Carcinoma, Non-Small-Cell LungPhase 1VENUS-1NCT01684111
An Dose Escalation Trial of Oral BIBF 1120 in Combination With Intravenous Vinorelbine in Elderly Patients With Advanced Non Small Lung Cell Cancer - Stage IV (VENUS-1)
A Phase 1 study testing BIBF 1120 and Vinorelbine in people with Carcinoma, Non-Small-Cell Lung, run by Aktion Bronchialkarzinom e.V. at 4 sites in Germany.
Trial summary
To investigate the maximum tolerated dose of BIBF 1120, safety and pharmacokinetics in escalating doses administered with Vinorelbine i.v. in elderly patients with advanced Non-Small Lung Cancer (Stage IV). Read more about this study
- Who is it for?
- Ages 71 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell Lung
- What is being tested?
- BIBF 1120 and Vinorelbine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 7 participants
- Where
- 4 sitesGermany
- Study dates
- Jun 2013to Jan 2016
- Phase
- Phase 1
- 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 71 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Histological confirmed Non-Small-Cell lung cancer (NSCLC)
- Tumor stage IV (UICC 7th Version)
- ECOG <2
- Age > 70 years
- No previous chemotherapy for stage IV NSCLC (UICC 7th Version)
- Adjuvant or neoadjuvant chemotherapy for NSCLC must be completed at least one year prior to study enrolment (from end of chemotherapy)
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- Patients with prior radiation therapy may be eligible for this study if they meet the following guidelines:
- Previous radiation therapy is allowed to <25% of the bone marrow (Cristy and Eckerman 1987), but should have been limited and must not have included whole pelvis radiation.
- Patients must have recovered from the toxic effects of the treatment prior to study enrolment (except for alopecia).
- Prior thoracic radiotherapy must be completed 30 days before study enrolment.
- Lesions that have been irradiated cannot be included as sites of measurable disease unless clear tumour progression has been documented in these lesions since the end of radiation therapy.
- Palliative extrathoracic radiotherapy to pre-existing lesions may continue on study; however, these lesions may not be included as sites of measurable disease.
- Adequate haematological laboratory parameters:
- Haemoglobin ≥9 g/dl
- WBC ≥3.000/µl
- Platelets ≥100.000/µl
- Neutrophil count > 1,500/µl
- Adequate renal laboratory parameters
- Creatinine ≤1,9 mg/dl
- Creatinine Clearance > 45 ml/min
- Adequate hepatic function
- Total bilirubin within normal range
- Total bilirubin < 1.5 x ULN (patients with liver metastasis)
- ALT < 1.5 x ULN
- ALT < 2.5 x ULN (patients with liver metastasis)
- AST < 1.5 x ULN
- AST < 2.5 x ULN (patients with liver metastasis)
- Alk. phosphatase < 3 x ULN
- LDH < 5 x ULN ULN = Upper Limit Of Normal (ULN)
- Other lab parameters:
- Proteinuria < CTCAE grade 2
- Prothrombin time and/or partial thromboplastin time < 50 % deviation from normal limits
- Informed consent, personally signed and dated to participate in the study
- Male patients enrolled in this trial must use adequate barrier birth control measures during the course of treatment and for at least 3 months after the last administration of study therapy
- Life expectancy at least 3 months
Who cannot join
- Any severe concomitant condition which makes it undesirable for the patient to participate in the study or which could jeopardise compliance with the protocol
- Serious infections requiring systemic antibiotic (e.g antiviral, antimicrobial, antifungal) therapy
- Serious, non-healing wound, ulcer or bone fracture or major injuries and/or surgery within 4 weeks of trial inclusion, or planned surgical procedures during the trial period.
- Investigational drug therapy outside of this trial during or within 4 weeks of study entry
- Known hypersensitivity to the trial drugs or their excipients.
- History of other malignancies in the last 5 years, in particular those which could affect compliance with the protocol or interpretation of results. Patients with adequately treated basal or squamous cell skin cancer are generally eligible.
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- Serious concomitant disease, especially those that would limit compliance with trial requirements or which are considered relevant for the evaluation of the efficacy or safety of the trial drug, such as neurologic, psychiatric, infectious disease or active ulcers (gastro-intestinal tract, skin) or laboratory abnormality that may increase the risk associated with trial participation or trial drug administration, and in the judgment of the investigator would make the patient inappropriate for entry into the trial.
- Significant cardiovascular diseases (i.e. uncontrolled hypertension, unstable angina, history of infarction within past 9 months, congestive heart failure > NYHA II)
- Known inherited predisposition to bleeds or to thrombosis.
- Patient with brain metastases that are symptomatic and/or require therapy.
