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Lung CancerPhase 2NCT00413283

Dose/ Schedule Finding Trial of Romiplostim for Chemotherapy-Induced Thrombocytopenia (CIT) in Non-Small Cell Lung Cancer (NSCLC)

A Phase 2 study testing Romiplostim, Gemcitabine and Carboplatin in people with Lung Cancer and Chemotherapy-Induced Thrombocytopenia, run by Amgen at 113 sites in 8 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

The purpose of this study is to identify an effective, well tolerated dose and schedule of romiplostim that is appropriate for the treatment of chemotherapy induced thrombocytopenia (CIT) in patients with non-small cell lung cancer receiving gemcitabine and platinum. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Romiplostim, Gemcitabine and Carboplatin
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
63 participants
Where
113 sitesin 8 countries
Study dates
Dec 2006to Feb 2009
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

  • Histologically or cytologically confirmed locally advanced or metastatic stage IIIB or stage IV NSCLC receiving 21-day cycles of gemcitabine/carboplatin or gemcitabine/cisplatin
  • Life expectancy ≥ 12 weeks at the time of screening
  • Thrombocytopenia as evidenced by a platelet count ≤ 50 x 10^9/L during the qualifying cycle of chemotherapy, OR platelet count < 100 x 10^9/L on Day 22 of the qualifying cycle (for eligibility inclusion: ability to receive the same dose of chemotherapy on study), this criteria ensures that the patient must be dose delayed for platelet recovery
  • Ability to receive the same dose and schedule of chemotherapy during the first on-study treatment cycle as was given in the qualifying cycle (except Day 8 gemcitabine)
  • Absolute neutrophil count (ANC) ≥ 1,000/µL, hemoglobin ≥ 9.5 g/dL, and platelet count ≥ 100 x 10 ^9/L on Day 1 of the first on study chemotherapy treatment cycle
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 at the time of screening
  • Adequate Liver function; aspartate aminotransferase (AST) and alanine aminotransferase (ALT) < 3.0 x upper limit of normal (ULN) (except for patients with a confirmed diagnosis of Gilbert's Syndrome)
  • Adequate renal function; serum creatinine < 1.5 x ULN

Who cannot join

  • Receipt of > 1 prior systemic chemotherapy regimen
  • Sepsis, disseminated coagulation or any other condition (i.e. immune [idiopathic] thrombocytopenic purpura [ITP], thrombotic thrombocytopenic purpura [TTP], hemolytic uremic syndrome [HUS]) that may exacerbate thrombocytopenia
  • History of unstable angina, congestive heart failure, uncontrolled hypertension (diastolic > 100 mmHg), uncontrolled cardiac arrhythmia, or recent (within 1 year of screening ) myocardial infarction
  • History of arterial thrombosis (e.g., stroke or transient ischemic attack) within 1 year of screening
  • History of pulmonary embolism or other venous thrombosis within 1 year of screening (except for catheter-related clots)
  • Use of any nitrosourea or mitomycin-C within 6 weeks of screening
Show all 11Show fewer
  • Have received any thrombopoietic growth factor or related substance
  • Have received granulocyte macrophage colony stimulating factor (GM-CSF) within the last 4 weeks prior to screening
  • Have received any experimental therapy within 4 weeks prior to screening
  • Have ever received a bone marrow or peripheral blood stem cell infusion (within 1 year of screening)
  • Known hypersensitivity to any recombinant E. coli-derived product.

Trial locations and contacts

113 sites in 8 countries.

