Metastatic or Recurrent Squamous Cell Carcinoma of the LungPhase 2NCT00998192
A Study of REOLYSIN® in Combination With Paclitaxel and Carboplatin in Patients With Squamous Cell Carcinoma of the Lung
A Phase 2 study testing REOLYSIN, Paclitaxel and Carboplatin in people with Metastatic or Recurrent Squamous Cell Carcinoma of the Lung, run by Oncolytics Biotech at 17 sites in United States.
Trial summary
The purpose of this Phase 2 study is to investigate whether intravenous administration of REOLYSIN therapeutic reovirus in combination with paclitaxel and carboplatin is effective and safe in the treatment of squamous cell carinoma of the lung. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic or Recurrent Squamous Cell Carcinoma of the Lung
- What is being tested?
- REOLYSIN, Paclitaxel and Carboplatin
- Type of treatment
- Injection or infusion
- How many people
- 32 participants
- Where
- 17 sitesUnited States
- Study dates
- Oct 2009to Aug 2015
- Phase
- Phase 2
- 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
- have histologically or cytologically confirmed metastatic stage IIIB (pleural effusion; IVA on revised IASLC staging) or stage IV, or recurrent squamous cell carcinoma of the lung.
- have measurable disease.
- be chemotherapy naïve for their metastatic or recurrent SCCLC, with some exceptions.
- have NO continuing acute toxic effects of any prior radiotherapy, chemotherapy, or surgical procedures.
- have an ECOG Performance Score of ≤ 2.
- have a life expectancy of at least 3 months.
- absolute neutrophil count (ANC) ≥ 1.5 x 10^9; Platelets ≥ 100 x10^9 (without platelet transfusion);Hemoglobin ≥ 9.0 g/dL (with or without RBC transfusion); Serum creatinine ≤ 1.5 x upper limit of normal (ULN); Bilirubin ≤ 1.5 x ULN; AST/ALT ≤ 2.5 x ULN.
- negative pregnancy test for females with childbearing potential.
Who cannot join
- receive concurrent therapy with any other investigational anticancer agent while on study.
- have a known past or current history of brain metastasis(es).
- be on immunosuppressive therapy or have known HIV infection or active hepatitis B or C.
- be a pregnant or breast-feeding woman.
- have clinically significant cardiac disease.
- have dementia or altered mental status that would prohibit informed consent.
- have any other acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the Principal Investigator, would make the patient inappropriate for this study.
Trial locations and contacts
17 sites in 1 country.
17 sites in 1 country
United States17 sites
Texas Oncology - Arlington South
Arlington, Texas, 76014
Advanced Oncology Associates
Armonk, New York, 10504
Texas Oncology - Bedford
Bedford, Texas, 76022
Texas Oncology - Denton South
Denton, Texas, 76210
Texas Oncology - Fort Worth
Fort Worth, Texas, 76104
Texas Oncology - Garland
Garland, Texas, 75042
Investigative Clinical Research of Indiana, LLC
Indianapolis, Indiana, 46260
Medical Oncology Associates of Wyoming Valley
Kingston, Pennsylvania, 18704
Texas Oncology - Lewisville
Lewisville, Texas, 75067
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Lynchburg Hematology Oncology Clinic
Lynchburg, Virginia, 24501
Signal Point Clinical Research Center, LLC
Middletown, Ohio, 45042
Illinois Cancer Specialists
Niles, Illinois, 60714
Ocala Oncology Center
Ocala, Florida, 34471
Cancer Therapy & Research Center at UTHSCSA
San Antonio, Texas, 78229
Cancer Care Centers of South Texas
San Antonio, Texas, 78258-3912
Texas Oncology - Tyler
Tyler, Texas, 75702
About this study
Official title: A Phase 2 Study of Intravenous Administration of REOLYSIN® (Reovirus Type 3 Dearing) in Combination With Paclitaxel and Carboplatin in Patients With Squamous Cell Carcinoma of the Lung
The purpose of this Phase 2 study is to investigate whether intravenous administration of REOLYSIN therapeutic reovirus in combination with paclitaxel and carboplatin is effective and safe in the treatment of squamous cell carinoma of the lung.
