Non-small Cell Lung CancerPhase 3STELLANCT03296163
A Study Comparing MB02 and Avastin® in Subjects With Stage IIIB/IV Non-Squamous Non-Small Cell Lung Cancer (NSCLC)
A Phase 3 study testing MB02 (Bevacizumab Biosimilar Drug), EU-approved Avastin® and Carboplatin in people with Non-small Cell Lung Cancer, run by mAbxience Research S.L. at 118 sites in 18 countries.
Trial summary
This is a multicenter, multinational, double-blind, 1:1 randomized, parallel-group, equivalence Phase 3 study to compare the efficacy and safety of MB02 plus chemotherapy (carboplatin and paclitaxel) versus Avastin® plus chemotherapy (carboplatin and paclitaxel) in subjects with Stage IIIB/IV non-squamous NSCLC Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Non-small Cell Lung Cancer
- What is being tested?
- MB02 (Bevacizumab Biosimilar Drug), EU-approved Avastin® and Carboplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 627 participants
- Where
- 118 sitesin 18 countries
- Study dates
- 6 Feb 2018to 27 Feb 2020
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males and female subjects aged ≤ 18 years to ≤ 80 years.
- Signed informed consent must be obtained before initiation of any study-specific procedures or treatment as confirmation of the subject's awareness and willingness to comply with the study requirements.
- Subjects should have newly diagnosed or recurrent Stage IIIB/IV (defined by seventh edition of the Tumor, Node and Metastasis (TNM) classification for Lung Cancer, 2010) non-squamous NSCLC not amenable to curative intent surgery, and not have received any systemic therapy for advanced disease (exclusion criteria 3 and 4). For subjects with recurrent disease, at least 6 months must have elapsed before randomization from previous adjuvant treatment.
- Previous radiation therapy if completed >4 weeks before randomization. Palliative radiotherapy to bone lesions is allowed if completed >2 weeks of randomization.
- Subjects must have at least 1 unidimensional measurable lesion per RECIST version 1.1 (assessed locally).
- Subjects must have an Eastern Cooperative Oncology Group (ECOG) performance status ≤1 at Screening.
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- Subjects must have adequate hepatic, renal and hematologic function defined as:
- Hepatic function: bilirubin level <1.5 the upper limit of normal (ULN), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels<2.5×ULN.
- Renal function: serum creatinine level <1.5×ULN, calculated creatinine clearance (CrCl) >50 mL/min (Cockcroft-Gault formula), urine protein to creatinine ratio <1. Subjects with urine protein-to-creatinine ratio >1 may be enrolled if they have <1 g of protein in 24-hour urine collection.
- Hematological function: Absolute neutrophil count >1.5×109 /L; platelets >100×109 /L, hemoglobin (Hb) >9 g/dL.
- Adequate coagulation parameters such as: INR ≤ 2.0 and aPTT ≤ 1.5 x ULN within 7 days prior to randomization for patients not receiving anticoagulation therapy.
- Eligible subjects must have a systolic blood pressure of ≤ 140 mm Hg and a diastolic blood pressure of ≤90 mm Hg at screening.
- Women of childbearing potential, and their partners, must agree to adhere to pregnancy prevention methods throughout the duration of the study (including the Follow-up visits, where applicable). Women of childbearing potential are defined as those who are not surgically sterile (did not underwent bilateral tubal ligation, bilateral oophorectomy, or hysterectomy) and not postmenopausal.
- Subjects and their partners must agree to use a highly effective method of contraception, to avoid women becoming pregnant throughout the course of the study. Medically acceptable forms of birth control can include the following, with approval of the treating physician:
- Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable), intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomized partner, sexual abstinence.
- 10. Non fertile women can be included, that is, those who are physiologically incapable of becoming pregnant, because of:
- Hysterectomy.
- Bilateral oophorectomy (ovariectomy).
- Bilateral tubal ligation or,
- Postmenopausal women defined as:
- Subjects not using hormone replacement therapy (HRT) and have experienced total cessation of menses for ≥ 1 year and be greater than 45 years of age, OR, in questionable cases, have a follicle stimulating hormone >40 mIU/mL and an estradiol value <40 pg/mL (<140 pmol/L).
