Carcinoma, Non-Small-Cell LungPhase 3NCT00805194
LUME-Lung 1: BIBF 1120 Plus Docetaxel as Compared to Placebo Plus Docetaxel in 2nd Line Non Small Cell Lung Cancer
A Phase 3 study testing BIBF 1120 plus docetaxel in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 210 sites in 27 countries.
Trial summary
The present trial will be performed to evaluate whether BIBF 1120 in combination with standard therapy of docetaxel in patients with stage IIIB/IV or recurrent NSCLC is more effective as compared to placebo in combination with standard therapy of docetaxel. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- BIBF 1120 plus docetaxel
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,314 participants
- Where
- 210 sitesin 27 countries
- Study dates
- 3 Dec 2008to 13 Nov 2017
- Phase
- Phase 3
- 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 patient aged 18 years or older;
- histologically or cytologically confirmed, locally advanced and/or metastatic NSCLC of stage IIIB or IV or recurrent NSCLC;
- relapse or failure of one first line prior chemotherapy;
- at least one target tumour lesion that has not been irradiated within the past three months and that can accurately be measured ;
- life expectancy of at least three months;
- Eastern Cooperative Oncology group (ECOG) score of 0 or 1;
- patient has given written informed consent
Who cannot join
- more than one prior chemotherapy regimen for advanced and/or metastatic or recurrent NSCLC;
- more than one chemotherapy treatment regimen (either neoadjuvant or adjuvant or neoadjuvant plus adjuvant) prior to first line chemotherapy;
- previous therapy with other VEGFR inhibitors (other than bevacizumab) or docetaxel for treatment of NSCLC;
- persistence of clinically relevant therapy related toxicities from previous chemotherapy and/or radiotherapy;
- treatment with other investigational drugs or other anti-cancer therapy or treatment in another clinical trial within the past four weeks before start of - therapy or concomitantly with this trial ;
- radiotherapy (except extremities and brain) within the past three months prior to baseline imaging;
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- active brain metastases or leptomeningeal disease;
- radiographic evidence of cavitary or necrotic tumours;
- centrally located tumours with radiographic evidence (CT or MRI) of local invasion of major blood vessels;
- history of clinically significant haemoptysis within the past 3 months;
- therapeutic anticoagulation (except low dose heparin) or antiplatelet therapy;
- history of major thrombotic or clinically relevant major bleeding event in the past 6 months;
- known inherited predisposition to bleeding or thrombosis;
- significant cardiovascular diseases ;
- inadequate safety laboratory parameters;
- significant weight loss (> 10 %) within the past 6 weeks;
- current peripheral neuropathy greater than CTCAE grade 2 except due to trauma;
- preexisting ascites and/or clinically significant pleural effusion;
- major injuries and/or surgery within the past ten days prior to randomisation with incomplete wound healing;
- serious infections requiring systemic antibiotic therapy;
- decompensated diabetes mellitus or other contraindication to high dose corticosteroid therapy;
- gastrointestinal disorders or abnormalities that would interfere with absorption of the study drug;
- active or chronic hepatitis C and/or B infection;
- serious illness or concomitant non-oncological disease or laboratory abnormality that may increase the risk associated with study participation or study drug administration;
- patients who are sexually active and unwilling to use a medically acceptable method of contraception during the trial and for at least twelve months after end of active therapy;
- pregnancy or breast feeding;
- psychological, familial, sociological or geographical factors potentially hampering compliance with the study protocol and follow-up schedule;
- patients unable to comply with the protocol;
- active alcohol or drug abuse;
- other malignancy within the past three years other than basal cell skin cancer, or carcinoma in situ of the cervix;
- any contraindications for therapy with docetaxel;
- history of severe hypersensitivity reactions to docetaxel or other drugs formulated with polysorbate 80 (Tween 80);
- hypersensitivity to BIBF 1120 and/or the excipients of the trial drugs;
- hypersensitivity to contrast media
Trial locations and contacts
210 sites in 27 countries.
