Non Small Cell Lung CancerPhase 3NCT00364351
Efficacy Trial Comparing ZD6474 With Erlotinib in NSCLC After Failure of at Least One Prior Chemotherapy
A Phase 3 study testing Vandetanib and Erlotinib in people with Non Small Cell Lung Cancer, run by Genzyme, a Sanofi Company at 153 sites in 22 countries.
Trial summary
To determine if ZD6474 a new investigational drug, is effective in treating Non Small Lung Cancer and if so, how it compares with another type of anti cancer therapy chemotherapy, Erlotinib Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non Small Cell Lung Cancer
- What is being tested?
- Vandetanib and Erlotinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,574 participants
- Where
- 153 sitesin 22 countries
- Study dates
- Aug 2006to Nov 2016
- Phase
- Phase 3
- 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
- Confirmed locally advanced or metastatic NSCLC
- Failure of at least one but not more than two prior chemotherapy regimens
Who cannot join
- Prior treatment with erlotinib (Tarceva), gefitinib (IRESSA), sunitinib (Sutent), sorafenib (Nexavar)
- Chemotherapy or other type of anti cancer therapy within 4 weeks of study start
Trial locations and contacts
153 sites in 22 countries.
153 sites in 22 countries
United States29 sites
Research Site
Amarillo, Texas
Research Site
Baltimore, Maryland
Research Site
Berkeley, California
Research Site
Boynton Beach, Florida
Research Site
Burien, Washington
Research Site
Canton, Ohio
Research Site
Chattanooga, Tennessee
Research Site
Cincinnati, Ohio
Research Site
Columbia, Missouri
Research Site
Fairfax, Virginia
Research Site
Fort Myers, Florida
Research Site
Garland, Texas
Research Site
Greenville, South Carolina
Research Site
Hickory, North Carolina
Research Site
Jacksonville, Florida
Research Site
Latham, New York
Research Site
Lexington, Kentucky
Research Site
Los Angeles, California
Research Site
Louisville, Kentucky
Research Site
Metairie, Louisiana
Research Site
Nashville, Tennessee
Research Site
Norfolk, Virginia
Research Site
Port Saint Lucie, Florida
Research Site
Richmond, Virginia
Research Site
Santa Rosa, California
Research Site
St Louis, Missouri
Research Site
Webster, Texas
Research Site
Wichita, Kansas
Research Site
Yakima, Washington
Canada12 sites
Research Site
Charlottetown, Prince Edward Island
Research Site
Kelowna, British Columbia
Research Site
Laval, Quebec
Research Site
Montreal, Quebec
Research Site
Oshawa, Ontario
Research Site
Ottawa, Ontario
Research Site
Sault Ste. Marie, Ontario
Research Site
Thunder Bay, Ontario
Research Site
Toronto, Ontario
Research Site
Vancouver, British Columbia
Research Site
Winnipeg, Manitoba
Research Site
York, Ontario
Italy11 sites
Research Site
Ancona
Research Site
Avellino
Research Site
Catania
Research Site
Genova
Research Site
Mantua
Research Site
Milan
Research Site
Orbassano
Research Site
Parma
Research Site
Perugia
Research Site
Roma
Research Site
Rozzano
Australia9 sites
Research Site
Ashford
Research Site
Bedford Park
Research Site
Chermside
Research Site
Geelong
Research Site
Hornsby
Research Site
Kogarah
Research Site
Malvern
Research Site
Prahran
Research Site
Wodonga
Germany9 sites
Research Site
Göttingen
Research Site
Großhansdorf
Research Site
Hanover
Research Site
Heidelberg
Research Site
Karlsruhe
Research Site
Löwenstein
Research Site
Mainz
Research Site
Mönchengladbach
Research Site
Ulm
China8 sites
Research Site
Beijing
Research Site
Dalian
Research Site
Hangzhou
Research Site
Nanjing
Research Site
Nanning
Research Site
Shanghai
Research Site
Shenyang
Research Site
Wuhan
Brazil7 sites
Research Site
Belo Horizonte
Research Site
Caxias do Sul
Research Site
Curitiba
Research Site
Goiânia
Research Site
Porto Alegre
Research Site
Santo André
Research Site
São Paulo
Norway7 sites
Research Site
Bergen
Research Site
Haugesund
Research Site
Kristiansand
Research Site
Oslo
Research Site
Stavanger
Research Site
Tromsø
Research Site
Trondheim
United Kingdom7 sites
Research Site
Birmingham
Research Site
Cambridge
Research Site
Leicester
Research Site
Liverpool
Research Site
Nottingham
Research Site
Sheffield
Research Site
Wolverhampton
Argentina6 sites
Research Site
Ciudad de Buenos Aires
Research Site
Córdoba
Research Site
Manuel B. Gonnet
Research Site
Ramos Mejía
Research Site
Rosario
Research Site
Santa Fe