- Subjects must discontinue HRT before study enrolment because of the potential for inhibition of cytochrome enzymes that metabolize estrogens and progestins. For most forms of HRT, at least 2 to 4 weeks must elapse between the cessation of HRT and determination of menopausal status; the length of this interval depends on the type and dosage of HRT.
- If a female subject is determined not to be postmenopausal, that subject must use adequate contraception, as defined immediately above (inclusion 8).
Who cannot join
- Inability to comply with protocol procedures.
- Participation in another clinical trial or treatment with another investigational agent within 4 weeks or 5 half-lives of investigational agent before randomization, whichever is longer.
- Subjects previously treated with monoclonal antibodies or small molecule inhibitors against Vascular Endothelial Growth Factor (VEGF) or VEGF receptors, including Avastin®.
- Subjects who have received previous chemotherapy, immunotherapy, targeted therapy, or biological therapy for their lung cancer. Note: Adjuvant and neo- adjuvant therapy are permitted (see: inclusion criterion 3).
- Subjects who have known central nervous system disease, with the exception of subjects with treated brain metastases who have completed treatment (radiation, surgery or stereotactic surgery) and have not received steroids for at least 4 weeks before randomization. Subjects with central nervous system metastases treated by neurosurgical resection or brain biopsy performed within 8 weeks before randomization will be excluded. Subjects with known or history of brain metastases must undergo brain imaging during screening.
- Current or recent (within 10 days of the first dose of study treatment) use of aspirin (at least 325 mg/day) or other nonsteroidal anti-inflammatory drugs with antiplatelet activity or treatment with dipyridamole (Persantine®), ticlopidine (Ticlid®), clopidogrel (Plavix®), or cilostazol (Pletal®).
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- Current or recent (within 5 days) use of therapeutic anticoagulation or use of thrombolytic agent. Prophylactic use of low molecular weight heparin is allowed.
- Subjects with an INR >2, unless receiving active anticoagulation treatment, will be excluded.
- Subjects who have a diagnosis of small cell carcinoma of the lung or squamous cell carcinoma of the lung. Mixed tumors should be categorized according to the predominant histology. If small cell elements are present, the subject will be excluded.
- Subjects with known tumors that harbor activating epidermal growth factor receptor and anaplastic lymphoma receptor tyrosine kinase (assessed locally).
- Subjects who have a history of hypersensitivity to the active substance (bevacizumab, carboplatin, and/or paclitaxel) or any of the excipients (such as trehalose dehydrate, sodium phosphate, or polysorbate 20).
- Subjects with known active viral infection, including but not limited to: hepatitis B, hepatitis C, or HIV.
- Subjects who are pregnant or breastfeeding. Women of child-bearing potential must have a negative pregnancy test at Screening.
- Subjects with previous major surgery, open biopsy, open pleurodesis, or significant traumatic injury within 4 weeks before randomization or those anticipated to require major surgery during the study.
- Subjects who have had a core biopsy taken or have had another minor surgical procedure, excluding placement of vascular access device, closed pleurodesis, thoracentesis, and mediastinoscopy, within 1 week of randomization.
- Subjects with a history of abdominal fistula, GI perforation, intra-abdominal abscess within 6 months of randomization.
- Subjects with a nonhealing wound, active ulcer, or untreated bone fracture.
- Subjects with previous history of hypertensive crisis or hypertensive encephalopathy.
- Subjects with New York Heart Association Grade II or greater congestive heart failure, or angina, myocardial infarction within 6 months before randomization; symptomatic arrhythmia or serious cardiac arrhythmia requiring medication; abnormal left ventricular ejection fraction < 50% assessed by ultrasound or multigated acquisition scan.
- Subjects with a previous malignancy within 3 years of randomization (other than superficial basal cell and superficial squamous (skin) cell carcinoma, or carcinoma in situ of the uterine cervix, bladder, or prostate).
- Subjects with history of a significant vascular event within 6 months before randomization (including, but not limited to myocardial infarction and stroke or transient ischemic attack).
- Subjects with known bleeding diathesis or significant coagulopathy defined as a bleeding event grade ≥ 2 within 3 months before randomization.