210 sites in 27 countries
Germany30 sites
Gemeinschaftspraxis Dr. Brudler / Dr. Heinrich, Augsburg
Augsburg, 86150
Zentralklinik Bad Berka GmbH
Bad Berka, 99437
Universitätsklinikum Benjamin Franklin, Berlin
Berlin, 12200
Helios Klinikum Emil von Behring
Berlin, 14165
Evangelische Lungenklinik Berlin
Buch, 13125
Gemeinschaftspraxis für Hämatologie und Onkologie, Köln
Cologne, 50677
Universitätsklinikum Frankfurt
Frankfurt, 60590
Krankenhaus Nordwest, Frankfurt
Frankfurt am Main, 60488
Klinikum Frankfurt Höchst GmbH
Frankfurt am Main, 65929
Universitätsklinikum Freiburg
Freiburg im Breisgau, 79106
Asklepios Fachkliniken München-Gauting
Gauting, 82131
Pneumologisches Forschungsinstitut an der LungenClinic Grosshansdorf GmbH
Großhansdorf, 22927
Krankenhaus Martha-Maria Halle-Dölau gGmbH
Halle, 06120
Allgemeines Krankenhaus Harburg, 21075 Hamburg
Hamburg, 21075
Universitätsklinikum Heidelberg
Heidelberg, 69126
Klinikum Kassel GmbH
Kassel, 34125
Universitätsklinikum Schleswig-Holstein, Campus Kiel
Kiel, 24116
Universitätsklinikum Leipzig
Leipzig, 04103
POIS Leipzig GbR
Leipzig, 04357
Klinik, Löwenstein
Löwenstein, 74245
Universitätsklinikum Schleswig-Holstein, Campus Kiel
Lübeck, 23538
Katholisches Klinikum St. Hildegardiskrankenhaus, Mainz
Mainz, 55131
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
Mainz, D-55131
Universitätsklinik links der Isar, München, Ziemssenstr. 1
München, 80336
Klinikum rechts der Isar der Technischen Universität München
München, 81675
Städt. Krankenhaus, München-Bogenhausen
München, 81925
Pius-Hospital, Oldenburg
Oldenburg, 26121
Universitätsklinikum Tübingen
Tübingen, 72076
Helios Dr. Horst Schmidt Kliniken Wiesbaden
Wiesbaden, 65199
Evangelisches Krankenhaus, Witten
Witten, 58455
China20 sites
307 Hospital of PLA
Beijing, 100071
Jilin Province Cancer Hospital
Changchun, 130012
First Hospital of Jilin University
Changchun, 130021
West China Hospital
Chengdu, 610041
Southwest Hospital
Chongqing, 400038
First Affiliated Hospital of Dalian Medical University
Dalian, 116011
The Second Affiliated Hospital of Dalian Medical University
Dalian, 116027
Fujian Provincial Tumor Hospital
Fujian, 350014
Sun Yat-Sen University Cancer Center
Guangzhou, 510060
Guangdong General Hospital
Guangzhou, 510080
Sir Run Run Shaw Hospital
Hangzhou, 310016
Zhejiang Cancer Hospital
Hangzhou, 310022
The Third Affiliated Hospital of Harbin Medical University
Harbin, 150081
the 81th Hospital of PLA
Nanjing, 210002
Jiangsu Cancer Hospital
Nanjing, 210009
Shanghai Chest Hospital
Shanghai, 200030
Fudan University Shanghai Cancer Center
Shanghai, 200032
Shanghai Pulmonary Hospital
Shanghai, 200433
Tongji Hospital, Tongji University
Wuhan, 430030
Zhongshan Hospital Fudan University
Xuhui Area, Shanghai, 200032
India19 sites
Vedanta Institute of Medical Sciences
Ahmedabad, 380009
KIDWAI memoraial Institute of oncology
Bangalore, 560029
Rajalakshmi Multispeciality Hospital
Bangalore, 560078
Jawaharlal Nehru Cancer Hospital & Research Centre
Bhopal, M.P., 462001
Apollo Hospital
Chennai, 600035
Birla Cancer Centre
Jaipur, 302004
Bhagwan Mahaveer Cancer Hospital & Research Center, Jawahar
Jaipur, 302017
SEAROC cancer center,S.K.soni Hospital
Jaipur, Rajasthan, 302013
B. P .Poddar Hospital & Medical Research Ltd.
Kolkata, West Bengal, 700053
