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Squamous Cell CarcinomaPhase 2NCT01133665

Cetuximab and Lenalidomide in Head and Neck

A Phase 2 study testing Cetuximab and Lenalidomide in people with Squamous Cell Carcinoma, run by University of Chicago at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to study specific FcRIIIa polymorphisms and their correlation with clinical outcome in subjects treated with cetuximab and lenalidomide. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Squamous Cell Carcinoma
What is being tested?
Cetuximab and Lenalidomide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
1 siteUnited States
Study dates
Feb 2010to Aug 2012
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

  • Understand and voluntarily sign an informed consent form.
  • Age ≥18 years at the time of signing the informed consent form.
  • Able to adhere to the study visit schedule and other protocol requirements.
  • Recurrent or metastatic squamous cell or undifferentiated carcinoma of the head and neck that is not amenable to curative therapy. Patients who are candidates for local or locoregional therapy should not be deprived of proven beneficial palliative therapies.
  • All previous cancer therapy, including radiation, hormonal therapy, EGFR inhibitors, and surgery, must have been discontinued at least 4 weeks prior to treatment in this study.
  • ECOG performance status of 0-1 at study entry.
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  • Laboratory test results within these ranges:
  • Absolute neutrophil count to ≥ 1000/mm³
  • Platelet count ≥ 100,000/mm³
  • Calculated creatinine clearance ≥ 50ml/min by Cockcroft-Gault estimation
  • Total bilirubin < 1.5 x ULN
  • AST (SGOT) and ALT (SGPT) < 3 x ULN or < 5 x ULN if hepatic metastases are present.
  • Disease free of prior malignancies for < 3 years with exception of currently treated basal cell, squamous cell carcinoma of the skin, or carcinoma "in-situ" of the cervix or breast. Patients with malignancies diagnosed less than 3 years prior to study entry are eligible if the first cancer was no greater than stage I and did not recur. Patients with malignancies diagnosed less than 3 years prior to study entry must have the diagnosis of recurrent or metastatic squamous cell carcinoma of the head and neck confirmed pathologically.
  • All study participants must be registered into the mandatory RevAssist® program, and be willing and able to comply with the requirements of RevAssist®.
  • Females of childbearing potential (FCBP)† must have a negative serum or urine pregnancy test with a sensitivity of at least 50 mIU/mL within 10 - 14 days prior to and again within 24 hours of prescribing lenalidomide (prescriptions must be filled within 7 days) and must either commit to continued abstinence from heterosexual intercourse or begin TWO acceptable methods of birth control, one highly effective method and one additional effective method AT THE SAME TIME, at least 28 days before she starts taking lenalidomide. FCBP must also agree to ongoing pregnancy testing. Men must agree to use a latex condom during sexual contact with a FCBP even if they have had a successful vasectomy. See Appendix: Risks of Fetal Exposure, Pregnancy Testing Guidelines and Acceptable Birth Control Methods.
  • Able to take aspirin (81 or 325 mg) daily as prophylactic anticoagulation (patients intolerant to ASA may use warfarin or low molecular weight heparin).
  • Measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded), with minimum lesion size ≥ 2 cm on conventional measurement techniques or ≥ 1 cm on spiral computed tomography (CT) scan. Lesions that can be measured clinically must be at least 1 cm in greatest dimension by caliper measurement.

Who cannot join

  • Primary head and neck carcinomas of the salivary gland, skin, or thyroid regardless of pathology
  • Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form.
  • Pregnant or breast feeding females. (Lactating females must agree not to breast feed while taking lenalidomide).
  • Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study.
  • Use of any other experimental drug or therapy within 28 days of baseline.
  • Prior therapy with lenalidomide for squamous cell carcinoma of the head and neck
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  • Known hypersensitivity to thalidomide.
  • The development of erythema nodosum if characterized by a desquamating rash while taking thalidomide or similar drugs.
  • Concurrent use of other anti-cancer agents or treatments.
  • Known positive for HIV or infectious hepatitis, type B or C.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The University of Chicago

    Chicago, Illinois, 60637

Other trials in United States

About this study

Official title: Phase II Study of Cetuximab and Lenalidomide in Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck

The purpose of this study is to study specific FcRIIIa polymorphisms and their correlation with clinical outcome in subjects treated with cetuximab and lenalidomide.

Read the detailed description

To study specific FcRIIIa polymorphisms and their correlation with clinical outcome in subjects treated with cetuximab and lenalidomide. There is evidence with cetuximab in CRC, trastuzumab in breast cancer and rituximab with follicular lymphoma, that FcRIIIa polymorphisms correlate with clinical response to antibody therapy and clinical outcome. It is our hypothesis that patients with SCCHN will have clinical outcomes to cetuximab and lenalidomide that correlate with patient FcRIIIa genotype.