- Subjects with history of grade ≥2 hemoptysis within 6 months before randomization (≥0.5 teaspoons of bright red blood per event).
- Subjects with a tumor(s) invading or compressing major blood vessels.
Trial locations and contacts
118 sites in 18 countries.
118 sites in 18 countries
Russia16 sites
SBHI Arkhangelsk Region - Arkhangelsk Clinical Oncological Dispensary
Arkhangelsk
Regional state budgetary Healthcare Institution "Belgorod oncology dispensary"
Belgorod
State Budget Healthcare Institution Ivanovo Regional Oncology Dispensary
Ivanovo
Kaluga Regional Clinical Oncology center
Kaluga
Republic Clinical Oncology Dispensary
Kazan'
Kursk Republican Clinical Oncology Dispensary
Kursk
"VitaMed" LLC
Moscow
Moscow City Oncology Hospital No 62
Moscow
N. N. Blokhin Russian Cancer Research Center
Moscow
University Headache Clinic LLC
Moscow
GBUZ of SK Pyatigorsk Oncology Dispensary
Pyatigorsk
Ryazan Regional Clinical Oncology Dispensary
Ryazan
City Clinical Oncology Dispensary
Saint Petersburg
GUZ "Leningrad Regional Clinical Hospital"
Saint Petersburg
State Budgetary healthcare Institution "Samara regional clinical oncology dispensary"
Samara
Federal budget Healthcare Institution "Volga District Medical Centre" under Federal Medical and Biological Agency
Velikiy Novgorod
Ukraine16 sites
Municipal Institution Cherkasy Regional Oncology Dispensary of Cherkasy Regional Council
Cherkasy
Public Higher Education Insititution of Ukraine "Bukovinian State Medical University"
Chernivtsi
Clinical Oncology Dispensary
Dnipro
Multifield Clinical Hospital No.4
Dnipro
State Institution "Grigoriev Institute for Medical Radiology National Academy of Medical Science of Ukraine"
Kharkiv
State Institution "V.T. Zaycev Institute of general and urgent surgery of National academy medical sciences of Ukraine"
Kharkiv
Medical and Diagnostic Centre Private Enterprise of Private Manufacturing Company "ACINUS"
Kropyvnytskyi
Municipal Institution "Kryviy Rih Oncology Dispensary" of Dnipropetrovsk Regional Council
Kryvyi Rih
National Cancer Institute
Kyiv
National Institute of Cancer
Kyiv
Healthcare facility "Volyn regional Oncological Dispensary"
Lutsk
Lviv State Oncology Regional Treatment and Diagnostic Center
Lviv
Odessa Regional Clinical Oncology Dispensary
Odesa
Uzhgorod National University
Uzhhorod
Vinnytsia Regional Clinical Oncology Dispensary
Vinnytsia
Communal Institution "Zaporizhzhya Regional Clinical Oncological Dispensary" of Zaporizhzhya regional council
Zaporizhzhya
Brazil15 sites
Hospital de Câncer de Barretos
Barretos, São Paulo
Centro de Pesquisa e Educação da Serra Gaúcha (CEPESG)
Caxias do Sul, Rio Grande do Sul
IPCEM Universidade de Caxias Do Sul
Caxias do Sul, Rio Grande do Sul
Hospital Erasto Gaertner - Paranaense de Combate ao Câncer
Curitiba, Paraná
Instituto do Câncer do Ceará - ICC
Fortaleza, Ceará
Centro Brasileiro de Radioterapia Oncologia e Mastologia
Goiânia, Goiás
Hospital de Caridade de Ijuí
Ijuí, Rio Grande do Sul
MedRadius
Maceió, Alagoas
Instituto do Câncer - Hospital São Vicente de Paulo
Passo Fundo, Rio Grande do Sul
Hospital São Lucas da PUCRS
Pôrto Alegre, Rio Grande do Sul
Instituto Nacional de Cancer- INCA
Rio de Janeiro, Rio de Janeiro
Hospital de Base de São José do Rio Preto
São José Do Rio Prêto, São Paulo
Centro de Pesquisa do Instituto Brasileiro de Controle do Câncer - IBCC
São Paulo, São Paulo
Instituto de Ensino e Pesquisa São Lucas
São Paulo, São Paulo
Hospital Santa Marcelina
São Paulo
India14 sites
Zydus Hospital
Ahmedabad
Action Cancer Hospital
Delhi
Aadhar Health Institute
Hisar
NIMS - Nizam's Institute of Medical Sciences
Hyderabad
Ganadhipati Purushottam Shekhawati Hospital Research Centre
Jaipur
PVS Hospital Pvt Ltd
Kerola
Apollo Gleneagles Hospital
Kolkata
Netaji Subhas Chandra Bose Cancer Research Institute
Kolkata
Shatabdi Super Speciality Hospital
Nashik
Deenanath Mangeshkar Hospital & Research Center
Pune
Nirmal Hospital Pvt. Ltd.