Kasturba Medical College and Hospital
Mangalore, 575001
Tata Memorial Centre
Mumbai, 400012
Shatabdi Superspeciality Hospital
Nashik, 422005
Sir Gangaram Hospital
New Delhi, 110060
Indraprastha Apollo Hospitals
New Delhi, 110076
Rajiv Gandhi Cancer Institute and Research Centre
New Delhi, 110085
Jehangir Hospital Oncology Department
Pune, Maharahtra, 411001
Regional Cancer Center
Trivandrum, Kerala, 695011
City Cancer Centre, Cancer Hospital & Research
Vijayawada, 520002
King George Hospital
Visakhapatnam, 530002
Russia15 sites
SBIH of Arkhangelsk reg. "Arkhangelsk Clin. Onc. Dispensary"
Arkhangelsk, 163045
GLPU Cheliabinsky
Chelyabinsk, 454076
GUZ Irkutsk Regional Oncology Dispensary
Irkutsk, 664035
St.Auton.Heal.Inst."Rep.Clin.Onc.Disp.of MoH of Rep. Tatarstan"
Kazan', 420029
RBIH "Kursk regional clinical oncology dispensary"
Kursk, 305035
GUZ Regional Oncology Dispensary, Magnitogorsk
Magnitogorsk, 455001
FSBI "N.N Blokhin Med.Res.Cent.Onc."MoH of RF
Moscow, 115478
SBIH of Stavropol territory "Pyatigorsk Oncol. Dispensary"
Pyatigorsk, 357502
GUZ "Regional Clinical Oncology Dispensary"
Ryazan, 390011
GUZ Leningradskaya Regional Clin. Hospital, St. Petersburg
Saint Petersburg, 194291
1stPavlov St.Med.Univ.St.-Petersburg Res.Inst.
Saint Petersburg, 197022
SPb SBIH "City Clinical Oncological Dispensary"
Saint Petersburg, 197022
FSBI "N.N. Petrov National Medical Research Center of Oncology" of MoH of RF
Saint Petersburg, 197758
GUZ "Oncological Dispesary #2"
Sochi, 354057
GUZ Sverdlovsky Regional Oncology Dispensary
Yekaterinburg, 620036
Italy11 sites
Az. Ospedaliere Umberto I di Ancona
Ancona, 60020
Centro di riferimento Oncologico
Aviano, 33081
Policlinico S. Orsola Malpighi
Bologna, 40135
Fond. Poliambulanza Istituto
Brescia, 25124
Azienda Ospedaliera Careggi
Florence, 50139
Ospedale Civile
Ivrea (TO), 10015
Istituto Scientifico Romagnolo
Meldola, 47014
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162
Azienda Sanitaria Ospedale S. Luigi Gonzaga
Orbassano, 10043
Fondazione Salvatore Maugeri
Pavia, 27100
Ospedale S.Maria della Misericordia, AO di Perugia
Perugia, 06132
Ukraine11 sites
Chernigiv Regional Oncology Centre
Chernihiv, 14029
Bukovynsk State Medical University
Chernivtsi, 58013
Chmelnytskyi Oblasnnyi Oncologichnyi Tsentr
Chmelnytskyi, 29000
City Clinical Hospital #4, Dnipropetrovsk State Medical Academy
Dnipropetrovsk, 49102
Donetsk Regional Antitumor Centre
Donetsk, 83000
Kharkiv Medical Acadamy of Postgraduate education
Kharkiv, 61070
Kryvorizskyi regional communal clinical oncology centre
Kryvyi Rig, 50048
Odesa Regional Oncological Centre
Odesa, 65055
Ternopil regional communal clinical oncology centre
Ternopil, 46023
Uzhgorod National University, Oncology Centre
Uzhhorod, 88000
Vinnytsia Regional Clinical Oncological Dispensary
Vinnytsia, 21029
Romania10 sites
Baia Mare Emergency County Hospital
Baia Mare, 430031
Spitalul Clinic Judetean de Urgenta Brasov
Brasov, 500117
Institute of Oncology 'Prof. Dr. Alexandru Trestioreanu'
Bucharest, 022328
Institutul Oncologic "Prof. Dr. Ion Chiricuta"
Cluj-Napoca, 400015
County Hospital "Dr. Alex Simionescu"
Hunedoara, 331057
Centrul de Oncologie Medicala
Iași, 700106
Emergency Clinical County Hospital "Sf Spiridon", Iasi
Iași, 700111
Onesti County Hospital
Onești, 601048
Emergency County Hospital "Sf.loan cel Nou"
