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Lung Cancer, Non-Small CellNCT00685750

Expression Analysis of Specific Markers in Non-small Cell Lung Cancer or Melanoma

A study testing Collection of tumor and blood samples in people with Lung Cancer, Non-Small Cell, run by GlaxoSmithKline at 34 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study intends to analyze the expression of specific sets of markers in tumor samples and in serum from patients with Non-Small Cell lung Cancer (NSCLC) or Stage III or IV melanoma. The data obtained in this study will be used to guide future development of immunotherapies for melanoma or NSCLC patients. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lung Cancer, Non-Small Cell
What is being tested?
Collection of tumor and blood samples
Could I receive a placebo?
No, everyone receives an active treatment
How many people
88 participants
Where
34 sitesin 5 countries
Study dates
28 Apr 2008to 17 Dec 2013
Phase
Interventional
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 (male or female) is at least 18 years of age.
  • The investigator believes that the patient can and will comply with the requirements of the protocol.
  • The patient has given his/her written informed consent to take part in the study.
  • The investigator believes that it will be possible to obtain a tumor tissue sample of at least 3 mm3 before treatment and all required tumor tissues several weeks after the initiation of the treatment.
  • The patient has cancer in one of the following histological types, fulfilling all of the characteristics listed for the respective cancer type:
  • Cutaneous Melanoma, unresectable stage III or stage IV • The patient has histologically documented unresectable stage III or stage IV metastatic cutaneous melanoma.
Show all 19Show fewer
  • AND
  • The patient is a candidate for one of the following treatments:
  • First-line chemotherapy with DTIC or TMZ as monotherapy [group ME1],
  • First-line chemotherapy with an agent other than DTIC/TMZ as monotherapy or a combination (that may, but need not, include DTIC, TMZ, IL-2 or IFNγ) [group ME2],
  • Second- or higherline chemotherapy with any agent or combination of agents (that may, but need not, include DTIC, TMZ, IL-2 or IFNγ ; i.e., systemic chemotherapy after isolated limb perfusion should be considered as second-line) [group ME3],
  • Palliative irradiation of skin lesion(s)/region, irrespective of what line of treatment is planned [group ME4],
  • Topical palliative treatment by imiquimod of skin lesion(s), irrespective of what line of treatment is planned [group ME5].
  • First or higher line treatment with ipilimumab [group ME6].
  • NSCLC, any stage if the patient is eligible for neo-adjuvant chemotherapy with subsequent resection • The patient has NSCLC at any stage (as defined by the International Staging System) if the patient is eligible for neo-adjuvant chemotherapy with subsequent resection.
  • AND
  • The patient is a candidate for chemo(radio)-therapy induction doublet neoadjuvant chemotherapy with platinum plus a second chemotherapy drug.
  • [Note: Induction radiotherapy is permitted.]
  • The recruitment of patients to the NSCLC group has been ended prematurely.

Who cannot join

  • The patient has any family history of congenital or hereditary immunodeficiency.
  • The patient has in the two weeks before baseline received any of the following:
  • Chemotherapeutic agents,
  • Immune-modulating agents such as (but not confined to) IFN-α, IL-2, BCG and anti-cancer therapeutic vaccines,
  • Immunosuppressive agents such as corticosteroids [except for prednisone, or equivalent, <0.5 mg/kg/day (absolute maximum 40 mg/day, maximum duration of treatment three weeks), and inhaled and topical steroids, which are allowed].
  • The patient is currently receiving an anti cancer treatment in another clinical trial. However, if the patient has finished the drug administration phase of that trial and has entered the follow-up phase, this patient can be included.

Trial locations and contacts

34 sites in 5 countries.