Read the detailed description
Lung cancer remains the most common cancer and cause of cancer-related mortality in the United States. In 2008, there was an estimated 215,000 new cases of lung cancer diagnosed and roughly 162,000 deaths from lung cancer (NCI 2009). The majority (85%) of patients with a diagnosis of lung cancer will have non-small cell lung cancer (NSCLC).
The combination of paclitaxel and carboplatin has become the most commonly prescribed chemotherapy regimen for the treatment of advanced NSCLC in the United States. Laboratory studies of combinations of REOLYSIN with a variety of chemotherapeutic agents has shown that the combination of REOLYSIN and paclitaxel was invariably synergistic, even in cells with drug resistance or limited sensitivity to the reovirus. Moreover, reovirus activity was dramatically increased in the presence of the taxane.
The Phase 2 study is designed to characterize the efficacy and safety of REOLYSIN given intravenously in combination with paclitaxel and carboplatin every 3 weeks in patients with squamous cell carinoma of the lung.
Response is a primary endpoint of this trial.
The safety of the treatment combination will be assessed by the evaluation of the type, frequency and severity of adverse events, changes in clinical laboratory tests, immunogenicity and physical examination.
Patients may continue to receive chemotherapy combined with REOLYSIN for up to 8 cycles and may continue indefinitely on REOLYSIN monotherapy under this protocol, provided they have not experienced either progressive disease or unacceptable drug-related toxicity that does not respond to either supportive care or dose reduction.
- Being tested
- REOLYSIN, Paclitaxel, Carboplatin
- Keywords
- carcinoma, squamous cell, lung, REOLYSIN, chemotherapy, carboplatin, paclitaxel, Carcinoma, Squamous Cell of the Lung
- Medical subject headings
- Neoplasm Metastasis, Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
REOLYSINBiological
3x10E10 TCID50 1 hour intravenous infusion, administered on Days 1,2,3,4,and 5 of a 21-day cycle
PaclitaxelDrug
Also called Taxol
200 mg/m2, 3-hour intravenous infusion, given on Day 1 of a 21-day cycle
CarboplatinDrug
Also called Paraplatin
6 AUC mg/mL min, 30-min intravenous infusion, given on Day 1 of a 21-day cycle
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective response rate (complete response (CR) + partial response (PR)) of the treatment regimen in the study population
Measured: 6 months
Secondary outcomes (4)
Evaluate the safety and tolerability of the treatment regimen in the study population as measured by adverse events associated with the study treatment, and defined by established criteria.
Measured: Within 30 days of last dose of REOLYSIN
To assess progression-free survival (PFS) for the treatment regimen in the study population.
Measured: 9-12 months
Determine the proportion of patients receiving the treatment who are alive and free of disease progression at 6 months.
Measured: 6 months
To determine overall survival with the treatment regimen in the study population
Measured: 9-12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Oct 2009 (estimated)
- Study startOct 2009
- Primary completionSep 2013
- Study completionAug 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic or Recurrent Squamous Cell Carcinoma of the LungStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 32 participants (actual)
Sponsor and investigators
- Lead sponsor
- Oncolytics Biotech
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- University of Texas
- Responsible party
- Sponsor
- Investigators
- Alain Mita, MD, Principal investigator, Cedars-Sinai Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00998192
- Sponsor's protocol ID
- REO 021
- Status last verified
- Aug 2015
- First submitted
- 15 Oct 2009
- Last updated
- 31 Mar 2016
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Study of Intravenous Administration of REOLYSIN® (Reovirus Type 3 Dearing) in Combination With Paclitaxel and Carboplatin in Patients With Squamous Cell Carcinoma of the Lung
- ClinicalTrials.gov ID
- NCT00998192
- Acronym / sponsor ID
- REO 021
- Keywords
- carcinoma, squamous cell, lung, REOLYSIN, chemotherapy, carboplatin, paclitaxel, Carcinoma, Squamous Cell of the Lung
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- Oncolytics BiotechIndustry (pharma, biotech, devices)
- Collaborators
- University of Texas
- Study start
- Oct 2009
- Primary completion
- Sep 2013 (actual)
- Study completion
- Aug 2015 (actual)
- First posted
- 20 Oct 2009 (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.
