AzTrials
AzTrials

Non-small Cell Lung CancerPhase 3ZODIACNCT00312377

ZACTIMA (an Anti-EGFR / Anti-VEGF Agent) Combined With Docetaxel Compared to Docetaxel in Non-small Cell Lung Cancer

A Phase 3 study testing Docetaxel and Vandetanib in people with Non-small Cell Lung Cancer and Lung Cancer, run by Genzyme, a Sanofi Company at 156 sites in 25 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 large phase III clinical study is studying the effect of vandetanib (ZACTIMA) in treating non-small cell lung cancer (NSCLC). Vandetanib is a new type of agent that targets the blood supply to a cancer tumour (through it's anti-vascular endothelial growth factor receptor (VEGFR) properties) and the tumour cells… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-small Cell Lung Cancer, Lung Cancer
What is being tested?
Docetaxel and Vandetanib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,690 participants
Where
156 sitesin 25 countries
Study dates
May 2006to Mar 2014
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

  • Lung cancer patients who answer true to the following statements are eligible to join this clinical study.
  • I have a confirmed diagnosis of locally advanced or metastatic non small cell lung cancer (Stage IIIb - IV)
  • I have had 1st line anti-cancer therapy. Previous treatment with Avastin (bevacizumab) in first line NSCLC is allowed.

Who cannot join

  • Lung cancer patients who answer true to the following are NOT eligible to join this clinical study.
  • I do not have non small cell lung cancer (NSCLC)
  • I have received treatment with docetaxel (Taxotere). Prior treatment with paclitaxel is acceptable.
  • I have received 2nd line anti-cancer therapy (For example, patients with previous 2nd line non small cell lung cancer (NSCLC) treatment with Tarceva (erlotinib, OSI-744), Alimta (pemetrexed) are not eligible)
  • I have been treated with VEGFR-tyrosine kinase inhibitors (TKIs) (sunitinib, sorafenib, other VEGF TKIs). Previous treatment with Avastin (bevacizumab) in 1st line non small cell lung cancer is permitted.
  • I have a history of uncontrolled irregular heartbeat
  • I have a history of high blood pressure which has not been controlled with medication If you are unsure of the meaning of the inclusion and exclusion criteria above, please contact the call center number for help.

Trial locations and contacts

156 sites in 25 countries.

