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Non-Small-Cell Lung CarcinomaPhase 2NCT00600821

A Study Of AG-013736 (Axitinib) Or Bevacizumab (Avastin) In Combination With Paclitaxel And Carboplatin In Patients With Advanced Lung Cancer.

A Phase 2 study testing Bevacizumab, Carboplatin and Paclitaxel in people with Non-Small-Cell Lung Carcinoma and Adenocarcinoma, run by Pfizer at 44 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

To determine if the addition of AG-013736 to chemotherapy is beneficial in patients with advanced lung cancer who have not been previously treated. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Small-Cell Lung Carcinoma, Adenocarcinoma
What is being tested?
Bevacizumab, Carboplatin and Paclitaxel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
118 participants
Where
44 sitesin 6 countries
Study dates
Apr 2008to Oct 2012
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

  • Advanced non squamous cell, lung cancer
  • No prior treatment for lung cancer except prior adjuvant therapy if last dose was >12 months prior to enrollment

Who cannot join

  • Prior therapy for advanced lung cancer
  • The need for blood-thinners
  • Coughing up blood

Trial locations and contacts

44 sites in 6 countries.

44 sites in 6 countries

United States22 sites
  • Pfizer Investigational Site

    Bartlett, Tennessee, 38133

  • Pfizer Investigational Site

    Baton Rouge, Louisiana, 70809

  • Pfizer Investigational Site

    Cleveland, Ohio, 44109

  • Pfizer Investigational Site

    Columbus, Mississippi, 39705

  • Pfizer Investigational Site

    Corinth, Mississippi, 38834

  • Pfizer Investigational Site

    Dallas, Texas, 75230

  • Pfizer Investigational Site

    Dallas, Texas, 75235

  • Pfizer Investigational Site

    Dallas, Texas, 75246

  • Pfizer Investigational Site

    Dallas, Texas, 75390-8590

  • Pfizer Investigational Site

    Germantown, Tennessee, 38138

  • Pfizer Investigational Site

    Lincoln, Nebraska, 68510

  • Pfizer Investigational Site

    Lubbock, Texas, 79410

  • Pfizer Investigational Site

    Memphis, Tennessee, 38119

  • Pfizer Investigational Site

    Memphis, Tennessee, 38120

  • Pfizer Investigational Site

    New Albany, Mississippi, 38652

  • Pfizer Investigational Site

    Oxford, Mississippi, 38655

  • Pfizer Investigational Site

    Pittsfield, Massachusetts, 01201

  • Pfizer Investigational Site

    San Antonio, Texas, 78229

  • Pfizer Investigational Site

    San Antonio, Texas, 78284

  • Pfizer Investigational Site

    Southaven, Mississippi, 38671

  • Pfizer Investigational Site

    Tupelo, Mississippi, 38801

  • Pfizer Investigational Site

    Wenatchee, Washington, 98801

Other trials in United States

United Kingdom7 sites
  • Pfizer Investigational Site

    Dundee, Scotland, DD1 9SY

  • Pfizer Investigational Site

    Dundee, DD1 9SY

  • Pfizer Investigational Site

    Leeds, Yorkshire, LS9 7TF

  • Pfizer Investigational Site

    London, NW1 2PG

  • Pfizer Investigational Site

    London, SW3 6JJ

  • Pfizer Investigational Site

    Southampton, Hampshire, SO16 6YD

  • Pfizer Investigational Site

    Surrey, SM2 5PT

Other trials in United Kingdom

Poland5 sites
  • Pfizer Investigational Site

    Bydgoszcz, 85-796

  • Pfizer Investigational Site

    Gdansk, 80-462

  • Pfizer Investigational Site

    Gdynia, 81-519

  • Pfizer Investigational Site

    Torun, 87 - 100

  • Pfizer Investigational Site

    Warsaw, 02-097

Other trials in Poland

Spain4 sites
  • Pfizer Investigational Site

    Alicante, Alicante, 03010

  • Pfizer Investigational Site

    Mataró, Barcelona, 08304

  • Pfizer Investigational Site

    Sabadell, Barcelona, 08208

  • Pfizer Investigational Site

    Valencia, Valencia, 46014

Other trials in Spain

Czechia3 sites
  • Pfizer Investigational Site

    Prague, 180 81

  • Pfizer Investigational Site

    Tábor, 390 03

  • Pfizer Investigational Site

    Ústí nad Labem, 401 13

Other trials in Czechia

France3 sites
  • Pfizer Investigational Site

    Caen, 14076

  • Pfizer Investigational Site

    Paris, 75679

  • Pfizer Investigational Site

    Pierre-Bénite, 69495

Other trials in France

About this study

Official title: Randomized Phase 2 Trial Of AG013736 Or Bevacizumab In Combination With Paclitaxel And Carboplatin As First Line Treatment For Patients With Advanced Non Small Cell Lung Cancer

