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Non Small Cell Lung CancerPhase 3NCT00364351

Efficacy Trial Comparing ZD6474 With Erlotinib in NSCLC After Failure of at Least One Prior Chemotherapy

A Phase 3 study testing Vandetanib and Erlotinib in people with Non Small Cell Lung Cancer, run by Genzyme, a Sanofi Company at 153 sites in 22 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

To determine if ZD6474 a new investigational drug, is effective in treating Non Small Lung Cancer and if so, how it compares with another type of anti cancer therapy chemotherapy, Erlotinib 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?
Vandetanib and Erlotinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,574 participants
Where
153 sitesin 22 countries
Study dates
Aug 2006to Nov 2016
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

  • Confirmed locally advanced or metastatic NSCLC
  • Failure of at least one but not more than two prior chemotherapy regimens

Who cannot join

  • Prior treatment with erlotinib (Tarceva), gefitinib (IRESSA), sunitinib (Sutent), sorafenib (Nexavar)
  • Chemotherapy or other type of anti cancer therapy within 4 weeks of study start

Trial locations and contacts

153 sites in 22 countries.

153 sites in 22 countries

United States29 sites
  • Research Site

    Amarillo, Texas

  • Research Site

    Baltimore, Maryland

  • Research Site

    Berkeley, California

  • Research Site

    Boynton Beach, Florida

  • Research Site

    Burien, Washington

  • Research Site

    Canton, Ohio

  • Research Site

    Chattanooga, Tennessee

  • Research Site

    Cincinnati, Ohio

  • Research Site

    Columbia, Missouri

  • Research Site

    Fairfax, Virginia

  • Research Site

    Fort Myers, Florida

  • Research Site

    Garland, Texas

  • Research Site

    Greenville, South Carolina

  • Research Site

    Hickory, North Carolina

  • Research Site

    Jacksonville, Florida

  • Research Site

    Latham, New York

  • Research Site

    Lexington, Kentucky

  • Research Site

    Los Angeles, California

  • Research Site

    Louisville, Kentucky

  • Research Site

    Metairie, Louisiana

  • Research Site

    Nashville, Tennessee

  • Research Site

    Norfolk, Virginia

  • Research Site

    Port Saint Lucie, Florida

  • Research Site

    Richmond, Virginia

  • Research Site

    Santa Rosa, California

  • Research Site

    St Louis, Missouri

  • Research Site

    Webster, Texas

  • Research Site

    Wichita, Kansas

  • Research Site

    Yakima, Washington

Other trials in United States

Canada12 sites
  • Research Site

    Charlottetown, Prince Edward Island

  • Research Site

    Kelowna, British Columbia

  • Research Site

    Laval, Quebec

  • Research Site

    Montreal, Quebec

  • Research Site

    Oshawa, Ontario

  • Research Site

    Ottawa, Ontario

  • Research Site

    Sault Ste. Marie, Ontario

  • Research Site

    Thunder Bay, Ontario

  • Research Site

    Toronto, Ontario

  • Research Site

    Vancouver, British Columbia

  • Research Site

    Winnipeg, Manitoba

  • Research Site

    York, Ontario

Other trials in Canada

Italy11 sites
  • Research Site

    Ancona

  • Research Site

    Avellino

  • Research Site

    Catania

  • Research Site

    Genova

  • Research Site

    Mantua

  • Research Site

    Milan

  • Research Site

    Orbassano

  • Research Site

    Parma

  • Research Site

    Perugia

  • Research Site

    Roma

  • Research Site

    Rozzano

Other trials in Italy

Australia9 sites
  • Research Site

    Ashford

  • Research Site

    Bedford Park

  • Research Site

    Chermside

  • Research Site

    Geelong

  • Research Site

    Hornsby

  • Research Site

    Kogarah

  • Research Site

    Malvern

  • Research Site

    Prahran

  • Research Site

    Wodonga

Other trials in Australia

Germany9 sites
  • Research Site

    Göttingen

  • Research Site

    Großhansdorf

  • Research Site

    Hanover

  • Research Site

    Heidelberg

  • Research Site

    Karlsruhe

  • Research Site

    Löwenstein

  • Research Site

    Mainz

  • Research Site

