Small Cell Lung CancerPhase 3SPEARNCT00465491
Study of Picoplatin Efficacy After Relapse
A Phase 3 study testing picoplatin in people with Small Cell Lung Cancer, run by Poniard Pharmaceuticals at 143 sites in 15 countries.
Trial summary
Picoplatin is a new type of platinum drug that has been investigated in several clinical trials, and may provide an improved safety profile over current treatment options. This study is designed to compare the efficacy and safety of picoplatin plus Best Supportive Care (BSC) with BSC alone. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Small Cell Lung Cancer
- What is being tested?
- picoplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 399 participants
- Where
- 143 sitesin 15 countries
- Study dates
- Apr 2007to May 2009
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- Histological or cytological diagnosis of SCLC or combined SCLC/non-small cell lung cancer (NSCLC) defined as SCLC mixed with squamous cell carcinoma, adenocarcinoma, or large cell carcinoma.
- One and only 1 prior cisplatin or carboplatin-containing chemotherapy regimen for SCLC within the scope of the National Comprehensive Cancer Network (NCCN) Guidelines (Section 5.4.1).
- Radiological evidence of SCLC that never responded or progressed within 90 days after completion of first-line therapy (refractory); or responded initially to first-line therapy but progressed between 91 and 180 days after treatment was completed (progressed within 91 to 180 days).
- CT scans of head, chest and abdomen (including adrenal and full extent of liver) with contrast, preferably within 14 days prior to randomization (up to 21 days is allowed if necessary). MRI is acceptable in the case of allergy to contrast agents. The presence or absence of measurable disease gy RECIST must be documented from the baseline CT or MRI scan.
- Patients with brain metastases must have been treated with brain irradiation. Only patients wtih asymptomatic brain metastases are eligible for this study.
- ECOG PS 0, 1 or 2 within 3 days prior to randomization (Appendix II).
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- Life expectancy of at least 8 weeks within 3 days prior to randomization.
- At least 21 days must have elapsed since the most recent prior chemotherapy dose, with evidence of hematological recovery.
- At least 14 days must have elapsed since the most recent prior radiotherapy dose.
- At least 14 days must have elapsed since prior surgery except for the placement of venous access device or bronchoscopy.
- Subject must be recovered to ≤ Grade 1 toxicity from all non-hematological adverse effects of prior therapies (excluding alopecia).
- Age 18 years or over.
- ANC ≥ 1.5 x 109/L.
- Platelet count ≥ 100 x 109/L.
- Hemoglobin of ≥ 90 g/L (transfusion permitted to achieve this hemoglobin).
- Aspartate aminotransferase, alanine aminotransferase, and lactate dehydrogenase levels ≤ 2.5 times upper limit of normal (ULN) or ≤ 5 times ULN if liver involvement is present.
- Bilirubin of ≤ 1.5 times upper limit of normal (ULN).
- Blood urea nitrogen ≤ 1.5 times ULN (hypovolemic subjects may be hydrated to achieve this BUN).
- Creatinine clearance of ≥ 50 mL/min, as calculated by the Cockcroft-Gault formula (Appendix III).
- Women of childbearing potential must have a negative pregnancy test (serum or urine). Sexually active couples of child-bearing potential must agree to use appropriate birth control methods during chemotherapy and for 3 months after chemotherapy.
- Signed informed consent.
Who cannot join
- Prior radiotherapy that included ≥ 30% of the bone marrow (Appendix IV).
- Pleural effusion as the only radiological evidence of SCLC.
- Untreated or symptomatic brain or central nervous system (CNS) metastases.
- Grade 2 or higher peripheral neuropathy.
- Significant cardiac disease, defined as myocardial infarction within 3 months prior to randomization, congestive heart failure classified by the New York Heart Association as Class III or IV (Appendix V), uncontrolled cardiac arrhythmias, poorly controlled or unstable angina, or electrocardiographic evidence of acute ischemia.
- Serious medical or psychiatric illness that could potentially interfere with the completion of study treatment according to this protocol, e.g., active infection, Crohn's disease, ulcerative colitis, etc.
Show all 9Show fewer
- Use of other investigational drugs within 30 days prior to randomization.
- Breast-feeding.