Suceava, 720237
Oncomed SRL
Timișoara, 300239
Poland9 sites
Pulmonology Center in Bydgoszcz
Bydgoszcz, 85-326
Regional Complex Hospital
Elblag, 82-300
Institute of Tuberculosis & Pulmonology, III. Dept., Olsztyn
Olsztyn, 10-357
Mazowieckiego Centrum
Otwock, 05-400
Greater PL Cent.Pulmo.&Thor.Surg.Eugenia&Janusz Zeyland
Poznan, 60-569
Regional Specialist Hospital
Słupsk, 76-200
Independent Public Hospital in Suwalki
Suwałki, 16-400
Specialist Hospital, Szczecin-Zdunowo
Szczecin, 70-891
Onco.Cent. - Instit. of Maria Sklodowskiej-Curie
Warsaw, 02-781
France8 sites
HOP Croix Rousse, Pneumo, Lyon
Lyon, 69317
INS Paoli-Calmettes
Marseille, 13273
HOP Lyon Sud
Pierre-Bénite, 69495
CHU de Rouen - Hôpital de Bois Guillaume
Rouen, 76031
HOP Nord Laënnec
Saint-Herblain, 44805
Oncology Institute of the Loire
Saint-Priest-en-Jarez, 42271
HOP Civil
Strasbourg, 67091
Sainte Anne Training hospital for the armies
Toulon, 83401
Spain8 sites
Hospital Clínic de Barcelona
Barcelona, 08036
Hospital Universitario de Elche
Elche, 03202
Hospital Jerez de la Frontera
Jerez de La Frontera-Cádiz, 11407
Hospital La Princesa
Madrid, 28006
Hospital Quirónsalud Madrid
Pozuelo de Alarcón, 28233
Fundación Instituto Valenciano de Oncologia
Valencia, 46009
Servicio de Oncologia Radiotherapica
Valencia, 46010
Hospital Arnau de Vilanova
Valencia, 46015
Belarus7 sites
Bobruisk Inter-distict
Babruysk, 213825
Brest Regional Clinical
Brest Region, 224027
Gomel Regional Clinical
Homyel, 246012
Public Health Inst. Minsk City Clinical Oncology Dispensary
Minsk, 220013
Scientific Research Minsk
Minsk Region, 223040
Mogilov Regional Oncological Dispensary
Mogilev, 212018
Vitebsk Regional Clinical Oncology Dispensary
Vitebsk, 210603
Portugal7 sites
IPO Porto Francisco Gentil, EPE
Coimbra, 3041-801
IPO Lisboa Francisco Gentil, EPE
Lisbon, 1099-023
CHLN, EPE - Hospital de Santa Maria
Lisbon, 1649-035
IPO Porto Francisco Gentil, EPE
Porto, 4200-072
Centro Hospitalar São João,EPE
Porto, 4200-319
CHS, EPE - Hospital de São Bernardo
Setúbal, 2910
Centro Hospitalar de Vila Nova de Gaia
Vila Nova de Gaia, 4434-502
South Africa7 sites
GVI oncology Medi Clinic
Cape Town, 7570
Parklands Hospital
Durban, 4091
WCR CMJAH Clinical Trial Site
Johannesburg, 2193
Medical Oncology Centre of Rosebank
Johannesburg, 2196
Langenhoven Drive Oncology Centre
Port Elizabeth, 6045
Pretoria Academic Hospital
Pretoria, 0001
Wilgers oncology
Pretoria, 0041
Bulgaria6 sites
Multiprofile Hospital for Active Treatment
Gabrovo, 5300
Univ.Multiprofile Hospital "Dr. Georgy Stranski" EAD, Pleven
Pleven, 5800
District Oncology Dispensary Plovdiv
Plovdiv, 4004
Interdistrict Oncology Dispensary, Ruse
Rousse, 7002
District Oncology Dispensary Shumen
Shumen, 9700
Specialized Hospital for Active Treatment in Oncolcogy
Sofia, 1756
Israel6 sites
E. Wolfson Medical Center, Holon 58100
Holon, 58100
Hadassah Medical Center, Ein-Karem
Jerusalem, 91120
Meir Medical Center
Kfar Saba, 44281
Sourasky Medical Center
Tel Aviv, 64239
The Chaim Sheba Medical Center Tel Hashomer
Tel HaShomer, 52621
Assaf Harofe Medical Center
Tsrifin, 70300
Czechia5 sites
University Hospital Brno
Brno, 625 00
St. Anna Hospital, 2nd Internal Department
Brno, 656 53
District Hospital Liberec
Liberec, 460 01
Institut onkologie a rehabilitace Na Plesi s.r.o.
