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Non-Squamous Non-Small Cell Lung CancerPhase 2NCT00760929

A Study of the Effect of R1507 in Combination With Tarceva (Erlotinib) on Progression-Free Survival in Patients With Stage IIIb/IV Non-Small Cell Lung Cancer (NSCLC).

A Phase 2 study testing RG1507 and erlotinib [Tarceva] in people with Non-Squamous Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 57 sites in 11 countries.

Terminated

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

Official record
Search all trials

Trial summary

This 4 arm study in patients with advanced Stage IIIb/IV non-small cell cancer (NSCLC) who failed at least one standard chemotherapy regimen will determine the proportion of patients with progression-free survival at 12 weeks following combination therapy with R1507 and Tarceva or placebo and Tarceva. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Squamous Non-Small Cell Lung Cancer
What is being tested?
RG1507 and erlotinib [Tarceva]
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
171 participants
Where
57 sitesin 11 countries
Study dates
10 Nov 2008to 25 Jun 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

  • male or female patients >=18 years with histologically documented inoperable, locally advanced or metastatic (stage IIIB or IV) NSCLC;
  • patients must have failed at least one but no more than two standard chemotherapy regimens;
  • measurable disease according to the RECIST criteria;
  • Eastern Cooperative Oncology Group (ECOG) performance status;
  • life expectancy >12 weeks.

Who cannot join

  • patients with active central nervous system (CNS) lesions;
  • prior treatment with agents acting via insulin-like growth factor 1 receptor (IGF-1R) inhibition or epidermal growth factor receptor (EGFR) targeting;
  • administration with high doses of systemic corticosteroids;
  • radiotherapy in the 4 weeks prior to study start;
  • surgery or significant traumatic injury with in the last 2 weeks prior to study start.

Trial locations and contacts

57 sites in 11 countries.

57 sites in 11 countries

United States15 sites
  • Emory Univ Winship Cancer Inst

    Atlanta, Georgia, 30322

  • Tower Cancer Research Foundation

    Beverly Hills, California, 90211

  • Massachusetts General Hospital.

    Boston, Massachusetts, 02114

  • Dana Farber Cancer Inst.

    Boston, Massachusetts, 02115

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Chattanooga Oncology and Hematology Associates, PC

    Chattanooga, Tennessee, 37404

  • University of Chicago Medical Center; Dept. of Medicine/Section of Nephrology

    Chicago, Illinois, 60637

  • North Shore University Health System

    Glenview, Illinois, 60026

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Carolina Oncology Specialists, PA - Hickory

    Hickory, North Carolina, 28602

  • Joliet Oncology Hematology Associates, Ltd.

    Joliet, Illinois, 60435

  • Sarah Cannon Research Inst.

    Nashville, Tennessee, 37203

  • Florida Cancer Inst.

    New Port Richey, Florida, 34655

  • Virginia Cancer Institute

    Richmond, Virginia, 23226

  • St. Joseph Medical Center

    Towson, Maryland, 21204

Other trials in United States

Germany9 sites
  • Zentralklinik Bad Berka GmbH; Pneumologie

    Bad Berka, 99437

  • Helios Klinikum Emil von Behring GmbH

    Berlin, 14165

  • LungenClinic Großhansdorf GmbH

    Großhansdorf, 22927

  • Krankenhaus Martha-Maria Halle-Doelau gGmbH; Klinik fuer Innere Medizin I

    Halle, 06120

  • Asklepios Klinik Harburg; Thoraxzentrum

    Hamburg, 21075

  • Thoraxklinik Heidelberg gGmbH

    Heidelberg, 69126

  • Stiftung Kathol. Krankenhaus Marienhospital Herne Klinik Mitte Frauenklinik

    Herne, 44625

  • Klinikum Leverkusen; Med. Klinik III / Onkologie

    Leverkusen, 51375

  • Ludwig-Maximilians Uni Klinik Innenstadt; Medizinische Klinik

    München, 80336

Other trials in Germany

Belgium5 sites
  • Cliniques Universitaires St-Luc

    Brussels, 1200

  • GHdC Site Notre Dame

    Charleroi, 6000

  • UZ Antwerpen

    Edegem, 2650

  • UZ Leuven Gasthuisberg

    Leuven, 3000

  • Chr de La Citadelle

    Liège, 3500

Other trials in Belgium

France5 sites
  • Hopital Albert Michallon; Medecine Aigue Specialisee Pneumologie

    La Tronche, 38700

  • Hopital de La Croix Rousse; Service de Pneumologie

    Lyon, 69317

  • Fondation Hopital Saint Joseph; Pole Cancerologie, Imagerie Medicale Service d'Oncologie