- History of any other malignancy within 5 years, with the exception of treated non-melanoma skin cancer or carcinoma in situ of the cervix.
Trial locations and contacts
143 sites in 15 countries.
143 sites in 15 countries
Russia51 sites
Arkhangelsk Regional Clinical Oncology Center
Arkhangelsk, 163045
Altai Regional Oncology Center
Barnaul, 656049
Regional Oncology Center
Birobidzhan, Jewish Republic, 679016
Chelyabinsk Regional Oncology Center
Chelyabinsk, 454087
City Hospital #1
Cherepovets, 162627
Chita Regional Oncology Center
Chita, 672027
Regional Oncology Center
Engel's, 413115
Regional Oncology Center
Irkutsk, 664035
Ivanovo Regional Oncology Center
Ivanovo, 214000
Republican Clinical Oncology Center of the Republic of Udmurtia
Izhevsk, 426009
Kaluga Regional Oncology Center
Kaluga, 248007
Clinical Oncology Center
Kazan', Tatarstan Republic, 420029
Kazan Oncology Center
Kazan', Tatarstan Republic, 420111
Regional Clinical Oncology Center
Khabarovsk, 680042
Regional Clinical Oncology Center
Kirov, 610021
City Oncology Center
Komsomolsk-on-Amur, 681000
Krasnodar Clinical Oncology
Krasnodar, 350040
Regional Clinical Hospital #1
Krasnodar, 350086
Kurst Regional Oncology Center
Kurst
Lipetsk Regional Oncology Center
Lipetsk, 398005
Magnitogorsk Clinical Oncology Hospital
Magnitogorsk, 455001
Blokhin Russian Oncology Research Center
Moscow, 115478
Central Clinical Hospital and Outpatient Unit of the Medical Center under the Russian Presidential Administration
Moscow, 121359
Semashko Central Clinical Hospital #2 under Russian Railways
Moscow, 129128
Novorossiysk Oncology Center
Novorossiysk, 353915
City Clinical Hospital #1
Novosibirsk, 630047
Medical Radiology Research Center under RAMS
Obnninsk, 249036
Orenburg Regional Clinical Oncology Center
Orenburg, 460021
Orel Oncology Center
Oryol, 302020
Regional Oncology Center
Penza, 440071
Republican Oncology Center of the Ministry of Healthcare of Karelia Republic
Petrozavodsk, Karelia Republic, 185007
Pyatigorsk Affiliate of Stavropol Regional Clinical Oncology Center
Pyatigorsk, 357502
St. Petersburg City Multifield Hospital #2
Saint Petersburg, 194354
St. Petersburg Pavlov State Medical University
Saint Petersburg, 197022
Pavlov St. Petersburg State Medical University, Pulmonology Research Institute
Saint Petersburg, 197101
City Clinical Oncology Center, Thoracic Oncology Department #6
Saint Petersburg, 198255
Ogarev Mordovian State University
Saransk, 430032
State Higher Education Institution Saratov State Medical University under the Federal Agency for Healthcare and Social Development
Saratov, 410012
Oncology Center
Sochi, 354057
Komi Republican Oncology Center
Syktyvkar, Komi, 167904
Tambov Regional Oncology Center
Tambov, 390013
Tomsk Regional Oncology Center
Tomsk, 634050
Tula Regional Oncology Center
Tula, 300040
Ufa, Republican Oncology Center
Ufa
Buryatia Republican Oncology Center
