Non Small Cell Lung Cancer (NSCLC)Phase 3TAILORNCT00637910
Tarceva Italian Lung Optimization tRial
A Phase 3 study testing Erlotinib and Docetaxel in people with Non Small Cell Lung Cancer (NSCLC), run by Fatebenefratelli and Ophthalmic Hospital at 105 sites in Italy.
Trial summary
The aim of this study is to assess the superiority of docetaxel in comparison to erlotinib in second line in wild-type EGFR tumour patients. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non Small Cell Lung Cancer (NSCLC)
- What is being tested?
- Erlotinib and Docetaxel
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 850 participants
- Where
- 105 sitesItaly
- Study dates
- Nov 2007to Feb 2013
- 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
- Age 18 years or older
- Histological or cytological confirmation of NSCLC (may be from initial diagnosis of NSCLC or subsequent biopsy). Only patients with available tissue samples may be included in the study
- Absence of EGFR mutations of exons 19 or 21 (randomization)
- Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy
- One prior platinum-based at adequate doses and taxane free regimen
- Measurable (uni-dimensional) disease by RECIST in a lesion not previously irradiated or non-measurable disease
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- ECOG-PS 0-2
- ANC greater than 1.5 x 109/L and platelets greater than 100 x 109/L
- Bilirubin level either normal or <1.5xULN
- AST (SGOT) and ALT (SGPT) <2.5xULN (≤5 x ULN if liver metastases are present)
- Serum creatinine <1.5xULN
- Effective contraception for both, male and female pts, if the risk of conception exists
- Recovery from all acute toxicities of prior therapies
- Provision of written informed consent to the analysis of biological markers (registration)
- Provision of written informed consent to enter the randomized part of the study (randomization)
Who cannot join
- Prior therapy with an experimental agent whose primary mechanism of action is inhibition of EGFR or its associated tyrosine kinase
- Prior chemotherapy with taxanes
- Newly diagnosed CNS metastases that have not yet been treated with surgery and/or radiation. Pts with previously diagnosed and treated CNS metastases or spinal cord compression may be considered if they have evidence of clinically SD (no steroid therapy or steroid dose being tapered) for at least 28 daysLess than 14 days since completion of prior radiotherapy or persistence of any radiotherapy related toxicity
- Any unresolved chronic toxicity from previous anticancer therapy that, in the opinion of the investigator, makes it inappropriate for the patient to be enrolled in the study Known severe hypersensitivity to erlotinib or any of the excipients of this product
- Known hypersensitivity to docetaxel, polysorbate 80 or other drugs formulated with polysorbate 80, or any of the excipients of docetaxel
- Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ
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- Unable to swallow tablets
- Any evidence of clinically active interstitial lung disease (patients with chronic, stable, radiographic changes who are asymptomatic or patients with uncomplicated progressive lymphangitic carcinomatosis need not be excluded)
- As judged by the investigator, any evidence of severe or uncontrolled systemic disease (e.g., unstable or uncompensated respiratory, cardiac, hepatic or renal disease)
- As judged by the investigator, any inflammatory changes of the surface of the eye
- Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the patient to participate in the study
Trial locations and contacts
105 sites in 1 country.
105 sites in 1 country
Italy105 sites, 50 recruiting
- Withdrawn
S. Giovanni di Dio Hospital
Agrigento, Agrigento, 92100
- Recruiting
Pesenti-Fenaroli Hospital
Alzano Lombardo, Bergamo, 24022
Giuseppe Nastasi, MD, +39 0354177235, giuseppe.nastasi@bolognini.bg.it
Giuseppe Nastasi, MD
- Terminated
Ospedale San Donato
Arezzo, 52100
- Terminated
Oncologia A.S.L. AV1
Ariano Irpino, Avellino, 83031
- Withdrawn
Centro di Riferimento Oncologico
