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Advanced CarcinomaPhase 1/2NCT00794417

A Study of Aflibercept Administered in Combination With Pemetrexed and Cisplatin in Participants With Advanced Carcinoma

A Phase 1/2 study testing Aflibercept, Pemetrexed and Cisplatin in people with Advanced Carcinoma and Non-small Cell Lung Cancer, run by Regeneron Pharmaceuticals at 15 sites in 2 countries.

Terminated

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

Official record
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Trial summary

The purpose of the study was to determine whether the combination of aflibercept, pemetrexed and cisplatin is safe and effective in treating non-small cell lung cancer (NSCLC). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Aflibercept, Pemetrexed and Cisplatin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
15 sitesin 2 countries
Study dates
30 Nov 2008to 30 Jun 2011
Phase
Phase 1/2
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

  • Confirmation of cancer by biopsy (tissue sample)
  • Phase 1: patients with advanced or metastatic disease that have failed conventional therapy
  • Phase 2: patients with previously untreated NSCLC, excluding squamous cell histology and cavitating lesions
  • Age ≥18 years
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Adequate renal, liver and bone marrow function.
Show all 9Show fewer
  • Negative pregnancy test (serum or urine) in females of childbearing potential within 7 days of the initial dose of aflibercept
  • Ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures
  • Institutional Review Board (IRB) approved, signed and dated informed consent form

Who cannot join

  • Prior treatment with study medications
  • Untreated, symptomatic, or progressive Central Nervous System cancer and/or spinal cord compression. Patients with treated brain metastases must have been without symptoms for at least 3 months
  • Surgery up to 4 weeks prior to the initial administration of aflibercept and/or incomplete wound healing
  • Anti-VEGF therapy up to 4 weeks prior to the initial administration of aflibercept (for phase 1 only)
  • Chemotherapy up to 4 weeks prior to the initial administration of aflibercept (for phase 1 only)
  • Other investigational treatment up to 4 weeks prior to the initial administration of aflibercept
Show all 13Show fewer
  • Any of the following up to 6 months (24 weeks) prior to the initial administration of aflibercept:
  • Severe cardiovascular disease or event
  • Cerebrovascular accident, transient ischemic attack, or moderate to severe peripheral neuropathy
  • Erosive esophagitis or gastritis, infectious or inflammatory bowel disease, and diverticulitis
  • Deep vein thrombosis, pulmonary embolism, or other clotting event
  • Episode(s)of moderate to severe, continuous bleeding
  • Breast-feeding or pregnancy

Trial locations and contacts

15 sites in 2 countries.

15 sites in 2 countries

United States14 sites
  • UNM Cancer Clinic

    Albuquerque, New Mexico, 87131

  • Sidney Kimmel Comprehensive Cancer Center

    Baltimore, Maryland, 21231-1000

  • Palm Beach Institute of Hematology and Oncology

    Boynton Beach, Florida, 33435

  • Roswell Park Cancer Institute

    Buffalo, New York, 14263

  • Presbyterian Hospital Center for Cancer Research

    Charlotte, North Carolina, 28204

  • Erie Regional Cancer Center

    Erie, Pennsylvania, 16505

  • Kentucky Cancer Clinic

    Hazard, Kentucky, 41701

  • Edward Hines Jr. VA Medical Center

    Hines, Illinois, 60141

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03756

  • University of Arkansas for Medical Science

    Little Rock, Arkansas, 72205

  • Stanford University Medical Center

    Stanford, California, 94305

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • Arizona Cancer Institute, LLC

    Tucson, Arizona, 85715

  • Schiffler Cancer Center - Medical Oncology Division

    Wheeling, West Virginia, 26003

Other trials in United States

Canada1 site
  • Princess Margaret Hospital

    Toronto, Ontario, M5G 2M9

Other trials in Canada

About this study

Official title: A Phase 1/2 Study of Aflibercept Administered in Combination With Pemetrexed and Cisplatin in Patients With Advanced Carcinoma

The purpose of the study was to determine whether the combination of aflibercept, pemetrexed and cisplatin is safe and effective in treating non-small cell lung cancer (NSCLC).

Read the detailed description

The study was conducted in two phases. In phase 1, patients with advanced cancer received different doses of aflibercept in combination with approved doses of pemetrexed and cisplatin. The objective of phase 1 was to determine the safest dose of the combined study medications. This dose was administered to patients with previously untreated NSCLC in phase 2. The phase 2 portion of the study determined if the combination is effective in treating NSCLC.

