Carcinoma, Non-Small-Cell LungPhase 3NCT02272413
Phase III Trial BI 695502 Plus Chemotherapy vs. Avastin® Plus Chemotherapy in Patients With Lung Cancer
A Phase 3 study testing BI 695502 and Avastin in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 189 sites in 28 countries.
Trial summary
The objective of this phase III trial is to establish statistical equivalence in terms of efficacy (best overall response rate [ORR], proportion of patients with complete response [CR] plus partial response [PR]) until 18 weeks of first-line treatment with BI 695502 plus chemotherapy versus Avastin® plus chemotherapy… 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?
- BI 695502 and Avastin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 671 participants
- Where
- 189 sitesin 28 countries
- Study dates
- 8 Jul 2015to 16 Nov 2018
- 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
- Adult patients aged >=18 years with histologically or cytologically confirmed advanced nonsquamous non-small cell lung cancer (nsNSCLC). Mixed tumors should be categorized according to the predominant histology.
- Note: NSCLC should be predominantly nonsquamous. Recurrent or metastatic disease (Stage IV) with an indication for therapy with paclitaxel + carboplatin + Avastin®.
- Patients harboring tumors with unknown or without activating epidermal growth factor receptor (EGFR) / anaplastic lymphoma receptor tyrosine kinase (ALK) mutation maybe included provided chemotherapy is standard of care. At least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 based on independent central review.
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1.
- Adequate hepatic, renal, and bone marrow function:
- Life expectancy > 6 months based on clinical judgment. Further inclusion criteria apply.
Who cannot join
- Prior therapy with monoclonal antibodies or small molecule inhibitors against Vascular Endothelial Growth Factor (VEGF) or VEGF receptors, including Avastin®.
- Prior systemic therapy for metastatic disease. Prior systemic anticancer therapy or radiotherapy for locally advanced nsNSCLC if completed <12 months prior to Screening.
- Previous malignancy other than NSCLC in the last 5 years except for basal cell cancer of the skin or pre-invasive cancer of the cervix.
- Symptomatic brain metastasis. Diagnosis of small cell carcinoma of the lung, squamous cell carcinoma of the lung, NSCLC not specified (NS) or NSCLC not otherwise specified(NOS).
- Any unresolved toxicity > Common Toxicity Criteria Grade 1 (except alopecia) from previous anticancer therapy (including radiotherapy).
- History or evidence of inherited bleeding diathesis or coagulopathy with the risk of bleeding. Thrombotic or hemorrhagic event =< 6 months prior to Screening. Further exclusion criteria apply.
Trial locations and contacts
189 sites in 28 countries.
189 sites in 28 countries
Japan27 sites
Aichi Medical University Hospital
Aichi, Nagakute, 480-1195
Aichi Cancer Center Aichi Hospital
Aichi, Okazaki, 444-0011
Tosei General Hospital
Aichi, Seto, 489-8642
Fujita Health University Hospital
Aichi, Toyoake, 470-1192
Aso Co.,Ltd Iizuka Hospital
Fukuoka, Iizuka, 820-8505
Gunma Prefectural Cancer Center
Gunma, Ota, 373-8550
Hyogo Prefectural Amagasaki General Medical Center
Hyogo, Amagasaki, 660-8550
Itami City Hospital
Hyogo, Itami, 664-8540
Kobe City Medical Center General Hospital
Hyogo, Kobe, 650-0047
Ibaraki Prefectural Central Hospital
Ibaraki, Kasama, 309-1793
Kagawa Rosai Hospital
Kagawa, Marugame, 763-8502