Aviano, Pordenone, 33081
- Withdrawn
Azienda Ospedaliera Universitaria Consorziale Policlinico
Bari, Bari, 70124
- Terminated
Fatebenefratelli Hospital
Benevento, Benevento, 82100
- Recruiting
G. Rummo Hospital
Benevento, Benevento, 82100
Bruno Daniele, MD, +39 082457724, bruno.daniele@ao-rummo.it
Bruno Daniele, MD
- Recruiting
Ospedali Riuniti
Bergamo, Bergamo, 24128
Roberto Labianca, MD, +39 035 269724859, rlabian@tin.it
Roberto Labianca, MD
- Recruiting
Ospedale centrale di Bolzano
Bolzano, BZ, 39100
Emanuela Vattemi, MD, +39 0471908952, emanuela.vattemi@asbz.it
Emanuela Vattemi, MD
- Recruiting
Oncologia Medica Azienda Spedali Civili
Brescia, BS, 25123
Vittorio Ferrari, MD, +39 0303996583, bscivile@numerica.it
Vittorio Ferrari, MD
- Recruiting
Pneumologia Azienda Spedali Civili
Brescia, BS, 25123
Vittorio Ferrari, MD, +39 0303996583, bscivile@numerica.it
Vittorio Ferrari, MD
- Recruiting
Armando Businco Oncological Hospital
Cagliari, Cagliari, 09100
Efisio Defraia, MD, +39 0706095332, defraiae@alice.it
Efisio Defraia, MD
- Terminated
Ospedale S. Elia
Caltanissetta, CL, 93100
- Terminated
Presidio Ospedaliero Cardarelli ASL 3
Campobasso, Campobasso, 86100
- Terminated
Ospedale Civile di Casalpusterlengo
Casalpusterlengo, Lodi, 26841
- Terminated
Ospedale Civile Ferrari
Casarano, Lecce, 73042
- Recruiting
Multimedia Santa Maria
Castellanza, Varese, 21053
Ornella Gottardi, MD, +39 0331476111, ornella.gottardi@multimedica.it
Ornella Gottardi, MD
- Withdrawn
Sant'Anna Hospital
Como, Como, 22100
- Recruiting
S. Sebastiano Hospital
Correggio, Reggio Emilia, 42015
Alessandra Zoboli, MD, +39 0522 630111, zobolia@ausl.re.it
Alessandra Zoboli, MD
- Withdrawn
Mariano Santo Hospital
Cosenza, Cosenza, 87100
- Terminated
Ospedale Maggiore di Crema
Crema, Crema, 26013
- Recruiting
S. Croce e Carle Hospital
Cuneo, Cuneo, 12100
Ida Colantonio, MD, +39 0171616739, i.colantonio@libero.it
Ida Colantonio, MD
- Recruiting
Istituto Toscano Tumori Ospedale S. Giuseppe Antica Sede
Empoli, Firenze, 50053
Gianmaria Fiorentini, MD, +39 0571702284, oncologiaempoli@usl11.toscana.it
Gianmaria Fiorentini, MD
- Withdrawn
Fabriano Hospital
Fabriano, Ancona, 60044
- Terminated
A.O.U. S. Anna
Ferrara, 44100
- Terminated
Azienda Ospedaliero Universitaria Careggi
Florence, Firenze, 50130
- Terminated
A.O.U. Careggi
Florence, 50130
- Recruiting
Galliera Hospital
Genova, Genova, 16128
Andrea Decensi, MD, +39 010 5634501, andrea.decensi@galliera.it
Andrea Decensi, MD
- Terminated
A.O. San Martino
Genova, 16100
- Recruiting
Azienda Ospedaliera Melegnano- P.O. Gorgonzola
Gorgonzola, Milano, 20069
Luciano Isa, MD, +39 0295707207, luciano.isa@tiscalinet.it
Luciano Isa, MD
- Terminated
San Leonardo Hospital
Gragnano, Napoli, 80054
- Terminated
Ospedale Santa Barbara
Iglesias, Carbonia Iglesias, 09016
- Recruiting
F. Veneziale Hospital
Isernia, Isernia, 86170
Liberato Di Lullo, MD, +39 0865442212, oncologia.is@infinito.it
Liberato Di Lullo, MD
- Recruiting
Renzetti Hospital
Lanciano, Chieti, 66034
Antonio Nuzzo, MD, +39 0872706220, nuzzo@oncologialanciano.it
Antonio Nuzzo, MD
- Terminated
Ospedale S. Maria Goretti
Latina, LT, 04100
- Recruiting
Azienda Ospedaliera di Lecco
Lecco, Lecco, 23900
Antonio Ardizzoia, MD, +39 0341489900, antonio.ardizoia@tin.it
Antonio Ardizzoia, MD
- Recruiting
Ospedale Mater Salutis
Legnago, Verona, 37045
Andrea Bonetti, MD, 0039.0442632418, andrea.bonetti@aulsslegnago.it
Andrea Bonetti, MD
- Recruiting
Legnano Hospital
Legnano, Milano, 20025
Giambattista Roda, MD, +39 0331449306, laelena75@hotmail.com
Gianbattista Roda, MD
- Recruiting
Umberto I Hospital
Lugo, Ravenna, 48022
Giorgio Cruciani, MD, +39 0545214081, g.cruciani@ausl.ra.it
Giorgio Cruciani, MD
- Withdrawn
Ospedale Civile di Legnano -Presidio di Magenta
Magenta, Milano, 20013
- Terminated
Umberto I Hospital
Mestre, Venezia, 30174
- Recruiting
Fatebenefratelli and Ophthalmic Hospital
Milan, Milano, 20121
Gabriella Farina, MD, +39 0263632223, gabriella.farina@fbf.milano.it
Marina C Garassino, MD, +39 0263632223, marina.garassino@fbf.milano.it
- Recruiting