Ulan-Ude, Buryatiya Republic, 670047
Primorsky Regional Oncology Center
Vladivostok, 690105
Volgograd Regional Clinical Oncology Center#1
Volograd, 400138
Voronezh Regional Clinical Oncology Center
Voronezh, 394000
Regional Clinical Oncology Hospital
Yaroslavl, 150054
Sverdlovsk Regional Oncology Center
Yekaterinburg, 620036
Republican of Clinical Hospital, Mariy-El Republican
Yoshkar-Ola, 424037
India24 sites
Gujrat Cancer Research Institute
Asarwa, Ahmadabad, 380016
Kidwai Memorial Institute of Oncology
Bangalore, Karnataka, 560029
Curie Centre of Oncology
Bangalore, 560034
Jawaharlal Nehru Cancer Hospital and Research Centre
Bhopal
Apollo Speciality Hospital
Chennai, 600035
MNJ Institute of Oncology
Hyderabaad, 500004
Indo American Institute of Oncology
Hyderabaad, 500034
Yashoda Group of Hospitals
Hyderabad, 500082
SEAROC Cancer Center
Jaipur, 302013
Lakeshore Hospital and Research Center
Kochi, Kerala, 682304
Institute of Post Graduate Medical Education and Research
Kolkata, 700020
Orchid Nursing Home
Kolkata, 700054
King George Medical University
Lucknow
KMC (Karturba Medical College) Hospital
Manipal
Jaslok Hospital and Research Centre
Mumbai, 400026
Tata Memorial Centre
Mumbai
Shatabdi Superspeciality Hospital
Nashik, Maharashtra, 422005
Sir Ganga Ram Hospital
New Delhi, 110060
Rajiv Gandhi Cancer Institute, Delhi
New Delhi, 110085
Mahaveer Cancer Sansthan
Patna, 801505
Jahangir Hospital and Research Centre
Pune, 411001
Smt. Vasantben R. Desai Cancer Research Center
Rajkot, 360007
Regional Cancer Centre
Trivandrum, 695011
King George Hospital
Visakhapatnam
Poland13 sites
Kujawsko-Pomorski Centre of Pulmonology
Bydgoszcz, 85-326
NMP, Memorial Voyvodship Hospital
Częstochowa, 42200
Dr. Bieganski Memorial Regional Specialsitic Hospital
Grudziądz, 86-300
Regional Hospital, Department of Pulmonary Diseases and Chemotherapy
Krakow, 31202
Independent Public Group for Tuberculosis and Lung Disease in Olsztyn
Olsztyn, 10-357
Conservative Outpatient Oncology Department, Voyevodship Hospital in Plock
Płock, 09-400
Department of Clinical Oncology, Wielkopolskie Centre of Lung Diseases and Tuberculosis
Poznan, 60-569
Department of Pulmonology, Voyvodship Specialsitic Hospital in Radom
Radom, 26-617
SP ZOZ Voyevodship Specialistic Hospital #3
Rybnik, 44-200
Department of Chemotherapy, Prof. A. Sokolowski Memorial Specialistic Hospital in Szczecin
Szczecin, 70-891
Department of Clinical Oncology, SP ZOZ, Yoyvodship Specialistic Hospital
Torun, 87-100
Dolnoslaskie Centre of Lung Diseases
Wroclaw, Lower Silesian Voivodeship, 53-439
Silesian Medical University in Katowice
Zabrze, Dolny Slask, 41-803
Argentina11 sites
Consultorios Privados
Buenos Aires, B1704ESN
Clinica Constituyentes
Buenos Aires, B1708KCH
CETEN Centro de Estudio y Tratamiento de Enfermedades Neoplasicas
Buenos Aires, B1874ACL
IADT (Insttituto Argentino de Diagnostico y Tratamiento S.A.)
