Non Small Cell Lung CarcinomaPhase 3NCT00087711
A Randomized Phase 3 Trial of Pemetrexed and Cisplatin Versus Gemcitabine and Cisplatin in Patients With Locally Advanced or Metastatic Non Small Cell Lung Cancer
A Phase 3 study testing pemetrexed, gemcitabine and cisplatin in people with Non Small Cell Lung Carcinoma, run by Eli Lilly and Company at 134 sites in 27 countries.
Trial summary
This study is a randomized Phase 3 study comparing pemetrexed and cisplatin combination to gemcitabine and cisplatin for the treatment of Non Small Cell Lung Cancer (NCSLC). Gemcitabine plus cisplatin is currently the standard of care for NSCLC. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non Small Cell Lung Carcinoma
- What is being tested?
- pemetrexed, gemcitabine and cisplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,713 participants
- Where
- 134 sitesin 27 countries
- Study dates
- Jul 2004to Mar 2008
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- Diagnosis of NSCLC Stage IIIB not amenable to curative treatment or Stage IV.
- No prior chemotherapy for lung cancer.
- Patients must have at least one uni-dimensionally measurable lesion.
- Prior radiation therapy to less than 25% of bone marrow, whole pelvis not allowed. Radiation must be completed at least 4 weeks prior to study enrollment.
Who cannot join
- Treatment with any drug within the last 30 days that has not received regulatory approval.
- Serious cardiac condition.
- Serious medical disorder in addition to NSCLC that would make it difficult for the patient to complete the study.
- Inability or unwillingness to take folic acid or Vitamin B12 supplementation.
- Presence of fluid retention that cannot be controlled by drainage.
Trial locations and contacts
134 sites in 27 countries.
134 sites in 27 countries
United States18 sites
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Arlington, Texas
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Billings, Montana
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Columbia, South Carolina
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Duluth, Minnesota
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Hackensack, New Jersey
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Hickory, North Carolina
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Jacksonville, Florida
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Lexington, Kentucky
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Macon, Georgia
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Nashville, Tennessee
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Portland, Oregon
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Richmond, Virginia
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Sacramento, California
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Scarborough, Maine
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Seattle, Washington
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St Louis, Missouri
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Torrance, California
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Wichita, Kansas
Italy10 sites
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Ancona
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Bergamo
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Bologna
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Forlì
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Genova
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Livorno
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Modena
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Orbassano
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Roma
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Taormina
Australia8 sites
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Bedford Park
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Camperdown
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Chermisdie
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Fitzroy
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Hornsby
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Nedlands
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South Brisbane
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St Leonards
Austria8 sites
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Graz
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Grimmenstein
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Innsbruck
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Leoben
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Linz
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Sankt Pölten
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Vienna
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Wels
France8 sites
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Bordeaux
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Grenoble
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Marseille
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Montpellier
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Paris
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Saint-Herblain
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Strasbourg
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Vandœuvre-lès-Nancy
Netherlands8 sites
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's-Hertogenbosch
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Alkmaar
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Amstelveen
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Amsterdam
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Arnhem
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Eindhoven
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Harderwijk
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Heerlen
Spain8 sites
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Alicante
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Badalona
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Barcelona
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Madrid
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Pamplona
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Sabadell
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Santander
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Zaragoza
India6 sites
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Bangalore
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Hyderabad
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Kochi
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Mumbai
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New Dehli
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Pune
United Kingdom6 sites
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Aberdeen
