TAILOR: Tarceva Italian Lung Optimization tRial

Sponsor
Fatebenefratelli and Ophthalmic Hospital (Other)
Overall Status
Unknown status
CT.gov ID
NCT00637910
Collaborator
Mario Negri Institute for Pharmacological Research (Other), Niguarda Hospital (Other)
850
105
2
63
8.1
0.1

Study Details

Study Description

Brief Summary

The aim of this study is to assess the superiority of docetaxel in comparison to erlotinib in second line in wild-type EGFR tumour patients.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

Erlotinib is registered in all patients affected with NSCLC in second and subsequent lines with a small benefit on Overall Survival. Recent evidence suggest that patients with EGFR mutations have a clear benefit when they are treated with EGFR tyrosine kinase inhibitors, while the role of these drugs in wild-type EGFR patients, that are representing the large majority (about 85-90%), is still unclear and no properly planned trials assessed before this issue. Recently, indirect evidence on subgroup analyses on randomized trial suggest that chemotherapy might be superior to erlotinib in wild-type EGFR patients.

Moreover, several authors do not recommend the use of EGFR determined with immunohistochemistry (IHC) or FISH because they do not reproducibly predict outcome.

For these reasons the protocol was amended in May 2011 in a superiority trial of docetaxel versus erlotinib, while the first version was aimed to assess the interaction with biomarkers.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
850 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Optimization of Erlotinib for the Treatment of Patients With Advanced Non Small Cell Lung Cancer: an Italian Randomized Trial
Study Start Date :
Nov 1, 2007
Anticipated Primary Completion Date :
Feb 1, 2012
Anticipated Study Completion Date :
Feb 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Experimental: Erlotinib Arm

Drug: Erlotinib
Erlotinib 150 mg/day per os until disease progression or unacceptable toxicity develops
Other Names:
  • Tarceva
  • Active Comparator: Docetaxel Arm

    Drug: Docetaxel
    Docetaxel 75 mg/mq on day 1, every 21 days (3-weekly schedule) or Docetaxel 35 mg/mq 0n day 1,8 and 15 every 28 days (weekly schedule). _Until disease progression or unacceptable toxicity develops
    Other Names:
  • Taxotere
  • Outcome Measures

    Primary Outcome Measures

    1. Overall Survival [12 months after the last patient is randomized]

    Secondary Outcome Measures

    1. Progression Free Survival [with 4 years and 12 months after the last patient is randomized]

    2. Response assessed with RECIST criteria [within 4 years]

    3. Quality of Life assessed with QLQ-C30 and QLQ-LC13 questionnaires [within 4 years]

    4. Toxicity, graded according to the NCI-CTAE version 3.0 [within 4 years]

    5. Frequency and nature of serious adverse reactions [within 4 years]

    6. Premature withdrawals [within 4 years]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Age 18 years or older

    • Histological or cytological confirmation of NSCLC (may be from initial diagnosis of NSCLC or subsequent biopsy). Only patients with available tissue samples may be included in the study

    • Absence of EGFR mutations of exons 19 or 21 (randomization)

    • Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy

    • One prior platinum-based at adequate doses and taxane free regimen

    • Measurable (uni-dimensional) disease by RECIST in a lesion not previously irradiated or non-measurable disease

    • ECOG-PS 0-2

    • ANC greater than 1.5 x 109/L and platelets greater than 100 x 109/L

    • Bilirubin level either normal or <1.5xULN

    • AST (SGOT) and ALT (SGPT) <2.5xULN (≤5 x ULN if liver metastases are present)

    • Serum creatinine <1.5xULN

    • Effective contraception for both, male and female pts, if the risk of conception exists

    • Recovery from all acute toxicities of prior therapies

    • Provision of written informed consent to the analysis of biological markers (registration)

    • Provision of written informed consent to enter the randomized part of the study (randomization)

    Exclusion Criteria:
    • Prior therapy with an experimental agent whose primary mechanism of action is inhibition of EGFR or its associated tyrosine kinase