- Therapeutic anticoagulation (except low dose heparin and/or heparin flush as needed for maintenance of an indwelling intravenous device) or antiplatelet therapy(except for chronic low-dose therapy with acetylsalicylic acid ≤325mg per day)
- History of major thrombotic events or clinically relevant major bleeding event in the past 6 months (excluding central venous catheter thrombosis and peripheral deep vein thrombosis below the joint space of the knee)
- Current peripheral neuropathy ≥ CTCAE grade 2 except due to trauma
- Gastrointestinal disorders or abnormalities that would interfere with absorption of the study drug
- Active alcohol or drug abuse.
- Men who are sexually active and unwilling to use a medically acceptable method of contraception
- 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
Trial locations and contacts
4 sites in 1 country.
Germany4 sites
LungenClinic Großhansdorf GmbH
Großhansdorf, 22927
Thoraxklinik Universitätsklinikum Heidelberg
Heidelberg, D-69126
Klinikum Kassel GmbH
Kassel, Hesse, 34125
Klinikum der Universität München
München, D-80336
About this study
Official title: An Open Label Phase I Dose Escalation Trial of Oral BIBF 1120 in Combination With Intravenous Vinorelbine in Elderly Patients With Advanced Non Small Lung Cell Cancer - Stage IV
To investigate the maximum tolerated dose of BIBF 1120, safety and pharmacokinetics in escalating doses administered with Vinorelbine i.v. in elderly patients with advanced Non-Small Lung Cancer (Stage IV).
Read the detailed description
Patients older than 70 years could be enroled in this clinical trial. The trial is being carried out in two trial centres in Germany.
For the planned sample size it is assumed that two different dosage groups are needed with 6 patients on each dosage group with the option to deescalate the first dosage. Altogether this leads to an estimated sample size of maximal 18 patients.
- Duration of treatment/patient: up to 6 month
- Follow Up: at least 6 month
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- BIBF 1120, Vinorelbine
- Keywords
- Non Small Cell Lung Cancer - Stage IV, NSCLC Stage IV
- 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.
BIBF 1120Drug
2 x 150 mg capsules, oral, daily (Start dose)
VinorelbineDrug
25 mg/m2 i.v. on day 1 and 8 (three-week cycle)
| Study group | Role | What they receive |
|---|---|---|
| BIBF 1120, Vinorelbine | Experimental | To determine the 'Maximum Tolerated Dose', dose escalation for BIBF 1120 will be conducted following the 3 + 3 design. A cohort of three patients will be treated at the starting dose level 150mg bid and observed until the end of the first cycle.
Under certain conditions the dose level will be escalated to 200mg bid in a second cohort. Receives: Drug: BIBF 1120; Drug: Vinorelbine |
What is being measured
The primary outcome is the main question the study is designed to answer.
To investigate the maximum tolerated dose of BIBF 1120
Measured: Cycle 1 day 1, day 2, day 8, day 15; Cycle 2 day 1, day 2, day 8, day 15; Cycle 3 day 1, day 8, day 15; Cycle 4 day 1, day 8, day 15; day 84
Secondary outcomes (4)
Incidence of adverse events
Measured: Cycle 1 day 1, day 2, day 8, day 15; Cycle 2 day 1, day 2, day 8, day 15; Cycle 3 day 1, day 8, day 15; Cycle 4 day 1, day 8, day 15; day 84
Pharmacokinetic parameters: Aerea Under Curve (AUC)
Measured: 0,15, 0,50, 1, 1,50, 2, 3, 4, 6, 7, 24, 24,15, 24,50, 25, 25,5, 26, 27, 28, 30, 31, 48, 168 hours post dose
Pharmacokinetic parameters: C-max
Measured: 0,15, 0,50, 1, 1,50, 2, 3, 4, 6, 7, 24, 24,15, 24,50, 25, 25,5, 26, 27, 28, 30, 31, 48, 168 hours post dose
Response Rate
Measured: Day 43 (prior start of cycle 3), day 84
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Sep 2012 (estimated)
- Study startJun 2013
- Primary completionJan 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Carcinoma, Non-Small-Cell 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 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 7 participants (actual)
Sponsor and investigators
- Lead sponsor
- Aktion Bronchialkarzinom e.V.
- Sponsor type
- University, hospital or other
- Collaborators
- Boehringer Ingelheim
- Responsible party
- Sponsor
- Investigators
- Prof. Dr. Rudolf M. Huber, MD, Principal investigator, Klinikum der Universität München, D-80336 MünchenProf. Dr. Martin Wolf, MD, Study chair, Klinikum Kassel GmbH, D-34125 Kassel
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01684111
- Sponsor's protocol ID
- ABC-2011-NSCLC-05
- Other IDs
- 2011-003094-28
- Acronym
- VENUS-1
- Status last verified
- Jan 2016
- First submitted
- 28 Aug 2012
- Last updated
- 18 Jan 2016
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Jan 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open Label Phase I Dose Escalation Trial of Oral BIBF 1120 in Combination With Intravenous Vinorelbine in Elderly Patients With Advanced Non Small Lung Cell Cancer - Stage IV
- ClinicalTrials.gov ID
- NCT01684111
- Acronym / sponsor ID
- VENUS-1 / ABC-2011-NSCLC-05
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Keywords
- Non Small Cell Lung Cancer - Stage IV, NSCLC Stage IV
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 7 participants (actual)
- Lead sponsor
- Aktion Bronchialkarzinom e.V.University, hospital or other
- Collaborators
- Boehringer Ingelheim
- Study start
- Jun 2013
- Primary completion
- Jan 2016 (actual)
- First posted
- 12 Sep 2012 (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.