156 sites in 25 countries

United States27 sites
  • Research Site

    Albany, New York

  • Research Site

    Alexandria, Virginia

  • Research Site

    Ann Arbor, Michigan

  • Research Site

    Armonk, New York

  • Research Site

    Austin, Texas

  • Research Site

    Boston, Massachusetts

  • Research Site

    Colorado Springs, Colorado

  • Research Site

    Durham, North Carolina

  • Research Site

    Fullerton, California

  • Research Site

    Henderson, Nevada

  • Research Site

    Hickory, North Carolina

  • Research Site

    Houston, Texas

  • Research Site

    Hutchinson, Kansas

  • Research Site

    Joliet, Illinois

  • Research Site

    Los Angeles, California

  • Research Site

    Louisville, Kentucky

  • Research Site

    Marietta, Georgia

  • Research Site

    New York, New York

  • Research Site

    Northridge, California

  • Research Site

    Norwalk, Connecticut

  • Research Site

    Ocala, Florida

  • Research Site

    Ogden, Utah

  • Research Site

    Park Ridge, Illinois

  • Research Site

    Portland, Oregon

  • Research Site

    Salem, Virginia

  • Research Site

    St Louis, Missouri

  • Research Site

    Vancouver, Washington

Other trials in United States

Japan20 sites
  • Research Site

    Akashi-shi

  • Research Site

    Fukuoka

  • Research Site

    Isehara-shi

  • Research Site

    Kobe

  • Research Site

    Kōtoku

  • Research Site

    Kumamoto

  • Research Site

    Matsuyama

  • Research Site

    Nagoya

  • Research Site

    Okayama

  • Research Site

    Okazaki-shi

  • Research Site

    Osaka

  • Research Site

    Osakasayama-shi

  • Research Site

    Sakaishi

  • Research Site

    Sapporo

  • Research Site

    Shinjuku-ku

  • Research Site

    Sunto-gun

  • Research Site

    Toyonaka

  • Research Site

    Ube-shi

  • Research Site

    Utsunomiya

  • Research Site

    Yokohama

Other trials in Japan

Germany11 sites
  • Research Site

    Bad Berka

  • Research Site

    Berlin

  • Research Site

    Cologne

  • Research Site

    Essen

  • Research Site

    Großhansdorf

  • Research Site

    Halle

  • Research Site

    Hamburg

  • Research Site

    Heidelberg

  • Research Site

    Oldenburg

  • Research Site

    Ulm

  • Research Site

    Wiesbaden

Other trials in Germany

Italy11 sites
  • Research Site

    Ancona

  • Research Site

    Avellino

  • Research Site

    Bologna

  • Research Site

    Genova

  • Research Site

    Mantua

  • Research Site

    Naples

  • Research Site

    Orbassano

  • Research Site

    Parma

  • Research Site

    Perugia

  • Research Site

    Pisa

  • Research Site

    Reggio Emilia

Other trials in Italy

Canada8 sites
  • Research Site

    Edmonton, Alberta

  • Research Site

    Halifax, Nova Scotia

  • Research Site

    Kitchener, Ontario

  • Research Site

    Laval, Quebec

  • Research Site

    London, Ontario

  • Research Site

    Moncton, New Brunswick

  • Research Site

    Québec, Quebec

  • Research Site

    Toronto, Ontario

Other trials in Canada

France8 sites
  • Research Site

    Bordeaux

  • Research Site

    Boulogne-Billancourt

  • Research Site

    Caen

  • Research Site

    Dijon

  • Research Site

    Nancy

  • Research Site

    Paris

  • Research Site

    Pierre-Bénite

  • Research Site

    Saint-Herblain

Other trials in France

India7 sites
  • Research Site

    Ahmedabad

  • Research Site

    Chennai

  • Research Site

    Hyderabad

  • Research Site

    Kolkata

  • Research Site

    New Delhi

  • Research Site

    Pune

  • Research Site

    Vellore

Other trials in India

Austria6 sites
  • Research Site

    Graz

  • Research Site

    Grimmenstein

  • Research Site

    Innsbruck

  • Research Site

    Linz

  • Research Site

    Vienna

  • Research Site

    Wels

Other trials in Austria

China6 sites
  • Research Site

    Beijing

  • Research Site

    Chongqing

  • Research Site

    Guangzhou

  • Research Site

    Nanjing

  • Research Site

    Shanghai

  • Research Site

    Wuhan

Other trials in China

Argentina5 sites
  • Research Site

    Bahía Blanca

  • Research Site

    Capital Federal

  • Research Site

    Ciudad de Buenos Aires

  • Research Site

    Mendoza

  • Research Site

    Rosario

Other trials in Argentina

Belgium5 sites
  • Research Site

    Brussels (Jette)

  • Research Site

    Brussels (Woluwé-St-Lambert)

  • Research Site

    Edegem

  • Research Site

    Genk

  • Research Site

    Liège

Other trials in Belgium

Brazil5 sites
  • Research Site

    Fortaleza

  • Research Site

    Goiânia

  • Research Site

    Porto Alegre

  • Research Site

    Rio de Janeiro

  • Research Site

    São Paulo

Other trials in Brazil

Denmark5 sites
  • Research Site

    Herlev

  • Research Site

    København Ø

  • Research Site

    Odense

  • Research Site

    Roskilde

  • Research Site

    Vejle

Other trials in Denmark

Portugal5 sites
  • Research Site

    Coimbra

  • Research Site

    Funchal

  • Research Site

    Lisbon

  • Research Site

    Porto

  • Research Site

    Vila Nova de Gaia

Other trials in Portugal

Spain5 sites
  • Research Site

    A Coruña

  • Research Site

    Alicante

  • Research Site

    Madrid

  • Research Site

    Málaga

  • Research Site

    Zaragoza

Other trials in Spain

Netherlands4 sites
  • Research Site

    's-Hertogenbosch

  • Research Site

    Amsterdam

  • Research Site

    Groningen

  • Research Site

    Maastricht

Other trials in Netherlands

Malaysia3 sites
  • Research Site

    George Town

  • Research Site

    Kampung Baharu Nilai

  • Research Site

    Kubang Kerian

Other trials in Malaysia

Mexico3 sites
  • Research Site

    Durango

  • Research Site

    Morelia

  • Research Site

    Toluca

Other trials in Mexico

Turkey (Türkiye)3 sites
  • Research Site

    Ankara

  • Research Site

    Istanbul

  • Research Site

    Izmir

Other trials in Turkey (Türkiye)

Greece2 sites
  • Research Site

    Athens

  • Research Site

    Heraklion

Other trials in Greece

Indonesia2 sites
  • Research Site

    Jakarta Timur

  • Research Site

    Yogyakarta

Other trials in Indonesia

Vietnam2 sites
  • Research Site

    Hanoi

  • Research Site

    Ho Chi Minh City

Other trials in Vietnam

Singapore1 site
  • Research Site

    Singapore

Other trials in Singapore

South Korea1 site
  • Research Site

    Seoul

Other trials in South Korea

Thailand1 site
  • Research Site

    Chiang Mai

Other trials in Thailand

About this study

Official title: A Phase III, Randomized, Double-Blinded, Multi-Center, Study to Assess the Efficacy of Docetaxel (TAXOTERE™) in Combination With ZD6474 (ZACTIMA™) Versus Docetaxel (TAXOTERE™) With Placebo in Subjects With Locally Advanced or Metastatic NSCLC