France6 sites
Research Site
Caen
Research Site
Clermont-Ferrand
Research Site
Marseille
Research Site
Paris
Research Site
Rennes
Research Site
Vesoul
Mexico6 sites
Research Site
Juchitán
Research Site
Monterrey
Research Site
Morelia
Research Site
Puebla City
Research Site
Saltillo
Research Site
Zacatecas City
Spain6 sites
Research Site
Elche(Alicante)
Research Site
Jaén
Research Site
Madrid
Research Site
Málaga
Research Site
Mataró(Barcelona)
Research Site
Pamplona
India5 sites
Research Site
Bangalore
Research Site
Karnataka
Research Site
New Delhi
Research Site
Pune
Research Site
Trivandrum
Philippines5 sites
Research Site
Cebu City
Research Site
Davao City
Research Site
Manila
Research Site
Pasay
Research Site
Quezon City
Netherlands4 sites
Research Site
Harderwijk
Research Site
Nieuwegein
Research Site
Rotterdam
Research Site
Zwolle
Taiwan4 sites
Research Site
Taichung
Research Site
Tainan
Research Site
Taipei
Research Site
Taoyuan
Thailand4 sites
Research Site
Bangkok
Research Site
Chiang Mai
Research Site
Lampang
Research Site
Songkhla
Denmark3 sites
Research Site
Herlev
Research Site
København Ø
Research Site
Næstved
Indonesia3 sites
Research Site
Bandung
Research Site
Jakarta
Research Site
Solo
About this study
Official title: A Phase III, International, Randomised, Double Blind, Parallel-Group Study to Assess the Efficacy of Zactima™ Versus Tarceva® in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer After Failure of at Least One Prior Chemotherapy
To determine if ZD6474 a new investigational drug, is effective in treating Non Small Lung Cancer and if so, how it compares with another type of anti cancer therapy chemotherapy, Erlotinib
- Conditions
- Non Small Cell Lung Cancer
- Being tested
- Vandetanib, Erlotinib
- Keywords
- Non Small Cell Lung Cancer, NSCLC
- 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.
VandetanibDrug
Also called ZD6474, ZACTIMA™
once daily oral tablet
ErlotinibDrug
Also called Tarceva®
oral dose
| Study group | Role | What they receive |
|---|---|---|
| 1 | Active comparator | Erlotinib Receives: Drug: Erlotinib |
| 2 | Experimental | Vandetanib Receives: Drug: Vandetanib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS)
Median time (in weeks) from randomisation until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable Response Evaluation Criteria In Solid Tumors (RECIST) assessment.
Progression was derived according to RECIST 1.0 and is defined as an increase of at least 20% in the total tumour size of measurable lesions over the nadir measurement, unequivocal progression in the non-target lesions or the appearance of one or more new lesions.
Measured: progressionRECIST tumour assessments carried out every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed.
Secondary outcomes (6)
Overall Survival (OS)
Overall survival is defined as the time from date of randomization until death. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive (ie their status must be known at the censored date and should not be lost to follow up or unknown).
Measured: Time to death in months
Objective Response Rate (ORR)
The ORR is the number of patients that are responders ie those patients with a confirmed best objective response of complete response (CR) or partial response (PR) as determined according to RECIST 1.0. CR is defined as the disappearance of all target lesions with no evidence of tumour elsewhere and PR is defined as at least a 30% reduction in the total tumour size of measurable lesions with no new lesions and no progression in the non-target lesions.
Measured: RECIST tumour assessments every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed up to 21 months
Disease Control Rate (DCR)
Disease control rate is defined as the number of patients who achieved disease control at least 8 weeks following randomisation. Disease control is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) >= 8 weeks as determined according to RECIST 1.0. CR is defined as the disappearance of all target lesions with no evidence of tumour elsewhere, PR is defined as at least a 30% reduction in the total tumour size of measurable lesions with no new lesions and no progression in the non-target lesions and SD >= 8 is assigned to patients who have not responded and have no evidence of progression at least 8 weeks after randomisation.
