronto, Ontario, M5G 1X5
GSK Investigational Site
Toronto, Ontario, M5G 2M9
GSK Investigational Site
Weston, Ontario, M9N 1N8
Poland5 sites
GSK Investigational Site
Kielce, 25-640
GSK Investigational Site
Krakow, 31-115
GSK Investigational Site
Olsztyn, 10-228
GSK Investigational Site
Poznan, 60-569
GSK Investigational Site
Szczecin Zdunowo 20, 70-891
About this study
Official title: WEEKLY IV TOPOTECAN/DOCETAXEL COMBINATION COMPARED TO DOCETAXEL IN PATIENTS WITH PRETREATED ADVANCED NSCLC: AN OPEN-LABEL MULTICENTER RANDOMIZED PHASE III TRIAL
The purpose of this study is to compare the efficacy and safety of a weekly regimen of two FDA approved drugs in combination versus one FDA approved drug in subjects with advanced non-small cell lung cancer who have received one previous chemotherapy excluding TAXOTERE or HYCAMTIN.
- Being tested
- Topotecan/Docetaxel combination, Docetaxel
- Keywords
- HYCAMTIN, TAXOTERE, non-small cell lung cancer, NSCLC, docetaxel, topotecan, Stage IIIB/IV, Advanced
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Topotecan/Docetaxel combinationDrug
DocetaxelDrug
Also called Topotecan/Docetaxel combination
What is being measured
The primary outcome is the main question the study is designed to answer.
Median Time of Overall Survival
Overall survival was defined as the time from randomization to death and it occurs when all randomized participants had at least one year of follow-up past their date of randomization to treatment.
Measured: Up to one year from Day -1 (randomization)
Secondary outcomes (10)
Number of Participants With One-year Survival
Number of participants with one-year survival were planned to be reported.
Measured: Up to one year from Day -1 (randomization)
Median Time to Progression
Time to progression is defined as the time between randomization and the first radiologically or clinically documented evidence of progression.
Measured: Up to one year from Day -1 (randomization)
Response Rate
Response rate is defined as the percentage of participants in the ITT population attaining an overall best response of complete or partial response.
Measured: Up to one year from Day -1 (randomization)
Response Duration
Response duration is defined as the time from initial radiologically documented response to the first radiologically or clinically documented sign of progression.
Measured: Up to one year from Day -1 (randomization)
Time to Response-assessed Every 8 Weeks
Time to response is defined as the time between randomization and the first radiologically documented complete or partial response.
Measured: Every 8 Weeks post randomization
Assessment of Quality of Life-assessed Every 4 Weeks
The effect of treatment regimens on participants-perceived disease status and well-being was assessed using Lung Cancer Symptom Scale (LCSS) that consists of 9 items addressing the time frame of past day: 6 measuring major symptoms for lung malignancies (loss of appetite, fatigue, cough, dyspnea, hemoptysis and pain) and 3 summation items related to total symptomatic distress, activity status and global quality of life. All items are measured by visual analogue scales (VAS) which uses 100 millimeter (mm) lines to determine the intensity of participant responses. The lowest level of symptom intensity or functional disability on the VAS is on left (none) and highest intensity is on right (as much as could be).
Measured: Every 4 Weeks post randomization
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. SAE is any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or it is considered to be medically significant.
Measured: Up to 16 months
Number of Participants With Grade 1, 2, 3 or 4 Hematologic Toxicities
Hematology parameters included hemoglobin, hematocrit, red blood cell count, white blood cell count with differential leukocyte and platelet count. Differential to include total neutrophils, bands, lymphocytes, monocytes, eosinophil, and basophils. Recording of any hematology toxicity grade was done using National Cancer Institute - Common Toxicity Criteria for Adverse Events (NCI CTCAE) version 2.0. Higher the grade, more is the toxicity. Data for number of participants with grade 1, 2, 3 or 4 hematologic toxicities have been presented.
Measured: Up to 16 months
Number of Participants With Grade 3 or 4 Clinical Chemical Toxicities
Standard chemistry evaluation included sodium, potassium, chloride, bicarbonate, calcium, phosphorous, magnesium, blood urea nitrogen (BUN)/urea, uric acid, creatinine, lactate dehydrogenase (LDH), aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase, total bilirubin, total protein and albumin. Recording of any hematology toxicity grade was done using National Cancer Institute - Common Toxicity Criteria for Adverse Events (NCI CTCAE) version 2.0. Higher the grade, more is the toxicity. Data for number of participants with grade 3 or 4 clinical chemical toxicities have been presented.