Fondazione Ospedale Maggiore Policlinico - Mangiagalli e Regina Elena
Milan, Milano, 20122
Maurizio Tomirotti, MD, +39 0255034670, mtomirotti@policlinico.mi.it
Maurizio Tomirotti, MD
- Recruiting
San Paolo Hospital
Milan, Milano, 20142
Paolo Foa, MD, +39 0250323085, paolo.foa@unimi.it
Paolo Foa, MD
- Recruiting
San Carlo Borromeo Hospital
Milan, Milano, 20153
Maria Cristina Locatelli, MD, +39 0240222270, locatellimc@hotmail.com;
Maria Cristina Locatelli Locatelli, MD
- Recruiting
Azienda Ospedaliera Luigi Sacco Polo Universitario
Milan, Milano, 20157
Elena Piazza, MD, +39 0239042493, e.piazza@hsacco.it
Elena Piazza, MD
- Terminated
Monfalcone Hospital
Monfalcone, Gorizia, 34074
- Recruiting
Policlinico Universitario di Monserrato
Monserrato, Cagliari, 09042
Bruno Massidda, MD, +39 07051096208, masbru@pacs.unica.it
Bruno Massidda, MD
- Recruiting
Ospedale Valdichiana "Nottola"
Montepulciano, Siena, 53045
Sergio Crispino, MD, +39 0578713111, dip.oncologico@usl7.toscana.it
Sergio Crispino, MD
- Withdrawn
San Gerardo Hospital
Monza, Milano, 20052
- Terminated
Cardarelli Hospital
Naples, Napoli, 80131
- Terminated
D. Cotugno Hospital
Naples, Napoli, 80131
- Terminated
San Gennaro Hospital - ASL NA 1
Naples, Napoli, 80136
- Terminated
A.O. Monaldi
Naples, 80131
- Recruiting
ASL SA1 -P.O. Umberto I
Nocera Inferiore, Salerno, 84014
Giuseppe Grimaldi, MD, +39 0819213331, gsgrimaldi@fastwebnet.it
Giuseppe Grimaldi, MD
- Recruiting
Ospedale Maggiore della Carità
Novara, Novara, 28100
Oscar Alabiso, MD, +39 03213733984, alabiso@med.unipmn.it
Oscar Alabiso, MD
- Terminated
Azienda Ospedaliera Universitaria Presidio "Paolo Giaccone"
Palermo, Palermo, 90127
- Terminated
Presidio Ospedaliero "M. Ascoli" ARNAS Civico
Palermo, Palermo, 90127
- Terminated
Centro Oncologico "La Maddalena"
Palermo, Palermo, 90146
- Recruiting
Policlinico Universitario Palermo
Palermo, PA, 90127
Sergio Palmeri, MD, +39 0916552506, sergiopalmeri@alice.it
Sergio Palmeri, MD
- Terminated
San Francesco Hospital
Paola, Cosenza, 87027
- Terminated
San Massimo Hospital
Penne, Pescara, 65017
- Terminated
S. Maria della Misericordia Hospital
Perugia, Perugia, 06156
- Recruiting
Piacenza Hospital
Piacenza, Piacenza, 29100
Luigi Cavanna, MD, +39 0523302697, l.cavanna@ausl.pc.it
Luigi Cavanna, MD
- Recruiting
Ospedale Valdelsa "Campostaggia"
Poggibonsi, Siena, 53036
Sergio Crispino, MD, +39 0577586927, s.crispino@usl7.toscana.it
Sergio Crispino, MD
- Recruiting
S. Maria degli Angeli Hospital
Pordenone, Pordenone, 33170
Salvatore Tumolo, MD, +39 0434399464, salvatore.tumolo@aopn.fvg.it
Salvatore Tumolo, MD
- Recruiting
Ospedale Civile Santa Maria delle Croci
Ravenna, 48100
Giorgio Cruciani, MD, 0039.054428530, g.cruciani@ausl.ra.it
Giorgio Cruciani, MD
- Withdrawn
Arcispedale S. Maria Nuova
Reggio Emilia, Reggio Emilia, 42100
- Terminated
Rho Hospital - Azienda Ospedaliera Salvini-Garbagnate
Rho, Milano, 20017
- Terminated
Pneumologia Oncologica II-San Camillo Forlanini Hospital
Roma, Roma, 00149
- Recruiting
Oncologia Medica-San Camillo Forlanini Hopsital
Roma, Roma, 00152
Cora N Sternberg, MD, +39 0658704317, csternberg@scamilloforlanini.rm.it
Cora N Sternberg, MD
- Terminated
Università Campus Bio-Medico
Roma, Roma, 00155
- Recruiting
Policlinico Umberto I
Roma, Roma, 00161
Enrico Cortesi, MD, +39 064462982, enricocortesi@uniroma1.it
Enrico Cortesi, MD
- Recruiting
Policlinico Umberto I
Roma, Roma, 00161
Flavia Longo, MD, +39 0649970273, flavia.longo@uniroma1.it
Flavia Longo, MD
- Recruiting
S. Giovanni - Addolorata Hospital
Roma, Roma, 00184
Maria Mauri, MD, +39 0677052929, mariella.mauri@libero.it
Maria Mauri, MD
- Recruiting
Ospedale San Pietro Fatebenefratelli
Roma, 00100
Ida Pavese, MD, 0039.0633582831, idapavese@yahoo.it
Ida Pavese, MD
- Terminated
Azienda Ospedaliera S. Giovanni di Dio e Ruggi d'Aragona
Salerno, Salerno, 84122
- Withdrawn
Ospedale Civile di Saluzzo Savigliano
Saluzzo, Cuneo, 12037
- Terminated
Policlinico San Donato
San Donato Milanese, Milano, 20097
- Terminated
B. Eustachio Hospital
San Severino Marche, Macerata, 62027
- Recruiting
Azienda Ospedaliera Busto Arsizio