Buenos Aires, C1122AAL
Centro Oncologico
Buenos Aires, C1212ACA
Instituto Alexander Fleming
Buenos Aires, C1426ANZ
PALIAR
Buenos Aires, C1430ERF
IONC
Córdoba, X5000AAI
Centro Medico San Roque
San Miguel de Tucumán, T4000IAA
Centro Oncologico de Rosario
Santa Fe, S2000DSK
ISIS Clinica Especializada
Santa Fe, S3002EKI
Romania11 sites
Baia Mare "Constantin Opris" County Emergency Hospital
Baia Mare, Maramureş, 4800
IANULI Medconsult SRL
Bucharest, 020962
Bucharest Institute of Oncology
Bucharest, 022328
Prof. Dr. Ion Chiricuta, Institute of Oncology Cluj-Napoca
Cluj-Napoca, Cluj, 400015
Prof. Dr. Ion Chircuta, Oncology Institute
Cluj-Napoca, 400015
Clinical Emergency County Hospital Constanta
Constanța, 900591
Medical Oncology Center Iasi
Iași, 700106
Schuller Municipal Hospital Ploiesti-Medical Oncology Department
Ploieşti, 100337
Clinical County Hospital
Sibiu, 550245
Sf. loan cel Nou, Emergency County Hospital
Suceava
OncoMed
Timișoara, 300239
Bulgaria8 sites
Multiprofile Hospital for Active Treatment, Dr. Tota Venkova
Gabrovo, 5300
University Multifunctional Hospital for Active Treatment "Dr. Georgi Stranski"
Pleven, 5800
District Dispensary for Cancer Diseases with Inpatient Hospital Plovdiv
Plovdiv, 4004
Regional Oncodispensary with Inpatient Sector
Rousse, 7000
Inter-district Dispensary for Cancer Diseases w/Inpatient Hospital
Shumen, 9700
Regional Oncodispensary with Inpatient Sector-Sofia District
Sofia, 1233
Inter-district Dispensary for Cancer Disease w/Inpatient Hospital "Dr. Marko Markov", Varna
Varna, 9010
Multiprofile Hospital for Active Treatment "St. Marina"
Varna, 9010
Belarus5 sites
Institution of Healthcare "Grodno Regional Clinical Hospital
Grodno, 230017
Gomel Regional Oncological Dispensary
Homyel, 246012
Minsk City Clinical Oncology Dispensary
Minsk, 220013
Research Institute of Oncology and Medical Radiology named by N.N. Aleksandrov
Minsk, 223040
Vitebsk Regional Oncology Dispensary
Vitebsk, 210603
Ukraine5 sites
Volyn Regional Oncology Center
Lutsk, 43018
Public Treatment and Prevention Institution Mariupol City Interdistrict Oncology Center
Mariupol, 87500
Sumy Regional Oncology Center
Sumy, 40005
Ternopol Regional Clinical Oncology Center
Ternopil, 46023
Zaporozhye Regional Clinical Oncology Center
Zaporizhzhya, 69040
Croatia4 sites
Clinical Hospital
Dubrovnik
Clinical Hospital
Osijek, 31000
Clinical Hospital Split
Split, 2001
Clinic for Pulmonary Diseses "Jordanovac"
Zagreb
Hungary3 sites
St. George County Hospital
Fejer County, 8000
University of Szeged
Szeged, 6772
General Rehablitation and Medicinal Bath Hospital
Szombathely, 9700
Bosnia and Herzegovina2 sites
Clinic for Lung Diseases, Clinical Center, Banja Luka
Banja Luka, 78000
Clinic of Pulmonary Diseases Podhrastovi
Sarajevo
Latvia2 sites
Daugavas Hospital
Daugavpils, 5420
Paul Stradins Clincial University Hospital
Riga, 1002
Serbia2 sites
Clinic for Pulmonary Diseases and TBC
Knez-Selo
Institute for Pulmonary Diseases of Vijvodina
Vijvodina
About this study
Official title: A Randomized, Controlled Phase III Trial of Picoplatin and BSC Versus BSC Alone in Patients With Small Cell Lung Cancer (SCLC), Refractory or Progressive Within Six Months of Completing First-Line, Platinum-Containing Chemotherapy.
Picoplatin is a new type of platinum drug that has been investigated in several clinical trials, and may provide an improved safety profile over current treatment options. This study is designed to compare the efficacy and safety of picoplatin plus Best Supportive Care (BSC) with BSC alone. Best Supportive Care includes care and treatment to optimize the comfort of patients and their ability to function, as well as to minimize the side-effects of anti-cancer treatments.
Read the detailed description
This Phase 3 study will enroll subjects with Small Cell Lung Cancer (SCLC) who are refractory or progressive within 6 months of completing first-line, platinum-containing chemotherapy. Subjects will be centrally randomized 2:1 to receive picoplatin plus BSC every 3 weeks, or BSC alone. After discontinuation of picoplatin, all subjects will continue to receive BSC and will continue to be evaluated every 3 weeks until discontinuation from the study, death, or the end of the study. After discontinuation of picoplatin, subjects may be treated with another chemotherapy at their physician's discretion and then will be followed for survival.