To determine if the addition of AG-013736 to chemotherapy is beneficial in patients with advanced lung cancer who have not been previously treated.

Being tested
Bevacizumab, Carboplatin, Paclitaxel, AG-013736 (axitinib)
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Adenocarcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BevacizumabDrug

    Also called Avastin

    Bevacizumab is available as 100 and 400 mg preservative-free, single use vials- The starting dose is 15 mg/kg, iv infusion, every 3 weeks.

  • CarboplatinDrug

    Carboplatin is available as pre-mixed 10mg /ml aqueous solution- The starting dose is AUC 6 mg*min/ml, iv infusion, every 3 weeks.

  • PaclitaxelDrug

    Paclitaxel is available in multidose vials (30 mg/5ml;100mg/16.7 ml;300 mg/50ml)- The starting dose is 200 mg/m2, every 3 weeks

  • AG-013736 (axitinib)Drug

    Also called axitinib Taxol

    AG-013736 (axitinib) is available as 1mg, and 5 mg film-coated tablets for oral administration- The starting dose is 5 mg BID-

  • CarboplatinDrug

    Carboplatin is available as pre-mixed 10mg /ml aqueous solution- The starting dose is AUC 6 mg*min/ml, iv infusion, every 3 weeks.

  • PaclitaxelDrug

    Paclitaxel is available in multidose vials (30 mg/5ml;100mg/16.7 ml;300 mg/50ml)- The starting dose is 200 mg/m2, every 3 weeks

Study groups in NCT00600821
Study groupRoleWhat they receive
BActive comparatorBevacizumab will be administered in combination with carboplatin and paclitaxel.
Receives: Drug: Bevacizumab; Drug: Carboplatin; Drug: Paclitaxel
AExperimentalAG-013736 will be administered in combination with carboplatin and paclitaxel.
Receives: Drug: AG-013736 (axitinib); Drug: Carboplatin; Drug: Paclitaxel

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS)

    Time in months from start of study treatment to first randomization date of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the first randomization date plus 1) divided by 30.4. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]), or from adverse event (AE) data (where the outcome was "Death").

    Measured: Baseline, every 6 weeks until disease progression or initiation of subsequent anticancer therapy up to 2.75 years

Secondary outcomes (10)
  1. Overall Survival (OS)

    Time in months from date of randomization to date of death due to any cause. OS was calculated as (the death date minus the first randomization date plus 1) divided by 30.4. Death was determined from adverse event data (where outcome was death) or from follow-up contact data (where the participant current status was death).

    Measured: Baseline, every 6 weeks until death or bimonthly after final study visit (up to 2.75 years)

  2. Percentage of Participants With Objective Response (OR)

    OR based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed response were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. CR: disappearance of all lesions (target and/or non target) and no appearance of new lesions. PR: at least 30 percent decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions, without progression of non target lesions and no appearance of new lesions.

    Measured: Baseline, every 6 weeks until disease progression or initiation of subsequent anticancer therapy up to 2.75 years

  3. Duration of Response (DR)

    Time in months from the first documentation of objective tumor response that is subsequently confirmed to objective tumor progression or death due to any cause. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to any cause minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 30.4. DR was calculated for the subgroup of participants with a confirmed objective tumor response.

    Measured: Baseline, every 6 weeks until disease progression or initiation of subsequent anticancer therapy up to 2.75 years

  4. Population Pharmacokinetic (PK) Analysis for Axitinib (AG-013736)

    Data for this Outcome Measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.

    Measured: Pre-dose, 1 to 2 hours post-dose on Cycle 2 of Day 1 and Cycle 3 of Day 1

  5. European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) Score

    EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhoea, and financial difficulties). Most questions used 4- point scale (1 'Not at All' to 4 'Very Much'); 2 questions used 7-point scale (1 'Very Poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms.