Surat
Kiran Super Multispeciality Hospital
Sūrat
Shree Himalaya Cancer Hospital Research Institute
Vadodara
Queen's NRI Hospital Gurudwara Lane
Visakhapatnam
Philippines9 sites
Baguio General Hospital & Medical Center
Baguio City
Cebu Doctors University Hospital - CDUH
Cebu
Perpetual Succour Hospital - PSH
Cebu
St. Luke's Medical Center - Global City
City of Taguig
De La Salle University Medical Center - DLSUMC
Dasmariñas
Davao Doctors Hospital - DDH
Davao City
Makati Medical Center
Makati City
Philippine General Hospital - PGH
Manila
The Medical City
Pasig
Georgia7 sites
Cancer Center of Adjara Autonomous Republic
Batumi
Acad. F . Todua medical center-research institute of clinical medicine
Tbilisi
Consilium Medulla
Tbilisi
Institute of Clinical Oncology
Tbilisi
LTD Aversi Clinic
Tbilisi
LTD Cancer Research Centre
Tbilisi
Tbilisi State Medical Universitys First university Clinic
Tbilisi
Malaysia7 sites
Hospital Pulau Pinang
George Town, Pulau Pinang
Institut Perubatan dan Pergigian Termaju Universiti Sains Malaysia
Kepala Batas
Hospital Kuala Lumpur
Kuala Lumpur
Pusat Perubatan Universiti Kebangsaan Malaysia
Kuala Lumpur
University Malaya Medical Centre
Kuala Lumpur
Hospital Umum Sarawak
Kuching
National Cancer Institute
Putrajaya
Greece5 sites
General Hospital of Athens "Ippokratio"
Athens
Sotiria General Hospital for Chest Diseases
Athens
University General Hospital of Larissa
Larissa
Agioi Anargyroi General Oncological Hospital of Kifissia
Nea Kifissia
General Hospital of Thessaloniki "George Papanikolaou"
Thessaloniki
Hungary5 sites
National Koranyi Institute of TB and Pulmonology
Budapest
Országos Korányi Pulmonológiai Intézet (OKPI)
Budapest
Csongrád Megyei Önkormányzat Mellkasi Betegségek Szakkórháza
Deszk
Veszprém Megyei Tüdőgyógyinzézet
Farkasgyepű
Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktatókórház
Miskolc
Serbia5 sites
CHC Bezanijska Kosa
Belgrade
Institute of Oncology and Radiology of Serbia (IORS)
Belgrade
Institute for Pulmonary Diseases of Vojvodina
Kamenitz
Clinical Center Kragujevac
Kragujevac
Clinical center Nis (Clinic for pulmonary diseases)
Niš
Thailand5 sites
Bangkok International Hospital And Wattanosod Hospital
Bangkok
Chiang Mai University (CMU) - Maharaj Nakhon Chiang Mai Hospital Nakorn Chiang Mai Hospital
Chiang Mai
Chiang Rai Prachanukroh Hospital
Chiang Rai
Songklanagarind Hospital
Hat Yai
Buddhachinaraj Hospital
Phitsanulok
Chile4 sites
Fundación Arturo López Pérez - Instituto Oncológico FALP
Santiago
Health & Care Spa
Santiago
Instituto Clinico Oncologico del Sur ICOS
Temuco
Oncocentro APYS
Viña del Mar
Bulgaria3 sites
Central Hospital Plovdiv
Plovdiv
Acıbadem City Clinic Cancer Center UMHAT
Sofia
Specialized Hospital for Active Treatment of Oncology Diseases Sofia District EOOD
Sofia
Mexico2 sites
Instituto Nacional de Cancerologia
Mexico City
Hospital Universitario Dr. Jose Eleuterio González
Monterrey
Turkey (Türkiye)2 sites
Istanbul Medeniyet University Medical Faculty
Istanbul
Suat Seren Chest Diseases Hospital
Izmir
About this study