- Conditions
- Small Cell Lung Cancer
- Being tested
- picoplatin, best supportive care
- Keywords
- refractory, chemotherapy, progressed, second-line treatment, small cell lung cancer, best supportive care, picoplatin
- Medical subject headings
- Small Cell Lung Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
picoplatinDrug
IV picoplatin 150mg/m2 q3wk
best supportive careOther
best supportive care
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Picoplatin Receives: Drug: picoplatin |
| 2 | Other | BSC Receives: Other: best supportive care |
What is being measured
The primary outcome is the main question the study is designed to answer.
overall survival
Measured: death
Secondary outcomes (4)
objective response rate
Measured: progression
disease control rate
Measured: progression
duration of response
Measured: progression
progression-free survival
Measured: death
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Apr 2007 (estimated)
- Study startApr 2007
- Primary completionMay 2009 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Small Cell Lung CancerStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 399 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Poniard Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Dr. Hazel Breitz, M.D., Study director, Poniard Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00465491
- Sponsor's protocol ID
- 0601
- Acronym
- SPEAR
- Status last verified
- Apr 2009
- First submitted
- 23 Apr 2007
- Last updated
- 14 Apr 2009
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Raynaud FI, Boxall FE, Goddard PM, Valenti M, Jones M, Murrer BA, Abrams M, Kelland LR. cis-Amminedichloro(2-methylpyridine) platinum(II) (AMD473), a novel sterically hindered platinum complex: in vivo activity, toxicology, and pharmacokinetics in mice. Clin Cancer Res. 1997 Nov;3(11):2063-74.
PubMed 9815598Beale P, Judson I, O'Donnell A, Trigo J, Rees C, Raynaud F, Turner A, Simmons L, Etterley L. A Phase I clinical and pharmacological study of cis-diamminedichloro(2-methylpyridine) platinum II (AMD473). Br J Cancer. 2003 Apr 7;88(7):1128-34. doi: 10.1038/sj.bjc.6600854.
PubMed 12671715Giaccone G, O'Brien ME, Byrne MJ, Bard M, Kaukel E, Smit B. Phase II trial of ZD0473 as second-line therapy in mesothelioma. Eur J Cancer. 2002 Dec;38 Suppl 8:S19-24. doi: 10.1016/s0959-8049(02)80018-1.
PubMed 12647701Treat J, Schiller J, Quoix E, Mauer A, Edelman M, Modiano M, Bonomi P, Ramlau R, Lemarie E. ZD0473 treatment in lung cancer: an overview of the clinical trial results. Eur J Cancer. 2002 Dec;38 Suppl 8:S13-8. doi: 10.1016/s0959-8049(02)80016-8.
PubMed 12645908Gore ME, Atkinson RJ, Thomas H, Cure H, Rischin D, Beale P, Bougnoux P, Dirix L, Smit WM. Results of ZD0473 in platinum-pretreated ovarian cancer: analysis according to platinum free interval. Eur J Cancer. 2002 Dec;38 Suppl 8:S7-12. doi: 10.1016/s0959-8049(02)80014-4.
PubMed 12645907Holford J, Raynaud F, Murrer BA, Grimaldi K, Hartley JA, Abrams M, Kelland LR. Chemical, biochemical and pharmacological activity of the novel sterically hindered platinum co-ordination complex, cis-[amminedichloro(2-methylpyridine)] platinum(II) (AMD473). Anticancer Drug Des. 1998 Jan;13(1):1-18.
PubMed 9474239Holford J, Sharp SY, Murrer BA, Abrams M, Kelland LR. In vitro circumvention of cisplatin resistance by the novel sterically hindered platinum complex AMD473. Br J Cancer. 1998;77(3):366-73. doi: 10.1038/bjc.1998.59.
PubMed 9472630Rogers P, Boxall FE, Allott CP, Stephens TC, Kelland LR. Sequence-dependent synergism between the new generation platinum agent ZD0473 and paclitaxel in cisplatin-sensitive and -resistant human ovarian carcinoma cell lines. Eur J Cancer. 2002 Aug;38(12):1653-60. doi: 10.1016/s0959-8049(02)00107-7.
PubMed 12142057Sharp SY, O'Neill CF, Rogers P, Boxall FE, Kelland LR. Retention of activity by the new generation platinum agent AMD0473 in four human tumour cell lines possessing acquired resistance to oxaliplatin. Eur J Cancer. 2002 Nov;38(17):2309-15. doi: 10.1016/s0959-8049(02)00244-7.