113 sites in 8 countries

United States51 sites
  • Research Site

    Anaheim, California, 92801

  • Research Site

    Anaheim, California

  • Research Site

    Athens, Georgia, 30607

  • Research Site

    Athens, Georgia

  • Research Site

    Austin, Texas, 78705

  • Research Site

    Austin, Texas

  • Research Site

    Baltimore, Maryland, 21201

  • Research Site

    Baltimore, Maryland

  • Research Site

    Billings, Montana, 59101

  • Research Site

    Billings, Montana

  • Research Site

    Boynton Beach, Florida, 33435

  • Research Site

    Boynton Beach, Florida

  • Research Site

    Columbia, South Carolina, 29203

  • Research Site

    Columbia, South Carolina

  • Research Site

    Drexel Hill, Pennsylvania, 19026

  • Research Site

    Drexel Hill, Pennsylvania

  • Research Site

    Dunmore, Pennsylvania, 18512

  • Research Site

    Dunmore, Pennsylvania

  • Research Site

    Flemington, New Jersey, 08822

  • Research Site

    Flemington, New Jersey

  • Research Site

    Germantown, Tennessee, 38138

  • Research Site

    Germantown, Tennessee

  • Research Site

    Glendale, Arizona, 85304

  • Research Site

    Glendale, Arizona

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Houston, Texas, 77074

  • Research Site

    Houston, Texas

  • Research Site

    Johnson City, New York, 13790

  • Research Site

    Johnson City, New York

  • Research Site

    Los Angeles, California, 90048

  • Research Site

    Los Angeles, California

  • Research Site

    Macon, Georgia, 31201

  • Research Site

    Macon, Georgia

  • Research Site

    Oklahoma City, Oklahoma, 73104

  • Research Site

    Oklahoma City, Oklahoma

  • Research Site

    Paducah, Kentucky, 42003

  • Research Site

    Paducah, Kentucky

  • Research Site

    Peoria, Illinois, 61615

  • Research Site

    Peoria, Illinois

  • Research Site

    Radnor, Pennsylvania, 19087

  • Research Site

    Radnor, Pennsylvania

  • Research Site

    Rancho Mirage, California, 92270

  • Research Site

    Rancho Mirage, California

  • Research Site

    Shreveport, Louisiana, 71101

  • Research Site

    Shreveport, Louisiana

  • Research Site

    Sioux City, Iowa, 51101

  • Research Site

    Sioux City, Iowa

  • Research Site

    Sterling Heights, Michigan, 48314

  • Research Site

    Sterling Heights, Michigan

  • Research Site

    Vero Beach, Florida, 32960

  • Research Site

    Vero Beach, Florida

Other trials in United States

Hungary17 sites
  • Research Site

    Budapest, 1125

  • Research Site

    Budapest, 1529

  • Research Site

    Budapest

  • Research Site

    Edelény, 3780

  • Research Site

    Edelény

  • Research Site

    Gyula, 5703

  • Research Site

    Gyula

  • Research Site

    Mátraháza, 3233

  • Research Site

    Mátraháza

  • Research Site

    Pécs, 7623

  • Research Site

    Pécs

  • Research Site

    Székesfehérvár, 8000

  • Research Site

    Székesfehérvár

  • Research Site

    Törökbálint, 2045

  • Research Site

    Törökbálint

  • Research Site

    Zalaegerszeg - Pozva, 8900

  • Research Site

    Zalaegerszeg - Pozva