Kitasato University Hospital
Kanagawa, Sagamihara, 252-0375
Yokohama City University Hospital
Kanagawa, Yokohama, 236-0004
Uji-Tokushukai Medical Center
Kyoto, Uji, 611-0041
Matsusaka City Hospital
Mie, Matsusaka, 515-8544
Miyazaki Prefectural Miyazaki Hospital
Miyazaki, Miyazaki, 880-8510
Nara Hospital Kinki University Faculty of Medicine
Nara, Ikoma, 630-0293
Niigata Cancer Center Hospital
Niigata, Niigata, 951-8566
Kansai Medical University Hospital
Osaka, Hirakata, 573-1191
Osaka Medical Center for Cancer and Cardiovascular Diseases
Osaka, Osaka, 537-8511
Takatsuki Red Cross Hospital
Osaka, Takatsuki, 569-1096
Saitama Medical University International Medical Center
Saitama, Hidaka, 350-1298
National Hospital Organization Kinki-Chuo Chest Medical Center
Sakaishi, 591-8555
Nippon Medical School Hospital
Tokyo, Bunkyo-ku, 113-8603
Nihon University Itabashi Hospital
Tokyo, Itabashi-ku, 173-8610
Japan Anti-Tuberculosis Association Fukujuji Hospital
Tokyo, Kiyose, 204-8522
Toranomon Hospital
Tokyo, Minato-ku, 105-8470
Ukraine16 sites
CTPI Chernihiv Regional Oncological Dispensary, Chernihiv
Chernihiv, 14029
Munic.Instit."City Clin.Hosp.#4" of Dnipro City Council
Dnipropetrovsk, 49102
CHI Kharkiv Regional Clinical Oncological Center
Kharkiv, 61070
Kherson Regional Oncologic Dispensary, Kherson
Kherson, 73000
Treatment-Diagnostic CTR of Private Enterprise, Kirovohrad
Kirovohrad, 25006
CI Kryvyi Rih Oncological Dispensary of DRC
Kryvyi Rih, Dnipropetrovsk, 50048
National Institute of Cancer
Kyiv, 03022
Medical and Preventive Treatment Inst. Volyn Regional, Lutsk
Lutsk, 43018
CI of LRC Lviv Onco.Reg.Treat.&Diag.Cent.
Lviv, 79031
Poltava Regional Clinical Oncological Dispensary, Poltava
Poltava, 38011
Sumy Regional Oncology Center
Sumy, 40005
CI of TRC Ternopil RC Oncological Dispensary Thoracic Dept
Ternopil, 46023
Uzhgorod National University, Oncology Centre
Uzhhorod, 88000
Transcarpathian Reg Clin Oncological Dispensary, Uzhgorod
Uzhhorod, 88014
Vinnytsia Regional Clinical Oncological Dispensary
Vinnytsia, 21029
CI Zapor Reg Cl Oncological Dispensary of ZRC, Zhaporizhzhia
Zhaporizhzhia, 69040
Brazil13 sites
CPCO - Centro de Pesquisa Clinica em Oncologia
Cachoeiro de Itapemirim, 29308-014
Hospital do Cancer do Ceara
Fortaleza, 60430-230
Pronutrir
Fortaleza, 60810-180
Hospital de Carida de de Ijui - CACON
Ijuí, 98700-000
Hospital Bruno Born
Lajeado, 95900-000
Hospital da Cidade de Passo Fundo
Passo Fundo, 99010-260
Universidade de Caxias do Sul - IPCEM - Inst. de Pesq.clilni
Petrópolis, 95070-560
Irmandade da Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, 90035-074
Hospital de Clínicas de Porto Alegre
Porto Alegre, 90035-903
CEPHO - Centro de Estudos e Pesquisas em Hematologia e Oncologia
Santo André, 09060-650
ICAVC - Instituto do Cancer Arnaldo Vieira de Carvalho
São Paulo, 01209-000
ICESP - Instituto do Cancer do Estado de Sao Paulo
São Paulo, 01246-000
Clinica de Oncologia de Sorocaba
Sorocaba, 18030-075
Russia10 sites
SBIH of Arkhangelsk reg. "Arkhangelsk Clin. Onc. Dispensary"
Arkhangelsk, 163045
St.Auton.Heal.Inst."Rep.Clin.Onc.Disp.of MoH of Rep. Tatarstan"
Kazan', 420029
RBIH "Kursk regional clinical oncology dispensary"
Kursk, 305035
FSBI "N.N Blokhin Med.Res.Cent.Onc."MoH of RF
Moscow, 115478
BHI of Omsk region - Clinical Oncology Dispensary
Omsk, 644013
SBIH of Stavropol territory "Pyatigorsk Oncol. Dispensary"
Pyatigorsk, 357502
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
United States9 sites
Pacific Cancer Medical Center, Inc.