Official title: A Randomized, Multicenter, Multinational, Double-Blind Study to Assess the Efficacy and Safety of MB02 (Bevacizumab Biosimilar Drug) Versus Avastin® in Combination With Carboplatin and Paclitaxel for the Treatment of Subjects With Stage IIIB/IV Non-squamous Non-Small Cell Lung Cancer (NSCLC)
This is a multicenter, multinational, double-blind, 1:1 randomized, parallel-group, equivalence Phase 3 study to compare the efficacy and safety of MB02 plus chemotherapy (carboplatin and paclitaxel) versus Avastin® plus chemotherapy (carboplatin and paclitaxel) in subjects with Stage IIIB/IV non-squamous NSCLC
Read the detailed description
Efficacy parameters, safety profiles and immunogenicity will be compared between MB02 (Bevacizumab Biosimilar Drug) and European (EU)-approved Avastin®
- Conditions
- Non-small Cell Lung Cancer
- Being tested
- MB02 (Bevacizumab Biosimilar Drug), EU-approved Avastin®, Carboplatin, Paclitaxel
- 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.
MB02 (Bevacizumab Biosimilar Drug)Drug
Also called Bevacizumab
15 mg/kg IV every 3 weeks on Day 1
EU-approved Avastin®Drug
Also called Bevacizumab
15 mg/kg IV every 3 weeks on Day 1
CarboplatinDrug
Carboplatin Area under the curve (AUC) 6 IV every 3 weeks on Day 1 for 6 cycles
PaclitaxelDrug
Also called Taxol
Paclitaxel 200 mg/m2 IV every 3 weeks on Day 1 for 6 cycles
| Study group | Role | What they receive |
|---|---|---|
| MB02 (Bevacizumab Biosimilar Drug) | Experimental | MB02 (Bevacizumab Biosimilar Drug) + Carboplatin/Paclitaxel Receives: Drug: MB02 (Bevacizumab Biosimilar Drug); Drug: Carboplatin; Drug: Paclitaxel |
| EU-approved Avastin® | Active comparator | EU-approved Avastin® + Carboplatin/Paclitaxel Receives: Drug: EU-approved Avastin®; Drug: Carboplatin; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate (ORR) at Week 18
Objective response rate was assigned for a subject if the subject displayed either complete response (CR) or partial response (PR) per RECIST version 1.1 at Week 18, as assessed by independent radiological review committee (IRC).
Overall Response (OR) = CR + PR.
Measured: 18 weeks from randomisation
Secondary outcomes (4)
Progression-free Survival (PFS)
Progression-free survival was defined as the time from randomization to subsequent confirmed progression per RECIST version 1.1, or death (whichever occurred first), measured in weeks and months. For PFS assessment clinical progression (i.e., treatment discontinuation due to progression of disease) was also considered as an event.
Measured: At Week 52 from randomisation
Overall Survival (OS)
Overall survival was defined as the time from randomization to subsequent death, measured in weeks and months.
Measured: At Week 52 from randomisation
Incidence of Treatment-emergent Adverse Events (TEAEs)
Comparison of Safety profile. Safety was monitored by incidence of adverse events (AEs). AEs were coded as per MedDRA (version 20.1) and severity was graded according to NCI-CTCAE (version 4.03);
Measured: Week 1 to week 52
Immunogenicity Assessments (Anti-drug Antibodies [ADA] and Neutralizing Antibodies [NAb])
Incidence of anti-drug antibodies (ADA) and neutralizing ADAs (NAb). Analyses of ADA incidence rate, antibody titer, and neutralizing antibodies (NAb) (following the recommended 3-tier approach) were performed.