Measured: RECIST tumour assessments carried out every 4 weeks until week 16 then every 8 weeks thereafter (+/- 3 days) from randomisation until objective progression
Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Pain
Pain was assessed as the average score of two items: Question 9 ("Have you had pain") and 19 ("Did pain interfere with your daily activities") of the QLQ-C30.
Time to deterioration in symptoms is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 28 days. A patient is defined as having a deterioration in symptoms if they have a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 28 days.
Measured: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit
Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Dyspnoea
Dyspnea was assessed as the average score of four items: Question 8 of the QLQ-C30 ("Were you short of breath") and Question 3 of the QLQ-C30 ("Were you short of breath when you rested"), Questions 4 ("Were you short of breath when you walked") and 5 ("Were you short of breath when you climbed stairs") of the QLQ-LC13 (or, equivalently, Questions 33, 34 and 35 of the combined QLQ-C30 and QLQ-LC13 questionnaires).
Time to deterioration in symptoms is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 28 days. A patient is defined as having a deterioration in symptoms if they have a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 28 days.
Measured: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit
Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Cough
Cough was assessed using Question 1 ("How much did you cough") of the QLQ-LC13 (or, equivalently, Question 31 of the combined QLQ-C30 and QLQ-LC13 questionnaires).
Time to deterioration in symptoms is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 28 days. A patient is defined as having a deterioration in symptoms if they have a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 28 days.
Measured: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Aug 2006 (estimated)
- Study startAug 2006
- Primary completionSep 2008
- Study completionNov 2016
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.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Non Small Cell Lung CancerStudies of the same condition, open and under way.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,574 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genzyme, a Sanofi Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00364351
- Sponsor's protocol ID
- D4200C00057
- Other IDs
- EUDRACT No. 2006-000259-16
- Status last verified
- Jan 2018
- First submitted
- 14 Aug 2006
- Last updated
- 25 Jan 2018
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Natale RB, Thongprasert S, Greco FA, Thomas M, Tsai CM, Sunpaweravong P, Ferry D, Mulatero C, Whorf R, Thompson J, Barlesi F, Langmuir P, Gogov S, Rowbottom JA, Goss GD. Phase III trial of vandetanib compared with erlotinib in patients with previously treated advanced non-small-cell lung cancer. J Clin Oncol. 2011 Mar 10;29(8):1059-66. doi: 10.1200/JCO.2010.28.5981. Epub 2011 Jan 31.
PubMed 21282542Mishina A, Zhudenkov K, Helmlinger G, Peskov K. A Systematic Comparative Analysis of Tumor Size Models Based on Erlotinib Clinical Data in Advanced NSCLC. CPT Pharmacometrics Syst Pharmacol. 2025 Dec;14(12):1970-1981. doi: 10.1002/psp4.70095. Epub 2025 Aug 11.
PubMed 40785488Platt A, Morten J, Ji Q, Elvin P, Womack C, Su X, Donald E, Gray N, Read J, Bigley G, Blockley L, Cresswell C, Dale A, Davies A, Zhang T, Fan S, Fu H, Gladwin A, Harrod G, Stevens J, Williams V, Ye Q, Zheng L, de Boer R, Herbst RS, Lee JS, Vasselli J. A retrospective analysis of RET translocation, gene copy number gain and expression in NSCLC patients treated with vandetanib in four randomized Phase III studies. BMC Cancer. 2015 Mar 23;15:171. doi: 10.1186/s12885-015-1146-8.
