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Carcinoma, Non-Small-Cell LungPhase 3NCT00656136

BIBW 2992 and BSC Versus Placebo and BSC in Non-small Cell Lung Cancer Patients Failing Erlotinib or Gefitinib (LUX-LUNG 1)

A Phase 3 study testing BIBW 2992 in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 90 sites in 15 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

This randomized, double-blind, multi-center Phase IIb/III trial will be performed in patients with NSCLC who have received previous treatment with at least one but not more than two lines of cytotoxic chemotherapy (one line must have been a platinum-containing regimen) and either gefitinib or erlotinib for a period of… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Carcinoma, Non-Small-Cell Lung
What is being tested?
BIBW 2992
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
585 participants
Where
90 sitesin 15 countries
Study dates
Apr 2008to Oct 2013
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

  • Patients with pathologic confirmation of NSCLC Stage III-B (with pleural effusion) or Stage IV adenocarcinoma who have failed at least one but not more than two lines of cytotoxic chemotherapy (including adjuvant chemotherapy). One of the chemotherapy regimens must have been platinum-based.
  • Progressive disease following at least 12 weeks of treatment with erlotinib (Tarceva®) or gefitinib (Iressa®)
  • Eastern Cooperative Oncology Group (ECOG, R01-0787) performance Score 0, 1 or 2
  • Patients with at least one tumor lesion that can accurately be measured by magnetic resonance imaging (MRI), or computed tomography (CT) in at least one dimension with longest diameter to be recorded as >20 mm using conventional techniques or >10 mm with spiral CT scan
  • Male and female patients age >18 years
  • Life expectancy of at least three (3) months
  • Written informed consent that is consistent with ICH-GCP guidelines

Who cannot join

  • Use of erlotinib (Tarceva®) or gefitinib (Iressa®) within 14 days of treatment Day 1
  • Chemo-, hormone- (other than megestrol acetate or steroids required for maintenance non-cancer therapy) or immunotherapy within the past 4 weeks
  • Active brain metastases
  • Significant or recent acute gastrointestinal disorders with diarrhea
  • Patients who have any other life-threatening illness or organ system dysfunction,
  • Other malignancies diagnosed within the past five (5) years
Show all 11Show fewer
  • Radiotherapy within the past 2 weeks prior to treatment
  • History of clinically significant or uncontrolled cardiac disease
  • Adequate ANC and platelet count
  • Adequate liver and kidney function
  • Patients with any serious active infection including known HIV, active hepatitis B or active hepatitis C

Trial locations and contacts

90 sites in 15 countries.