Measured: At Weeks 1, 4, 10, 19, 34 and 52 from randomization and, at the End of Treatment Visit if, an ADA sample has not been collected within the previous 3 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2017
- Study start6 Feb 2018
- Primary completion3 Jul 2019
- Study completion27 Feb 2020
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Non-small Cell Lung CancerStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 627 participants (actual)
Sponsor and investigators
- Lead sponsor
- mAbxience Research S.L.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03296163
- Sponsor's protocol ID
- MB02-C-02-17
- Acronym
- STELLA
- Status last verified
- Mar 2021
- First submitted
- 19 Sep 2017
- Last updated
- 26 Apr 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Trukhin D, Poddubskaya E, Andric Z, Makharadze T, Bellala RS, Charoentum C, Yanez Ruiz EP, Fulop A, Hyder Ali IA, Syrigos K, Katgi N, Lopez Chuken YA, Rumyana I, Reyes-Igama J, Costamilan RC, Del Campo Garcia A, Florez A, Paravisini A, Millan S; STELLA Investigators. Efficacy, Safety and Immunogenicity of MB02 (Bevacizumab Biosimilar) versus Reference Bevacizumab in Advanced Non-Small Cell Lung Cancer: A Randomized, Double-Blind, Phase III Study (STELLA). BioDrugs. 2021 Jul;35(4):429-444. doi: 10.1007/s40259-021-00483-w. Epub 2021 Apr 29.
PubMed 33914256
Study at a glance
From the registry record, last updated by the sponsor on 26 Apr 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multicenter, Multinational, Double-Blind Study to Assess the Efficacy and Safety of MB02 (Bevacizumab Biosimilar Drug) Versus Avastin® in Combination With Carboplatin and Paclitaxel for the Treatment of Subjects With Stage IIIB/IV Non-squamous Non-Small Cell Lung Cancer (NSCLC)
- ClinicalTrials.gov ID
- NCT03296163
- Acronym / sponsor ID
- STELLA / MB02-C-02-17
- Conditions
- Non-small Cell Lung Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 627 participants (actual)
- Lead sponsor
- mAbxience Research S.L.Industry (pharma, biotech, devices)
- Study start
- 6 Feb 2018 (actual)
- Primary completion
- 3 Jul 2019 (actual)
- Study completion
- 27 Feb 2020 (actual)
- First posted
- 28 Sep 2017 (actual)
- Results
- Posted 26 Mar 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, multinational, double-blind, 1:1 randomized, parallel-group, equivalence Phase 3 study to compare the efficacy and safety of MB02 plus chemotherapy (carboplatin and paclitaxel) versus Avastin® plus chemotherapy (carboplatin and paclitaxel) in subjects with Stage IIIB/IV non-squamous NSCLC
Detailed description
Efficacy parameters, safety profiles and immunogenicity will be compared between MB02 (Bevacizumab Biosimilar Drug) and European (EU)-approved Avastin®
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MB02 (Bevacizumab Biosimilar Drug) | Experimental | Drug: MB02 (Bevacizumab Biosimilar Drug), Drug: Carboplatin, Drug: PaclitaxelMB02 (Bevacizumab Biosimilar Drug) + Carboplatin/Paclitaxel |
| EU-approved Avastin® | Active comparator | Drug: EU-approved Avastin®, Drug: Carboplatin, Drug: PaclitaxelEU-approved Avastin® + Carboplatin/Paclitaxel |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (23 listed)
- Males and female subjects aged ≤ 18 years to ≤ 80 years.
- Signed informed consent must be obtained before initiation of any study-specific procedures or treatment as confirmation of the subject's awareness and willingness to comply with the study requirements.
- Subjects should have newly diagnosed or recurrent Stage IIIB/IV (defined by seventh edition of the Tumor, Node and Metastasis (TNM) classification for Lung Cancer, 2010) non-squamous NSCLC not amenable to curative intent surgery, and not have received any systemic therapy for advanced disease (exclusion criteria 3 and 4). For subjects with recurrent disease, at least 6 months must have elapsed before randomization from previous adjuvant treatment.
- Previous radiation therapy if completed >4 weeks before randomization. Palliative radiotherapy to bone lesions is allowed if completed >2 weeks of randomization.
- Subjects must have at least 1 unidimensional measurable lesion per RECIST version 1.1 (assessed locally).
