Non Squamous Non Small Cell LungPhase 3NCT02766140
SHR1020 Plus Docetaxel as Compared to Placebo Plus Docetaxel in 2nd Line Non Squamous Non Small Cell Lung Cancer
A Phase 3 study testing SHR1020 plus Docetaxel in people with Non Squamous Non Small Cell Lung, run by Jiangsu HengRui Medicine Co., Ltd. at 1 site in China.
Trial summary
The present trial will be performed to evaluate whether SHR1020 in combination with docetaxel in patients with Local Advanced or Metastatic or recurrent Non Squamous NSCLC is more effective as compared to placebo in combination with docetaxel. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Non Squamous Non Small Cell Lung
- What is being tested?
- SHR1020 plus Docetaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 12 participants
- Where
- 1 siteChina
- Study dates
- Jun 2016to Nov 2016
- Phase
- Phase 3
- 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 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- age:18-70 years
- Histologically or cytologically confirmed locally advanced and/or metastatic NSCLC or recurrent NSCLC (≤9 months from date of diagnosis to randomized ), epidermal growth factor receptor-wild type, Anaplastic Lymphoma Kinase-wild type or unknown mutation
- At least one lesion that can be accurately measured and has not been received local treatments such as radiotherapy and cryotherapy
- Relapse or failure of one first line prior platinum-based chemotherapy
- Eastern Cooperative Oncology Group performance status 0 or 1
- Life expectancy of at least 12 weeks
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- Adequate organ and bone marrow function as defined below(no blood transfusion or drugs for leucopenia and Platelet within 14 days before screening): (1) HB≥90g/l (2) ANC≥1.5×10^9/l (3) PLT≥100×10^9/l (4) BIL<1.25×upper limit of normal (5) Alanine Aminotransferase and/or AST<2.5×upper limit of normal (< 5×upper limit of normal for patients with liver metastasis) (6) Cr≤1.25×upper limit of normal or Creatinine clearance rate>45ml/min ( Cockcroft-Gault Formula) (7) Cholesterol≤1.5×upper limit of normal, Triglyceride≤2.5×upper limit of normal (8) Left ventricular ejection fraction (LVEF) greater than lower limit of normal
- Female: child bearing potential, a negative urine or serum pregnancy test result within 7 days before randomisation, agree to use effective contraception while on treatment and for at least 6 months after end of treatment;male: agree to use effective contraception while on treatment and for at least 6 months after end of treatment
- Patient has given written informed consent
Who cannot join
- More than one prior chemotherapy regimen for advanced and/or metastatic or recurrent NSCLC (except neoadjuvant or adjuvant chemotherapy )
- Previous therapy with other VEGFR inhibitors、recombinant human endostatin、 docetaxel or immunotherapy for treatment of NSCLC
- History of severe hypersensitivity reactions to docetaxel or other drugs formulated with polysorbate 80 (Tween 80), Hypersensitivity to the excipients of the trial drugs or contrast medium
- Have clinically significant cavity effusion,such as pleural effusion、 pericardial effusion or ascites and require clinical intervention
- Active brain metastases
- Other malignancy within the past (including primary brain tumor or Leptomeningeal tumor), other than basal cell skin cancer or carcinoma in situ of the cervix
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- Significant weight loss (>10%) within the past 6 weeks
- Persistence of clinically relevant therapy related toxicities from previous therapy (greater than Common Terminology Criteria for Adverse Event(CTCAE) 4.0 grade 1)
- Treatment with surgery, chemotherapy, hormone therapy, radiotherapy, immunomodulation or monoclonal antibody therapy within the past 4 weeks and traditional chinese medicine for antitumor therapy within the past 2 weeks before start of therapy
- Radiographical evidence of cavitary or necrotic tumours
- Centrally located tumours with radiographical evidence (CT or MRI) of local invasion of major blood vessels
- Greater than CTCAE 4.0 grade 2 pulmonary hemorrhage within the past one month before screening
- History of clinically significant haemoptysis within the past 3 months (more than half a teaspoon within 24 hours )
- History of major thrombotic or clinically relevant major bleeding event in the past 6 months
- Prothrombin time (PT) and/or partial thromboplastin time (PTT) > 50% of devi
- ation of upper limit of normal
- Application of anticoagulants or vitamin K antagonists such as warfarin, heparin or its analogus, if INR≤1.5, with the purpose of prevention,the use of low-dose warfarin (1mg, qd) or aspirin ( ≤ 100 mg per day ) is allowed
- Incomplete wound healing or fracture for long time
