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Carcinoma, Non-Small-Cell LungPhase 1NCT02182232

A Dose Escalation Study of BIBF 1120 Together With Paclitaxel and Carboplatin in Patients With Advanced Stage Non-small-cell Lung Cancer

A Phase 1 study testing BIBF 1120, Paclitaxel and Carboplatin in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim.

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 primary objectives of this trial were to determine the MTD of BIBF 1120 in combination with carboplatin and paclitaxel, pharmacokinetics and objective response of treatment 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, Paclitaxel and Carboplatin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
No sites listed yet
Study dates
Jun 2005to May 2007
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patients with histologically or cytologically confirmed Stage IIIB (including pleural effusion), IV or recurrent NSCLC
  • Bi-dimensionally measurable disease by one or more techniques (CT, MRI, X-ray)
  • Age 18 years or older
  • Life expectancy of at least three (3) months
  • Eastern Cooperative Oncology Group (ECOG) performance score 0 or 1
  • Written informed consent that is consistent with ICH-GCP guidelines

Who cannot join

  • Prior treatment for NSCLC including chemotherapy, biologic response modifier therapy, or any investigational drug
  • Participation in another clinical study within the past four weeks before start of therapy or concomitantly with this study
  • Active brain metastases (stable for <28 days, symptomatic, or requiring concurrent steroids or antiepileptic therapy)
  • Centrally located tumors with radiologic evidence (CT or MRI) of local invasion of major blood vessels
  • Cavitary or necrotic tumors
  • Sanguinous pleural effusion due to disease or pericardial effusion suspicious for disease
Show all 23Show fewer
  • Radiotherapy to an area of measurable disease (unless disease progression had been documented following completion of therapy)
  • Radiotherapy within 4 weeks preceding Day 0
  • Other active malignancy diagnosed within the past 3 years (other than non-melanomatous skin cancer)
  • Gastrointestinal abnormalities that would interfere with intake or absorption of the study drug, such as a requirement for intravenous alimentation, prior surgical procedures affecting absorption, treatment for peptic ulcer disease within the last 6 months, active gastrointestinal bleeding unrelated to cancer (as evidenced by either hematemesis, hematochezia, or melena in the past 3 months and without endoscopic documented resolution), or malabsorption syndromes
  • Significant cardiovascular disease (i.e., uncontrolled hypertension, myocardial infarction within 6 months, unstable angina, serious cardiac arrhythmia, ≥NYHA Grade 2 congestive heart failure)
  • History of hemorrhagic or thrombotic event (including transient ischemic attacks) in the past 12 months
  • Clinically significant hemoptysis (1 teaspoon or more) in the past 3 months
  • Concurrent therapeutic anticoagulation (except heparin flush as needed for maintenance of an indwelling intravenous device) or antiplatelet therapy (except chronic low-dose daily aspirin <325 mg)
  • Known hypersensitivity to paclitaxel, carboplatin, or any of their excipients including Cremophor® (polyoxyethylated castor oil)
  • Absolute neutrophil count (ANC) ≤1,500/μl, platelet count ≤100,000/μl, or hemoglobin <9 gm/dL
  • Total bilirubin >1.5 mg/dL (26 μmol/L, SI Unit equivalent), alanine amino transferase (ALT) and/or aspartate amino transferase (AST) ≥1.5 X ULN,
  • Serum creatinine >1.5 mg/dL (>132 μmol/L, SI Unit equivalent)
  • Persistent hematuria or proteinuria (more than trace)
  • Women and men who are sexually active and unwilling to use a medically acceptable method of contraception
  • Pregnancy or breastfeeding
  • Known or suspected active alcohol or drug abuse
  • Patients unable to comply with the protocol

About this study

Official title: A Phase I Open Label Dose Escalation Study of Continuous Oral Treatment With BIBF 1120 Together With Paclitaxel and Carboplatin in Patients With Advanced Stage Non-small-cell Lung Cancer

The primary objectives of this trial were to determine the MTD of BIBF 1120 in combination with carboplatin and paclitaxel, pharmacokinetics and objective response of treatment

Being tested
BIBF 1120, Paclitaxel, Carboplatin
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.

Study groups in NCT02182232
Study groupRoleWhat they receive
BIBF 1120 with paclitaxel and carboplatinExperimentalNot described
Receives: Drug: BIBF 1120; Drug: Paclitaxel; Drug: Carboplatin
BIBF 1120 monotherapyExperimentalNot described
Receives: Drug: Carboplatin

What is being measured

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

  1. Incidence and intensity of adverse events according to Common Terminology Criteria for Adverse Events (version 3.0) associated with increasing doses of BIBF 1120

    Measured: up to day 126

  2. Maximum tolerated dose (MTD) of BIBF 1120 in combination with carboplatin and paclitaxel

    Measured: up to day 21

Secondary outcomes (20)
  1. Pre-dose plasma concentration (Cpre)

    Measured: up to day 42

  2. Objective tumor response according to response evaluation criteria in solid tumors (RECIST)

    Measured: up to 12 months

  3. Time from best response to onset of tumor progression

    Measured: Up to 12 months

  4. Time from start of treatment to time of documented tumor progression

    Measured: Up to 12 months

  5. area under the curve (AUC) from 0 to 12 hours (AUC0-12)

    Measured: up to day 42

  6. AUC from 0 to the last quantifiable drug concentration (AUC0-tz)

    Measured: up to day 42

  7. Maximum plasma concentration (Cmax)

    Measured: up to day 42

  8. Time to maximum plasma concentration (tmax)

    Measured: up to day 42

  9. Rate constant (λz) for BIBF 1120

    Measured: up to day 42

  10. AUC from 0 to 24 hours (AUC0-24) for paclitaxel

    Measured: up to day 42

  11. AUC from 0 extrapolated to 48 hours (AUC0-48) for paclitaxel

    Measured: up to day 42

  12. AUC from 0 extrapolated to infinity (AUC0-∞)

    Measured: up to day 42

  13. Percentage of AUC0-∞ that is obtained by extrapolation (% AUCtz-∞)

    Measured: up to day 42

  14. Terminal half-life (t1/2)

    Measured: up to day 42

  15. Mean residence time after intravenous administration (MRTiv) for paclitaxel and carboplatin

    Measured: up to day 42

  16. Total Clearance (CL/F)

    Measured: up to day 42

  17. Volume of distribution during the terminal phase (Vz)

    Measured: up to day 42

  18. AUC from 0 to 24 hours (AUC0-24) for carboplatin

    Measured: Day 1 and 22 in the treatment time

  19. Plasma concentration 21 hours after start of infusion (C21) for carboplatin

    Measured: up to day 42

  20. Plasma concentration 24 hours after start of infusion (C24) for paclitaxel

    Measured: up to day 42

Timeline

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

  1. First posted8 Jul 2014 (estimated)
  2. Study startJun 2005
  3. Primary completionMay 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02182232
Sponsor's protocol ID
1199.5
Status last verified
Jul 2014
First submitted
2 Jul 2014
Last updated
18 Jul 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BIBF 1120, Paclitaxel and Carboplatin in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim.

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 6 inclusion and 23 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 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

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?

Incidence and intensity of adverse events according to Common Terminology Criteria for Adverse Events (version 3.0) associated with increasing doses of BIBF 1120 (time frame: up to day 126). The study lists 2 primary outcomes in all. 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 Jul 2014.

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