Anaheim, California, 92801
Ashland Bellefonte Cancer Center
Ashland, Kentucky, 41101
Comprehensive Blood and Cancer Center
Bakersfield, California, 93309
Carolinas Cancer Care
Charlotte, North Carolina, 28204-2839
Lalita Pandit, M.D., Inc.
Fountain Valley, California, 92708
Southern California Oncology Research Alliance
Los Angeles, California, 90057
Detroit Clinical Research Center
Owosso, Michigan, 48867
Innovative Clinical Research, Inc.
Whittier, California, 90603
Reliant Medical Group
Worcester, Massachusetts, 01608
Spain8 sites
Hospital Infanta Cristina
Badajoz, 06007
Hospital General Universitario Gregorio Marañón
Madrid, 28007
Hospital La Paz
Madrid, 28046
Hospital Clínico de Santiago
Santiago de Compostela, 15706
Hospital Virgen del Rocío
Seville, 41013
Hospital Nuestra Señora de Valme
Seville, 41014
Instituto Valenciano de Oncología
Valencia, 46009
Hospital Miguel Servet
Zaragoza, 50009
Turkey (Türkiye)8 sites
Akdeniz University Medical Faculty
Antalya, 7058
Inonu Uni. Med. Fac., Battalgazi
Battalgazi, 44280
Dicle University Medical Faculty
Diyarbakır, 21080
Trakya Universitesi Tip Fakultesi
Edirne, 22030
Gaziantep University
Gaziantep, 27310
Bezmi Alem Foundation University Medical Faculty Hospital
Istanbul, 34093
Yeditepe University Medical School Hospital
Istanbul, 34752
Fatih University Faculty of Medicince, Istanbul
Istanbul, 34844
Bulgaria7 sites
MHAT - Dobrich, AD
Dobrich, 9300
UMHAT Georgi Stranski, Clinic of Paediatrics, Pleven
Pleven, 5800
Complex Oncological Center - Plovdiv, EOOD
Plovdiv, 4004
DCC 1 - Ruse, EOOD
Rousse, 7002
MHAT Serdika, EOOD, Sofia
Sofia, 1303
MHAT 'Tokuda Hospital Sofia', EAD
Sofia, 1407
SHATOD 'Dr. Marko Antonov Markov'-Varna, EOOD
Varna, 9010
Egypt6 sites
Oncology Centre- Mansoura University
Al Mansurah, 1234
Alexandria University Hospital
Alexandria, 21131
Ain Shams University Hospital
Cairo, 11566
National Cancer Institute, Cairo University
Cairo, 11796
Nasser Institute
Cairo, 12655
Menofiya University Hospital
Monofia, 31111
Greece6 sites
Athens Hospital of Chest Diseases "Sotiria"
Athens, 11527
University General Hospital of Heraklion
Crete, 71201
University of Patras Medical School
Pátrai, 26504
Euromedica Kyanous Stavros General Hospital
Thessaloniki, 54645
Health Center of Thermi, Thessaloniki
Thessaloniki, 57001
Interbalkan Medical Center of Thessaloniki
Thessaloniki, 57001
Hungary6 sites
National Koranyi TBC and Pulm. Internal Med. Clinic
Budapest, 1121
Semmelweis University
Budapest, 1125
Pulmonology Institute of Veszprem County, Farkasgyepu
Farkasgyepű, 8582
Jasz-Nagykun-Szolnok Megyei Hetenyi G. Korhaz-Rendelointezet
Szolnok, 5000
Markusovszky University Teaching Hospital
Szombathely, 9700
Tudogyogyintezet Torokbalint
Törökbálint, 2045
Mexico6 sites
Investigacion Biomedica para el Desarrollo de Farmacos
El Salto, 45680
Unidad de Atencion Medica e Investigacion en Salud S.C.