Measured: Up to 16 months
Number of Participants With Clinically Significant Abnormal Vital Signs Data
Vital sign parameters included (blood pressure, and pulse rate after five minutes sitting, body temperature). Blood pressure and pulse rate was measured after sitting for 5 minutes. Only participants with clinically significant abnormal Vital sign data was reported.
Measured: Up to 16 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jul 2003 (estimated)
- Study start14 Aug 2003
- Primary completion30 Aug 2007
- Study completion30 Aug 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Lung Cancer, Non-Small CellStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 399 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00065182
- Sponsor's protocol ID
- 104864/615
- Other IDs
- 2004-002892-17, 2004
- Status last verified
- Mar 2019
- First submitted
- 17 Jul 2003
- Last updated
- 24 Jun 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Jun 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- WEEKLY IV TOPOTECAN/DOCETAXEL COMBINATION COMPARED TO DOCETAXEL IN PATIENTS WITH PRETREATED ADVANCED NSCLC: AN OPEN-LABEL MULTICENTER RANDOMIZED PHASE III TRIAL
- ClinicalTrials.gov ID
- NCT00065182
- Acronym / sponsor ID
- 104864/615
- Keywords
- HYCAMTIN, TAXOTERE, non-small cell lung cancer, NSCLC, docetaxel, topotecan, Stage IIIB/IV, Advanced
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 399 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 14 Aug 2003 (actual)
- Primary completion
- 30 Aug 2007 (actual)
- Study completion
- 30 Aug 2007 (actual)
- First posted
- 18 Jul 2003 (estimated)
- Results
- Posted 24 Jun 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the efficacy and safety of a weekly regimen of two FDA approved drugs in combination versus one FDA approved drug in subjects with advanced non-small cell lung cancer who have received one previous chemotherapy excluding TAXOTERE or HYCAMTIN.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Written informed consent
- At least 18 years old
- Confirmed advanced non-small cell lung carcinoma (NSCLC)
- Received one prior chemotherapy for metastatic NSCLC excluding TAXOTERE or HYCAMTIN. In addition, subjects are allowed to have previously received a non-cytotoxic therapy, such as an endothelial growth factor receptor (EGFR) or angiogenesis inhibitor.
- Presence of either measurable or non-measurable disease by radiologic study or physical examination.
Key exclusion criteria (10 listed)
- Concomitant malignancies or other malignancies within the last five years.
- Symptoms of brain metastases requiring treatment with steroids.
- Active infection.
- Severe medical problems other than the diagnosis of NSCLC that would limit the ability of the subject to follow study guidelines or expose the subject to extreme risk.
- Ongoing or planned chemotherapy (other than treatment during this study), immunotherapy, radiotherapy, or investigational therapy for the treatment of NSCLC.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Topotecan/Docetaxel combination | Drug | – |
| DocetaxelAlso: Topotecan/Docetaxel combination | Drug | – |
Primary outcome
Median Time of Overall Survival
Time frame: Up to one year from Day -1 (randomization)
Overall survival was defined as the time from randomization to death and it occurs when all randomized participants had at least one year of follow-up past their date of randomization to treatment.
10 secondary outcomes
Number of Participants With One-year Survival
Time frame: Up to one year from Day -1 (randomization)
Median Time to Progression
Time frame: Up to one year from Day -1 (randomization)
Response Rate
Time frame: Up to one year from Day -1 (randomization)
Response Duration
Time frame: Up to one year from Day -1 (randomization)
Time to Response-assessed Every 8 Weeks
Time frame: Every 8 Weeks post randomization
Assessment of Quality of Life-assessed Every 4 Weeks
Time frame: Every 4 Weeks post randomization
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Up to 16 months
Number of Participants With Grade 1, 2, 3 or 4 Hematologic Toxicities
Time frame: Up to 16 months
Number of Participants With Grade 3 or 4 Clinical Chemical Toxicities
Time frame: Up to 16 months
Number of Participants With Clinically Significant Abnormal Vital Signs Data
Time frame: Up to 16 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jun 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
85 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Topotecan/Docetaxel combination and Docetaxel in people with Lung Cancer, Non-Small Cell and Non-Small-Cell Lung Cancer, run by GlaxoSmithKline at 85 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 24 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 85 sites in United States, Canada, Poland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 24 Jun 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Median Time of Overall Survival (time frame: Up to one year from Day -1 (randomization)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jun 2019.