- Uncontrolled hypertensin with one antihypertensive agent, unstable angina, history of myocardial infarction in the past 6 months, congestive heart failure>NYHA II, serious cardiac arrhythmia
- Urinary protein≥++ and confirmed 24-hour urinary protein greater than 1.0g;
- Preexisting thyroid dysfunction, even with medical therapy, thyroid function can not be maintained in the normal range
- Uncontrolled diabetes mellitus with antidiabetic therapy
- Current peripheral neuropathy greater than CTCAE 4.0 grade 2
- Active or chronic hepatitis C and/or B infection with liver dysfunction
- History of immunodeficiency diseases, other acquired or congenital immunodeficiency diseases, or history of organ transplantation
- Serious infections requiring systemic antibiotic therapy
- Variety of factors that affect the oral medication (such as unable to swallow, chronic diarrhea, bowel obstruction and other gastrointestinal disorders or abnormalities
- Pregnancy or breast feeding
- Active alcohol or drug abuse
- Treatment in another clinical trial within the past 4 weeks before start of therapy
- Psychological, familial, sociological, or geographical factors potentially hampering compliance with the study protocol and follow-up schedule
- According to the investigator, other conditions that may increase the risk associated with patient safety and study participation
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Multicentre, Randomised, Double-blind, Phase III Trial to Investigate the Efficacy and Safety of Oral SHR1020 Plus Docetaxel Therapy Compared to Placebo Plus Docetaxel Therapy in Patients With Local Advanced or Metastatic or Recurrent Non Squamous Non Small Cell Lung Cancer After Failure of First Line Chemotherapy.
The present trial will be performed to evaluate whether SHR1020 in combination with docetaxel in patients with Local Advanced or Metastatic or recurrent Non Squamous NSCLC is more effective as compared to placebo in combination with docetaxel. A secondary aim is to obtain safety information as well as information on quality of life of patients treated with SHR1020 in combination with docetaxel.
- Conditions
- Non Squamous Non Small Cell Lung
- Being tested
- SHR1020 plus Docetaxel, Placebo plus Docetaxel
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SHR1020 plus DocetaxelDrug
SHR1020 20mg qd 2-21days, Docetaxel 60 mg/m^2 IV Day1/3weeks
Placebo plus DocetaxelDrug
Placebo matching SHR1020 qd 2-21days, Docetaxel 60 mg/m^2 IV Day1/3weeks
| Study group | Role | What they receive |
|---|---|---|
| SHR1020 plus Docetaxel | Experimental | Not described Receives: Drug: SHR1020 plus Docetaxel |
| Placebo plus Docetaxel | Placebo comparator | Not described Receives: Drug: Placebo plus Docetaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Measured: approximately 30 months
Secondary outcomes (5)
Progression Free Survival (PFS)
Measured: approximately 30 months
Incidence and Intensity of Adverse Events
Measured: From signing informed consent document until 30 days after the last drug administration
Objective Tumour Response (Complete Response Plus Partial Response) Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Measured: approximately 30months
Disease Control (Complete Response Plus Partial Response plus stable disease) Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Measured: approximately 30months
Quality of Life (QoL) measured by standardised questionnaires (EORTC Quality of Life Questionnaire-C30)
Measured: approximately 30months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 May 2016 (estimated)
- Study startJun 2016
- Primary completionNov 2016
- Study completionNov 2016
Why it stopped: difficulty in recruitment
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non Squamous Non Small Cell LungStudies of the same condition, open and under way.
- More trials run by Jiangsu HengRui Medicine Co., Ltd.The 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 12 participants (actual)
Sponsor and investigators
- Lead sponsor
- Jiangsu HengRui Medicine Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Shanghai Pulmonary Hospital, Shanghai, China
- Responsible party
- Sponsor
- Investigators
- caicun zhou, doctor, Principal investigator, Shanghai Pulmonary Hospital, Shanghai, China
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02766140
- Sponsor's protocol ID
- HR-FMTN-II/III-NSCLC-COM
- Status last verified
- Dec 2018
- First submitted
- 18 Apr 2016
- Last updated
- 18 Jan 2019
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 18 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicentre, Randomised, Double-blind, Phase III Trial to Investigate the Efficacy and Safety of Oral SHR1020 Plus Docetaxel Therapy Compared to Placebo Plus Docetaxel Therapy in Patients With Local Advanced or Metastatic or Recurrent Non Squamous Non Small Cell Lung Cancer After Failure of First Line Chemotherapy.
