Non-Small Cell Lung CancerPhase 2NCT00343291
A Study of Cetuximab and Bevacizumab in Combination With Paclitaxel and Carboplatin in Stage IIIb/IV NSCLC
A Phase 2 study testing Cetuximab, Bevacizumab and Paclitaxel in people with Non-Small Cell Lung Cancer, run by Eli Lilly and Company at 43 sites in United States.
Trial summary
The primary objective of this study will be to determine the progression free survival of patients with stage IIIb/IV non-small cell lung cancer (NSCLC) treated with dual agent monoclonal antibody therapy consisting of cetuximab and bevacizumab in combination with two different regimens of paclitaxel and carboplatin… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer
- What is being tested?
- Cetuximab, Bevacizumab and Paclitaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 121 participants
- Where
- 43 sitesUnited States
- Study dates
- Dec 2006to Dec 2010
- 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
- The patient has histologically or cytologically confirmed non-small cell lung cancer (NSCLC), except squamous cell carcinoma. Mixed tumors will be categorized by the predominant cell type, but the presence of small cell lung cancer elements will make the patient ineligible. Cytologic or histologic elements can be established on metastatic tumor aspirates or biopsy.
- The patient has advanced NSCLC (Stage IIIB with malignant pleural effusion or Stage IV or recurrent disease).
- Patients must have measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST).
- The patient's Eastern Cooperative Oncology Group (ECOG) performance status is 0 or 1.
- The patient has adequate hematologic function as defined by an Absolute Neutrophil Count greater than or equal to 1500/mm³,hemoglobin greater than or equal to 9 gm/dL, and a platelet count greater than or equal to 100,000/mm³ obtained within 2 weeks prior to the first dose of study medication.
- The patient has adequate hepatic function as defined by a total bilirubin greater than or equal to 1.5 mg/dL and transaminases and alkaline phosphatase less than or equal to 5 x the Upper Limit of Normal (ULN) obtained within 2 weeks prior to the first dose of study medication.
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- The patient has adequate renal function as defined by serum creatinine less than or equal to 1.5 x ULN or calculated creatinine clearance (CrCl) >60 mL/minute, and urine dipstick for proteinuria <1+ (ie, either 0 or trace) obtained within 2 weeks prior to the first dose of study medication. If urine dipstick is greater than or equal to 1+, then a 24-hour urine for protein must demonstrate <500 mg of protein in 24 hours to allow participation in the study.
- The patient has adequate coagulation function as defined by International Normalized Ratio less than or equal to 1.5 and a Prothrombin time and partial thromboplastin time less than or equal to ULN obtained within 2 weeks prior to the first dose of study medication.
- The patient, if a woman of childbearing potential, agrees to use an accepted and effective method of contraception (hormonal or barrier methods, abstinence) prior to study entry and for the duration of the study. If a male and sexually active, the patient agrees to use effective contraception.
Who cannot join
- The patient has known Central Nervous System metastases. A head computed tomography (CT) is required within 4 weeks prior to the first dose of study medication (magnetic resonance imagines [MRIs] are also acceptable).
- The patient has received prior cetuximab therapy.
- The patient has received prior bevacizumab therapy.
- The patient has received prior systemic chemotherapy or radiation therapy at any time for lung cancer.
- Any concurrent malignancy other than basal cell skin cancer, or carcinoma in situ of the cervix. Patients with adequately treated cancers of other histologies who have been disease-free for more than 3 years prior to the first treatment dose are eligible.
- Concurrent treatment with other anti-cancer therapy, including other chemotherapy, immunotherapy, hormonal therapy, radiotherapy, chemoembolization, or targeted therapy.
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- The patient has an ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
- The patient has a history of thrombotic or hemorrhagic disorders.
- The patient has uncontrolled hypertension (>150/100 mmHg) on a standard regimen of anti-hypertensive therapy.
- The patient is receiving chronic daily treatment with aspirin (>325 mg/day) or nonsteroidal anti-inflammatory agents known to inhibit platelet function.
- The patient is receiving treatment with dipyridamole (Persantine®), ticlopidine (Ticlid®), clopidogrel (Plavix®) and /or cilostazol (Pletal®).
- The patient is receiving anti-coagulation therapy. Prophylactic anti-coagulation of venous access devices is allowed. Caution should be taken on treating patients with low dose heparin or low molecular weight heparin for deep vein thrombosis (DVT) prophylaxis during treatment with bevacizumab as there may be an increased risk of bleeding.