Mérida, 97000
Axis Heilsa S. de R.L. de C.V., Monterrey
Monterrey, 64060
Clinical Medical Research S.C
Orizaba, 94300
Hospital San Jose Querétaro
Querétaro, 76090
Centro Hemato Oncológico Privado
Toluca, 50080
Poland6 sites
Wojewodzkie Centrum Szpitalne Kotliny Jeleniogorskiej
Jelenia Góra, 58-506
KO-MED Centra Kliniczne Lublin II
Lublin, 20-362
Zofia Tarnowska domo Zamoyska,RegHosp.Cardiol.Dep,Tarnobrzeg
Tarnobrzeg, 39-400
The Provincial Polyclinical Hospital in Torun
Torun, 87-100
Onco.Cent. - Instit. of Maria Sklodowskiej-Curie
Warsaw, 02-781
Magodent Sp. Z o.o.
Warsaw, 04-125
South Korea6 sites
Chungbuk National University Hospital
Cheongju-si, 361-711
Chonnam National University Hwasun Hospital
Hwasun-gun, 519-763
Gachon University Gil Medical Center
Incheon, 21565
Asan Medical Center
Seoul, 05505
Korea University Guro Hospital
Seoul, 08308
The Catholic University of Korea, St.Vincent's Hospital
Suwon, 16247
Thailand6 sites
Songklanagarind Hospital
Hat Yai, 90110
Ubonratchathani Cancer Hospital, Muang
Muang, 34000
Udonthani Cancer Hospital, Muang
Muang, 41330
Maharaj Nakorn Chiang Mai Hospital
Muang, 50200
Lampang Hospital
Muang, 52000
Naresuan University Hospital
Muang, 65000
Chile5 sites
Clínica Santa María
Santiago, 7520349
Hospital Clínico San Borja Arriarán
Santiago, 8360160
Centro Internacional de Estudios Clinicos - CIEC
Santiago, 8420383
Instituto Clínico Oncológico del Sur - ICOS
Temuco, 4810469
Hospital Clinico Viña del Mar
Viña del Mar, 1741
Philippines5 sites
Dr. Pablo O. Torre Memorial Hospital
Bacolod City, 6100
Cebu Doctors Hospital
Cebu City, 6000
Perpetual Succour Hospital (Cebu)
Cebu City, 6000
Manila Doctors Hospital
Manila, 1000
Lung Center of the Philippines
Quezon City, 1100
Portugal5 sites
CHUC - Centro Hospitalar e Universitário de Coimbra, EPE
Coimbra, 3041-801
Centro Hospitalar Lisboa Norte Hospital Pulido Valente
Lisbon, 1769-001
IPO Porto Francisco Gentil, EPE
Porto, 4200-072
Centro Hospitalar de Entre o Douro e Vouga, E.P.E. - Hospital de São Sebastião
Santa Maria da Feira, 4520-211
Centro Hospitalar de Vila Nova de Gaia
Vila Nova de Gaia, 4434-502
Romania5 sites
Baia Mare Emergency County Hospital
Baia Mare, 430031
Institute of Oncology 'Prof. Dr. Alexandru Trestioreanu'
Bucharest, 022328
Spitalul Militar de Urgenta Dr.Papilian, Cluj-Napoca
Cluj-Napoca, 400132
Spitalul Clinic Judetean de Urgenta Cluj Napoca
Cluj-Napoca, 400349
S.C Oncocenter Oncologie Clinica S.R.L
Timișoara, 300210
Serbia5 sites
Institute for Oncol & Radiol of Serbia, Clinic f. Med. Onco.