34 sites in 5 countries

Germany16 sites
  • GSK Investigational Site

    Berlin, 12200

  • GSK Investigational Site

    Cologne, North Rhine-Westphalia, 51109

  • GSK Investigational Site

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

  • GSK Investigational Site

    Greifswald, Mecklenburg-Vorpommern, 17487

  • GSK Investigational Site

    Großhansdorf, Schleswig-Holstein, 22927

  • GSK Investigational Site

    Hamburg, 20246

  • GSK Investigational Site

    Hanover, Lower Saxony, 30625

  • GSK Investigational Site

    Heidelberg, Baden-Wurttemberg, 69126

  • GSK Investigational Site

    Hemer, North Rhine-Westphalia, 58675

  • GSK Investigational Site

    Kiel, Schleswig-Holstein, 24105

  • GSK Investigational Site

    Mainz, Rhineland-Palatinate, 55131

  • GSK Investigational Site

    Mannheim, Baden-Wurttemberg, 68167

  • GSK Investigational Site

    Ostercappeln, Lower Saxony, 49179

  • GSK Investigational Site

    Regensburg, Bavaria, 93049

  • GSK Investigational Site

    Tübingen, Baden-Wurttemberg, 72076

  • GSK Investigational Site

    Würzburg, Bavaria, 97080

Other trials in Germany

France7 sites
  • GSK Investigational Site

    Dijon, 21079

  • GSK Investigational Site

    Lille, 59037

  • GSK Investigational Site

    Marseille, 13274

  • GSK Investigational Site

    Marseille, 13385

  • GSK Investigational Site

    Montpellier, 34295

  • GSK Investigational Site

    Nantes, 44093

  • GSK Investigational Site

    Paris, 75012

Other trials in France

United States4 sites
  • GSK Investigational Site

    Los Angeles, California, 90025

  • GSK Investigational Site

    Murray, Utah, 84107

  • GSK Investigational Site

    Park Ridge, Illinois, 60068

  • GSK Investigational Site

    St Louis, Missouri, 63110

Other trials in United States

Italy4 sites
  • GSK Investigational Site

    Milan, Lombardy, 20141

  • GSK Investigational Site

    Naples, Campania, 80131

  • GSK Investigational Site

    Padova, Veneto, 35128

  • GSK Investigational Site

    Siena, Tuscany, 53100

Other trials in Italy

Sweden3 sites
  • GSK Investigational Site

    Gothenburg, SE-413 45

  • GSK Investigational Site

    Lund, SE-221 85

  • GSK Investigational Site

    Stockholm, SE-171 76

Other trials in Sweden

About this study

Official title: Analysis of the Expression of a Specific Set of Genes and Tumor Antigens in Patients With Non-small Cell Lung Cancer or Melanoma

This study intends to analyze the expression of specific sets of markers in tumor samples and in serum from patients with Non-Small Cell lung Cancer (NSCLC) or Stage III or IV melanoma. The data obtained in this study will be used to guide future development of immunotherapies for melanoma or NSCLC patients. Moreover, the analyses will contribute to definition of markers potentially predictive of clinical response to specific anticancer therapies.

Read the detailed description

This protocol posting has been updated due to a protocol amendment.

Being tested
Collection of tumor and blood samples
Keywords
tumor antigen, biomarkers
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.

  • Collection of tumor and blood samplesProcedure or surgery

    Samples will be collected before and after standard treatment

Study groups in NCT00685750
Study groupRoleWhat they receive
ME1OtherPatients with cutaneous metastatic melanoma receiving dacarbazine or temozolomide as first line treatment
Receives: Procedure: Collection of tumor and blood samples
ME2OtherPatients with cutaneous metastatic melanoma receiving first line treatment other than dacarbazine or temozolomide only
Receives: Procedure: Collection of tumor and blood samples
ME3OtherPatients with cutaneous metastatic melanoma receiving any second-or higherline chemotherapy treatment
Receives: Procedure: Collection of tumor and blood samples
ME4OtherPatients with cutaneous metastatic melanoma receiving local irradiation of cutaneous/subcutaneous tumor lesions
Receives: Procedure: Collection of tumor and blood samples
ME5OtherPatients with cutaneous metastatic melanoma receiving local imiquimod
Receives: Procedure: Collection of tumor and blood samples
NSCOtherNon-small cell lung cancer patients
Receives: Procedure: Collection of tumor and blood samples
ME6OtherPatients with cutaneous metastatic melanoma receiving ipilimumab
Receives: Procedure: Collection of tumor and blood samples

What is being measured

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

  1. Number of Subjects With Expression of Tumor Antigens

    The outcome presents the number of participants with expression of MAGE-A3 and NY-ESO-1 tumor antigens, after administration of standard of care treatment course compared to before administration

    Measured: Before and after administration of standard of care treatment course, up to 3 months

  2. Number of Subjects With a Pre-identified Gene Signature (GS) to the recMAGE-A3 Cancer Immunotherapeutic

    The outcome presents the number of participants with a pre-identified gene signature (GS) to the recMAGE-A3 cancer immunotherapeutic from before and after standard cancer treatment, for comparison.

    Measured: Before and after administration of standard of care treatment course, up to 3 months

  3. The Serum Proteome

    Measured: After administration of standard of care treatment course

  4. Correlation of Relevant Markers of the Pre-identified Gene-expression Signature as Measured by Immunohistochemical Methods and by Quantitative PCR.

    Measured: After administration of standard of care treatment course

  5. Number of NSCLC Patients With Gene-expression Signature and Tumor Antigens in Distinct Concomitant Tumor Lesions Obtained at the Same Time From the Same Patient.

    Measured: After administration of standard of care treatment course

  6. Number of Patients Responding to Treatment, by Best Clinical Response Type

    This outcome was assessed for metastatic melanoma patients treated with ipilimumab, in order to explore the predictive value to clinical activity of pre-identified immune-related gene-expression signature, by evaluating the patient's best clinical response to this treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI and/or CT: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progression of Disease (POD); POD, 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Complete Response (CR), Disappearance of all target lesions.

    Measured: At 6 months after the initiation of the ipilimumab therapy

Timeline

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

  1. First posted28 May 2008 (estimated)
  2. Study start28 Apr 2008
  3. Primary completion17 Dec 2013
  4. Study completion17 Dec 2013

Why it stopped: Slow enrolment over the last 2 years with none in the past 1 year. No increase in the number of completed subjects for 1 year and no more ongoing study subjects

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 N/A
Primary purpose
Screening
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
88 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00685750
Sponsor's protocol ID
109752
Status last verified
Mar 2019
First submitted
23 May 2008
Last updated
20 Jun 2019

Questions about this trial

What is this clinical trial studying?

A study testing Collection of tumor and blood samples in people with Lung Cancer, Non-Small Cell, run by GlaxoSmithKline at 34 sites in 5 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 19 inclusion and 6 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: stopped early, as of the sponsor's last update on 20 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in Germany, France, United States, Italy, Sweden. 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Jun 2019). 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 Subjects With Expression of Tumor Antigens (time frame: Before and after administration of standard of care treatment course, up to 3 months). The study lists 6 primary outcomes in all. 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 20 Jun 2019.

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