This large phase III clinical study is studying the effect of vandetanib (ZACTIMA) in treating non-small cell lung cancer (NSCLC). Vandetanib is a new type of agent that targets the blood supply to a cancer tumour (through it's anti-vascular endothelial growth factor receptor (VEGFR) properties) and the tumour cells themselves (through it's anti-endothelial growth factor receptor (EGFR) actions). This study will look at the effects of vandetanib in lung cancer patients who have had their cancer re-appear after treatment with standard chemotherapy.

This clinical study will test if the vandetanib anti-VEGF and anti-EGFR characteristics can deliver longer improved progression free survival and improved overall survival than docetaxel (Taxotere) alone.

Read more

All patients participating this clinical study will receive treatment with docetaxel, a commonly used treatment for recurrent non-small cell lung cancer.

In addition, some patients will also receive vandetanib (ZACTIMA), an anti-EGFR / anti-VEGF agent.

Recent clinical research shows that vascular endothelial growth factor receptor (VEGFR) inhibition, when used with standard chemotherapy, can lead to increased survival in advanced non-small cell lung cancer (NSCLC) patients.

Other research shows that epidermal growth factor receptor (EGFR) inhibitors, like erlotinib (Tarceva) can also increase overall non-small cell lung cancer survival by killing tumour cells and stopping them from dividing.

Being tested
Docetaxel, Vandetanib
Keywords
Non-small cell lung cancer, NSCLC
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms

What participants receive

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

  • DocetaxelDrug

    Also called TAXOTERE™

    infusion

  • VandetanibDrug

    Also called ZACTIMA™, ZD6474

    oral

Study groups in NCT00312377
Study groupRoleWhat they receive
1Active comparatorDocetaxel monotherapy
Receives: Drug: Docetaxel
2ExperimentalVandetanib + Docetaxel
Receives: Drug: Docetaxel; Drug: Vandetanib

What is being measured

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

  1. Progression-Free Survival (PFS) in the Overall Population

    Median time (in weeks) from randomisation until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable RECIST assessment. Progression was derived according to RECIST 1.0 and is defined as an increase of at least 20% in the total tumour size of measurable lesions over the nadir measurement, unequivocal progression in the non-target lesions or the appearance of one or more new lesions.

    Measured: RECIST tumour assessments carried out every 6 weeks from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first assessed up to 24 months

  2. Progression-Free Survival (PFS) in the Female Population

    Median time (in weeks) from randomisation until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable RECIST assessment. Progression was derived according to RECIST 1.0 and is defined as an increase of at least 20% in the total tumour size of measurable lesions over the nadir measurement, unequivocal progression in the non-target lesions or the appearance of one or more new lesions.

    Measured: RECIST tumour assessments carried out every 6 weeks from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first assessed up to 24 months

Secondary outcomes (7)
  1. Overall Survival (OS) in the Overall Population

    Overall survival is defined as the time from date of randomization until death. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive (ie their status must be known at the censored date and should not be lost to follow up or unknown).

    Measured: Time to death in months

  2. Overall Survival (OS) in the Female Population

    Overall survival is defined as the time from date of randomization until death. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive (ie their status must be known at the censored date and should not be lost to follow up or unknown).

    Measured: Time to death in months

  3. Objective Response Rate (ORR)

    The ORR is the number of patients that are responders ie those patients with a confirmed best objective response of complete response (CR) or partial response (PR) as determined according to RECIST 1.0. CR is defined as the disappearance of all target lesions with no evidence of tumour elsewhere and PR is defined as at least a 30% reduction in the total tumour size of measurable lesions with no new lesions and no progression in the non-target lesions.

    Measured: Each patient was assessed for objective response from the sequence of RECIST scan data up to data cut off. RECIST tumour assessments carried out every 6 weeks from randomisation until objective progression

  4. Disease Control Rate (DCR)

    Disease control rate is defined as the number of patients who achieved disease control at least 6 weeks following randomisation. Disease control at 6 weeks is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) >= 6 weeks as determined according to RECIST 1.0. CR is defined as the disappearance of all target lesions with no evidence of tumour elsewhere, PR is defined as at least a 30% reduction in the total tumour size of measurable lesions with no new lesions and no progression in the non-target lesions and SD >= 6 is assigned to patients who have not responded and have no evidence of progression at least 6 weeks after randomisation.