Being tested
Aflibercept, Pemetrexed, Cisplatin
Keywords
advanced cancer, lung cancer, NSCLC, Non-small Cell Lung Cancer, aflibercept, chemotherapy
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms

What participants receive

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

  • AfliberceptDrug

    Administered in combination with the other two interventions via intravenous infusion.

  • PemetrexedDrug

    Also called Alimta

    Administered in combination with the other two interventions via intravenous infusion.

  • CisplatinDrug

    Also called Platinol

    Administered in combination with the other two interventions via intravenous infusion.

Study groups in NCT00794417
Study groupRoleWhat they receive
Phase 1: Aflibercept 6 mg/kg and Pemetrexed and CisplatinExperimentalParticipants received intravenous infusion of aflibercept 6 mg/kg followed by pemetrexed 500 mg/m^2 and then cisplatin 75 mg/m^2 on Day 1 of each 3 week cycle (1 Cycle = 21 Days in this study) until disease progression, unacceptable toxicity, withdrawal of consent or if another study withdrawal criterion has been met.
Receives: Drug: Aflibercept; Drug: Pemetrexed; Drug: Cisplatin
Phase 1: Aflibercept 2 mg/kg and Pemetrexed and CisplatinExperimentalParticipants received intravenous infusion of aflibercept 2 milligrams per kilogram (mg/kg) followed by pemetrexed 500 mg/square meter (m^2) and then cisplatin 75 mg/m^2 on Day 1 of each 3 week cycle (1 Cycle = 21 Days in this study) until disease progression, unacceptable toxicity, withdrawal of consent or if another study withdrawal criterion has been met.
Receives: Drug: Aflibercept; Drug: Pemetrexed; Drug: Cisplatin
Phase 1: Aflibercept 4 mg/kg and Pemetrexed and CisplatinExperimentalParticipants received intravenous infusion of aflibercept 4 mg/kg followed by pemetrexed 500 mg/m^2 and then cisplatin 75 mg/m^2 on Day 1 of each 3 week cycle (1 Cycle = 21 Days in this study) until disease progression, unacceptable toxicity, withdrawal of consent or if another study withdrawal criterion has been met.
Receives: Drug: Aflibercept; Drug: Pemetrexed; Drug: Cisplatin
Phase 2: Aflibercept 6 mg/kg and Pemetrexed and CisplatinExperimentalParticipants received intravenous infusion of aflibercept 6 mg/kg followed by pemetrexed 500 mg/m^2 and then cisplatin 75 mg/m^2 on Day 1 of each 3 week cycle (1 Cycle = 21 Days in this study) for 6 cycles.
Receives: Drug: Aflibercept; Drug: Pemetrexed; Drug: Cisplatin

What is being measured

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

  1. Phase 1: Recommended Dose of Aflibercept for Phase 2

    Recommended Dose was defined as the highest combination dose at which fewer than 33 percent (%) of participants experienced dose limiting toxicity during the first cycle of therapy.

    Measured: Phase 1: Baseline up to 315 Days

Secondary outcomes (13)
  1. Phase 2: Objective Response Rate

    Objective response rate was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) as assessed by modified Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking the Baseline sum LD as reference.

    Measured: Phase 2: Baseline (Day 421) up to end of study (Day 972)

  2. Phase 2: Progression-free Survival (PFS)

    PFS was defined as the time in days from the date of first study drug administration to the date of first documentation of tumor progression or death from any cause, whichever occurs first, as assessed by the modified RECIST. Median time of PFS was estimated using Kaplan-Meier method.

    Measured: Phase 2: Baseline (Day 421) up to end of study (Day 972)

  3. Phase 1 and 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs)

    An adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (for example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) was defined as an adverse event with an onset that occurs after receiving study drug. Any TEAE included participants with both serious and non-serious AEs.

    Measured: Phase 1: Baseline up to 751 Days; Phase 2: Baseline (Day 421) up to 972 Days

  4. Phase 1 and 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of Aflibercept

    The AUC0-inf was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity.

    Measured: Phase 1 and 2: Pre-dose up to Day 22 post-dose

  5. Phase 1 and 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of Pemetrexed

    The AUC0-inf was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity.