The purpose of this Phase 2 study is to investigate whether intravenous administration of REOLYSIN therapeutic reovirus in combination with paclitaxel and carboplatin is effective and safe in the treatment of squamous cell carinoma of the lung.
Detailed description
Lung cancer remains the most common cancer and cause of cancer-related mortality in the United States. In 2008, there was an estimated 215,000 new cases of lung cancer diagnosed and roughly 162,000 deaths from lung cancer (NCI 2009). The majority (85%) of patients with a diagnosis of lung cancer will have non-small cell lung cancer (NSCLC).
The combination of paclitaxel and carboplatin has become the most commonly prescribed chemotherapy regimen for the treatment of advanced NSCLC in the United States. Laboratory studies of combinations of REOLYSIN with a variety of chemotherapeutic agents has shown that the combination of REOLYSIN and paclitaxel was invariably synergistic, even in cells with drug resistance or limited sensitivity to the reovirus. Moreover, reovirus activity was dramatically increased in the presence of the taxane.
The Phase 2 study is designed to characterize the efficacy and safety of REOLYSIN given intravenously in combination with paclitaxel and carboplatin every 3 weeks in patients with squamous cell carinoma of the lung.
Response is a primary endpoint of this trial.
The safety of the treatment combination will be assessed by the evaluation of the type, frequency and severity of adverse events, changes in clinical laboratory tests, immunogenicity and physical examination.
Patients may continue to receive chemotherapy combined with REOLYSIN for up to 8 cycles and may continue indefinitely on REOLYSIN monotherapy under this protocol, provided they have not experienced either progressive disease or unacceptable drug-related toxicity that does not respond to either supportive care or dose reduction.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- have histologically or cytologically confirmed metastatic stage IIIB (pleural effusion; IVA on revised IASLC staging) or stage IV, or recurrent squamous cell carcinoma of the lung.
- have measurable disease.
- be chemotherapy naïve for their metastatic or recurrent SCCLC, with some exceptions.
- have NO continuing acute toxic effects of any prior radiotherapy, chemotherapy, or surgical procedures.
- have an ECOG Performance Score of ≤ 2.
Key exclusion criteria (7 listed)
- receive concurrent therapy with any other investigational anticancer agent while on study.
- have a known past or current history of brain metastasis(es).
- be on immunosuppressive therapy or have known HIV infection or active hepatitis B or C.
- be a pregnant or breast-feeding woman.
- have clinically significant cardiac disease.
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 |
|---|---|---|
| REOLYSIN3x10E10 TCID50 1 hour intravenous infusion, administered on Days 1,2,3,4,and 5 of a 21-day cycle | Biological | – |
| PaclitaxelAlso: Taxol200 mg/m2, 3-hour intravenous infusion, given on Day 1 of a 21-day cycle | Drug | – |
| CarboplatinAlso: Paraplatin6 AUC mg/mL min, 30-min intravenous infusion, given on Day 1 of a 21-day cycle | Drug | – |
Primary outcome
Objective response rate (complete response (CR) + partial response (PR)) of the treatment regimen in the study population
Time frame: 6 months
4 secondary outcomes
Evaluate the safety and tolerability of the treatment regimen in the study population as measured by adverse events associated with the study treatment, and defined by established criteria.
Time frame: Within 30 days of last dose of REOLYSIN
To assess progression-free survival (PFS) for the treatment regimen in the study population.
Time frame: 9-12 months
Determine the proportion of patients receiving the treatment who are alive and free of disease progression at 6 months.
Time frame: 6 months
To determine overall survival with the treatment regimen in the study population
Time frame: 9-12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Mar 2016.
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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.
Alain Mita, MD principal investigator
Cedars-Sinai Medical Center
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing REOLYSIN, Paclitaxel and Carboplatin in people with Metastatic or Recurrent Squamous Cell Carcinoma of the Lung, run by Oncolytics Biotech at 17 sites in United States.
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 8 inclusion and 7 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 31 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in United States. 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 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Objective response rate (complete response (CR) + partial response (PR)) of the treatment regimen in the study population (time frame: 6 months). 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 31 Mar 2016.