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Bangor
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Chelmsford
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Fulham
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Plymouth
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Sutton
Brazil5 sites
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Florianópolis
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Porto Alegre
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Rio de Janeiro
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Salvador
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São Paulo
Mexico5 sites
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Ciudad Obregón
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Guadalajara
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León
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Mexicali
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Mexico City
Canada4 sites
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Brampton, Ontario
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North Vancouver, British Columbia
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Sainte-Foy, Quebec
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Toronto, Ontario
Poland4 sites
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Krakow
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Lodz
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Szczecin-Zdunowo
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Warsaw
Portugal4 sites
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Coimbra
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Lisbon
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Porto
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Santa Maria da Feira
Taiwan4 sites
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Niao Sung Hsiang
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Taichung
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Taipei
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Taoyuan
Turkey (Türkiye)4 sites
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Ankara
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Antalya
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Istanbul
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Izmir
Greece3 sites
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Athens
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Heraklion
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Pátrai
Hungary3 sites
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Budapest
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Deszk
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Pécs
Israel3 sites
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Kfar Saba
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Tel Aviv
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Tel HaShomer
Sweden3 sites
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Gothenburg
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Lund
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Stockholm
Argentina2 sites
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Bahía Blanca
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Buenos Aires
Belgium2 sites
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Leuven
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Liège
Denmark2 sites
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Herlev
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Odense
Finland2 sites
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Helsinki
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Tampere
South Korea2 sites
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Goyang-si
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Seoul
Germany1 site
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Mannheim
Puerto Rico1 site
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San Juan
About this study
Official title: A Randomized Phase 3 Trial of ALIMTA and Cisplatin Versus GEMZAR and Cisplatin in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer
This study is a randomized Phase 3 study comparing pemetrexed and cisplatin combination to gemcitabine and cisplatin for the treatment of Non Small Cell Lung Cancer (NCSLC). Gemcitabine plus cisplatin is currently the standard of care for NSCLC. It is thought that pemetrexed plus cisplatin may be as effective and may have fewer side effects than the standard of care.
- Conditions
- Non Small Cell Lung Carcinoma
- Being tested
- pemetrexed, gemcitabine, cisplatin
- 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.
pemetrexedDrug
Also called LY231514, Alimta
500 mg/m2, IV q 21 days x 6 cycles
gemcitabineDrug
Also called LY188011, Gemzar
1250 mg/m2, IV, day 1 and 8 q 21 days x 6 cycles
cisplatinDrug
75 mg/m2, IV, q 21 days x 6 cycles
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | Not described Receives: Drug: pemetrexed; Drug: cisplatin |
| B | Active comparator | Not described Receives: Drug: gemcitabine; Drug: cisplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall survival
Measured: baseline to date of death from any cause
Secondary outcomes (4)
Progression free survival
Measured: baseline to measured progressive disease
Time to progressive disease
Measured: baseline to measured progressive disease
Duration of response
Measured: time of response to progressive disease
Time to treatment failure
Measured: baseline to stopping treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jul 2004 (estimated)
- Study startJul 2004
- Primary completionJan 2007
- Study completionMar 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Non Small Cell Lung CarcinomaStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,713 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00087711
- Sponsor's protocol ID
- 2938
- Other IDs
- H3E-MC-JMDB
- Status last verified
- Sep 2019
- First submitted
- 12 Jul 2004
- Last updated
- 12 Sep 2019
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Publications
Wu YL, Lu S, Cheng Y, Zhou C, Wang M, Qin S, Lu Y, Zhang Y, Zhu Y, Song X, Wang X, Barraclough H, Zhang X, Chi H, Orlando M. Efficacy and safety of pemetrexed/cisplatin versus gemcitabine/cisplatin as first-line treatment in Chinese patients with advanced nonsquamous non-small cell lung cancer. Lung Cancer. 2014 Sep;85(3):401-7. doi: 10.1016/j.lungcan.2014.07.007. Epub 2014 Jul 17.
PubMed 25082564Gridelli C, Brodowicz T, Langer CJ, Peterson P, Islam M, Guba SC, Moore P, Visseren-Grul CM, Scagliotti G. Pemetrexed therapy in elderly patients with good performance status: analysis of two phase III trials of patients with nonsquamous non-small-cell lung cancer. Clin Lung Cancer. 2012 Sep;13(5):340-6. doi: 10.1016/j.cllc.2011.12.002. Epub 2012 Jan 23.