Belgrade, 11000
Clinical Center Bezanijska kosa, Belgrade
Belgrade, 11080
Clinic of Pulmonary Diseases and Tuberculosis 'Knez Selo'
Gornji Matejevac, 18204
Inst. for Pulm. Diseases of Vojvodine, Clinic f. Pulm. Oncol
Kamenitz, 21204
Clinical Center Kragujevac
Kragujevac, 34000
South Africa5 sites
GVI Cape Gate Oncology Centre
Cape Town, 7570
Rondebosch Oncology Centre
Cape Town, 7700
GVI Oncology Outeniqua Unit
George, 6530
West Rand Oncology Centre, Johannesburg
Johannesburg, 1709
Langenhoven Drive Oncology Centre
Port Elizabeth, 6045
Argentina4 sites
CENIT - Centro de Neurociencias, Investigacion y Tratamiento
Ciudad Autonoma Buenos Aires, C1125ABD
Sanatorio Delta
Rosario, S2000BIF
Sanatorio Parque
Rosario, S2000DSV
Centro Oncológico de Rosario
Rosario, S2000KZE
Italy4 sites
ASST di Cremona
Cremona, 26100
Osp. Umberto I
Lugo (RA), 48022
Istituto Scientifico Romagnolo
Meldola (FC), 47014
Azienda Ospedaliera Universitaria Pisana
Pisa, 56124
Croatia3 sites
General Hospital Pula
Pula, 52100
Clinical Hospital Centar Sestre Milosrdnice
Zagreb, 10000
University Clinic for Pulmonary Diseases
Zagreb, 10000
Malaysia3 sites
Hospital Pulau Pinang
Georgetown Pulau Pinang, 10990
University Malaya Medical Centre
Kuala Lumpur, 59100
Hospital Tengku Ampuan Afzan
Kuantan, 25100
United Kingdom2 sites
Cheltenham General Hospital
Cheltenham, GL53 7AN
Wythenshawe Hospital
Manchester, M23 9LT
Vietnam2 sites
Can Tho Oncology Hospital
Can Tho, 000000
Bach Mai hospital
Hanoi, 100000
About this study
Official title: A Multicenter, Randomized, Double-blind Phase III Trial to Evaluate Efficacy and Safety of BI 695502 Plus Chemotherapy Versus Avastin® Plus Chemotherapy in Patients With Advanced Nonsquamous Non-Small Cell Lung Cancer
The objective of this phase III trial is to establish statistical equivalence in terms of efficacy (best overall response rate [ORR], proportion of patients with complete response [CR] plus partial response [PR]) until 18 weeks of first-line treatment with BI 695502 plus chemotherapy versus Avastin® plus chemotherapy followed by maintenance monotherapy with either BI 695502 or Avastin®.
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Being tested
- BI 695502, Avastin
- 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.
BI 695502Drug
AvastinDrug
| Study group | Role | What they receive |
|---|---|---|
| BI 695502 | Experimental | Not described Receives: Drug: BI 695502 |
| Avastin | Active comparator | Not described Receives: Drug: Avastin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Best Overall Response Rate (ORR), Based on Unconfirmed Response Assessment, as Assessed by Central Imaging Review Until 18 Weeks After the Start of Treatment
ORR was defined as the percentage of patients who achieved at least one visit response of complete response (CR) or partial response (PR) after the start of treatment. The response criteria evaluation was carried out according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. CR and PR did not need to be confirmed by a subsequent tumor assessment due to blinded central assessment. CR: Disappearance of all target lesions since baseline; PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Tumor assessments were performed prior to trial drug administration, until 18 weeks.
Measured: Tumor assessment scans were performed at baseline, Cycle 3 (Week 6), Cycle 5 (Week 12) and at Week 18 ±14 days. Best ORR evaluated until confirmed disease progression, unacceptable toxicity, death or up to 18 weeks, whichever happened earlier.