    Measured: Phase 1 and 2: Pre-dose up to Day 1 post-dose, Day 2 post-dose (only in Phase 1)

  6. Phase 1 and 2: Maximum Observed Plasma Concentration (Cmax) of Aflibercept and Pemetrexed

    Cmax is the maximum observed plasma concentration obtained directly from the concentration versus time curve.

    Measured: Phase 1 and 2: Aflibercept: Pre-dose up to Day 22 post-dose; Pemetrexed: Pre-dose up to Day 1 post-dose, Day 2 post-dose (only in Phase 1)

  7. Phase 1 and 2: Total Body Clearance of Aflibercept

    Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.

    Measured: Phase 1 and 2: Pre-dose up to Day 22 post-dose

  8. Phase 1 and 2: Total Body Clearance of Pemetrexed

    Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.

    Measured: Phase 1 and 2: Pre-dose up to Day 1 post-dose, Day 2 post-dose (only in Phase 1)

  9. Phase 1 and 2: Terminal Half-Life (t1/2) of Aflibercept

    Terminal half-life was defined as the time required for the plasma concentration of drug to decrease 50 percent in the final stage of its elimination.

    Measured: Phase 1 and 2: Pre-dose up to Day 22 post-dose

  10. Phase 1 and 2: Terminal Half-Life (t1/2) of Pemetrexed

    Terminal half-life was defined as the time required for the plasma concentration of drug to decrease 50 percent in the final stage of its elimination.

    Measured: Phase 1 and 2: Pre-dose up to Day 1 post-dose, Day 2 post-dose (only in Phase 1)

  11. Phase 1 and 2: Number of Participants With Positive Anti-drug Antibody (ADA) of Aflibercept

    Serum samples were analyzed by a validated electrochemiluminescence immunoassay to detect the presence of ADA.

    Measured: Phase 1: Baseline up to 315 Days; Phase 2: Baseline (Day 421) up to Day 739

  12. Phase 1 and 2: Number of Participants With All Grade Glucose Abnormalities

    Measured: Phase 1: Baseline up to 751 Days; Phase 2: Baseline (Day 421) up to 972 Days

  13. Phase 1 and 2: Number of Participants With All Grade Hematology Abnormalities

    Measured: Phase 1: Baseline up to 751 Days; Phase 2: Baseline (Day 421) up to 972 Days

Timeline

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

  1. First posted20 Nov 2008 (estimated)
  2. Study start30 Nov 2008
  3. Primary completion30 Jun 2011
  4. Study completion30 Jun 2011

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00794417
Sponsor's protocol ID
VGFT-ST-0708
Other IDs
TCD10767
Status last verified
Nov 2020
First submitted
19 Nov 2008
Last updated
10 Dec 2020
Data monitoring committee
No

Publications

  • Diaz-Padilla I, Siu LL, San Pedro-Salcedo M, Razak AR, Colevas AD, Shepherd FA, Leighl NB, Neal JW, Thibault A, Liu L, Lisano J, Gao B, Lawson EB, Wakelee HA. A phase I dose-escalation study of aflibercept administered in combination with pemetrexed and cisplatin in patients with advanced solid tumours. Br J Cancer. 2012 Aug 7;107(4):604-11. doi: 10.1038/bjc.2012.319. Epub 2012 Jul 17.

    PubMed 22805331
  • Chen H, Modiano MR, Neal JW, Brahmer JR, Rigas JR, Jotte RM, Leighl NB, Riess JW, Kuo CJ, Liu L, Gao B, Dicioccio AT, Adjei AA, Wakelee HA. A phase II multicentre study of ziv-aflibercept in combination with cisplatin and pemetrexed in patients with previously untreated advanced/metastatic non-squamous non-small cell lung cancer. Br J Cancer. 2014 Feb 4;110(3):602-8. doi: 10.1038/bjc.2013.735. Epub 2013 Nov 28.

    PubMed 24292447

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Aflibercept, Pemetrexed and Cisplatin in people with Advanced Carcinoma and Non-small Cell Lung Cancer, run by Regeneron Pharmaceuticals at 15 sites in 2 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 9 inclusion and 13 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 10 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States, Canada. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 10 Dec 2020). 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?

Phase 1: Recommended Dose of Aflibercept for Phase 2 (time frame: Phase 1: Baseline up to 315 Days). 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 NCT00794417, which also lists 2 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 10 Dec 2020.

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