Nová Ves pod Pleší, 262 04
District Hospital Pribram, Oncology Centrum
Příbram, 261 95
Greece5 sites
Athens Hospital of Chest Diseasea "SOTIRIA"
Athens, 11527
University Hospital of Heraklion, University Pulmonology Cl
Heraklio, 71110
Iaso General Hospital
Holargos, Athens, 15562
Papageorgiou Hospital, 1st Cardiological Cl., Thessaloniki
Thessaloniki, 54603
General Hospital of Thessaloniki "G. Papanikolaou"
Thessaloniki, 57010
United Kingdom5 sites
Royal Bournemouth and Christchurch Hospital
Bournemouth, BH7 7DW
Bristol Haematology & Onc. Ctr
Bristol, BS28ED
Broomfield Hospital
Chelmsford, CM1 7ET
Wythenshawe Hospital
Manchester, M23 9LT
Poole Hospital
Poole, BH15 2JB
Austria3 sites
LKH-Univ. Hospital Graz
Graz, 8036
KH St. Vinzenz, Zams, Int. Abtlg.
Kufstein, 6330
AKH d. Stadt Linz, Pulmologie
Linz, 4020
Georgia3 sites
Amtel Hospital first Clinical LLC
Tbilisi, 0079
National Centre of Oncology
Tbilisi, 0177
Chemotherapy & Immunotherapy Clinic 'Medulla', Tbilisi
Tbilisi, 0186
Lithuania3 sites
Hospital of Lithuanian Univ.of HealthSciences Kauno Klinikos
Kaunas, LT-50009
Siauliu ligonine, Siauliai
Šiauliai, 76307
Vilniaus Universiteto
Vilnius, LT-08661
South Korea3 sites
Gachon University Gil Medical Center
Incheon, 405760
VHS Medical Center
Seoul, 05369
The Catholic University of Korea, Seoul St.Mary's Hospital
Seoul, 137701
Belgium2 sites
Centre Hospitalier Universitaire de Liège
Liège, 4000
Liège - HOSP CHR de la Citadelle
Liège, 4000
Croatia2 sites
Clinical Hospital Centar Sestre Milosrdnice
Zagreb, 10000
UHC Zagreb
Zagreb, 10000
Denmark2 sites
Herlev Hospital
Herlev, 2730
Odense Universitetshospital
Odense C, 5000
Switzerland2 sites
Kantonsspital Aarau
Aarau, CH-5001
Kantonsspital Baden AG
Baden, CH-5404
About this study
Official title: Multicentre, Randomised, Double-blind, Phase III Trial to Investigate the Efficacy and Safety of Oral BIBF 1120 Plus Standard Docetaxel Therapy Compared to Placebo Plus Standard Docetaxel Therapy in Patients With Stage IIIB/IV or Recurrent Non Small Cell Lung Cancer After Failure of First Line Chemotherapy
The present trial will be performed to evaluate whether BIBF 1120 in combination with standard therapy of docetaxel in patients with stage IIIB/IV or recurrent NSCLC is more effective as compared to placebo in combination with standard therapy of docetaxel. A secondary aim is to obtain safety information as well as information on quality of life of patients treated with BIBF 1120 in combination to standard therapy with docetaxel. In addition, blood will be collected for pharmacokinetic analysis.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- placebo plus docetaxel, BIBF 1120 plus docetaxel
- 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.
placebo plus docetaxelDrug
placebo matching BIBF 1120 2 times daily along with standard therapy of docetaxel
BIBF 1120 plus docetaxelDrug
BIBF 1120 2 times daily along with standard therapy of docetaxel
| Study group | Role | What they receive |
|---|---|---|
| BIBF 1120 plus docetaxel | Experimental | BIBF 1120 2 times daily along with standard therapy of docetaxel Receives: Drug: BIBF 1120 plus docetaxel |
| Placebo plus docetaxel | Placebo comparator | Placebo matching BIBF 1120 2 times daily along with standard therapy of docetaxel Receives: Drug: placebo plus docetaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) as Assessed by Central Independent Review
Progression Free Survival (PFS) as assessed by central independent review according to the modified Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) . Progression free survival (PFS) is defined as the duration of time from date of randomisation to date of progression or death (whatever occurs earlier).
Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
Measured: From randomisation until cut-off date 2 November 2010 (when 713 PFS events were observed)
Secondary outcomes (13)
Overall Survival (Key Secondary Endpoint)
Overall Survival (OS) defined as the duration from randomisation to death (irrespective of the reason of death). Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
A fixed-sequence-testing was implemented for key secondary endpoint if both the primary and the follow-up analysis showed a treatment benefit (P<0.05) of nintedanib over placebo. In this case, the OS would be tested using hierarchical testing of statistical hypotheses in (1) patients with adenocarcinoma and <9 months since start of first-line therapy, (2) patients with adenocarcinoma, and (3) all patients. Each hypothesis could be only tested at the pre-specified alpha level if the previous null hypothesis in the testing sequence had been.