Other trials in Hungary

Austria12 sites
  • Research Site

    Graz, 8036

  • Research Site

    Graz

  • Research Site

    Innsbruck, 6020

  • Research Site

    Innsbruck

  • Research Site

    Klagenfurt, 9026

  • Research Site

    Klagenfurt

  • Research Site

    Linz, 4010

  • Research Site

    Linz

  • Research Site

    Rankweil, 6830

  • Research Site

    Rankweil

  • Research Site

    Vienna, 1090

  • Research Site

    Vienna

Other trials in Austria

Germany8 sites
  • Research Site

    Bad Berka, 99437

  • Research Site

    Bad Berka

  • Research Site

    Dresden, 01307

  • Research Site

    Dresden

  • Research Site

    Halle, 06120

  • Research Site

    Halle

  • Research Site

    Hemer, 58675

  • Research Site

    Hemer

Other trials in Germany

Italy8 sites
  • Research Site

    Novara, 28100

  • Research Site

    Novara

  • Research Site

    Orbassano, 10043

  • Research Site

    Orbassano

  • Research Site

    Palermo, 90126

  • Research Site

    Palermo

  • Research Site

    Torino, 10126

  • Research Site

    Torino

Other trials in Italy

Portugal8 sites
  • Research Site

    Coimbra, 3040-316

  • Research Site

    Coimbra

  • Research Site

    Lisbon, 1649-035

  • Research Site

    Lisbon

  • Research Site

    Porto, 4200-072

  • Research Site

    Porto

  • Research Site

    Vila Nova de Gaia, 4430-502

  • Research Site

    Vila Nova de Gaia

Other trials in Portugal

Ireland5 sites
  • Research Site

    Cork, Cork

  • Research Site

    Cork

  • Research Site

    Dublin, 4

  • Research Site

    Dublin, 8

  • Research Site

    Dublin

Other trials in Ireland

Canada4 sites
  • Research Site

    Sainte-Foy, Quebec, G1V 4G5

  • Research Site

    Sainte-Foy, Quebec

  • Research Site

    Toronto, Ontario, M5G 2M9

  • Research Site

    Toronto, Ontario

Other trials in Canada

About this study

Official title: Phase 2, Randomized, Double Blind, Placebo-Controlled Dose and Schedule Finding Trial to Evaluate the Safety and Efficacy of AMG 531 For Treatment of Chemotherapy-Induced Thrombocytopenia in Subjects With Advanced Non-Small Cell Lung Cancer Already Receiving Gemcitabine and Platinum.

The purpose of this study is to identify an effective, well tolerated dose and schedule of romiplostim that is appropriate for the treatment of chemotherapy induced thrombocytopenia (CIT) in patients with non-small cell lung cancer receiving gemcitabine and platinum.

Being tested
Romiplostim, Placebo, Gemcitabine, Carboplatin, Cisplatin
Keywords
Advanced Non-Small Cell Lung Cancer, Chemotherapy Induced Thrombocytopenia, CIT, NSCLC, Stage IIIB NSCLC, Stage IV NSCLC, Gemcitabine, Carboplatin, Cisplatin
Medical subject headings
Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Neoplasms, Thrombocytopenia

What participants receive

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

  • RomiplostimBiological

    Also called AMG 531, Nplate®

    Romiplostim is a thrombopoiesis recombinant protein that targets the thrombopoietin (TPO) receptor which results in increased platelet production.

  • PlaceboDrug

    Placebo subcutaneous injection.