To investigate the maximum tolerated dose of BIBF 1120, safety and pharmacokinetics in escalating doses administered with Vinorelbine i.v. in elderly patients with advanced Non-Small Lung Cancer (Stage IV).
Detailed description
Patients older than 70 years could be enroled in this clinical trial. The trial is being carried out in two trial centres in Germany.
For the planned sample size it is assumed that two different dosage groups are needed with 6 patients on each dosage group with the option to deescalate the first dosage. Altogether this leads to an estimated sample size of maximal 18 patients.
- Duration of treatment/patient: up to 6 month
- Follow Up: at least 6 month
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| BIBF 1120, Vinorelbine | Experimental | Drug: BIBF 1120, Drug: VinorelbineTo determine the 'Maximum Tolerated Dose', dose escalation for BIBF 1120 will be conducted following the 3 + 3 design. A cohort of three patients will be treated at the starting dose level 150mg bid and observed until the end of the first cycle. Under certain conditions the dose level will be escalated to 200mg bid in a second cohort. |
Who may qualify
- Ages
- 71 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (35 listed)
- Histological confirmed Non-Small-Cell lung cancer (NSCLC)
- Tumor stage IV (UICC 7th Version)
- ECOG <2
- Age > 70 years
- No previous chemotherapy for stage IV NSCLC (UICC 7th Version)
Key exclusion criteria (19 listed)
- Any severe concomitant condition which makes it undesirable for the patient to participate in the study or which could jeopardise compliance with the protocol
- Serious infections requiring systemic antibiotic (e.g antiviral, antimicrobial, antifungal) therapy
- Serious, non-healing wound, ulcer or bone fracture or major injuries and/or surgery within 4 weeks of trial inclusion, or planned surgical procedures during the trial period.
- Investigational drug therapy outside of this trial during or within 4 weeks of study entry
- Known hypersensitivity to the trial drugs or their excipients.
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 |
|---|---|---|
| BIBF 11202 x 150 mg capsules, oral, daily (Start dose) | Drug | BIBF 1120, Vinorelbine |
| Vinorelbine25 mg/m2 i.v. on day 1 and 8 (three-week cycle) | Drug | BIBF 1120, Vinorelbine |
Primary outcome
To investigate the maximum tolerated dose of BIBF 1120
Time frame: Cycle 1 day 1, day 2, day 8, day 15; Cycle 2 day 1, day 2, day 8, day 15; Cycle 3 day 1, day 8, day 15; Cycle 4 day 1, day 8, day 15; day 84
4 secondary outcomes
Incidence of adverse events
Time frame: Cycle 1 day 1, day 2, day 8, day 15; Cycle 2 day 1, day 2, day 8, day 15; Cycle 3 day 1, day 8, day 15; Cycle 4 day 1, day 8, day 15; day 84
Pharmacokinetic parameters: Aerea Under Curve (AUC)
Time frame: 0,15, 0,50, 1, 1,50, 2, 3, 4, 6, 7, 24, 24,15, 24,50, 25, 25,5, 26, 27, 28, 30, 31, 48, 168 hours post dose
Pharmacokinetic parameters: C-max
Time frame: 0,15, 0,50, 1, 1,50, 2, 3, 4, 6, 7, 24, 24,15, 24,50, 25, 25,5, 26, 27, 28, 30, 31, 48, 168 hours post dose
Response Rate
Time frame: Day 43 (prior start of cycle 3), day 84
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 18 Jan 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.
Prof. Dr. Rudolf M. Huber, MD principal investigator
Klinikum der Universität München, D-80336 München
Prof. Dr. Martin Wolf, MD study chair
Klinikum Kassel GmbH, D-34125 Kassel
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BIBF 1120 and Vinorelbine in people with Carcinoma, Non-Small-Cell Lung, run by Aktion Bronchialkarzinom e.V. at 4 sites in Germany.
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 35 inclusion and 19 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 18 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Germany. 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 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.
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?
To investigate the maximum tolerated dose of BIBF 1120 (time frame: Cycle 1 day 1, day 2, day 8, day 15; Cycle 2 day 1, day 2, day 8, day 15; Cycle 3 day 1, day 8, day 15; Cycle 4 day 1, day 8, day 15; day 84). 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 18 Jan 2016.