    Measured: Day (D) 1 of every cycle (C) then every 3 weeks until final study visit (up to 2.75 years)

  6. European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Lung Cancer-13 (QLQ- LC13) Score

    QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The 13 questions comprised 1 multi-item scale for dyspnoea and 10 single-item symptoms and side effects (coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, chest pain, arm pain, other pain, and medicine for pain). Recall period: past week; response range: not at all to very much. Scale score range: 0 to 100. Higher symptom score = greater degree of symptoms.

    Measured: Day 1 of every cycle then every 3 weeks until final study visit (up to 2.75 years)

  7. Percentage of Participants by Ribonucleic Acid (RNA) Expression Profile in Whole Blood

    RNA expression profiles of genes which were associated with tumor growth, angiogenesis and metastases were collected and correlated with efficacy.

    Measured: Baseline, C1 D1, C1 D15, C2 D1, C3 D1, C4 D1 and C5 D1

  8. Circulating Endothelial Cells (CEC) in Blood: Total CEC

    Circulating endothelial cells (CECs) are noninvasive marker of vascular damage, remodeling, and dysfunction. Total CEC, plasma-vascular endothelial growth factor receptor-2 (pVEGFR2), VEGFR2, p-Beta-type platelet-derived growth factor receptor (pPDGFRB+) and PDGFRB+ were explored using CECs. Blood was collected to analyze effects of therapy on the number, viability/apoptotic state, and/or target activity/expression in CECs.

    Measured: Baseline (C1 D1), C1 D15, C2 D1, C3 D1, C4 D1, C5 D1, C7 D1, C9 D1 and C11 D1

  9. Circulating Endothelial Cells (CEC) in Blood

    Circulating endothelial cells (CECs) are noninvasive marker of vascular damage, remodeling, and dysfunction. Total CEC, plasma-vascular endothelial growth factor receptor-2 (pVEGFR2), VEGFR2, p-Beta-type platelet-derived growth factor receptor (pPDGFRB+) and PDGFRB+ were explored using CECs. Blood was collected to analyze effects of therapy on the number, viability/apoptotic state, and/or target activity/expression in CECs.

    Measured: Baseline (C1 D1), C1 D15, C2 D1, C3 D1, C4 D1, C5 D1, C7 D1, C9 D1 and C11 D1

  10. Plasma Concentration of Soluble Proteins

    Plasma concentrations of soluble proteins (soluble- stem-cell factor receptor (sKIT) vascular endothelial growth factor [VEGF], and vascular endothelial growth factor receptor-2 [VEGFR2], VEGFR3) may be associated with tumor angiogenesis or tumor physiology and may correlate with efficacy or biological activity. It is presented as ratio to baseline, which is obtained by dividing the plasma soluble protein concentration at each time point by its concentration at baseline.

    Measured: Baseline, C1D1, C1D15, C2D1, C3D1, C4D1, C5D1, C7D1, C9D1 and C11D1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jan 2008 (estimated)
  2. Study startApr 2008
  3. Primary completionApr 2011
  4. Study completionOct 2012

Resources

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
118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00600821
Sponsor's protocol ID
A4061030
Status last verified
Oct 2013
First submitted
3 Jan 2008
Last updated
8 Nov 2013
Data monitoring committee
Yes

Publications

  • Twelves C, Chmielowska E, Havel L, Popat S, Swieboda-Sadlej A, Sawrycki P, Bycott P, Ingrosso A, Kim S, Williams JA, Chen C, Olszanski AJ, de Besi P, Schiller JH. Randomised phase II study of axitinib or bevacizumab combined with paclitaxel/carboplatin as first-line therapy for patients with advanced non-small-cell lung cancer. Ann Oncol. 2014 Jan;25(1):132-8. doi: 10.1093/annonc/mdt489.

    PubMed 24356624

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Bevacizumab, Carboplatin and Paclitaxel in people with Non-Small-Cell Lung Carcinoma and Adenocarcinoma, run by Pfizer at 44 sites in 6 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 3 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 8 Nov 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, United Kingdom, Poland, Spain, Czechia and 1 more country. 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 22 May 2012). 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: Baseline, every 6 weeks until disease progression or initiation of subsequent anticancer therapy up to 2.75 years). 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 NCT00600821, which also lists 1 linked publication.

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 8 Nov 2013.

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