90 sites in 15 countries

United States14 sites
  • 1200.23.027 Boehringer Ingelheim Investigational Site

    Anaheim, California

  • 1200.23.028 Boehringer Ingelheim Investigational Site

    Berkeley, California

  • 1200.23.046 Boehringer Ingelheim Investigational Site

    Fayetteville, Arkansas

  • 1200.23.038 Boehringer Ingelheim Investigational Site

    Kingman, Arizona

  • 1200.23.029 Boehringer Ingelheim Investigational Site

    Modesto, California

  • 1200.23.045 Boehringer Ingelheim Investigational Site

    Montebello, California

  • 1200.23.020 Boehringer Ingelheim Investigational Site

    New York, New York

  • 1200.23.024 Boehringer Ingelheim Investigational Site

    North Miami Beach, Florida

  • 1200.23.009 Boehringer Ingelheim Investigational Site

    Orange, California

  • 1200.23.026 Boehringer Ingelheim Investigational Site

    Palm Springs, California

  • 1200.23.039 Boehringer Ingelheim Investigational Site

    Renton, Washington

  • 1200.23.056 Boehringer Ingelheim Investigational Site

    Salt Lake City, Utah

  • 1200.23.050 Boehringer Ingelheim Investigational Site

    Seattle, Washington

  • 1200.23.013 Boehringer Ingelheim Investigational Site

    Valhalla, New York

Other trials in United States

France11 sites
  • 1200.23.3303A Boehringer Ingelheim Investigational Site

    Besançon

  • 1200.23.3303C Boehringer Ingelheim Investigational Site

    Besançon

  • 1200.23.3305A Boehringer Ingelheim Investigational Site

    Caen

  • 1200.23.3304A Boehringer Ingelheim Investigational Site

    La Tronche

  • 1200.23.3304B Boehringer Ingelheim Investigational Site

    La Tronche

  • 1200.23.3307A Boehringer Ingelheim Investigational Site

    Lyon

  • 1200.23.3301A Boehringer Ingelheim Investigational Site

    Paris

  • 1200.23.3302A Boehringer Ingelheim Investigational Site

    Paris

  • 1200.23.3302B Boehringer Ingelheim Investigational Site

    Paris

  • 1200.23.3306A Boehringer Ingelheim Investigational Site

    Toulouse

  • 1200.23.3306C Boehringer Ingelheim Investigational Site

    Toulouse

Other trials in France

China9 sites
  • 1200.23.86001 Boehringer Ingelheim Investigational Site

    Beijing

  • 1200.23.86002 Boehringer Ingelheim Investigational Site

    Beijing

  • 1200.23.86003 Boehringer Ingelheim Investigational Site

    Beijing

  • 1200.23.86009 Boehringer Ingelheim Investigational Site

    Chengdu

  • 1200.23.86007 Boehringer Ingelheim Investigational Site

    Guangzhou

  • 1200.23.86008 Boehringer Ingelheim Investigational Site

    Hangzhou

  • 1200.23.86004 Boehringer Ingelheim Investigational Site

    Shanghai

  • 1200.23.86005 Boehringer Ingelheim Investigational Site

    Shanghai

  • 1200.23.86006 Boehringer Ingelheim Investigational Site

    Shanghai

Other trials in China

Germany8 sites
  • 1200.23.49010 Zentralklinik Bad Berka GmbH

    Bad Berka

  • 1200.23.49002 Innere Klinik und Poliklinik (Tumorforschung)

    Essen

  • 1200.23.49003 Asklepios Fachkliniken München-Gauting

    Gauting

  • 1200.23.49005 Krankenhaus Großhansdorf

    Großhansdorf

  • 1200.23.49008 Universitätsklinik Hamburg-Eppendorf

    Hamburg

  • 1200.23.49004 Johannes Gutenberg-Universität Mainz

    Mainz

  • 1200.23.49001 Universitätsklinikum Mannheim

    Mannheim

  • 1200.23.49006 HSK, Dr. Horst-Schmidt-Kliniken GmbH

    Wiesbaden

Other trials in Germany

Taiwan7 sites
  • 1200.23.88604 Taichung Veterans General Hospital

    Taichung

  • 1200.23.88605 China Medical University Hospital

    Taichung

  • 1200.23.88606 National Cheng Kung University Hospital

    Tainan

  • 1200.23.88601 National Taiwan University Hospital

    Taipei

  • 1200.23.88602 Veterans General Hospital

    Taipei

  • 1200.23.88607 Tri-Service General Hospital

    Taipei

  • 1200.23.88603 Chang Gung Memorial Hosp-Linkou

    Taoyuan

Other trials in Taiwan

Italy6 sites
  • 1200.23.39003 Boehringer Ingelheim Investigational Site

    Genova

  • 1200.23.39007 Boehringer Ingelheim Investigational Site

    Orbassano (TO)

  • 1200.23.39002 Boehringer Ingelheim Investigational Site

    Perugia

  • 1200.23.39004 Boehringer Ingelheim Investigational Site

    Prato

  • 1200.23.39008 Boehringer Ingelheim Investigational Site

    Roma

  • 1200.23.39001 Boehringer Ingelheim Investigational Site

    Rozzano (MI)