Key exclusion criteria (24 listed)
- Inability to comply with protocol procedures.
- Participation in another clinical trial or treatment with another investigational agent within 4 weeks or 5 half-lives of investigational agent before randomization, whichever is longer.
- Subjects previously treated with monoclonal antibodies or small molecule inhibitors against Vascular Endothelial Growth Factor (VEGF) or VEGF receptors, including Avastin®.
- Subjects who have received previous chemotherapy, immunotherapy, targeted therapy, or biological therapy for their lung cancer. Note: Adjuvant and neo- adjuvant therapy are permitted (see: inclusion criterion 3).
- Subjects who have known central nervous system disease, with the exception of subjects with treated brain metastases who have completed treatment (radiation, surgery or stereotactic surgery) and have not received steroids for at least 4 weeks before randomization. Subjects with central nervous system metastases treated by neurosurgical resection or brain biopsy performed within 8 weeks before randomization will be excluded. Subjects with known or history of brain metastases must undergo brain imaging during screening.
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 |
|---|---|---|
| MB02 (Bevacizumab Biosimilar Drug)Also: Bevacizumab15 mg/kg IV every 3 weeks on Day 1 | Drug | MB02 (Bevacizumab Biosimilar Drug) |
| EU-approved Avastin®Also: Bevacizumab15 mg/kg IV every 3 weeks on Day 1 | Drug | EU-approved Avastin® |
| CarboplatinCarboplatin Area under the curve (AUC) 6 IV every 3 weeks on Day 1 for 6 cycles | Drug | EU-approved Avastin®, MB02 (Bevacizumab Biosimilar Drug) |
| PaclitaxelAlso: TaxolPaclitaxel 200 mg/m2 IV every 3 weeks on Day 1 for 6 cycles | Drug | EU-approved Avastin®, MB02 (Bevacizumab Biosimilar Drug) |
Primary outcome
Objective Response Rate (ORR) at Week 18
Time frame: 18 weeks from randomisation
Objective response rate was assigned for a subject if the subject displayed either complete response (CR) or partial response (PR) per RECIST version 1.1 at Week 18, as assessed by independent radiological review committee (IRC). Overall Response (OR) = CR + PR.
4 secondary outcomes
Progression-free Survival (PFS)
Time frame: At Week 52 from randomisation
Overall Survival (OS)
Time frame: At Week 52 from randomisation
Incidence of Treatment-emergent Adverse Events (TEAEs)
Time frame: Week 1 to week 52
Immunogenicity Assessments (Anti-drug Antibodies [ADA] and Neutralizing Antibodies [NAb])
Time frame: At Weeks 1, 4, 10, 19, 34 and 52 from randomization and, at the End of Treatment Visit if, an ADA sample has not been collected within the previous 3 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Apr 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33914256Trukhin D, Poddubskaya E, Andric Z, Makharadze T, Bellala RS, Charoentum C, Yanez Ruiz EP, Fulop A, Hyder Ali IA, Syrigos K, Katgi N, Lopez Chuken YA, Rumyana I, Reyes-Igama J, Costamilan RC, Del Campo Garcia A, Florez A, Paravisini A, Millan S; STELLA Investigators. Efficacy, Safety and Immunogenicity of MB02 (Bevacizumab Biosimilar) versus Reference Bevacizumab in Advanced Non-Small Cell Lung Cancer: A Randomized, Double-Blind, Phase III Study (STELLA). BioDrugs. 2021 Jul;35(4):429-444. doi: 10.1007/s40259-021-00483-w. Epub 2021 Apr 29.
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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.
The record lists no contact. Use the official record to reach the sponsor.
118 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing MB02 (Bevacizumab Biosimilar Drug), EU-approved Avastin® and Carboplatin in people with Non-small Cell Lung Cancer, run by mAbxience Research S.L. at 118 sites in 18 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 23 inclusion and 24 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 26 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 118 sites in Russia, Ukraine, Brazil, India, Philippines and 13 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 26 Mar 2021). 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?
Objective Response Rate (ORR) at Week 18 (time frame: 18 weeks from randomisation). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03296163, which also lists 1 linked publication.
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 26 Apr 2021.