- Patients with a history of gross hemoptysis (defined as bright red blood or greater than or equal to ½ teaspoon).
- The patient has a serious non-healing wound ulcer, bone fracture, or major surgical procedure within 30 days prior to first dose of study medication.
- Elective or planned major surgery to be performed during the course of the trial.
- The patient has a pre-existing neuropathy >grade 1.
- The patient, if a woman, is pregnant or lactating.
Trial locations and contacts
43 sites in 1 country.
43 sites in 1 country
United States43 sites
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Athens, Georgia, 30607
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Augusta, Georgia, 30901
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Baltimore, Maryland, 21237
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Bethesda, Maryland, 20817
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Charleston, South Carolina, 29403
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Chicago, Illinois, 60612
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Dallas, Texas, 75230
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Decatur, Alabama, 35601
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Evanston, Illinois, 60201
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Fairfield, Connecticut, 06824
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Fountain Valley, California, 92708
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Grapevine, Texas, 76051
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Grass Valley, California, 95945
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Greenbrae, California, 94904
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Gurnee, Illinois, 60031
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High Point, North Carolina, 27262
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Hilton Head Island, South Carolina, 29926
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Hollywood, Florida, 33021
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Houston, Texas, 77024
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Houston, Texas, 77030
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Huntsville, Alabama, 35805
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Jacksonville, Florida, 32256
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Johnson City, Tennessee, 37604
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Kalamazoo, Michigan, 49048
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Lambertville, Michigan, 48144
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Langhorne, Pennsylvania, 19047
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Lansing, Michigan, 48910
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Las Vegas, Nevada, 89109
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Lincoln, Nebraska, 68510
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Louisville, Kentucky, 40215
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Metairie, Louisiana, 70006
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Mt. Pleasant, South Carolina, 29464
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New Port Richey, Florida, 34655
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Oklahoma City, Oklahoma, 73112
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Orange, California, 92868
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Philadelphia, Pennsylvania, 19114
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Scottsdale, Arizona, 85258
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St Louis, Missouri, 63110
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St. Petersburg, Florida, 33705
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Tacoma, Washington, 98405
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Tulsa, Oklahoma, 74136
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Wichita, Kansas, 67214
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Willow Grove, Pennsylvania, 19090
About this study
Official title: Phase II Randomized, Open-Label Study of Cetuximab and Bevacizumab in Combination With Paclitaxel and Carboplatin in Patients With Stage IIIB/IV Non-Small Cell Lung Cancer
The primary objective of this study will be to determine the progression free survival of patients with stage IIIb/IV non-small cell lung cancer (NSCLC) treated with dual agent monoclonal antibody therapy consisting of cetuximab and bevacizumab in combination with two different regimens of paclitaxel and carboplatin chemotherapy.
- Conditions
- Non-Small Cell Lung Cancer
- Being tested
- Cetuximab, Bevacizumab, Paclitaxel, Carboplatin
- Keywords
- Non-Small Cell Lung Cancer, Malignant pleural effusions
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Pleural Effusion, Malignant
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CetuximabBiological
Also called Erbitux
Administered intravenously
BevacizumabBiological
Administered intravenously
PaclitaxelDrug
Administered intravenously
CarboplatinDrug
Administered intravenously
| Study group | Role | What they receive |
|---|---|---|
| Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/6) | Active comparator | Cycles 1-6:
* Cetuximab 400 mg/m² initial dose on day 1 and then 250 mg/m² given every week
* Bevacizumab 15 mg/kg given on day 8 of every 3 week cycle
* Paclitaxel 200 mg/m² on day 1 of every 3 week cycle
* Carboplatin area under curve (AUC=6 min*mg/mL) on day 1 of every 3 week cycle
Patients who demonstrate a response or stable disease after six cycles of therapy may continue on weekly cetuximab monotherapy until disease progression, unacceptable toxicity, or another withdrawal criterion is met Receives: Biological: Cetuximab; Biological: Bevacizumab; Drug: Paclitaxel; Drug: Carboplatin |
| Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/3) | Active comparator | Cycles 1-6:
* Cetuximab 400 mg/m² initial dose on day 1 and then 250 mg/m² given every week
* Bevacizumab 15 mg/kg given on day 8 of every 3 week cycle
Cycles 1-3:
* Paclitaxel 200 mg/m² on day 1 of each 3 week cycle for the first 3 cycles
* Carboplatin AUC=6 min*mg/mL on day 1 of each 3 week cycle for the first 3 cycles
Patients who demonstrate a response or stable disease after six cycles of therapy may continue on weekly cetuximab monotherapy until disease progression, unacceptable toxicity, or another withdrawal criterion is met Receives: Biological: Cetuximab; Biological: Bevacizumab; Drug: Paclitaxel; Drug: Carboplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS)
PFS is defined as the time from randomization until the date of progression of disease (PD) or death from any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD ≥20% increase in sum of longest diameter of target lesions. Participants who are alive and without PD will be censored at the date of their last tumor assessment.