Secondary:

To evaluate the safety and toxicity profile of the combination of cetuximab and lenalidomide given to treat subjects with SCCHN.

To study FcRIIIa polymorphisms and the correlation with the ability of NK cells to mediate ADCC against SCCHN. It is our hypothesis that NK cells from patients with advanced SCCHN can mediate ADCC against SCCHN cell lines in the presence of cetuximab and lenalidomide and that the efficiency of ADCC correlates with FcRIIIa polymorphisms.

To evaluate the ability of NK cells to induce ADCC expression of specific activation markers on the NK cell surface. It is our hypothesis that NK cells that induce ADCC will express specific activation markers that are predictive of efficiency of ADCC.

Being tested
Cetuximab and Lenalidomide
Keywords
Head and Neck, Squamous Cell, Recurrent or metastatic squamous cell or undifferentiated carcinoma of the head and neck that is not amenable to curative therapy
Medical subject headings
Carcinoma, Squamous Cell, Recurrence

What participants receive

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

  • Cetuximab and LenalidomideDrug

    The treatment of Head and Neck Cancer with Cetuximab and Lenalidomide

Study groups in NCT01133665
Study groupRoleWhat they receive
Sub Group 1ExperimentalAll Subjects Enrolled in the Trial
Receives: Drug: Cetuximab and Lenalidomide

What is being measured

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

  1. Correlate the Presence of Specific Fc RIIIa Polymorphisms With Progression-free Survival in Subjects Receiving Cetuximab and Lenalidomide for SCCHN.

    Progression-free survival (PFS) was defined as time from date of the first treatment dose administered to the earlier of disease progression or death from any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), 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.

    Measured: 24 months

Secondary outcomes (37)
  1. Number of Participants With Fatigue Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  2. Number of Participants With Maculopapular Rash Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  3. Number of Participants With Constipation Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  4. Number of Participants With Anemia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  5. Number of Participants With Anorexia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  6. Number of Participants With Nausea Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  7. Number of Participants With Hypoalbuminemia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  8. Number of Participants With Lymphopenia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  9. Number of Participants With Oral Mucositis Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  10. Number of Participants With Pain Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  11. Number of Participants With Vomiting Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  12. Number of Participants With White Blood Cell Decreased Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  13. Number of Participants With Diarrhea Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  14. Number of Participants With Hyponatremia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  15. Number of Participants With Neutropenia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  16. Number of Participants With Headache Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  17. Number of Participants With Hypokalemia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  18. Number of Participants With Hypophosphatemia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  19. Number of Participants With Thrombocytopenia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  20. Number of Participants With Acneiform Rash Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  21. Number of Participants With Hyperglycemia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  22. Number of Participants With Alkaline Phosphatase Increased Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  23. Number of Participants With Aspartate Aminotransferase Increased Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  24. Number of Participants With Xerostomia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 3

    Measured: 24 months

  25. Number of Participants With Fever Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  26. Number of Participants With Hypocalcaemia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 months

  27. Number of Participants With Neck Pain Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  28. Number of Participants With Peripheral Sensory Neuropathy Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  29. Number of Participants With Alanine Aminotransferase Increased Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  30. Number of Participants With Back Pain Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  31. Number of Participants With Dyspnea Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  32. Number of Participants With Weight Loss Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  33. Number of Participants With Blood Bilirubin Increased Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  34. Number of Participants With Infusion Related Reaction Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  35. Number of Participants With C. Diff Infection Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  36. Number of Participants With Febrile Neutropenia Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

  37. Number of Participants With Lymphocyte Count Increased Related to Cetuximab/Lenalidomide

    Toxicity was scored according to NCI/CTC version 4

    Measured: 24 month

Timeline

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

  1. First posted31 May 2010 (estimated)
  2. Study startFeb 2010
  3. Primary completionAug 2011
  4. Study completionAug 2012

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01133665
Sponsor's protocol ID
09-206-B
Status last verified
Nov 2014
First submitted
27 May 2010
Last updated
24 Nov 2014
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cetuximab and Lenalidomide in people with Squamous Cell Carcinoma, run by University of Chicago at 1 site 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 17 inclusion and 10 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 24 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

Yes. Results are posted in the registry (first posted 24 Nov 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?

Correlate the Presence of Specific Fc RIIIa Polymorphisms With Progression-free Survival in Subjects Receiving Cetuximab and Lenalidomide for SCCHN. (time frame: 24 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 24 Nov 2014.

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