    Mönchengladbach

  • Research Site

    Ulm

Other trials in Germany

China8 sites
  • Research Site

    Beijing

  • Research Site

    Dalian

  • Research Site

    Hangzhou

  • Research Site

    Nanjing

  • Research Site

    Nanning

  • Research Site

    Shanghai

  • Research Site

    Shenyang

  • Research Site

    Wuhan

Other trials in China

Brazil7 sites
  • Research Site

    Belo Horizonte

  • Research Site

    Caxias do Sul

  • Research Site

    Curitiba

  • Research Site

    Goiânia

  • Research Site

    Porto Alegre

  • Research Site

    Santo André

  • Research Site

    São Paulo

Other trials in Brazil

Norway7 sites
  • Research Site

    Bergen

  • Research Site

    Haugesund

  • Research Site

    Kristiansand

  • Research Site

    Oslo

  • Research Site

    Stavanger

  • Research Site

    Tromsø

  • Research Site

    Trondheim

Other trials in Norway

United Kingdom7 sites
  • Research Site

    Birmingham

  • Research Site

    Cambridge

  • Research Site

    Leicester

  • Research Site

    Liverpool

  • Research Site

    Nottingham

  • Research Site

    Sheffield

  • Research Site

    Wolverhampton

Other trials in United Kingdom

Argentina6 sites
  • Research Site

    Ciudad de Buenos Aires

  • Research Site

    Córdoba

  • Research Site

    Manuel B. Gonnet

  • Research Site

    Ramos Mejía

  • Research Site

    Rosario

  • Research Site

    Santa Fe

Other trials in Argentina

France6 sites
  • Research Site

    Caen

  • Research Site

    Clermont-Ferrand

  • Research Site

    Marseille

  • Research Site

    Paris

  • Research Site

    Rennes

  • Research Site

    Vesoul

Other trials in France

Mexico6 sites
  • Research Site

    Juchitán

  • Research Site

    Monterrey

  • Research Site

    Morelia

  • Research Site

    Puebla City

  • Research Site

    Saltillo

  • Research Site

    Zacatecas City

Other trials in Mexico

Spain6 sites
  • Research Site

    Elche(Alicante)

  • Research Site

    Jaén

  • Research Site

    Madrid

  • Research Site

    Málaga

  • Research Site

    Mataró(Barcelona)

  • Research Site

    Pamplona

Other trials in Spain

India5 sites
  • Research Site

    Bangalore

  • Research Site

    Karnataka

  • Research Site

    New Delhi

  • Research Site

    Pune

  • Research Site

    Trivandrum

Other trials in India

Philippines5 sites
  • Research Site

    Cebu City

  • Research Site

    Davao City

  • Research Site

    Manila

  • Research Site

    Pasay

  • Research Site

    Quezon City

Other trials in Philippines

Netherlands4 sites
  • Research Site

    Harderwijk

  • Research Site

    Nieuwegein

  • Research Site

    Rotterdam

  • Research Site

    Zwolle

Other trials in Netherlands

Taiwan4 sites
  • Research Site

    Taichung

  • Research Site

    Tainan

  • Research Site

    Taipei

  • Research Site

    Taoyuan

Other trials in Taiwan

Thailand4 sites
  • Research Site

    Bangkok

  • Research Site

    Chiang Mai

  • Research Site

    Lampang

  • Research Site

    Songkhla

Other trials in Thailand

Denmark3 sites
  • Research Site

    Herlev

  • Research Site

    København Ø

  • Research Site

    Næstved

Other trials in Denmark

Indonesia3 sites
  • Research Site

    Bandung

  • Research Site

    Jakarta

  • Research Site

    Solo

Other trials in Indonesia

Hong Kong1 site
  • Research Site

    Hong Kong

Other trials in Hong Kong

South Korea1 site
  • Research Site

    Seoul

Other trials in South Korea

About this study

Official title: A Phase III, International, Randomised, Double Blind, Parallel-Group Study to Assess the Efficacy of Zactima™ Versus Tarceva® in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer After Failure of at Least One Prior Chemotherapy

To determine if ZD6474 a new investigational drug, is effective in treating Non Small Lung Cancer and if so, how it compares with another type of anti cancer therapy chemotherapy, Erlotinib

Being tested
Vandetanib, Erlotinib
Keywords
Non Small Cell Lung Cancer, NSCLC
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.