Measured: From randomisation until cut-off date 15 February 2013 (approximately 48 months or 1151 deaths among all patients )
Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Central Independent Review
Follow-up analysis was conducted at the time of overall survival analysis. Progression Free Survival (PFS) as assessed by central independent review according to the modified RECIST (version 1.0) criteria.
Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
Measured: From randomisation until cut-off date 15 February 2013
Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Investigator
Follow-up analysis was conducted at the time of overall survival analysis. Progression Free Survival (PFS) as assessed by investigator according to the modified RECIST (version 1.0) criteria.
Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
Measured: From randomisation until cut-off date 15 February 2013
Objective Tumour Response
Confirmed objective response is defined as confirmed Complete Response (CR) and Partial Response (PR) and evaluated according to the modified RECIST criteria version 1.0.
As per RECIST v1.0, Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions.
This endpoint was analysed based on the central independent reviewer as well as the investigator.
Measured: From randomisation until cut-off date 15 February 2013
Duration of Confirmed Objective Tumour Response
The duration of objective response is the time from first documented (CR) or (PR) to the time of progression or death and evaluated according to the modified RECIST criteria version 1.0.
As per RECIST v1.0, Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions.
Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
This endpoint was analysed based on the central independent reviewer as well as the investigator.
Measured: From randomisation until cut-off date 15 February 2013
Time to Confirmed Objective Tumour Response
Time to confirmed objective response is defined as time from randomisation to the date of first documented (CR) or (PR) and evaluated according to the modified RECIST criteria version 1.0.
Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
This endpoint was analysed based on the central independent reviewer as well as the investigator.
Measured: From randomisation until cut-off date 15 February 2013
Disease Control
Disease control was defined as a best overall response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) and evaluated according to the modified RECIST criteria version 1.0.
As per RECIST v1.0 for target lesions : Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; progression, as a 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; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression.
This endpoint was analysed based on the central independent reviewer as well as the investigator.
Measured: From randomisation until cut-off date 15 February 2013
Duration of Disease Control
The duration of disease control was defined as the time from randomisation to the date of disease progression or death (which ever occurs first) for patients with disease control.
Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
This endpoint was analysed based on the central independent reviewer as well as the investigator.
Measured: From randomisation until cut-off date 15 February 2013
Change From Baseline in Tumour Size
Percentage change from baseline in tumour size is defined as decrease in the sum of the longest diameter of the target lesion.
Presented means are in fact adjusted best means percentage changes generated from ANOVA model adjusted for baseline ECOG PS (0 vs. 1), tumour histology (squamous vs non-squamous), brain metastases at baseline (yes vs no) and prior treatment with bevacizumab (yes vs no)
This endpoint was analysed based on the central independent reviewer as well as the investigator.
Measured: From randomisation until cut-off date 15 February 2013
Clinical Improvement
Clinical improvement was defined as the time from randomisation to deterioration in body weight and/or Eastern Cooperative Oncology group performance score (ECOG PS) whichever occurred first.
Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
Measured: From randomisation until cut-off date 15 February 2013
Quality of Life (QoL)
Quality of life (QoL) was measured by standardised questionnaires (Health Status Self-Assessment Questionnaire (EQ-5D), EORTC Quality of life questionnaire - Core 30 (EORTC QLQ-C30), Quality of life questionnaire - lung cancer module (EORTC QLQ-LC13). The EORTC QLQ-C30 comprises of 30 questions, using both multi-item scales and single-item measures. EORTC LC-13 comprises of 13 questions incorporating 1 multi-item scale and a series of single items.
The following were the main points of interest:
Time to deterioration of cough (EORTC QLQ-LC13 question 1), Time to deterioration of dyspnoea (QLQ-LC13, composite of questions 3 to 5), Time to deterioration of pain (QLQ- C30, composite of questions 9 and 19).
Time to deterioration of cough, dyspnoea and pain was defined as the time to a 10-point increase from the baseline score.
Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve
Measured: From randomisation until cut-off date 15 February 2013
Dose Normalised Predose Plasma Concentration at Steady State (Cpre,ss,Norm) of Nintedanib and of Its Metabolites BIBF 1202 and BIBF 1202 Glucuronide
Geometric mean of dose normalised predose plasma concentration (Cpre,ss,norm) of nintedanib and of its metabolites BIBF 1202 and BIBF 1202 glucuronide evaluated at steady state based on course 2 and 3. If only one value was available and valid, then this value was used for calculation of Cpre,ss,norm.