PubMed 12441268Kawamura-Akiyama Y, Kusaba H, Kanzawa F, Tamura T, Saijo N, Nishio K. Non-cross resistance of ZD0473 in acquired cisplatin-resistant lung cancer cell lines. Lung Cancer. 2002 Oct;38(1):43-50. doi: 10.1016/s0169-5002(02)00175-7.
PubMed 12367792
Study at a glance
From the registry record, last updated by the sponsor on 14 Apr 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Controlled Phase III Trial of Picoplatin and BSC Versus BSC Alone in Patients With Small Cell Lung Cancer (SCLC), Refractory or Progressive Within Six Months of Completing First-Line, Platinum-Containing Chemotherapy.
- ClinicalTrials.gov ID
- NCT00465491
- Acronym / sponsor ID
- SPEAR / 0601
- Conditions
- Small Cell Lung Cancer
- Keywords
- refractory, chemotherapy, progressed, second-line treatment, small cell lung cancer, best supportive care, picoplatin
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 399 participants (estimated)
- Lead sponsor
- Poniard PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Apr 2007
- Primary completion
- May 2009 (estimated)
- First posted
- 25 Apr 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Picoplatin is a new type of platinum drug that has been investigated in several clinical trials, and may provide an improved safety profile over current treatment options. This study is designed to compare the efficacy and safety of picoplatin plus Best Supportive Care (BSC) with BSC alone. Best Supportive Care includes care and treatment to optimize the comfort of patients and their ability to function, as well as to minimize the side-effects of anti-cancer treatments.
Detailed description
This Phase 3 study will enroll subjects with Small Cell Lung Cancer (SCLC) who are refractory or progressive within 6 months of completing first-line, platinum-containing chemotherapy. Subjects will be centrally randomized 2:1 to receive picoplatin plus BSC every 3 weeks, or BSC alone. After discontinuation of picoplatin, all subjects will continue to receive BSC and will continue to be evaluated every 3 weeks until discontinuation from the study, death, or the end of the study. After discontinuation of picoplatin, subjects may be treated with another chemotherapy at their physician's discretion and then will be followed for survival.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: picoplatinPicoplatin |
| 2 | Other | Other: best supportive careBSC |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (21 listed)
- Histological or cytological diagnosis of SCLC or combined SCLC/non-small cell lung cancer (NSCLC) defined as SCLC mixed with squamous cell carcinoma, adenocarcinoma, or large cell carcinoma.
- One and only 1 prior cisplatin or carboplatin-containing chemotherapy regimen for SCLC within the scope of the National Comprehensive Cancer Network (NCCN) Guidelines (Section 5.4.1).
- Radiological evidence of SCLC that never responded or progressed within 90 days after completion of first-line therapy (refractory); or responded initially to first-line therapy but progressed between 91 and 180 days after treatment was completed (progressed within 91 to 180 days).
- CT scans of head, chest and abdomen (including adrenal and full extent of liver) with contrast, preferably within 14 days prior to randomization (up to 21 days is allowed if necessary). MRI is acceptable in the case of allergy to contrast agents. The presence or absence of measurable disease gy RECIST must be documented from the baseline CT or MRI scan.
- Patients with brain metastases must have been treated with brain irradiation. Only patients wtih asymptomatic brain metastases are eligible for this study.
Key exclusion criteria (9 listed)
- Prior radiotherapy that included ≥ 30% of the bone marrow (Appendix IV).
- Pleural effusion as the only radiological evidence of SCLC.
- Untreated or symptomatic brain or central nervous system (CNS) metastases.
- Grade 2 or higher peripheral neuropathy.
- Significant cardiac disease, defined as myocardial infarction within 3 months prior to randomization, congestive heart failure classified by the New York Heart Association as Class III or IV (Appendix V), uncontrolled cardiac arrhythmias, poorly controlled or unstable angina, or electrocardiographic evidence of acute ischemia.
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 |
|---|---|---|
| picoplatinIV picoplatin 150mg/m2 q3wk | Drug | 1 |
| best supportive carebest supportive care | Other | 2 |
Primary outcome
overall survival
Time frame: death
4 secondary outcomes
objective response rate
Time frame: progression
disease control rate
Time frame: progression
duration of response
Time frame: progression
progression-free survival
Time frame: death
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Apr 2009.