Saronno, Varese, 21047
Claudio Verusio, MD, +39 029613576, cverusio@aobusto.it
Claudio Verusio, MD
- Recruiting
Ospedale Civile SS. Annunziata
Sassari, Sassari, 07100
Antonio Contu, MD, +39 0792061638, antoncontu@tiscali.it
Antonio Contu, MD
- Recruiting
Universita' di Sassari Oncologia Medica
Sassari, 07100
Antonio Farris, MD, 0039.079228382, afarris@uniss.it
Antonio Farris, MD
- Terminated
Ospedale di Scandiano
Scandiano, Reggio Emilia, 42019
- Terminated
Ospedale Civili Riuniti Giovanni Paolo II
Sciacca, Agrigento, 92100
- Recruiting
IRCCS Multimedica
Sesto San Giovanni, Milano, 20099
Ornella Gottardi, MD, +39 02 24209498, ornella.gottardi@multimedica.it
Ornella Gottardi, MD
- Terminated
Ospedale Civile di Siderno - ASL n°9 Locri
Siderno, Reggio Calabria, 89946
- Recruiting
Sondrio Hospital-Azienda Ospedaliera Valtellina e Valchiavenna
Sondrio, Sondrio, 23100
Alessandro Bertolini, MD, +39 0342521594, abertolini@tiscalinet.it
Alessandro Bertolini, MD
- Recruiting
Ospedale Morelli
Sondrio, 23035
Giuseppe Valmadre, MD, 0039.0342808322, giuseppe.valmadre@aovv.it
Giuseppe Valmadre, MD
- Terminated
Ospedale di Vipiteno
Sterzing, Bolzano, 39049
- Recruiting
San Vincenzo Hospital
Taormina, Messina, 98039
Francesco Ferrau, MD, +39 0942579322331, omtaormina@tin.it
Francesco Ferrau, MD
- Recruiting
Ospedale di Terni
Terni, TR, 05100
Fausto Roila, MD, +39 0744205584, roila.fausto@libero.it
Fausto Roila, MD
- Recruiting
S. Giovanni Evangelista Hospital
Tivoli, Roma, 00019
Franco Spremberg, MD, +39 07743164353, franco.spremberg@libero.it
Franco Spremberg, MD
- Recruiting
A.O.U. San Giovanni Battista Molinette
Torino, 10134
Libero Ciuffreda, MD, 0039.0116334250, lciuffreda@molinette.piemonte.it
Libero Ciuffreda, MD
- Terminated
Ospedali Riuniti Umberto I - Lancisi - Salesi
Torrette, Ancona, 60020
- Terminated
Presidio Ospedaliero San Luca
Vallo della Lucania, Salerno, 84078
- Terminated
Ospedale di Circolo
Varese, Varese, 21100
- Terminated
SS. Giovanni e Paolo Hospital
Venezia, Venezia, 30122
- Terminated
Ospedale Policlinico G.B. Rossi
Verona, VR, 37134
- Withdrawn
San Bartolo Hospital
Vicenza, Vicenza, 36100
- Terminated
Ospedale Civile Vigevano
Vigevano, Pavia, 27029
- Recruiting
Ospedale Civile di Vimercate
Vimercate, Milano, 20059
Daniele Fagnani, MD, +39 0362383230, daniele.fagnani@libero.it
Daniele Fagnani, MD
- Recruiting
Belcolle Hospital
Viterbo, Viterbo, 01100
Luca Moscetti, MD, +39 0761339040, l.moscetti@asl.vt.it
Luca Moscetti, MD
- Terminated
Vizzolo Predabissi Hospital
Vizzolo Predabissi, Milano, 20070
About this study
Official title: Optimization of Erlotinib for the Treatment of Patients With Advanced Non Small Cell Lung Cancer: an Italian Randomized Trial
The aim of this study is to assess the superiority of docetaxel in comparison to erlotinib in second line in wild-type EGFR tumour patients.
Read the detailed description
Erlotinib is registered in all patients affected with NSCLC in second and subsequent lines with a small benefit on Overall Survival. Recent evidence suggest that patients with EGFR mutations have a clear benefit when they are treated with EGFR tyrosine kinase inhibitors, while the role of these drugs in wild-type EGFR patients, that are representing the large majority (about 85-90%), is still unclear and no properly planned trials assessed before this issue. Recently, indirect evidence on subgroup analyses on randomized trial suggest that chemotherapy might be superior to erlotinib in wild-type EGFR patients.
Moreover, several authors do not recommend the use of EGFR determined with immunohistochemistry (IHC) or FISH because they do not reproducibly predict outcome.
For these reasons the protocol was amended in May 2011 in a superiority trial of docetaxel versus erlotinib, while the first version was aimed to assess the interaction with biomarkers.
- Conditions
- Non Small Cell Lung Cancer (NSCLC)
- Keywords
- Advanced NSCLC, EGFR, EGFR copy number, Kras mutations, EGRF mutations, Docetaxel, Erlotinib, Polymorphisms
- 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.