    Measured: RECIST tumour assessments carried out every 6 weeks from randomisation until objective progression

  5. Duration of Response (DoR)

    Response is defined as a confirmed best objective response of CR or PR. Duration of response is defined as time from the date of first documented response until date of documented progression or death in the absence of disease progression (provided death is within 3 months of last RECIST assessment)

    Measured: RECIST tumour assessments carried out every 6 weeks from randomisation until objective progression

  6. Time to Deterioration of Disease-related Symptoms (TDS) by Functional Assessment of Cancer Therapy - Lung (FACT-L) Lung Cancer Subscale (LCS).

    The lung cancer subscale (LCS) consists of 7 items of the FACT-L (3 items relating to breathing/dyspnea, and 1 item each relating to cough, weight loss, appetite, and cognition). The LCS total score is the sum of the scores from the 7 items.

    Time to deterioration is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 21 days.

    A patient will be defined as having a deterioration in symptoms if they have a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 21 days.

    Measured: FACT-L questionnaires are to be administered every 3 weeks after randomisation

  7. Time to Deterioration of Disease-related Symptoms (TDS) by FACT-L Pulmonary Symptom Index (PSI)

    The pulmonary symptom index (PSI) consists of 4 items of the LCS relating to pulmonary symptoms (i.e. 3 items relating to breathing/dyspnea, and 1 item relating to cough). The PSI score is the sum of the scores from the 4 items.

    Time to deterioration is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 21 days.

    A patient will be defined as having a deterioration in symptoms if they have a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 21 days.

    Measured: FACT-L questionnaires are to be administered every 3 weeks after randomisation

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 2006 (estimated)
  2. Study startMay 2006
  3. Primary completionAug 2008
  4. Study completionMar 2014

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,690 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00312377
Sponsor's protocol ID
D4200C00032
Other IDs
6474IL/0032, 2005-004749-32, 2005
Acronym
ZODIAC
Status last verified
Aug 2016
First submitted
6 Apr 2006
Last updated
30 Sep 2016

Publications

  • Lombard A, Mistry H, Aarons L, Ogungbenro K. Dose individualisation in oncology using chemotherapy-induced neutropenia: Example of docetaxel in non-small cell lung cancer patients. Br J Clin Pharmacol. 2021 Apr;87(4):2053-2063. doi: 10.1111/bcp.14614. Epub 2020 Dec 19.

    PubMed 33075149
  • Platt A, Morten J, Ji Q, Elvin P, Womack C, Su X, Donald E, Gray N, Read J, Bigley G, Blockley L, Cresswell C, Dale A, Davies A, Zhang T, Fan S, Fu H, Gladwin A, Harrod G, Stevens J, Williams V, Ye Q, Zheng L, de Boer R, Herbst RS, Lee JS, Vasselli J. A retrospective analysis of RET translocation, gene copy number gain and expression in NSCLC patients treated with vandetanib in four randomized Phase III studies. BMC Cancer. 2015 Mar 23;15:171. doi: 10.1186/s12885-015-1146-8.

    PubMed 25881079
  • Heymach JV, Lockwood SJ, Herbst RS, Johnson BE, Ryan AJ. EGFR biomarkers predict benefit from vandetanib in combination with docetaxel in a randomized phase III study of second-line treatment of patients with advanced non-small cell lung cancer. Ann Oncol. 2014 Oct;25(10):1941-1948. doi: 10.1093/annonc/mdu269. Epub 2014 Jul 23.

    PubMed 25057173
  • Herbst RS, Sun Y, Eberhardt WE, Germonpre P, Saijo N, Zhou C, Wang J, Li L, Kabbinavar F, Ichinose Y, Qin S, Zhang L, Biesma B, Heymach JV, Langmuir P, Kennedy SJ, Tada H, Johnson BE. Vandetanib plus docetaxel versus docetaxel as second-line treatment for patients with advanced non-small-cell lung cancer (ZODIAC): a double-blind, randomised, phase 3 trial. Lancet Oncol. 2010 Jul;11(7):619-26. doi: 10.1016/S1470-2045(10)70132-7.

    PubMed 20570559

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Docetaxel and Vandetanib in people with Non-small Cell Lung Cancer and Lung Cancer, run by Genzyme, a Sanofi Company at 156 sites in 25 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 3 inclusion and 7 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 30 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 156 sites in United States, Japan, Germany, Italy, Canada and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 May 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-Free Survival (PFS) in the Overall Population (time frame: RECIST tumour assessments carried out every 6 weeks from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first assessed up to 24 months). The study lists 2 primary outcomes in all. 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 NCT00312377, which also lists 4 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 30 Sep 2016; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in