Other trials in Italy

South Korea6 sites
  • 1200.23.82005 Boehringer Ingelheim Investigational Site

    Gyeonggi-do

  • 1200.23.82006 Boehringer Ingelheim Investigational Site

    Hwasun

  • 1200.23.82001 Boehringer Ingelheim Investigational Site

    Seoul

  • 1200.23.82002 Boehringer Ingelheim Investigational Site

    Seoul

  • 1200.23.82003 Boehringer Ingelheim Investigational Site

    Seoul

  • 1200.23.82004 Boehringer Ingelheim Investigational Site

    Seoul

Other trials in South Korea

Spain6 sites
  • 1200.23.3405 Boehringer Ingelheim Investigational Site

    Barcelona

  • 1200.23.3404 Boehringer Ingelheim Investigational Site

    Cruces

  • 1200.23.3401 Boehringer Ingelheim Investigational Site

    Madrid

  • 1200.23.3403 Boehringer Ingelheim Investigational Site

    Madrid

  • 1200.23.3406 Boehringer Ingelheim Investigational Site

    Madrid

  • 1200.23.3402 Boehringer Ingelheim Investigational Site

    Valencia

Other trials in Spain

Belgium5 sites
  • 1200.23.32004 Boehringer Ingelheim Investigational Site

    Edegem

  • 1200.23.32003 Boehringer Ingelheim Investigational Site

    Ghent

  • 1200.23.32001 Boehringer Ingelheim Investigational Site

    Leuven

  • 1200.23.32005 Boehringer Ingelheim Investigational Site

    Liège

  • 1200.23.32006 Boehringer Ingelheim Investigational Site

    Namur

Other trials in Belgium

Canada5 sites
  • 1200.23.1002 Boehringer Ingelheim Investigational Site

    Edmonton, Alberta

  • 1200.23.1001 Boehringer Ingelheim Investigational Site

    Montreal, Quebec

  • 1200.23.1004 Boehringer Ingelheim Investigational Site

    Montreal, Quebec

  • 1200.23.1009 Boehringer Ingelheim Investigational Site

    Toronto, Ontario

  • 1200.23.1005 Boehringer Ingelheim Investigational Site

    Vancouver, British Columbia

Other trials in Canada

United Kingdom5 sites
  • 1200.23.4404 Boehringer Ingelheim Investigational Site

    Dundee

  • 1200.23.4403 Boehringer Ingelheim Investigational Site

    Edinburgh

  • 1200.23.4401 Boehringer Ingelheim Investigational Site

    Glasgow

  • 1200.23.4405 Boehringer Ingelheim Investigational Site

    London

  • 1200.23.4406 Boehringer Ingelheim Investigational Site

    Sutton

Other trials in United Kingdom

Netherlands3 sites
  • 1200.23.31002 Boehringer Ingelheim Investigational Site

    Amsterdam

  • 1200.23.31001 Boehringer Ingelheim Investigational Site

    Groningen

  • 1200.23.31003 Boehringer Ingelheim Investigational Site

    Helmond

Other trials in Netherlands

Thailand3 sites
  • 1200.23.66001 Boehringer Ingelheim Investigational Site

    Chiang Mai

  • 1200.23.66003 Boehringer Ingelheim Investigational Site

    Pathumwan, Bangkok

  • 1200.23.66002 Boehringer Ingelheim Investigational Site

    Songkhla

Other trials in Thailand

Hong Kong1 site
  • 1200.23.85202 Boehringer Ingelheim Investigational Site

    Hong Kong

Other trials in Hong Kong

Singapore1 site
  • 1200.23.65001 Boehringer Ingelheim Investigational Site

    Singapore

Other trials in Singapore

About this study

Official title: Phase IIb/III Randomized, Double-blind Trial of BIBW 2992 Plus Best Supportive Care (BSC) Versus Placebo Plus BSC in Non-small Cell Lung Cancer Patients Failing Erlotinib or Gefitinib (LUX-Lung 1)

This randomized, double-blind, multi-center Phase IIb/III trial will be performed in patients with NSCLC who have received previous treatment with at least one but not more than two lines of cytotoxic chemotherapy (one line must have been a platinum-containing regimen) and either gefitinib or erlotinib for a period of at least 12 weeks and then progressed.