ErlotinibDrug
Also called Tarceva
Erlotinib 150 mg/day per os until disease progression or unacceptable toxicity develops
DocetaxelDrug
Also called Taxotere
Docetaxel 75 mg/mq on day 1, every 21 days (3-weekly schedule) or Docetaxel 35 mg/mq 0n day 1,8 and 15 every 28 days (weekly schedule). _Until disease progression or unacceptable toxicity develops
| Study group | Role | What they receive |
|---|---|---|
| Erlotinib Arm | Experimental | Not described Receives: Drug: Erlotinib |
| Docetaxel Arm | Active comparator | Not described Receives: Drug: Docetaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Measured: 12 months after the last patient is randomized
Secondary outcomes (6)
Progression Free Survival
Measured: with 4 years and 12 months after the last patient is randomized
Response assessed with RECIST criteria
Measured: within 4 years
Quality of Life assessed with QLQ-C30 and QLQ-LC13 questionnaires
Measured: within 4 years
Toxicity, graded according to the NCI-CTAE version 3.0
Measured: within 4 years
Frequency and nature of serious adverse reactions
Measured: within 4 years
Premature withdrawals
Measured: within 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Mar 2008 (estimated)
- Study startNov 2007
- Primary completionFeb 2012 (estimated)
- Study completionFeb 2013 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (35)Papers the sponsor has linked to this study.
- Other trials for Non Small Cell Lung Cancer (NSCLC)Studies 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
- None (open label)
- Enrolment
- 850 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Fatebenefratelli and Ophthalmic Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Mario Negri Institute for Pharmacological Research, Niguarda Hospital
- Responsible party
- Principal investigator, Scanni Alberto, Fatebenefratelli and Ophthalmic Hospital
- Investigators
- Alberto Scanni, MD, Principal investigator, Fatebenefratelli and Ophthalmic Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00637910
- Sponsor's protocol ID
- FARM6F5JER
- Other IDs
- 2007-004786-17
- Acronym
- TAILOR
- Status last verified
- Feb 2012
- First submitted
- 12 Mar 2008
- Last updated
- 24 Feb 2012
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Greenlee RT, Hill-Harmon MB, Murray T, Thun M. Cancer statistics, 2001. CA Cancer J Clin. 2001 Jan-Feb;51(1):15-36. doi: 10.3322/canjclin.51.1.15.
PubMed 11577478Schiller JH, Harrington D, Belani CP, Langer C, Sandler A, Krook J, Zhu J, Johnson DH; Eastern Cooperative Oncology Group. Comparison of four chemotherapy regimens for advanced non-small-cell lung cancer. N Engl J Med. 2002 Jan 10;346(2):92-8. doi: 10.1056/NEJMoa011954.
PubMed 11784875Shepherd FA, Dancey J, Ramlau R, Mattson K, Gralla R, O'Rourke M, Levitan N, Gressot L, Vincent M, Burkes R, Coughlin S, Kim Y, Berille J. Prospective randomized trial of docetaxel versus best supportive care in patients with non-small-cell lung cancer previously treated with platinum-based chemotherapy. J Clin Oncol. 2000 May;18(10):2095-103. doi: 10.1200/JCO.2000.18.10.2095.
PubMed 10811675Schuette W, Nagel S, Blankenburg T, Lautenschlaeger C, Hans K, Schmidt EW, Dittrich I, Schweisfurth H, von Weikersthal LF, Raghavachar A, Reissig A, Serke M. Phase III study of second-line chemotherapy for advanced non-small-cell lung cancer with weekly compared with 3-weekly docetaxel. J Clin Oncol. 2005 Nov 20;23(33):8389-95. doi: 10.1200/JCO.2005.02.3739.
PubMed 16293869Hanna N, Shepherd FA, Fossella FV, Pereira JR, De Marinis F, von Pawel J, Gatzemeier U, Tsao TC, Pless M, Muller T, Lim HL, Desch C, Szondy K, Gervais R, Shaharyar, Manegold C, Paul S, Paoletti P, Einhorn L, Bunn PA Jr. Randomized phase III trial of pemetrexed versus docetaxel in patients with non-small-cell lung cancer previously treated with chemotherapy. J Clin Oncol. 2004 May 1;22(9):1589-97. doi: 10.1200/JCO.2004.08.163.
PubMed 15117980Shepherd FA, Rodrigues Pereira J, Ciuleanu T, Tan EH, Hirsh V, Thongprasert S, Campos D, Maoleekoonpiroj S, Smylie M, Martins R, van Kooten M, Dediu M, Findlay B, Tu D, Johnston D, Bezjak A, Clark G, Santabarbara P, Seymour L; National Cancer Institute of Canada Clinical Trials Group. Erlotinib in previously treated non-small-cell lung cancer. N Engl J Med. 2005 Jul 14;353(2):123-32. doi: 10.1056/NEJMoa050753.
PubMed 16014882Herbst RS, Prager D, Hermann R, Fehrenbacher L, Johnson BE, Sandler A, Kris MG, Tran HT, Klein P, Li X, Ramies D, Johnson DH, Miller VA; TRIBUTE Investigator Group. TRIBUTE: a phase III trial of erlotinib hydrochloride (OSI-774) combined with carboplatin and paclitaxel chemotherapy in advanced non-small-cell lung cancer. J Clin Oncol. 2005 Sep 1;23(25):5892-9. doi: 10.1200/JCO.2005.02.840. Epub 2005 Jul 25.
