Description:
The purpose of this study is to determine whether nintedanib (vargatef®) combined with
docetaxel are effective in second line of treatment in patients with no squamous non small
cell lung cancer refractory to first line chemotherapy.
Title
- Brief Title: Nintedanib (Vargatef®) Plus Docetaxel in Second Line of Treatment in Patients With Lung Cancer
- Official Title: Multicenter Phase II Trial of Nintedanib (Vargatef®) Plus Docetaxel in Second Line of Treatment in Patients With no Squamous Non Small Cell Lung Cancer Refractory to First Line Chemotherapy
Clinical Trial IDs
- ORG STUDY ID:
I14041/REFRACT
- NCT ID:
NCT02531737
Conditions
Interventions
Drug | Synonyms | Arms |
---|
vargatef® | Nintedanib | traitment |
Docetaxel | Taxotere | traitment |
Purpose
The purpose of this study is to determine whether nintedanib (vargatef®) combined with
docetaxel are effective in second line of treatment in patients with no squamous non small
cell lung cancer refractory to first line chemotherapy.
Detailed Description
59 Patients with histologically documented stage IV NSCLC no squamous, after failure of first
line chemotherapy and refractory (progressive disease during first line chemotherapy), will
be enroled to receive docetaxel :75 mg/m² IV day 1 every 3 weeks with nintedanib
(vargatef®):200 mg X 2/day per os day2-day21.
Tumor response (according to RECIST) will be assessed via computed tomography or magnetic
resonance imaging scan every 6 weeks (evaluation of PFS) following completion of
chemotherapy.
Adverse events (AEs) were graded according to the National Cancer Institute Common Toxicity
Criteria, version 4.0
Quality of life(EQ5-D ) will be assessed every 6 weeks during chemotherapy. Tolerability will
be assessed at each visit based on Common Terminology Criteria for Adverse Events (CTCAE),
v4.0 criteria.
Total study duration per patient: approximately 12 months .
Trial Arms
Name | Type | Description | Interventions |
---|
traitment | Experimental | Patients will be treated to oral nintedanib (vargatef®) 400 mg/d on days 2 to 21 of a 3-week cycle including docetaxel 75 mg/m2 by intravenous infusion on day 1 | |
Eligibility Criteria
Inclusion Criteria:
- Histologically confirmed non-squamous NSCLC,
- Metastatic NSCLC of stage IV (according to American Joint Committee on Cancers) or
recurrent NSCLC)
- Patients without activating epidermal growth factor receptor (EGFR) mutation
- Patients without anaplastic lymphoma kinase (ALK) rearrangement
- Patients must have measurable lesion by RECIST 1.1
- Refractory disease defined by documented progression during the first-line
chemotherapy based on a platinum doublet and third-generation drug (four or less
cycles) according to RECIST V.1.1
- Age ≥18 years and < 75 years
- Performance status (PS) 0-1
- Life expectancy of more than 12 weeks.
- No history of other malignancy within the last 5 years, except for adequately treated
carcinoma in situ of the cervix or basal cell or spinocellular carcinoma of the skin.
- Adequate organ function, evidenced by the following laboratory results within 3 weeks
prior to randomization: Normal hepatic function: bilirubin < 1.5 x N, ALT (alanine
transaminase) and AST (aspartate aminotransferase ) < 2.5 x N or <5 x N in case of
liver metastasis
- Normal renal function (calculated creatinine clearance ≥ 45 mL/min).
- Normal Calcemia
- Normal haematological function (polynuclear neutrophils > 1.5 G/l, platelets > 100
G/l).
- Anticoagulation with a vitamin K antagonist and low-molecular-weight heparin (LMWH) is
authorized.
- Antiplatelet treatment (aspirin authorized if < 325 mg/d)
- Treatment with dipyridamole, ticlopidine, clopidogrel is not authorized
- Women of child bearing potential must use double effective contraception.
- Men might be surgically sterile or accept to use an effective contraceptive procedure
during and until 6 months after the treatment.
- Written informed consent to participate in the study.
Exclusion Criteria:
- Known hypersensitivity to the trial drugs (nintedanib (vargatef®), docetaxel), peanut,
soya, to their excipients
- Controlled disease after first line treatment
- Contra indication to the use of the backbone treatment
- Patients who were withdrawn from first line treatment due to toxicity without
documented disease progression or who received placebo (in the context of a clinical
trial) as prior treatment are not eligible.
- Previous treatment with docetaxel
- Small-cell lung cancer, bronchioloalveolar cancer, neuroendocrine cancer.
- Previous therapy with vascular endothelial growth factor (VEGF) inhibitors except
bevacizumab
- Centrally located tumour with radiographic evidence of local invasion of local blood
vessels
- Radiographic evidence of cavitary or necrotic tumours at screening
- Chemo-, hormone-, radio-(except for brain and extremities) or immunotherapy or therapy
with monoclonal antibodies or small tyrosine kinase inhibitors within the past 4 weeks
prior to treatment with the trial drug.
- Toxicity non resolute due to prior treatment > grade I (except alopecia).
- Radiotherapy (except extremities) within the past 3 months prior to baseline imaging
- Persistence of clinically relevant therapy related toxicity from previous radiotherapy
- Active brain metastases (e.g. stable for <4 weeks, no adequate previous treatment with
radiotherapy, symptomatic, requiring treatment with anti-convulsants; dexamethasone
therapy will be allowed if administered as stable dose for at least one month before
inclusion).
- Uncontrolled arterial hypertension.
- Concurrent radiotherapy, except for palliative bone irradiation.
- Other concurrent severe illnesses (congestive heart failure, unstable angina,
significant arrhythmia or myocardial infarction less than 12 months before study
entry).
- Stroke less than 6 months before study entry.
- Psychiatric or neurological disorders preventing the patient from understanding the
nature of the trial
- Grade >=1 peripheral neuropathy
- Uncontrolled infection.
- Caval syndrome
- Other organic disorders preventing inclusion in the trial
- Malabsorption syndrome
- Pregnancy and breast-feeding
- Surgery less than two months before study entry.
- Follow-up not feasible.
- Incarcerated and institutionalized
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | median progression free survival |
Time Frame: | 12 weeks |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | median progression free survival |
Time Frame: | 12 month |
Safety Issue: | |
Description: | |
Measure: | Toxicity (NCIC-CTC version 4.0 criteria) |
Time Frame: | Every 3 weeks during treatment up to 12 months from inclusion |
Safety Issue: | |
Description: | |
Measure: | Quality of life (EQ5-D questionnaire) |
Time Frame: | every 6 weeks up to 12 months from inlcusion |
Safety Issue: | |
Description: | |
Measure: | Response rate |
Time Frame: | 12 month |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | University Hospital, Limoges |
Last Updated
August 10, 2021