Secondary outcomes (4)
Percentage of Patients With Selected Treatment-Emergent Adverse Events (TEAEs) For Comparability Assessment of BI 695502 and US-licensed Avastin®
The following selected adverse events (AEs) were evaluated for comparability assessment of BI 695502 and US-licensed Avastin®:
- Infusion reactions (anaphylactic/hypersensitivity/infusion-related reactions),
- Thromboembolic events (arterial or venous),
- Febrile neutropenia,
- Gastrointestinal perforations,
- Hypertension,
- Proteinuria,
- Pulmonary hemorrhage,
- Other hemorrhages (not including pulmonary hemorrhages),
- Wound-healing complications/abscess/fistulas. The analysis of AEs was based on the concept of TEAEs. For non-switched patients, all AEs that started or worsened in severity on or after the first dose of trial drug and prior to the date of last administration of trial medication + 16 weeks inclusive were defined as TEAEs.
Measured: From first dose of trial drug until 16 weeks after the last dose of trial medication, up to 218 days.
Progression-Free Survival (PFS) Time as Determined by Investigator Assessment
PFS was defined as the time from randomization until disease progression as determined by Investigator assessment or death from any cause, whichever occurred first during the pre-switch period. Disease progression was assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Progression was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of at least 5 millimeters. Tumor assessments were performed prior to trial drug administration. PFS was calculated using the Kaplan-Meier technique.
Measured: Tumor scans performed at baseline, Cycle 3 (Week 6), Cycle 5 (Week 12), Cycle 7 (Week 18), then every 3 cycles (~9 weeks) until confirmed disease progression. Analysis performed for pre-switch period only; maximum duration of up to 35 cycles (105 weeks).
Overall Survival (OS) Time
OS was defined as the time randomization until death from any cause during the pre-switch period. OS was calculated using the Kaplan-Meier technique.
Measured: From baseline until death due to any cause, ie., up to 35 cycles (105 weeks).
Duration of Response (DOR) as Determined by Investigator Assessment
DOR was the time from first documented CR or PR until time of progression as determined by Investigator assessment during the pre-switch period. Tumor assessments were performed prior to trial drug administration. DOR was calculated using the Kaplan-Meier technique.
Measured: Tumor scans performed at baseline, Cycle 3 (Week 6), Cycle 5 (Week 12), Cycle 7 (Week 18), then every 3 cycles (~9 weeks) until confirmed disease progression., ie up to 35 cycles (105 weeks).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Oct 2014 (estimated)
- Study start8 Jul 2015
- Primary completion30 Jun 2017
- Study completion16 Nov 2018
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.
- 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
- Who is masked
- Participant, Investigator
- Enrolment
- 671 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
- NCT02272413
- Sponsor's protocol ID
- 1302.5
- Other IDs
- 2014-002161-30, 2014
- Status last verified
- Dec 2019
- First submitted
- 21 Oct 2014
- Last updated
- 13 Jan 2020
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 13 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-blind Phase III Trial to Evaluate Efficacy and Safety of BI 695502 Plus Chemotherapy Versus Avastin® Plus Chemotherapy in Patients With Advanced Nonsquamous Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT02272413
- Acronym / sponsor ID
- 1302.5
- Conditions
- Carcinoma, Non-Small-Cell Lung
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 671 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 8 Jul 2015 (actual)
- Primary completion
- 30 Jun 2017 (actual)
- Study completion
- 16 Nov 2018 (actual)
- First posted
- 23 Oct 2014 (estimated)
- Results
- Posted 13 Jan 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this phase III trial is to establish statistical equivalence in terms of efficacy (best overall response rate [ORR], proportion of patients with complete response [CR] plus partial response [PR]) until 18 weeks of first-line treatment with BI 695502 plus chemotherapy versus Avastin® plus chemotherapy followed by maintenance monotherapy with either BI 695502 or Avastin®.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BI 695502 | Experimental | Drug: BI 695502 |
| Avastin | Active comparator | Drug: Avastin |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Adult patients aged >=18 years with histologically or cytologically confirmed advanced nonsquamous non-small cell lung cancer (nsNSCLC). Mixed tumors should be categorized according to the predominant histology.
- Note: NSCLC should be predominantly nonsquamous. Recurrent or metastatic disease (Stage IV) with an indication for therapy with paclitaxel + carboplatin + Avastin®.