The primary objective of this randomized trial is to determine the efficacy of BIBW 2992 as a single agent (Arm A) as compared to a matching placebo (Arm B) in this patient population. Patients on both treatment arms will receive best supportive care in addition to study treatment.

Patients enrolled into the trial will be treated and followed until death or lost to follow-up.

Being tested
placebo, BIBW 2992
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.

  • placeboDrug

    Patients receive placebo once daily

  • BIBW 2992Drug

    Patients receive afatinib tablets once daily, and can reduce dose for adverse event management. Afatinib is given once daily, continuously until disease progression or unacceptable toxicity.

Study groups in NCT00656136
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPatients receive placebo once daily
Receives: Drug: placebo
BIBW 2992ExperimentalPatients receive BIBW 2992 tablets once daily
Receives: Drug: BIBW 2992

What is being measured

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

  1. Overall Survival

    Overall survival was the duration from the date of randomization to the date of death. Patients who were alive were censored at the last contact date prior to the database lock.

    For the primary analysis 11 patients were lost to follow-up and were censored at the last contact date when they were known to be still alive. Primary analysis data cut-off date was 08 July 2010.

    For the final analysis 13 patients were lost to follow-up and were censored at the last contact date when they were known to be still alive. Final analysis data cut-off date was 04 October 2013.

    Measured: From randomization until death or the last patient out date, an average of 12 months

Secondary outcomes (2)
  1. Progression-free Survival (PFS)

    PFS is defined as time from randomisation to disease progression or death whichever occurs first. Assessed by central independent review according to the Response Evaluation Criteria in Solid Tumours version 1.0 (RECIST 1.0).

    Measured: From randomization to disease progression, death or the data cutoff on 07 July 2010, an average of 3.3 months

  2. Objective Response Rate (OR)

    OR is defined as complete response (CR) and partial response (PR). Assessed by central independent review according to RECIST 1.0.

    Measured: From randomization to disease progression, death or the data cutoff on 07 July 2010, an average of 3.3 months

Timeline

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

  1. First posted10 Apr 2008 (estimated)
  2. Study startApr 2008
  3. Primary completionOct 2013
  4. Study completionOct 2013

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
585 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00656136
Sponsor's protocol ID
1200.23
Other IDs
2007-005983-28
Status last verified
Jun 2016
First submitted
4 Apr 2008
Last updated
26 Jul 2016

Publications

  • Miller VA, Hirsh V, Cadranel J, Chen YM, Park K, Kim SW, Zhou C, Su WC, Wang M, Sun Y, Heo DS, Crino L, Tan EH, Chao TY, Shahidi M, Cong XJ, Lorence RM, Yang JC. Afatinib versus placebo for patients with advanced, metastatic non-small-cell lung cancer after failure of erlotinib, gefitinib, or both, and one or two lines of chemotherapy (LUX-Lung 1): a phase 2b/3 randomised trial. Lancet Oncol. 2012 May;13(5):528-38. doi: 10.1016/S1470-2045(12)70087-6. Epub 2012 Mar 26.

    PubMed 22452896

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BIBW 2992 in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 90 sites in 15 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 7 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: finished, as of the sponsor's last update on 26 Jul 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 90 sites in United States, France, China, Germany, Taiwan and 10 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. Some participants in this study may receive a placebo. 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 27 Nov 2013). 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?

Overall Survival (time frame: From randomization until death or the last patient out date, an average of 12 months). 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 NCT00656136, 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 26 Jul 2016.

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