  • VandetanibDrug

    Also called ZD6474, ZACTIMA™

    once daily oral tablet

  • ErlotinibDrug

    Also called Tarceva®

    oral dose

Study groups in NCT00364351
Study groupRoleWhat they receive
1Active comparatorErlotinib
Receives: Drug: Erlotinib
2ExperimentalVandetanib
Receives: Drug: Vandetanib

What is being measured

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

  1. Progression-Free Survival (PFS)

    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 Response Evaluation Criteria In Solid Tumors (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: progressionRECIST tumour assessments carried out every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed.

Secondary outcomes (6)
  1. Overall Survival (OS)

    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. 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: RECIST tumour assessments every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed up to 21 months

  3. Disease Control Rate (DCR)

    Disease control rate is defined as the number of patients who achieved disease control at least 8 weeks following randomisation. Disease control is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) >= 8 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 >= 8 is assigned to patients who have not responded and have no evidence of progression at least 8 weeks after randomisation.

    Measured: RECIST tumour assessments carried out every 4 weeks until week 16 then every 8 weeks thereafter (+/- 3 days) from randomisation until objective progression

  4. Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Pain

    Pain was assessed as the average score of two items: Question 9 ("Have you had pain") and 19 ("Did pain interfere with your daily activities") of the QLQ-C30.

    Time to deterioration in symptoms is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 28 days. A patient is 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 28 days.

    Measured: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit

  5. Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Dyspnoea

    Dyspnea was assessed as the average score of four items: Question 8 of the QLQ-C30 ("Were you short of breath") and Question 3 of the QLQ-C30 ("Were you short of breath when you rested"), Questions 4 ("Were you short of breath when you walked") and 5 ("Were you short of breath when you climbed stairs") of the QLQ-LC13 (or, equivalently, Questions 33, 34 and 35 of the combined QLQ-C30 and QLQ-LC13 questionnaires).

    Time to deterioration in symptoms is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 28 days. A patient is 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 28 days.

    Measured: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit

  6. Time to Deterioration of Disease-related Symptoms (TDS) by EORTC Quality of Life Questionnaire - Cough

    Cough was assessed using Question 1 ("How much did you cough") of the QLQ-LC13 (or, equivalently, Question 31 of the combined QLQ-C30 and QLQ-LC13 questionnaires).

    Time to deterioration in symptoms is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 28 days. A patient is 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 28 days.

    Measured: Disease-related symptom assessments are to be administered at screening (within 7 days before the first dose of study medication), every 4 weeks thereafter, at discontinuation of study treatment and at the 30-day follow-up visit

Timeline

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

  1. First posted15 Aug 2006 (estimated)
  2. Study startAug 2006
  3. Primary completionSep 2008
  4. Study completionNov 2016

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
1,574 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00364351
Sponsor's protocol ID
D4200C00057
Other IDs
EUDRACT No. 2006-000259-16
Status last verified
Jan 2018
First submitted
14 Aug 2006
Last updated
25 Jan 2018

Publications

  • Natale RB, Thongprasert S, Greco FA, Thomas M, Tsai CM, Sunpaweravong P, Ferry D, Mulatero C, Whorf R, Thompson J, Barlesi F, Langmuir P, Gogov S, Rowbottom JA, Goss GD. Phase III trial of vandetanib compared with erlotinib in patients with previously treated advanced non-small-cell lung cancer. J Clin Oncol. 2011 Mar 10;29(8):1059-66. doi: 10.1200/JCO.2010.28.5981. Epub 2011 Jan 31.

    PubMed 21282542
  • Mishina A, Zhudenkov K, Helmlinger G, Peskov K. A Systematic Comparative Analysis of Tumor Size Models Based on Erlotinib Clinical Data in Advanced NSCLC. CPT Pharmacometrics Syst Pharmacol. 2025 Dec;14(12):1970-1981. doi: 10.1002/psp4.70095. Epub 2025 Aug 11.

    PubMed 40785488
  • 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Vandetanib and Erlotinib in people with Non Small Cell Lung Cancer, run by Genzyme, a Sanofi Company at 153 sites in 22 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 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 25 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 153 sites in United States, Canada, Italy, Australia, Germany and 17 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) (time frame: progressionRECIST tumour assessments carried out every 4 weeks up to week 16 then every 8 weeks thereafter from randomisation until the date of first documented objective disease progression or date of death from any cause, whichever came first, assessed.). 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 NCT00364351, which also lists 3 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 25 Jan 2018.

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