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.
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
- Type of treatment
- Pill or oral medicine, Injection or infusion
- 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
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
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
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
Czechia3 sites
Pfizer Investigational Site
Prague, 180 81
Pfizer Investigational Site
Tábor, 390 03
Pfizer Investigational Site
Ústí nad Labem, 401 13
France3 sites
Pfizer Investigational Site
Caen, 14076
Pfizer Investigational Site
Paris, 75679
Pfizer Investigational Site
Pierre-Bénite, 69495
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.
- Conditions
- Non-Small-Cell Lung Carcinoma, Adenocarcinoma
- 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 group | Role | What they receive |
|---|---|---|
| B | Active comparator | Bevacizumab will be administered in combination with carboplatin and paclitaxel. Receives: Drug: Bevacizumab; Drug: Carboplatin; Drug: Paclitaxel |
| A | Experimental | AG-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.
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)
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)
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
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
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
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)
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)
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
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
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
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.
- First posted25 Jan 2008 (estimated)
- Study startApr 2008
- Primary completionApr 2011
- Study completionOct 2012
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 (1)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 PfizerThe 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
- 118 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 8 Nov 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00600821
- Acronym / sponsor ID
- A4061030
- Conditions
- Non-Small-Cell Lung Carcinoma, Adenocarcinoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 118 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Apr 2008
- Primary completion
- Apr 2011 (actual)
- Study completion
- Oct 2012 (actual)
- First posted
- 25 Jan 2008 (estimated)
- Results
- Posted 22 May 2012
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 the addition of AG-013736 to chemotherapy is beneficial in patients with advanced lung cancer who have not been previously treated.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| B | Active comparator | Drug: Bevacizumab, Drug: Carboplatin, Drug: PaclitaxelBevacizumab will be administered in combination with carboplatin and paclitaxel. |
| A | Experimental | Drug: AG-013736 (axitinib), Drug: Carboplatin, Drug: PaclitaxelAG-013736 will be administered in combination with carboplatin and paclitaxel. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- 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
Key exclusion criteria (3 listed)
- Prior therapy for advanced lung cancer
- The need for blood-thinners
- Coughing up blood
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 |
|---|---|---|
| BevacizumabAlso: AvastinBevacizumab is available as 100 and 400 mg preservative-free, single use vials- The starting dose is 15 mg/kg, iv infusion, every 3 weeks. | Drug | B |
| CarboplatinCarboplatin is available as pre-mixed 10mg /ml aqueous solution- The starting dose is AUC 6 mg*min/ml, iv infusion, every 3 weeks. | Drug | B |
| PaclitaxelPaclitaxel 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 | Drug | B |
| AG-013736 (axitinib)Also: axitinib TaxolAG-013736 (axitinib) is available as 1mg, and 5 mg film-coated tablets for oral administration- The starting dose is 5 mg BID- | Drug | A |
| CarboplatinCarboplatin is available as pre-mixed 10mg /ml aqueous solution- The starting dose is AUC 6 mg*min/ml, iv infusion, every 3 weeks. | Drug | A |
| PaclitaxelPaclitaxel 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 | Drug | A |
Primary outcome
Progression Free Survival (PFS)
Time frame: Baseline, every 6 weeks until disease progression or initiation of subsequent anticancer therapy up to 2.75 years
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").
10 secondary outcomes
Overall Survival (OS)
Time frame: Baseline, every 6 weeks until death or bimonthly after final study visit (up to 2.75 years)
Percentage of Participants With Objective Response (OR)
Time frame: Baseline, every 6 weeks until disease progression or initiation of subsequent anticancer therapy up to 2.75 years
Duration of Response (DR)
Time frame: Baseline, every 6 weeks until disease progression or initiation of subsequent anticancer therapy up to 2.75 years
Population Pharmacokinetic (PK) Analysis for Axitinib (AG-013736)
Time frame: Pre-dose, 1 to 2 hours post-dose on Cycle 2 of Day 1 and Cycle 3 of Day 1
European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) Score
Time frame: Day (D) 1 of every cycle (C) then every 3 weeks until final study visit (up to 2.75 years)
European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire Lung Cancer-13 (QLQ- LC13) Score
Time frame: Day 1 of every cycle then every 3 weeks until final study visit (up to 2.75 years)
Percentage of Participants by Ribonucleic Acid (RNA) Expression Profile in Whole Blood
Time frame: Baseline, C1 D1, C1 D15, C2 D1, C3 D1, C4 D1 and C5 D1
Circulating Endothelial Cells (CEC) in Blood: Total CEC
Time frame: Baseline (C1 D1), C1 D15, C2 D1, C3 D1, C4 D1, C5 D1, C7 D1, C9 D1 and C11 D1
Circulating Endothelial Cells (CEC) in Blood
Time frame: Baseline (C1 D1), C1 D15, C2 D1, C3 D1, C4 D1, C5 D1, C7 D1, C9 D1 and C11 D1
Plasma Concentration of Soluble Proteins
Time frame: Baseline, C1D1, C1D15, C2D1, C3D1, C4D1, C5D1, C7D1, C9D1 and C11D1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Nov 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24356624Twelves 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.
- To obtain contact information for a study center near you, click here.Link 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.
Pfizer CT.gov Call Center study director
Pfizer
44 sites in 6 countries: see every site and its status.
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.