Measured: Before the administration of nintedanib or placebo and between a window of 30 mins to an hour after administration of trial drug during Course 2 and between 1 and 3 hours after administration of trial drug during Course 3
Incidence and Intensity of Adverse Events
Incidence and intensity of adverse events according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. The worst CTCAE grade per patient is reported and MedDRA version 15.1 used.
Serious signs and symptoms of progressive disease were reported as an adverse event in analysis of this endpoint.
Measured: From the first drug administration until 28 days after the last drug administration, up to 42 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Dec 2008 (estimated)
- Study start3 Dec 2008
- Primary completion2 Nov 2010
- Study completion13 Nov 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Non-Small-Cell LungStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- 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
- Double blind
- Enrolment
- 1,314 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00805194
- Sponsor's protocol ID
- 1199.13
- Other IDs
- 2007-004803-36
- Status last verified
- Nov 2018
- First submitted
- 8 Dec 2008
- Last updated
- 5 Dec 2018
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Gottfried M, Bennouna J, Bondarenko I, Douillard JY, Heigener DF, Krzakowski M, Mellemgaard A, Novello S, Orlov S, Summers Y, von Pawel J, Stohr J, Kaiser R, Reck M. Efficacy and Safety of Nintedanib Plus Docetaxel in Patients with Advanced Lung Adenocarcinoma: Complementary and Exploratory Analyses of the Phase III LUME-Lung 1 Study. Target Oncol. 2017 Aug;12(4):475-485. doi: 10.1007/s11523-017-0517-2.
PubMed 28702806Reck M, Kaiser R, Mellemgaard A, Douillard JY, Orlov S, Krzakowski M, von Pawel J, Gottfried M, Bondarenko I, Liao M, Gann CN, Barrueco J, Gaschler-Markefski B, Novello S; LUME-Lung 1 Study Group. Docetaxel plus nintedanib versus docetaxel plus placebo in patients with previously treated non-small-cell lung cancer (LUME-Lung 1): a phase 3, double-blind, randomised controlled trial. Lancet Oncol. 2014 Feb;15(2):143-55. doi: 10.1016/S1470-2045(13)70586-2. Epub 2014 Jan 9.
PubMed 24411639
Study at a glance
From the registry record, last updated by the sponsor on 5 Dec 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicentre, Randomised, Double-blind, Phase III Trial to Investigate the Efficacy and Safety of Oral BIBF 1120 Plus Standard Docetaxel Therapy Compared to Placebo Plus Standard Docetaxel Therapy in Patients With Stage IIIB/IV or Recurrent Non Small Cell Lung Cancer After Failure of First Line Chemotherapy
- ClinicalTrials.gov ID
- NCT00805194
- Acronym / sponsor ID
- 1199.13
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,314 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 3 Dec 2008 (actual)
- Primary completion
- 2 Nov 2010 (actual)
- Study completion
- 13 Nov 2017 (actual)
- First posted
- 9 Dec 2008 (estimated)
- Results
- Posted 1 Dec 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The present trial will be performed to evaluate whether BIBF 1120 in combination with standard therapy of docetaxel in patients with stage IIIB/IV or recurrent NSCLC is more effective as compared to placebo in combination with standard therapy of docetaxel. A secondary aim is to obtain safety information as well as information on quality of life of patients treated with BIBF 1120 in combination to standard therapy with docetaxel. In addition, blood will be collected for pharmacokinetic analysis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BIBF 1120 plus docetaxel | Experimental | Drug: BIBF 1120 plus docetaxelBIBF 1120 2 times daily along with standard therapy of docetaxel |
| Placebo plus docetaxel | Placebo comparator | Drug: placebo plus docetaxelPlacebo matching BIBF 1120 2 times daily along with standard therapy of docetaxel |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- male or female patient aged 18 years or older;
- histologically or cytologically confirmed, locally advanced and/or metastatic NSCLC of stage IIIB or IV or recurrent NSCLC;
- relapse or failure of one first line prior chemotherapy;
- at least one target tumour lesion that has not been irradiated within the past three months and that can accurately be measured ;
- life expectancy of at least three months;
Key exclusion criteria (34 listed)
- more than one prior chemotherapy regimen for advanced and/or metastatic or recurrent NSCLC;
- more than one chemotherapy treatment regimen (either neoadjuvant or adjuvant or neoadjuvant plus adjuvant) prior to first line chemotherapy;
- previous therapy with other VEGFR inhibitors (other than bevacizumab) or docetaxel for treatment of NSCLC;
- persistence of clinically relevant therapy related toxicities from previous chemotherapy and/or radiotherapy;
- treatment with other investigational drugs or other anti-cancer therapy or treatment in another clinical trial within the past four weeks before start of - therapy or concomitantly with this trial ;
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 |
|---|---|---|
| placebo plus docetaxelplacebo matching BIBF 1120 2 times daily along with standard therapy of docetaxel | Drug | Placebo plus docetaxel |
| BIBF 1120 plus docetaxelBIBF 1120 2 times daily along with standard therapy of docetaxel | Drug | BIBF 1120 plus docetaxel |
Primary outcome
Progression Free Survival (PFS) as Assessed by Central Independent Review
Time frame: From randomisation until cut-off date 2 November 2010 (when 713 PFS events were observed)
Progression Free Survival (PFS) as assessed by central independent review according to the modified Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) . Progression free survival (PFS) is defined as the duration of time from date of randomisation to date of progression or death (whatever occurs earlier). Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.