- ClinicalTrials.gov ID
- NCT02766140
- Acronym / sponsor ID
- HR-FMTN-II/III-NSCLC-COM
- Conditions
- Non Squamous Non Small Cell Lung
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: difficulty in recruitment
- Enrolment
- 12 participants (actual)
- Lead sponsor
- Jiangsu HengRui Medicine Co., Ltd.Industry (pharma, biotech, devices)
- Collaborators
- Shanghai Pulmonary Hospital, Shanghai, China
- Study start
- Jun 2016 (actual)
- Primary completion
- Nov 2016 (actual)
- Study completion
- Nov 2016 (actual)
- First posted
- 9 May 2016 (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 present trial will be performed to evaluate whether SHR1020 in combination with docetaxel in patients with Local Advanced or Metastatic or recurrent Non Squamous NSCLC is more effective as compared to placebo in combination with docetaxel. A secondary aim is to obtain safety information as well as information on quality of life of patients treated with SHR1020 in combination with docetaxel.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| SHR1020 plus Docetaxel | Experimental | Drug: SHR1020 plus Docetaxel |
| Placebo plus Docetaxel | Placebo comparator | Drug: Placebo plus Docetaxel |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- age:18-70 years
- Histologically or cytologically confirmed locally advanced and/or metastatic NSCLC or recurrent NSCLC (≤9 months from date of diagnosis to randomized ), epidermal growth factor receptor-wild type, Anaplastic Lymphoma Kinase-wild type or unknown mutation
- At least one lesion that can be accurately measured and has not been received local treatments such as radiotherapy and cryotherapy
- Relapse or failure of one first line prior platinum-based chemotherapy
- Eastern Cooperative Oncology Group performance status 0 or 1
Key exclusion criteria (32 listed)
- More than one prior chemotherapy regimen for advanced and/or metastatic or recurrent NSCLC (except neoadjuvant or adjuvant chemotherapy )
- Previous therapy with other VEGFR inhibitors、recombinant human endostatin、 docetaxel or immunotherapy for treatment of NSCLC
- History of severe hypersensitivity reactions to docetaxel or other drugs formulated with polysorbate 80 (Tween 80), Hypersensitivity to the excipients of the trial drugs or contrast medium
- Have clinically significant cavity effusion,such as pleural effusion、 pericardial effusion or ascites and require clinical intervention
- Active brain metastases
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 |
|---|---|---|
| SHR1020 plus DocetaxelSHR1020 20mg qd 2-21days, Docetaxel 60 mg/m^2 IV Day1/3weeks | Drug | SHR1020 plus Docetaxel |
| Placebo plus DocetaxelPlacebo matching SHR1020 qd 2-21days, Docetaxel 60 mg/m^2 IV Day1/3weeks | Drug | Placebo plus Docetaxel |
Primary outcome
Overall Survival
Time frame: approximately 30 months
5 secondary outcomes
Progression Free Survival (PFS)
Time frame: approximately 30 months
Incidence and Intensity of Adverse Events
Time frame: From signing informed consent document until 30 days after the last drug administration
Objective Tumour Response (Complete Response Plus Partial Response) Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Time frame: approximately 30months
Disease Control (Complete Response Plus Partial Response plus stable disease) Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Time frame: approximately 30months
Quality of Life (QoL) measured by standardised questionnaires (EORTC Quality of Life Questionnaire-C30)
Time frame: approximately 30months
Results and safety
The study was stopped early (reason given: difficulty in recruitment). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jan 2019.
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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.
caicun zhou, doctor principal investigator
Shanghai Pulmonary Hospital, Shanghai, China
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing SHR1020 plus Docetaxel in people with Non Squamous Non Small Cell Lung, run by Jiangsu HengRui Medicine Co., Ltd. at 1 site in China.
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 9 inclusion and 32 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: stopped early, as of the sponsor's last update on 18 Jan 2019. 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 China. 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. Some participants in this study may receive a placebo. 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?
The study was stopped early (reason given: difficulty in recruitment). Results are not available in the source record.
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?
Overall Survival (time frame: approximately 30 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 18 Jan 2019.