PubMed 16043829Gatzemeier U, Pluzanska A, Szczesna A, Kaukel E, Roubec J, De Rosa F, Milanowski J, Karnicka-Mlodkowski H, Pesek M, Serwatowski P, Ramlau R, Janaskova T, Vansteenkiste J, Strausz J, Manikhas GM, Von Pawel J. Phase III study of erlotinib in combination with cisplatin and gemcitabine in advanced non-small-cell lung cancer: the Tarceva Lung Cancer Investigation Trial. J Clin Oncol. 2007 Apr 20;25(12):1545-52. doi: 10.1200/JCO.2005.05.1474.
PubMed 17442998Marchetti A, Martella C, Felicioni L, Barassi F, Salvatore S, Chella A, Camplese PP, Iarussi T, Mucilli F, Mezzetti A, Cuccurullo F, Sacco R, Buttitta F. EGFR mutations in non-small-cell lung cancer: analysis of a large series of cases and development of a rapid and sensitive method for diagnostic screening with potential implications on pharmacologic treatment. J Clin Oncol. 2005 Feb 1;23(4):857-65. doi: 10.1200/JCO.2005.08.043.
PubMed 15681531Sequist LV, Joshi VA, Janne PA, Muzikansky A, Fidias P, Meyerson M, Haber DA, Kucherlapati R, Johnson BE, Lynch TJ. Response to treatment and survival of patients with non-small cell lung cancer undergoing somatic EGFR mutation testing. Oncologist. 2007 Jan;12(1):90-8. doi: 10.1634/theoncologist.12-1-90.
PubMed 17285735Taron M, Ichinose Y, Rosell R, Mok T, Massuti B, Zamora L, Mate JL, Manegold C, Ono M, Queralt C, Jahan T, Sanchez JJ, Sanchez-Ronco M, Hsue V, Jablons D, Sanchez JM, Moran T. Activating mutations in the tyrosine kinase domain of the epidermal growth factor receptor are associated with improved survival in gefitinib-treated chemorefractory lung adenocarcinomas. Clin Cancer Res. 2005 Aug 15;11(16):5878-85. doi: 10.1158/1078-0432.CCR-04-2618.
PubMed 16115929van Zandwijk N, Mathy A, Boerrigter L, Ruijter H, Tielen I, de Jong D, Baas P, Burgers S, Nederlof P. EGFR and KRAS mutations as criteria for treatment with tyrosine kinase inhibitors: retro- and prospective observations in non-small-cell lung cancer. Ann Oncol. 2007 Jan;18(1):99-103. doi: 10.1093/annonc/mdl323. Epub 2006 Oct 23.
PubMed 17060486Cappuzzo F, Hirsch FR, Rossi E, Bartolini S, Ceresoli GL, Bemis L, Haney J, Witta S, Danenberg K, Domenichini I, Ludovini V, Magrini E, Gregorc V, Doglioni C, Sidoni A, Tonato M, Franklin WA, Crino L, Bunn PA Jr, Varella-Garcia M. Epidermal growth factor receptor gene and protein and gefitinib sensitivity in non-small-cell lung cancer. J Natl Cancer Inst. 2005 May 4;97(9):643-55. doi: 10.1093/jnci/dji112.
PubMed 15870435Bell DW, Lynch TJ, Haserlat SM, Harris PL, Okimoto RA, Brannigan BW, Sgroi DC, Muir B, Riemenschneider MJ, Iacona RB, Krebs AD, Johnson DH, Giaccone G, Herbst RS, Manegold C, Fukuoka M, Kris MG, Baselga J, Ochs JS, Haber DA. Epidermal growth factor receptor mutations and gene amplification in non-small-cell lung cancer: molecular analysis of the IDEAL/INTACT gefitinib trials. J Clin Oncol. 2005 Nov 1;23(31):8081-92. doi: 10.1200/JCO.2005.02.7078. Epub 2005 Oct 3.
PubMed 16204011Hirsch FR, Varella-Garcia M, Bunn PA Jr, Franklin WA, Dziadziuszko R, Thatcher N, Chang A, Parikh P, Pereira JR, Ciuleanu T, von Pawel J, Watkins C, Flannery A, Ellison G, Donald E, Knight L, Parums D, Botwood N, Holloway B. Molecular predictors of outcome with gefitinib in a phase III placebo-controlled study in advanced non-small-cell lung cancer. J Clin Oncol. 2006 Nov 1;24(31):5034-42. doi: 10.1200/JCO.2006.06.3958.
PubMed 17075123
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Optimization of Erlotinib for the Treatment of Patients With Advanced Non Small Cell Lung Cancer: an Italian Randomized Trial
- ClinicalTrials.gov ID
- NCT00637910
- Acronym / sponsor ID
- TAILOR / FARM6F5JER
- Conditions
- Non Small Cell Lung Cancer (NSCLC)
- Keywords
- Advanced NSCLC, EGFR, EGFR copy number, Kras mutations, EGRF mutations, Docetaxel, Erlotinib, Polymorphisms
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 850 participants (estimated)
- Lead sponsor
- Fatebenefratelli and Ophthalmic HospitalUniversity, hospital or other
- Collaborators
- Mario Negri Institute for Pharmacological Research, Niguarda Hospital
- Study start
- Nov 2007
- Primary completion
- Feb 2012 (estimated)
- Study completion
- Feb 2013 (estimated)
- First posted
- 18 Mar 2008 (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.