    Paris, 75674

  • Hopital Tenon;Pneumologie

    Paris, 75970

  • Hopital Larrey; Clinique Des Voies Respiratoires

    Toulouse, 31400

Other trials in France

Italy5 sites
  • IRCCS Istituto Nazionale Per La Ricerca Sul Cancro (IST); Oncologia Medica A

    Genoa, Liguria, 16132

  • Asst Grande Ospedale Metropolitano Niguarda; Dipartimento Di Ematologia Ed Oncologia

    Milan, Lombardy, 20162

  • Az. Osp. S. Luigi Gonzaga; Malattie Apparato Respiratorio 5 Ad Indirizzo Oncologico

    Orbassano, Piedmont, 10043

  • Arcispedale Santa Maria Nuova; Oncologia

    Reggio Emilia, Emilia-Romagna, 42100

  • Azienda Ospedaliera Di Perugia Ospedale s. Maria Della Misericordia; Oncologia Medica

    Sant'Andrea Delle Fratte (PG), Umbria, 06132

Other trials in Italy

Spain5 sites
  • Hospital Clínic i Provincial; Servicio de Hematología y Oncología

    Barcelona, 08036

  • Hospital de la Santa Creu i Sant Pau; Servicio de Oncologia

    Barcelona, 08041

  • Hospital de Cruces; Servicio de Oncologia

    Bilbao, Vizcaya, 48903

  • Hospital Universitario Puerta de Hierro; Servicio de Oncologia

    Majadahonda, Madrid, 28222

  • Hospital Regional Universitario Carlos Haya; Servicio de Oncologia

    Málaga, 29010

Other trials in Spain

Poland4 sites
  • Medical University of Gdansk

    Gdansk, 80-952

  • SK Przemienienia Panskiego UM im.K.Marcinkowskiego

    Poznan, 60-569

  • Specjalistyczny Szpital Im. Prof. A. Sokolowskiego; Oddziall Chemioterapii

    Szczecin, 70-891

  • Centrum Onkologii - Instytut im. Marii Skłodowskiej-Curie Klinika Nowotworów Piersi i Chirurgii

    Warsaw, 02-781

Other trials in Poland

United Kingdom4 sites
  • Royal Surrey County Hospital; St. Lukes Cancer Centre

    Guildford, GU2 7XX

  • Wythenshawe Hospital; North West Lung Centre

    Manchester, M23 9LT

  • Sir Bobby Robson Cancer Research Centre

    Newcastle upon Tyne, NE7 7DN

  • New Cross Hospital; Deansley Centre

    Wolverhampton, WV10 0QP

Other trials in United Kingdom

Australia3 sites
  • Flinders Medical Center; Medical Oncology

    Adelaide, South Australia, 5041

  • Frankston Hospital; Oncology/Haematology

    Frankston, Victoria, 3199

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009

Other trials in Australia

Canada1 site
  • Lakeridge Health Oshawa; Oncology

    Oshawa, Ontario, L1G 2B9

Other trials in Canada

Ireland1 site
  • St. James Hospital; Oncology

    Dublin, 8

Other trials in Ireland

About this study

Official title: A Randomized, Placebo Controlled Study to Determine the Effect of Two Dose Schedules of R1507 or Placebo, Both in Combination With Erlotinib (Tarceva®), on Progression-free Survival in Patients With Advanced Non-small Cell Lung Cancer With Disease Progression After First or Second Line Chemotherapy

This 4 arm study in patients with advanced Stage IIIb/IV non-small cell cancer (NSCLC) who failed at least one standard chemotherapy regimen will determine the proportion of patients with progression-free survival at 12 weeks following combination therapy with R1507 and Tarceva or placebo and Tarceva. Patients will be randomized to one of four treatment arms to receive R1507 (9mg/kg iv) or placebo weekly or R1507 (16mg/kg iv) or placebo every 3 weeks. Tarceva (150mg oral daily) will be administered in all treatment arms. Other disease-related endpoints including overall survival, objective response rate, time to response, time to progressive disease and duration of response will also be evaluated. The anticipated time on study treatment is 1-2 years, and the target sample size is <500 individuals.

