Nab-paclitaxel Versus Topotecan As Second-Line Treatment for Patients With Extensive Stage Small Cell Lung Cancer: Condition: Extensive Stage Small Cell Lung Cancer Interventions: Drug: nab-paclitaxel; Drug: Topotecan Sponsor: Cancer Institute and Hospital, Chinese Academy of Medical Sciences Recruiting (Source: ClinicalTrials.gov)
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Nab-paclitaxel Versus Topotecan As Second-Line Treatment for Patients With Extensive Stage Small Cell Lung Cancer
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT04213937
Recruitment Status : Recruiting
First Posted : December 30, 2019
Last Update Posted : December 30, 2019
See Contacts and Locations
Sponsor:
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Information provided by (Responsible Party):
Jie Wang, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Study DetailsTabular ViewNo Results PostedDisclaimerHow to Read a Study Record
Study Description
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Brief Summary:
The purpose of this study is to compare the efficacy and safety of nab-paclitaxel with topotecan as second-line treatment for patients with extensive stage small cell lung cancer.
Condition or disease Intervention/treatment Phase
Extensive Stage Small Cell Lung Cancer
Drug: nab-paclitaxel
Drug: Topotecan
Phase 2
Study Design
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Study Type : Interventional (Clinical Trial)
Estimated Enrollment : 386 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: The Efficacy and Safety of Nab-paclitaxel Versus Topotecan As Second-Line Treatment for Patients With Extensive Stage Small Cell Lung Cancer: A Multicenter, Randomized Controlled Study
Estimated Study Start Date : January 31, 2020
Estimated Primary Completion Date : July 31, 2021
Estimated Study Completion Date : January 31, 2022
Resource links provided by the National Library of Medicine
Genetics Home Reference related topics: Lung cancer
MedlinePlus related topics: Lung Cancer
Drug Information available for: Paclitaxel Topotecan hydrochloride Topotecan
Genetic and Rare Diseases Information Center resources: Small Cell Lung Cancer
U.S. FDA Resources
Arms and Interventions
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Arm Intervention/treatment
Experimental: nab-paclitaxel
nab-paclitaxel 125mg/m2, i.v. d1, d8, Repeated every 3 weeks for 4-6 cycles
Drug: nab-paclitaxel
Drug: nab-paclitaxel 125mg/m2, i.v. d1, d8, Repeated every 3 weeks for 4-6 cycles.
Active Comparator: Topotecan
Topotecan 1.25mg/m2/d, i.v, 1hour, d1-d5, Repeated every 3 weeks for 4-6 cycles.
Drug: Topotecan
Drug: Topotecan 1.25mg/m2/d, i.v, 1hour, d1-d5, Repeated every 3 weeks for 4-6 cycles.
Outcome Measures
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Primary Outcome Measures :
Overall survival (OS) [ Time Frame: 1 years post treatment ]
OS was defined as the time from the date of the first administration of trial regimen to the date of death from any cause (event) or last follow-up (censored data).
Secondary Outcome Measures :
Objective response rate (ORR) [ Time Frame: 1 years ]
Response evaluation disease progression defined by Response Evaluation Criteria in Solid Tumors (RECIST, version 1.1) criteria.
Response (PR), refers to the number of cases with complete and partial response after treatment as a percentage of the total number of evaluable cases.
Progression free survival (PFS) [ Time Frame: 1 years ]
The time from treatment to tumor progression or death
Adverse events (AE) [ Time Frame: 3 years ]
Adverse events (AE) were monitored on an ongoing basis and classified according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0. Patients were assessed for toxicities before each administration, and toxicity was graded accordingly
Eligibility Criteria
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Information from the National Library of Medicine
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: 18 Years to 75 Years (Adult, Older Adult)
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria:
1.18 to 75years, male or female; 2.Histological or pathological diagnosis of small cell lung caner; 3.Progression or relapse after first-line chemotherapy, extensive disease; 4.ECOG performance status of 0-2; 5.Life expectancy of 3 months or more; 6.Patient must be accessible for treatment and follow-up; 7.For women of child-bearing age, the pregnancy test results (serum or urine) within 72 hours before enrolment must be negative. They will take appropriate methods for contraception during the study; 8.Signed informed consent.
Exclusion Criteria:
symptomatic brain metastases;
Uncontrolled serious medical conditions that, in the opinion of the investigator, would affect the ability of the subject to receive the study regimen, such as concomitant serious medical conditions, including severe heart disease, cerebrovascular disease, uncontrolled diabetes mellitus, uncontrolled hypertension, uncontrolled infection, active peptic ulcer, etc.;
Have dementia, altered mental state or any mental illness that would prevent understanding or informed consent or fill out questionnaires;
Received any investigational drug within 30 days of the planned first dose of this study treatment.
Prior Grade ≥ 2 peripheral neuropathy(according to (NCI CTCAE), version 5.0);
Known to be hypersensitive, highly sensitive, or intolerant to study-related medications or their excipients;
Have malignant tumors in the past 5 years, except for clinically cured basal cell or squamous cell skin cancer, local prostate cancer after radical operation, and ductal carcinoma in situ after radical operation;
Bone marrow function: Neutrophils < 1.5×109/L, platelets < 100×109/L, hemoglobin < 90 g/L; Hepatic and renal function: Serum creatinine > 1.5×ULN; AST and ALT > 2.5×ULN or > 5×ULN in the presence of hepatic metastasis; Total bilirubin >1.5×ULN;
Patients need other anti-tumor drugs;
Known HIV, hepatitis B/C virus positive ;
The researchers considered the patients who were not suitable for enrollment.
Contacts and Locations
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Information from the National Library of Medicine
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04213937
Contacts
Contact: Jie MD Wang, PhD 86 13910704669 wangjiezgyxkxy@163.com
Locations
China, Beijing
Cancer Hospital Chinese Academy of Medical Sciences Recruiting
Beijing, Beijing, China, 100021
Contact: Jie Wang
Sponsors and Collaborators
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
More Information
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Responsible Party: Jie Wang, Principal Investigator, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
ClinicalTrials.gov Identifier: NCT04213937 History of Changes
Other Study ID Numbers: KAL-SCLC-01
First Posted: December 30, 2019 Key Record Dates
Last Update Posted: December 30, 2019
Last Verified: December 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Jie Wang, Cancer Institute and Hospital, Chinese Academy of Medical Sciences:
nab-paclitaxel Topotecan
Additional relevant MeSH terms:
Lung Neoplasms
Small Cell Lung Carcinoma
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Neoplasms
Lung Diseases
Respiratory Tract Diseases
Carcinoma, Bronchogenic
Bronchial Neoplasms
Paclitaxel
Albumin-Bound Paclitaxel
Topotecan
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Topoisomerase I Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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Δευτέρα 30 Δεκεμβρίου 2019
Nab-paclitaxel Versus Topotecan As Second-Line Treatment for Patients With Extensive Stage Small Cell Lung Cancer
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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00302841026182,
00306932607174,
alsfakia@gmail.com,
Anapafseos 5 Agios Nikolaos 72100 Crete Greece,
Medicine by Alexandros G. Sfakianakis,
Telephone consultation 11855 int 1193
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