- Patients harboring tumors with unknown or without activating epidermal growth factor receptor (EGFR) / anaplastic lymphoma receptor tyrosine kinase (ALK) mutation maybe included provided chemotherapy is standard of care. At least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 based on independent central review.
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1.
- Life expectancy > 6 months based on clinical judgment. Further inclusion criteria apply.
Key exclusion criteria (6 listed)
- Prior therapy with monoclonal antibodies or small molecule inhibitors against Vascular Endothelial Growth Factor (VEGF) or VEGF receptors, including Avastin®.
- Prior systemic therapy for metastatic disease. Prior systemic anticancer therapy or radiotherapy for locally advanced nsNSCLC if completed <12 months prior to Screening.
- Previous malignancy other than NSCLC in the last 5 years except for basal cell cancer of the skin or pre-invasive cancer of the cervix.
- Symptomatic brain metastasis. Diagnosis of small cell carcinoma of the lung, squamous cell carcinoma of the lung, NSCLC not specified (NS) or NSCLC not otherwise specified(NOS).
- Any unresolved toxicity > Common Toxicity Criteria Grade 1 (except alopecia) from previous anticancer therapy (including radiotherapy).
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 |
|---|---|---|
| BI 695502 | Drug | BI 695502 |
| Avastin | Drug | Avastin |
Primary outcome
Best Overall Response Rate (ORR), Based on Unconfirmed Response Assessment, as Assessed by Central Imaging Review Until 18 Weeks After the Start of Treatment
Time frame: Tumor assessment scans were performed at baseline, Cycle 3 (Week 6), Cycle 5 (Week 12) and at Week 18 ±14 days. Best ORR evaluated until confirmed disease progression, unacceptable toxicity, death or up to 18 weeks, whichever happened earlier.
ORR was defined as the percentage of patients who achieved at least one visit response of complete response (CR) or partial response (PR) after the start of treatment. The response criteria evaluation was carried out according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. CR and PR did not need to be confirmed by a subsequent tumor assessment due to blinded central assessment. CR: Disappearance of all target lesions since baseline; PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters. Tumor assessments were performed prior to trial drug administration, until 18 weeks.
4 secondary outcomes
Percentage of Patients With Selected Treatment-Emergent Adverse Events (TEAEs) For Comparability Assessment of BI 695502 and US-licensed Avastin®
Time frame: From first dose of trial drug until 16 weeks after the last dose of trial medication, up to 218 days.
Progression-Free Survival (PFS) Time as Determined by Investigator Assessment
Time frame: Tumor scans performed at baseline, Cycle 3 (Week 6), Cycle 5 (Week 12), Cycle 7 (Week 18), then every 3 cycles (~9 weeks) until confirmed disease progression. Analysis performed for pre-switch period only; maximum duration of up to 35 cycles (105 weeks).
Overall Survival (OS) Time
Time frame: From baseline until death due to any cause, ie., up to 35 cycles (105 weeks).
Duration of Response (DOR) as Determined by Investigator Assessment
Time frame: Tumor scans performed at baseline, Cycle 3 (Week 6), Cycle 5 (Week 12), Cycle 7 (Week 18), then every 3 cycles (~9 weeks) until confirmed disease progression., ie up to 35 cycles (105 weeks).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jan 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Related InfoLink provided by the sponsor.
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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
189 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BI 695502 and Avastin in people with Carcinoma, Non-Small-Cell Lung, run by Boehringer Ingelheim at 189 sites in 28 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 6 inclusion and 6 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 13 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 189 sites in Japan, Ukraine, Brazil, Russia, United States and 23 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. 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 13 Jan 2020). 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?
Best Overall Response Rate (ORR), Based on Unconfirmed Response Assessment, as Assessed by Central Imaging Review Until 18 Weeks After the Start of Treatment (time frame: Tumor assessment scans were performed at baseline, Cycle 3 (Week 6), Cycle 5 (Week 12) and at Week 18 ±14 days. Best ORR evaluated until confirmed disease progression, unacceptable toxicity, death or up to 18 weeks, whichever happened earlier.). 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 13 Jan 2020.