Being tested
Placebo, RG1507, erlotinib [Tarceva]

What participants receive

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

  • PlaceboDrug

    iv 9mg/kg weekly

  • PlaceboDrug

    iv 16mg/kg every 3 weeks

  • RG1507Drug

    iv 9mg/kg weekly

  • RG1507Drug

    iv 16mg/kg every 3 weeks

  • erlotinib [Tarceva]Drug

    150mg oral daily

Study groups in NCT00760929
Study groupRoleWhat they receive
Placebo for R1507 (16mg/kg iv)Placebo comparatorNot described
Receives: Drug: Placebo; Drug: erlotinib [Tarceva]
Placebo for R1507 (9mg/kg iv)Placebo comparatorNot described
Receives: Drug: Placebo; Drug: erlotinib [Tarceva]
R1507 (16mg/kg iv)ExperimentalNot described
Receives: Drug: RG1507; Drug: erlotinib [Tarceva]
R1507 (9mg/kg iv)ExperimentalNot described
Receives: Drug: RG1507; Drug: erlotinib [Tarceva]

What is being measured

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

  1. Number of Participants With Progression Free Survival (PFS)

    PFS was defined as the time at which half of the participants have progressed (progressive disease [PD]) based on RECIST tumor response criteria or died from any cause, whichever occurred first. PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Participants who had not died or progressed at the time of the final analysis were censored at the date of last contact.

    Measured: 12 weeks

Secondary outcomes (4)
  1. Overall Survival (OS)

    OS was defined as the median time, in weeks, from the date of randomization to the date of death, due to any cause. Participants who have not died at the time of the final analysis will be censored at the date the participant was last known to be alive. The 90% CI was estimated using Kaplan-Meier methodology.

    Measured: From baseline up to 20 months

  2. Objective Response Rate

    Objective response rate (ORR) was defined by RECIST criteria as the best response achieved by a patient over the course of the trial, which includes a complete response (CR) or partial response (PR) that has been confirmed by a second tumor assessment no earlier than 4 weeks after the initial documentation, stable disease (SD), or progressive disease (PD). PR was defined as ≥ 30% decrease in sum of longest diameter of all target lesions, from baseline sum. CR was defined as disappearance of all target and non-target lesions. For CR or PR, tumor measurements must be confirmed by 2nd assessments within 4 weeks. PD = 20% increase in the sum of longest diameter of all target lesions, from smallest sum of longest diameter of all target lesions recorded at or after baseline; or a new lesion; or progression of non-target lesions. SD = Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on the study.

    Measured: From baseline up to 20 months

  3. Duration of Response

    Duration of response was defined as the time from the first documented complete response (CR) or partial response (PR) to the first documented disease progression (PD) or death, whichever occurs first. A CR was defined as the disappearance of all target lesions (TL). A PR was defined as at least a 30% decrease in the sum of the longest diameter (SLD) of TLs taking as reference the Baseline SLD. PD was defined as at least a 20% increase in the SLD of TLs, taking as reference the smallest SLD recorded since treatment started or the unequivocal progression of existing non-TLs.

    Measured: From baseline up to 20 months

  4. Time to Response

    This is defined for participants with objective response, as the date of randomization to the date of first CR or PR which will be the date the response is first radiographically documented following initiation of therapy (the date of the actual imaging modality).

    Measured: From baseline up to 20 months

Timeline

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

  1. First posted26 Sep 2008 (estimated)
  2. Study start10 Nov 2008
  3. Primary completion25 Jun 2010
  4. Study completion25 Jun 2010

Why it stopped: The study was terminated due to the termination of the clinical development program.

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
171 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00760929
Sponsor's protocol ID
NO21160
Other IDs
2008-001736-12, 2008
Status last verified
Dec 2020
First submitted
25 Sep 2008
Last updated
5 Jan 2021
Individual data sharing
Yes: Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/members/ourmembers/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research\_and\_development/who\_we\_are\_how\_we\_work/clinical\_trials/our\_commitment\_to\_data\_sharing.htm).

Publications

  • Ramalingam SS, Spigel DR, Chen D, Steins MB, Engelman JA, Schneider CP, Novello S, Eberhardt WE, Crino L, Habben K, Liu L, Janne PA, Brownstein CM, Reck M. Randomized phase II study of erlotinib in combination with placebo or R1507, a monoclonal antibody to insulin-like growth factor-1 receptor, for advanced-stage non-small-cell lung cancer. J Clin Oncol. 2011 Dec 1;29(34):4574-80. doi: 10.1200/JCO.2011.36.6799. Epub 2011 Oct 24.

    PubMed 22025157

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing RG1507 and erlotinib [Tarceva] in people with Non-Squamous Non-Small Cell Lung Cancer, run by Hoffmann-La Roche at 57 sites in 11 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 5 inclusion and 5 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 5 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 57 sites in United States, Germany, Belgium, France, Italy and 6 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 5 Jan 2021). 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 Progression Free Survival (PFS) (time frame: 12 weeks). 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 NCT00760929, which also lists 1 linked publication.

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 5 Jan 2021.

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