PubMed 22266043
Study at a glance
From the registry record, last updated by the sponsor on 12 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase 3 Trial of ALIMTA and Cisplatin Versus GEMZAR and Cisplatin in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT00087711
- Acronym / sponsor ID
- 2938
- Conditions
- Non Small Cell Lung Carcinoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,713 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- Jul 2004
- Primary completion
- Jan 2007 (actual)
- Study completion
- Mar 2008 (actual)
- First posted
- 16 Jul 2004 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a randomized Phase 3 study comparing pemetrexed and cisplatin combination to gemcitabine and cisplatin for the treatment of Non Small Cell Lung Cancer (NCSLC). Gemcitabine plus cisplatin is currently the standard of care for NSCLC. It is thought that pemetrexed plus cisplatin may be as effective and may have fewer side effects than the standard of care.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Drug: pemetrexed, Drug: cisplatin |
| B | Active comparator | Drug: gemcitabine, Drug: cisplatin |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Diagnosis of NSCLC Stage IIIB not amenable to curative treatment or Stage IV.
- No prior chemotherapy for lung cancer.
- Patients must have at least one uni-dimensionally measurable lesion.
- Prior radiation therapy to less than 25% of bone marrow, whole pelvis not allowed. Radiation must be completed at least 4 weeks prior to study enrollment.
Key exclusion criteria (5 listed)
- Treatment with any drug within the last 30 days that has not received regulatory approval.
- Serious cardiac condition.
- Serious medical disorder in addition to NSCLC that would make it difficult for the patient to complete the study.
- Inability or unwillingness to take folic acid or Vitamin B12 supplementation.
- Presence of fluid retention that cannot be controlled by drainage.
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 |
|---|---|---|
| pemetrexedAlso: LY231514, Alimta500 mg/m2, IV q 21 days x 6 cycles | Drug | A |
| gemcitabineAlso: LY188011, Gemzar1250 mg/m2, IV, day 1 and 8 q 21 days x 6 cycles | Drug | B |
| cisplatin75 mg/m2, IV, q 21 days x 6 cycles | Drug | A, B |
Primary outcome
Overall survival
Time frame: baseline to date of death from any cause
4 secondary outcomes
Progression free survival
Time frame: baseline to measured progressive disease
Time to progressive disease
Time frame: baseline to measured progressive disease
Duration of response
Time frame: time of response to progressive disease
Time to treatment failure
Time frame: baseline to stopping treatment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Sep 2019.
- Derived from this study: PubMed 25082564Wu YL, Lu S, Cheng Y, Zhou C, Wang M, Qin S, Lu Y, Zhang Y, Zhu Y, Song X, Wang X, Barraclough H, Zhang X, Chi H, Orlando M. Efficacy and safety of pemetrexed/cisplatin versus gemcitabine/cisplatin as first-line treatment in Chinese patients with advanced nonsquamous non-small cell lung cancer. Lung Cancer. 2014 Sep;85(3):401-7. doi: 10.1016/j.lungcan.2014.07.007. Epub 2014 Jul 17.
- Derived from this study: PubMed 22266043Gridelli C, Brodowicz T, Langer CJ, Peterson P, Islam M, Guba SC, Moore P, Visseren-Grul CM, Scagliotti G. Pemetrexed therapy in elderly patients with good performance status: analysis of two phase III trials of patients with nonsquamous non-small-cell lung cancer. Clin Lung Cancer. 2012 Sep;13(5):340-6. doi: 10.1016/j.cllc.2011.12.002. Epub 2012 Jan 23.
- Lilly Clinical Trial RegistryLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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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.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
134 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing pemetrexed, gemcitabine and cisplatin in people with Non Small Cell Lung Carcinoma, run by Eli Lilly and Company at 134 sites in 27 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 4 inclusion and 5 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 12 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 134 sites in United States, Italy, Australia, Austria, France and 22 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Overall survival (time frame: baseline to date of death from any cause). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00087711, which also lists 2 linked publications.
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 12 Sep 2019.