  • GemcitabineDrug

    Intravenous infusion

  • CarboplatinDrug

    Intravenous infusion

  • CisplatinDrug

    Intravenous infusion

Study groups in NCT00413283
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received a placebo subcutaneous injection on Day 2 of each chemotherapy cycle. Chemotherapy consisted of 21-day cycles of gemcitabine/carboplatin (gemcitabine and carboplatin on Day 1 and gemcitabine again on Day 8) or 21-day cycles of gemcitabine/cisplatin (gemcitabine and cisplatin on Day 1 and gemcitabine again on Day 8), up to a maximum of 5 cycles administered according to standard institutional practice.
Receives: Drug: Placebo; Drug: Gemcitabine; Drug: Carboplatin; Drug: Cisplatin
Romiplostim 250 μgExperimentalParticipants received romiplostim 250 μg administered subcutaneously on Day 2 of each chemotherapy cycle. Chemotherapy consisted of 21-day cycles of gemcitabine/carboplatin (gemcitabine and carboplatin on Day 1 and gemcitabine again on Day 8) or 21-day cycles of gemcitabine/cisplatin (gemcitabine and cisplatin on Day 1 and gemcitabine again on Day 8), up to a maximum of 5 cycles administered according to standard institutional practice.
Receives: Biological: Romiplostim; Drug: Gemcitabine; Drug: Carboplatin; Drug: Cisplatin
Romiplostim 500 μgExperimentalParticipants received romiplostim 500 μg administered subcutaneously on Day 2 of each chemotherapy cycle. Chemotherapy consisted of 21-day cycles of gemcitabine/carboplatin (gemcitabine and carboplatin on Day 1 and gemcitabine again on Day 8) or 21-day cycles of gemcitabine/cisplatin (gemcitabine and cisplatin on Day 1 and gemcitabine again on Day 8), up to a maximum of 5 cycles administered according to standard institutional practice.
Receives: Biological: Romiplostim; Drug: Gemcitabine; Drug: Carboplatin; Drug: Cisplatin
Romiplostim 750 μgExperimentalParticipants received romiplostim 750 μg administered subcutaneously on Day 2 of each chemotherapy cycle. Chemotherapy consisted of 21-day cycles of gemcitabine/carboplatin (gemcitabine and carboplatin on Day 1 and gemcitabine again on Day 8) or 21-day cycles of gemcitabine/cisplatin (gemcitabine and cisplatin on Day 1 and gemcitabine again on Day 8), up to a maximum of 5 cycles administered according to standard institutional practice.
Receives: Biological: Romiplostim; Drug: Gemcitabine; Drug: Carboplatin; Drug: Cisplatin

What is being measured

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

  1. Number of Participants With Adverse Events

    This summary includes all treatment-emergent adverse events recorded from the start of investigational product on this study, or any worsening of adverse events initially experienced before initiation of this study.

    Measured: 4 months

Secondary outcomes (5)
  1. Duration of Grade 3 or 4 Thrombocytopenia

    The duration of grade 3 or 4 thrombocytopenia (defined as platelet count <50 x 10^9/L) experienced during the first on study chemotherapy cycle by treatment group.

    Measured: 3 weeks

  2. Number of Participants Experiencing Grade 3 or 4 Thrombocytopenia During the First Treatment Cycle.

    The number of participants in each treatment group with grade 3 or 4 thrombocytopenia during the first on study treatment cycle. Per the Common Terminology Criteria for Adverse Events (CTCAE) v3.0, participants with a platelet count < 50 x 10^9/L, but ≥ 25 x 10^9/L are considered to have Grade 3 thrombocytopenia and participants with a platelet count < 25 x 10^9/L are considered to have Grade 4 thrombocytopenia. Additionally, participants with a platelet transfusion during the first on-study treatment cycle were classified as having Grade 3/4 thrombocytopenia.

    Measured: 3 weeks

  3. Number of Participants With Platelet Transfusions

    Number of participants who were administered platelet transfusions during first on study treatment cycle.

    Measured: 3 weeks

  4. Platelet Count on Day 22

    Platelet count on Day 22 of the first on study chemotherapy treatment cycle (planned Day 1 of next cycle) by treatment group

    Measured: Day 22

  5. Gemcitabine Dose Reduction on Day 8 of the First Chemotherapy Cycle

    Number of participants who required a gemcitabine dose reduction on Day 8 of the first on study chemotherapy cycle.

    Measured: 8 days

Timeline

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

  1. First posted19 Dec 2006 (estimated)
  2. Study startDec 2006
  3. Primary completionDec 2008
  4. Study completionFeb 2009

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 2
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
63 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00413283
Sponsor's protocol ID
20050154
Status last verified
Sep 2013
First submitted
15 Dec 2006
Last updated
24 Oct 2013

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Romiplostim, Gemcitabine and Carboplatin in people with Lung Cancer and Chemotherapy-Induced Thrombocytopenia, run by Amgen at 113 sites in 8 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 8 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 24 Oct 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 113 sites in United States, Hungary, Austria, Germany, Italy and 3 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 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 21 Oct 2010). 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?

Number of Participants With Adverse Events (time frame: 4 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 24 Oct 2013.

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