The aim of this study is to assess the superiority of docetaxel in comparison to erlotinib in second line in wild-type EGFR tumour patients.
Detailed description
Erlotinib is registered in all patients affected with NSCLC in second and subsequent lines with a small benefit on Overall Survival. Recent evidence suggest that patients with EGFR mutations have a clear benefit when they are treated with EGFR tyrosine kinase inhibitors, while the role of these drugs in wild-type EGFR patients, that are representing the large majority (about 85-90%), is still unclear and no properly planned trials assessed before this issue. Recently, indirect evidence on subgroup analyses on randomized trial suggest that chemotherapy might be superior to erlotinib in wild-type EGFR patients.
Moreover, several authors do not recommend the use of EGFR determined with immunohistochemistry (IHC) or FISH because they do not reproducibly predict outcome.
For these reasons the protocol was amended in May 2011 in a superiority trial of docetaxel versus erlotinib, while the first version was aimed to assess the interaction with biomarkers.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Erlotinib Arm | Experimental | Drug: Erlotinib |
| Docetaxel Arm | Active comparator | Drug: Docetaxel |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Age 18 years or older
- Histological or cytological confirmation of NSCLC (may be from initial diagnosis of NSCLC or subsequent biopsy). Only patients with available tissue samples may be included in the study
- Absence of EGFR mutations of exons 19 or 21 (randomization)
- Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy
- One prior platinum-based at adequate doses and taxane free regimen
Key exclusion criteria (11 listed)
- Prior therapy with an experimental agent whose primary mechanism of action is inhibition of EGFR or its associated tyrosine kinase
- Prior chemotherapy with taxanes
- Newly diagnosed CNS metastases that have not yet been treated with surgery and/or radiation. Pts with previously diagnosed and treated CNS metastases or spinal cord compression may be considered if they have evidence of clinically SD (no steroid therapy or steroid dose being tapered) for at least 28 daysLess than 14 days since completion of prior radiotherapy or persistence of any radiotherapy related toxicity
- Any unresolved chronic toxicity from previous anticancer therapy that, in the opinion of the investigator, makes it inappropriate for the patient to be enrolled in the study Known severe hypersensitivity to erlotinib or any of the excipients of this product
- Known hypersensitivity to docetaxel, polysorbate 80 or other drugs formulated with polysorbate 80, or any of the excipients of docetaxel
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 |
|---|---|---|
| ErlotinibAlso: TarcevaErlotinib 150 mg/day per os until disease progression or unacceptable toxicity develops | Drug | Erlotinib Arm |
| DocetaxelAlso: TaxotereDocetaxel 75 mg/mq on day 1, every 21 days (3-weekly schedule) or Docetaxel 35 mg/mq 0n day 1,8 and 15 every 28 days (weekly schedule). _Until disease progression or unacceptable toxicity develops | Drug | Docetaxel Arm |
Primary outcome
Overall Survival
Time frame: 12 months after the last patient is randomized
6 secondary outcomes
Progression Free Survival
Time frame: with 4 years and 12 months after the last patient is randomized
Response assessed with RECIST criteria
Time frame: within 4 years
Quality of Life assessed with QLQ-C30 and QLQ-LC13 questionnaires
Time frame: within 4 years
Toxicity, graded according to the NCI-CTAE version 3.0
Time frame: within 4 years
Frequency and nature of serious adverse reactions
Time frame: within 4 years
Premature withdrawals
Time frame: within 4 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2012.
- Background: PubMed 11577478Greenlee RT, Hill-Harmon MB, Murray T, Thun M. Cancer statistics, 2001. CA Cancer J Clin. 2001 Jan-Feb;51(1):15-36. doi: 10.3322/canjclin.51.1.15.
- Background: PubMed 11784875Schiller JH, Harrington D, Belani CP, Langer C, Sandler A, Krook J, Zhu J, Johnson DH; Eastern Cooperative Oncology Group. Comparison of four chemotherapy regimens for advanced non-small-cell lung cancer. N Engl J Med. 2002 Jan 10;346(2):92-8. doi: 10.1056/NEJMoa011954.
- Background: PubMed 10811675Shepherd FA, Dancey J, Ramlau R, Mattson K, Gralla R, O'Rourke M, Levitan N, Gressot L, Vincent M, Burkes R, Coughlin S, Kim Y, Berille J. Prospective randomized trial of docetaxel versus best supportive care in patients with non-small-cell lung cancer previously treated with platinum-based chemotherapy. J Clin Oncol. 2000 May;18(10):2095-103. doi: 10.1200/JCO.2000.18.10.2095.
- Background: PubMed 16293869Schuette W, Nagel S, Blankenburg T, Lautenschlaeger C, Hans K, Schmidt EW, Dittrich I, Schweisfurth H, von Weikersthal LF, Raghavachar A, Reissig A, Serke M. Phase III study of second-line chemotherapy for advanced non-small-cell lung cancer with weekly compared with 3-weekly docetaxel. J Clin Oncol. 2005 Nov 20;23(33):8389-95. doi: 10.1200/JCO.2005.02.3739.