PubMed 25881079
Study at a glance
From the registry record, last updated by the sponsor on 25 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, International, Randomised, Double Blind, Parallel-Group Study to Assess the Efficacy of Zactima™ Versus Tarceva® in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer After Failure of at Least One Prior Chemotherapy
- ClinicalTrials.gov ID
- NCT00364351
- Acronym / sponsor ID
- D4200C00057
- Conditions
- Non Small Cell Lung Cancer
- Keywords
- Non Small Cell Lung Cancer, NSCLC
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,574 participants (actual)
- Lead sponsor
- Genzyme, a Sanofi CompanyIndustry (pharma, biotech, devices)
- Study start
- Aug 2006
- Primary completion
- Sep 2008 (actual)
- Study completion
- Nov 2016 (actual)
- First posted
- 15 Aug 2006 (estimated)
- Results
- Posted 24 May 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To determine if ZD6474 a new investigational drug, is effective in treating Non Small Lung Cancer and if so, how it compares with another type of anti cancer therapy chemotherapy, Erlotinib
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Active comparator | Drug: ErlotinibErlotinib |
| 2 | Experimental | Drug: VandetanibVandetanib |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Confirmed locally advanced or metastatic NSCLC
- Failure of at least one but not more than two prior chemotherapy regimens
Key exclusion criteria (2 listed)
- Prior treatment with erlotinib (Tarceva), gefitinib (IRESSA), sunitinib (Sutent), sorafenib (Nexavar)
- Chemotherapy or other type of anti cancer therapy within 4 weeks of study start
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 |
|---|---|---|
| VandetanibAlso: ZD6474, ZACTIMA™once daily oral tablet | Drug | 2 |
| ErlotinibAlso: Tarceva®oral dose | Drug | 1 |
Primary outcome
Progression-Free Survival (PFS)
Time frame: progressionRECIST tumour assessments carried out every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed.
Median time (in weeks) from randomisation until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable Response Evaluation Criteria In Solid Tumors (RECIST) assessment. Progression was derived according to RECIST 1.0 and is defined as an increase of at least 20% in the total tumour size of measurable lesions over the nadir measurement, unequivocal progression in the non-target lesions or the appearance of one or more new lesions.
6 secondary outcomes
Overall Survival (OS)
Time frame: Time to death in months
Objective Response Rate (ORR)
Time frame: RECIST tumour assessments every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed up to 21 months
Disease Control Rate (DCR)
Time frame: RECIST tumour assessments carried out every 4 weeks until week 16 then every 8 weeks thereafter (+/- 3 days) from randomisation until objective progression
Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Pain
Time frame: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit
Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Dyspnoea
Time frame: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit
Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Cough
Time frame: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 21282542Natale RB, Thongprasert S, Greco FA, Thomas M, Tsai CM, Sunpaweravong P, Ferry D, Mulatero C, Whorf R, Thompson J, Barlesi F, Langmuir P, Gogov S, Rowbottom JA, Goss GD. Phase III trial of vandetanib compared with erlotinib in patients with previously treated advanced non-small-cell lung cancer. J Clin Oncol. 2011 Mar 10;29(8):1059-66. doi: 10.1200/JCO.2010.28.5981. Epub 2011 Jan 31.
- Derived from this study: PubMed 40785488Mishina A, Zhudenkov K, Helmlinger G, Peskov K. A Systematic Comparative Analysis of Tumor Size Models Based on Erlotinib Clinical Data in Advanced NSCLC. CPT Pharmacometrics Syst Pharmacol. 2025 Dec;14(12):1970-1981. doi: 10.1002/psp4.70095. Epub 2025 Aug 11.
- Derived from this study: PubMed 25881079Platt A, Morten J, Ji Q, Elvin P, Womack C, Su X, Donald E, Gray N, Read J, Bigley G, Blockley L, Cresswell C, Dale A, Davies A, Zhang T, Fan S, Fu H, Gladwin A, Harrod G, Stevens J, Williams V, Ye Q, Zheng L, de Boer R, Herbst RS, Lee JS, Vasselli J. A retrospective analysis of RET translocation, gene copy number gain and expression in NSCLC patients treated with vandetanib in four randomized Phase III studies. BMC Cancer. 2015 Mar 23;15:171. doi: 10.1186/s12885-015-1146-8.
- Vandetanib\_study\_57\_ZEST\_CSP\_redacted\_SECURELink provided by the sponsor.
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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.
Clinical Sciences & Operations study director
Sanofi
153 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vandetanib and Erlotinib in people with Non Small Cell Lung Cancer, run by Genzyme, a Sanofi Company at 153 sites in 22 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 2 inclusion and 2 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 25 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 153 sites in United States, Canada, Italy, Australia, Germany and 17 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?
Yes. Results are posted in the registry (first posted 24 May 2011). 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?
Progression-Free Survival (PFS) (time frame: progressionRECIST tumour assessments carried out every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed.). 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 NCT00364351, which also lists 3 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 25 Jan 2018.