- Background: PubMed 9815598Raynaud FI, Boxall FE, Goddard PM, Valenti M, Jones M, Murrer BA, Abrams M, Kelland LR. cis-Amminedichloro(2-methylpyridine) platinum(II) (AMD473), a novel sterically hindered platinum complex: in vivo activity, toxicology, and pharmacokinetics in mice. Clin Cancer Res. 1997 Nov;3(11):2063-74.
- Background: PubMed 12671715Beale P, Judson I, O'Donnell A, Trigo J, Rees C, Raynaud F, Turner A, Simmons L, Etterley L. A Phase I clinical and pharmacological study of cis-diamminedichloro(2-methylpyridine) platinum II (AMD473). Br J Cancer. 2003 Apr 7;88(7):1128-34. doi: 10.1038/sj.bjc.6600854.
- Background: PubMed 12647701Giaccone G, O'Brien ME, Byrne MJ, Bard M, Kaukel E, Smit B. Phase II trial of ZD0473 as second-line therapy in mesothelioma. Eur J Cancer. 2002 Dec;38 Suppl 8:S19-24. doi: 10.1016/s0959-8049(02)80018-1.
- Background: PubMed 12645908Treat J, Schiller J, Quoix E, Mauer A, Edelman M, Modiano M, Bonomi P, Ramlau R, Lemarie E. ZD0473 treatment in lung cancer: an overview of the clinical trial results. Eur J Cancer. 2002 Dec;38 Suppl 8:S13-8. doi: 10.1016/s0959-8049(02)80016-8.
- Background: PubMed 12645907Gore ME, Atkinson RJ, Thomas H, Cure H, Rischin D, Beale P, Bougnoux P, Dirix L, Smit WM. Results of ZD0473 in platinum-pretreated ovarian cancer: analysis according to platinum free interval. Eur J Cancer. 2002 Dec;38 Suppl 8:S7-12. doi: 10.1016/s0959-8049(02)80014-4.
- Background: PubMed 9474239Holford J, Raynaud F, Murrer BA, Grimaldi K, Hartley JA, Abrams M, Kelland LR. Chemical, biochemical and pharmacological activity of the novel sterically hindered platinum co-ordination complex, cis-[amminedichloro(2-methylpyridine)] platinum(II) (AMD473). Anticancer Drug Des. 1998 Jan;13(1):1-18.
- Background: PubMed 9472630Holford J, Sharp SY, Murrer BA, Abrams M, Kelland LR. In vitro circumvention of cisplatin resistance by the novel sterically hindered platinum complex AMD473. Br J Cancer. 1998;77(3):366-73. doi: 10.1038/bjc.1998.59.
- Background: PubMed 12142057Rogers P, Boxall FE, Allott CP, Stephens TC, Kelland LR. Sequence-dependent synergism between the new generation platinum agent ZD0473 and paclitaxel in cisplatin-sensitive and -resistant human ovarian carcinoma cell lines. Eur J Cancer. 2002 Aug;38(12):1653-60. doi: 10.1016/s0959-8049(02)00107-7.
- Background: PubMed 12441268Sharp SY, O'Neill CF, Rogers P, Boxall FE, Kelland LR. Retention of activity by the new generation platinum agent AMD0473 in four human tumour cell lines possessing acquired resistance to oxaliplatin. Eur J Cancer. 2002 Nov;38(17):2309-15. doi: 10.1016/s0959-8049(02)00244-7.
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- Poniard Pharmaceuticals, Inc.Link provided by the sponsor.
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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.
Dr. Hazel Breitz, M.D. study director
Poniard Pharmaceuticals
143 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing picoplatin in people with Small Cell Lung Cancer, run by Poniard Pharmaceuticals at 143 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 21 inclusion and 9 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: status not confirmed, as of the sponsor's last update on 14 Apr 2009. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 143 sites in Russia, India, Poland, Argentina, Romania 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. 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?
Results are not available in the source record.
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: death). 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 NCT00465491, which also lists 10 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 14 Apr 2009.