Measured: Randomization to PD or date of death from any cause up to 33.1 months
Secondary outcomes (4)
Overall Survival
Overall survival is defined as the time from randomization to death. Participants who are alive will be censored on the last known alive date.
Measured: Randomization to the date of death from any cause up to 42.7 months
Percentage of Participants Achieving an Objective Overall Response (Overall Response Rate)
The best objective overall response rate (ORR) is the percentage of randomized participants with a best overall response of complete response (CR) or partial response (PR), as classified by the investigator according to the RECIST guidelines. CR=disappearance of all target lesions; PR≥30% decrease in sum of longest diameter of target lesions. ORR is calculated as a total number of participants with CR or PR divided by the total number of participants treated in that arm, multiplied by 100. Participants with no post-baseline evaluation will be considered as a non-responder.
Measured: Randomization to measured progressive disease up to 31.8 months
Duration of Overall Response
The duration of response, in participants with best overall response of CR or PR, is measured from the date criteria are met for CR/PR (whichever is first recorded), until the first date that the criteria for PD is met or death. CR, PR, and PD, as classified by the investigator according to the RECIST guidelines. CR=disappearance of all target lesions; PR≥30% decrease in sum of longest diameter of target lesions; PD≥20% increase in sum of longest diameter of target lesions. Participants who are alive and without PD will be censored at the date of their last tumor assessment.
Measured: Time of first response to the first date of PD or death due to any cause up to 31.8 months
Percentage of Participants With Symptomatic Response (Symptom Response Rate)
Functional Assessment of Cancer Therapy for Patients With Lung Cancer (FACT-L) measures domains of health-related quality of life (HR-QL): physical wellbeing (WB), social/family WB, emotional WB, functional WB, and additional lung cancer concerns. Symptom response (improvement) was defined as ≥2 point increase from baseline in the 7-item Lung cancer subscale (LCS) score maintained for 2 consecutive assessments. Scores range from 0-28 with higher scores indicating fewer symptoms. Patients with a score of >26 were not evaluable for symptom response, since a score of 28 is the maximum possible.
Measured: From date of partial response until progression of disease up to 31.8 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2006 (estimated)
- Study startDec 2006
- Primary completionMay 2010
- Study completionDec 2010
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.
- Other trials for Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe 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
- 121 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00343291
- Sponsor's protocol ID
- 13421
- Other IDs
- I4E-MC-S001, CP02-0554
- Status last verified
- May 2011
- First submitted
- 20 Jun 2006
- Last updated
- 7 Jun 2011
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Jun 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Randomized, Open-Label Study of Cetuximab and Bevacizumab in Combination With Paclitaxel and Carboplatin in Patients With Stage IIIB/IV Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT00343291
- Acronym / sponsor ID
- 13421
- Conditions
- Non-Small Cell Lung Cancer
- Keywords
- Non-Small Cell Lung Cancer, Malignant pleural effusions
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 121 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- Dec 2006
- Primary completion
- May 2010 (actual)
- Study completion
- Dec 2010 (actual)
- First posted
- 22 Jun 2006 (estimated)
- Results
- Posted 7 Jun 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study will be to determine the progression free survival of patients with stage IIIb/IV non-small cell lung cancer (NSCLC) treated with dual agent monoclonal antibody therapy consisting of cetuximab and bevacizumab in combination with two different regimens of paclitaxel and carboplatin chemotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/6) | Active comparator | Biological: Cetuximab, Biological: Bevacizumab, Drug: Paclitaxel, Drug: CarboplatinCycles 1-6: * Cetuximab 400 mg/m² initial dose on day 1 and then 250 mg/m² given every week * Bevacizumab 15 mg/kg given on day 8 of every 3 week cycle * Paclitaxel 200 mg/m² on day 1 of every 3 week cycle * Carboplatin area under curve (AUC=6 min*mg/mL) on day 1 of every 3 week cycle Patients who demonstrate a response or stable disease after six cycles of therapy may continue on weekly cetuximab monotherapy until disease progression, unacceptable toxicity, or another withdrawal criterion is met |
| Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/3) | Active comparator | Biological: Cetuximab, Biological: Bevacizumab, Drug: Paclitaxel, Drug: CarboplatinCycles 1-6: * Cetuximab 400 mg/m² initial dose on day 1 and then 250 mg/m² given every week * Bevacizumab 15 mg/kg given on day 8 of every 3 week cycle Cycles 1-3: * Paclitaxel 200 mg/m² on day 1 of each 3 week cycle for the first 3 cycles * Carboplatin AUC=6 min*mg/mL on day 1 of each 3 week cycle for the first 3 cycles Patients who demonstrate a response or stable disease after six cycles of therapy may continue on weekly cetuximab monotherapy until disease progression, unacceptable toxicity, or another withdrawal criterion is met |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- The patient has histologically or cytologically confirmed non-small cell lung cancer (NSCLC), except squamous cell carcinoma. Mixed tumors will be categorized by the predominant cell type, but the presence of small cell lung cancer elements will make the patient ineligible. Cytologic or histologic elements can be established on metastatic tumor aspirates or biopsy.
- The patient has advanced NSCLC (Stage IIIB with malignant pleural effusion or Stage IV or recurrent disease).
- Patients must have measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST).
- The patient's Eastern Cooperative Oncology Group (ECOG) performance status is 0 or 1.
- The patient has adequate hematologic function as defined by an Absolute Neutrophil Count greater than or equal to 1500/mm³,hemoglobin greater than or equal to 9 gm/dL, and a platelet count greater than or equal to 100,000/mm³ obtained within 2 weeks prior to the first dose of study medication.
Key exclusion criteria (17 listed)
- The patient has known Central Nervous System metastases. A head computed tomography (CT) is required within 4 weeks prior to the first dose of study medication (magnetic resonance imagines [MRIs] are also acceptable).
- The patient has received prior cetuximab therapy.
- The patient has received prior bevacizumab therapy.
- The patient has received prior systemic chemotherapy or radiation therapy at any time for lung cancer.
- Any concurrent malignancy other than basal cell skin cancer, or carcinoma in situ of the cervix. Patients with adequately treated cancers of other histologies who have been disease-free for more than 3 years prior to the first treatment dose are eligible.
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 |
|---|---|---|
| CetuximabAlso: ErbituxAdministered intravenously | Biological | Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/3), Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/6) |
| BevacizumabAdministered intravenously | Biological | Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/3), Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/6) |
| PaclitaxelAdministered intravenously | Drug | Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/3), Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/6) |
| CarboplatinAdministered intravenously | Drug | Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/3), Cetuximab + Bevacizumab + Paclitaxel + Carboplatin (6/6) |
Primary outcome
Progression Free Survival (PFS)
Time frame: Randomization to PD or date of death from any cause up to 33.1 months
PFS is defined as the time from randomization until the date of progression of disease (PD) or death from any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD ≥20% increase in sum of longest diameter of target lesions. Participants who are alive and without PD will be censored at the date of their last tumor assessment.
4 secondary outcomes
Overall Survival
Time frame: Randomization to the date of death from any cause up to 42.7 months
Percentage of Participants Achieving an Objective Overall Response (Overall Response Rate)
Time frame: Randomization to measured progressive disease up to 31.8 months
Duration of Overall Response
Time frame: Time of first response to the first date of PD or death due to any cause up to 31.8 months
Percentage of Participants With Symptomatic Response (Symptom Response Rate)
Time frame: From date of partial response until progression of disease up to 31.8 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jun 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
43 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Cetuximab, Bevacizumab and Paclitaxel in people with Non-Small Cell Lung Cancer, run by Eli Lilly and Company at 43 sites in United States.
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 9 inclusion and 17 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 7 Jun 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 43 sites in United States. 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 7 Jun 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) (time frame: Randomization to PD or date of death from any cause up to 33.1 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 7 Jun 2011.