- Background: PubMed 15117980Hanna N, Shepherd FA, Fossella FV, Pereira JR, De Marinis F, von Pawel J, Gatzemeier U, Tsao TC, Pless M, Muller T, Lim HL, Desch C, Szondy K, Gervais R, Shaharyar, Manegold C, Paul S, Paoletti P, Einhorn L, Bunn PA Jr. Randomized phase III trial of pemetrexed versus docetaxel in patients with non-small-cell lung cancer previously treated with chemotherapy. J Clin Oncol. 2004 May 1;22(9):1589-97. doi: 10.1200/JCO.2004.08.163.
- Background: PubMed 16014882Shepherd FA, Rodrigues Pereira J, Ciuleanu T, Tan EH, Hirsh V, Thongprasert S, Campos D, Maoleekoonpiroj S, Smylie M, Martins R, van Kooten M, Dediu M, Findlay B, Tu D, Johnston D, Bezjak A, Clark G, Santabarbara P, Seymour L; National Cancer Institute of Canada Clinical Trials Group. Erlotinib in previously treated non-small-cell lung cancer. N Engl J Med. 2005 Jul 14;353(2):123-32. doi: 10.1056/NEJMoa050753.
- Background: PubMed 16043829Herbst RS, Prager D, Hermann R, Fehrenbacher L, Johnson BE, Sandler A, Kris MG, Tran HT, Klein P, Li X, Ramies D, Johnson DH, Miller VA; TRIBUTE Investigator Group. TRIBUTE: a phase III trial of erlotinib hydrochloride (OSI-774) combined with carboplatin and paclitaxel chemotherapy in advanced non-small-cell lung cancer. J Clin Oncol. 2005 Sep 1;23(25):5892-9. doi: 10.1200/JCO.2005.02.840. Epub 2005 Jul 25.
- Background: PubMed 17442998Gatzemeier U, Pluzanska A, Szczesna A, Kaukel E, Roubec J, De Rosa F, Milanowski J, Karnicka-Mlodkowski H, Pesek M, Serwatowski P, Ramlau R, Janaskova T, Vansteenkiste J, Strausz J, Manikhas GM, Von Pawel J. Phase III study of erlotinib in combination with cisplatin and gemcitabine in advanced non-small-cell lung cancer: the Tarceva Lung Cancer Investigation Trial. J Clin Oncol. 2007 Apr 20;25(12):1545-52. doi: 10.1200/JCO.2005.05.1474.
- Background: PubMed 15681531Marchetti A, Martella C, Felicioni L, Barassi F, Salvatore S, Chella A, Camplese PP, Iarussi T, Mucilli F, Mezzetti A, Cuccurullo F, Sacco R, Buttitta F. EGFR mutations in non-small-cell lung cancer: analysis of a large series of cases and development of a rapid and sensitive method for diagnostic screening with potential implications on pharmacologic treatment. J Clin Oncol. 2005 Feb 1;23(4):857-65. doi: 10.1200/JCO.2005.08.043.
- Background: PubMed 17285735Sequist LV, Joshi VA, Janne PA, Muzikansky A, Fidias P, Meyerson M, Haber DA, Kucherlapati R, Johnson BE, Lynch TJ. Response to treatment and survival of patients with non-small cell lung cancer undergoing somatic EGFR mutation testing. Oncologist. 2007 Jan;12(1):90-8. doi: 10.1634/theoncologist.12-1-90.
- Background: PubMed 16115929Taron M, Ichinose Y, Rosell R, Mok T, Massuti B, Zamora L, Mate JL, Manegold C, Ono M, Queralt C, Jahan T, Sanchez JJ, Sanchez-Ronco M, Hsue V, Jablons D, Sanchez JM, Moran T. Activating mutations in the tyrosine kinase domain of the epidermal growth factor receptor are associated with improved survival in gefitinib-treated chemorefractory lung adenocarcinomas. Clin Cancer Res. 2005 Aug 15;11(16):5878-85. doi: 10.1158/1078-0432.CCR-04-2618.
- Background: PubMed 17060486van Zandwijk N, Mathy A, Boerrigter L, Ruijter H, Tielen I, de Jong D, Baas P, Burgers S, Nederlof P. EGFR and KRAS mutations as criteria for treatment with tyrosine kinase inhibitors: retro- and prospective observations in non-small-cell lung cancer. Ann Oncol. 2007 Jan;18(1):99-103. doi: 10.1093/annonc/mdl323. Epub 2006 Oct 23.
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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.
Alberto Scanni, MD principal investigator
Fatebenefratelli and Ophthalmic Hospital
105 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Erlotinib and Docetaxel in people with Non Small Cell Lung Cancer (NSCLC), run by Fatebenefratelli and Ophthalmic Hospital at 105 sites in Italy.
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 15 inclusion and 11 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: status not confirmed, as of the sponsor's last update on 24 Feb 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 105 sites in Italy. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Marina C Garassino, MD (+39 0263632223, marina.garassino@fbf.milano.it), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (time frame: 12 months after the last patient is randomized). 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 NCT00637910, which also lists 35 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 24 Feb 2012.