13 secondary outcomes
Overall Survival (Key Secondary Endpoint)
Time frame: From randomisation until cut-off date 15 February 2013 (approximately 48 months or 1151 deaths among all patients )
Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Central Independent Review
Time frame: From randomisation until cut-off date 15 February 2013
Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Investigator
Time frame: From randomisation until cut-off date 15 February 2013
Objective Tumour Response
Time frame: From randomisation until cut-off date 15 February 2013
Duration of Confirmed Objective Tumour Response
Time frame: From randomisation until cut-off date 15 February 2013
Time to Confirmed Objective Tumour Response
Time frame: From randomisation until cut-off date 15 February 2013
Disease Control
Time frame: From randomisation until cut-off date 15 February 2013
Duration of Disease Control
Time frame: From randomisation until cut-off date 15 February 2013
Change From Baseline in Tumour Size
Time frame: From randomisation until cut-off date 15 February 2013
Clinical Improvement
Time frame: From randomisation until cut-off date 15 February 2013
Quality of Life (QoL)
Time frame: From randomisation until cut-off date 15 February 2013
Dose Normalised Predose Plasma Concentration at Steady State (Cpre,ss,Norm) of Nintedanib and of Its Metabolites BIBF 1202 and BIBF 1202 Glucuronide
Time frame: Before the administration of nintedanib or placebo and between a window of 30 mins to an hour after administration of trial drug during Course 2 and between 1 and 3 hours after administration of trial drug during Course 3
Incidence and Intensity of Adverse Events
Time frame: From the first drug administration until 28 days after the last drug administration, up to 42 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Dec 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 28702806Gottfried M, Bennouna J, Bondarenko I, Douillard JY, Heigener DF, Krzakowski M, Mellemgaard A, Novello S, Orlov S, Summers Y, von Pawel J, Stohr J, Kaiser R, Reck M. Efficacy and Safety of Nintedanib Plus Docetaxel in Patients with Advanced Lung Adenocarcinoma: Complementary and Exploratory Analyses of the Phase III LUME-Lung 1 Study. Target Oncol. 2017 Aug;12(4):475-485. doi: 10.1007/s11523-017-0517-2.
- Derived from this study: PubMed 24411639Reck M, Kaiser R, Mellemgaard A, Douillard JY, Orlov S, Krzakowski M, von Pawel J, Gottfried M, Bondarenko I, Liao M, Gann CN, Barrueco J, Gaschler-Markefski B, Novello S; LUME-Lung 1 Study Group. Docetaxel plus nintedanib versus docetaxel plus placebo in patients with previously treated non-small-cell lung cancer (LUME-Lung 1): a phase 3, double-blind, randomised controlled trial. Lancet Oncol. 2014 Feb;15(2):143-55. doi: 10.1016/S1470-2045(13)70586-2. Epub 2014 Jan 9.
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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.
Boehringer Ingelheim study chair
Boehringer Ingelheim
210 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BIBF 1120 plus docetaxel in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 210 sites in 27 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 7 inclusion and 34 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 5 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 210 sites in Germany, China, India, Russia, Italy and 22 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 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?
Yes. Results are posted in the registry (first posted 1 Dec 2014). 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?
Progression Free Survival (PFS) as Assessed by Central Independent Review (time frame: From randomisation until cut-off date 2 November 2010 (when 713 PFS events were observed)). 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 NCT00805194, 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 5 Dec 2018.