    • Prior chemotherapy with taxanes

    • Newly diagnosed CNS metastases that have not yet been treated with surgery and/or radiation. Pts with previously diagnosed and treated CNS metastases or spinal cord compression may be considered if they have evidence of clinically SD (no steroid therapy or steroid dose being tapered) for at least 28 daysLess than 14 days since completion of prior radiotherapy or persistence of any radiotherapy related toxicity

    • Any unresolved chronic toxicity from previous anticancer therapy that, in the opinion of the investigator, makes it inappropriate for the patient to be enrolled in the study Known severe hypersensitivity to erlotinib or any of the excipients of this product

    • Known hypersensitivity to docetaxel, polysorbate 80 or other drugs formulated with polysorbate 80, or any of the excipients of docetaxel

    • Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ

    • Unable to swallow tablets

    • Any evidence of clinically active interstitial lung disease (patients with chronic, stable, radiographic changes who are asymptomatic or patients with uncomplicated progressive lymphangitic carcinomatosis need not be excluded)

    • As judged by the investigator, any evidence of severe or uncontrolled systemic disease (e.g., unstable or uncompensated respiratory, cardiac, hepatic or renal disease)

    • As judged by the investigator, any inflammatory changes of the surface of the eye

    • Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the patient to participate in the study

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Ospedale Civili Riuniti Giovanni Paolo II Sciacca Agrigento Italy 92100
    2 Fabriano Hospital Fabriano Ancona Italy 60044
    3 Ospedali Riuniti Umberto I - Lancisi - Salesi Torrette Ancona Italy 60020
    4 Oncologia A.S.L. AV1 Ariano Irpino Avellino Italy 83031
    5 Pesenti-Fenaroli Hospital Alzano Lombardo Bergamo Italy 24022
    6 Ospedale di Vipiteno Vipiteno Bolzano Italy 39049
    7 Oncologia Medica Azienda Spedali Civili Brescia BS Italy 25123
    8 Pneumologia Azienda Spedali Civili Brescia BS Italy 25123
    9 Ospedale centrale di Bolzano Bolzano BZ Italy 39100
    10 Policlinico Universitario di Monserrato Monserrato Cagliari Italy 09042
    11 Ospedale Santa Barbara Iglesias Carbonia Iglesias Italy 09016
    12 Renzetti Hospital Lanciano Chieti Italy 66034
    13 Ospedale S. Elia Caltanissetta CL Italy 93100
    14 San Francesco Hospital Paola Cosenza Italy 87027
    15 Ospedale Civile di Saluzzo Savigliano Saluzzo Cuneo Italy 12037
    16 Istituto Toscano Tumori Ospedale S. Giuseppe Antica Sede Empoli Firenze Italy 50053
    17 Monfalcone Hospital Monfalcone Gorizia Italy 34074
    18 Ospedale Civile Ferrari Casarano Lecce Italy 73042
    19 Ospedale Civile di Casalpusterlengo Casalpusterlengo Lodi Italy 26841
    20 Ospedale S. Maria Goretti Latina LT Italy 04100
    21 B. Eustachio Hospital San Severino Marche Macerata Italy 62027
    22 San Vincenzo Hospital Taormina Messina Italy 98039
    23 Azienda Ospedaliera Melegnano- P.O. Gorgonzola Gorgonzola Milano Italy 20069
    24 Legnano Hospital Legnano Milano Italy 20025
    25 Ospedale Civile di Legnano -Presidio di Magenta Magenta Milano Italy 20013
    26 San Gerardo Hospital Monza Milano Italy 20052
    27 Rho Hospital - Azienda Ospedaliera Salvini-Garbagnate Rho Milano Italy 20017
    28 Policlinico San Donato San Donato Milanese Milano Italy 20097
    29 IRCCS Multimedica Sesto San Giovanni Milano Italy 20099
    30 Ospedale Civile di Vimercate Vimercate Milano Italy 20059
    31 Vizzolo Predabissi Hospital Vizzolo Predabissi Milano Italy 20070
    32 San Leonardo Hospital Gragnano Napoli Italy 80054
    33 Ospedale Civile Vigevano Vigevano Pavia Italy 27029
    34 Policlinico Universitario Palermo Palermo PA Italy 90127
    35 San Massimo Hospital Penne Pescara Italy 65017
    36 Centro di Riferimento Oncologico Aviano Pordenone Italy 33081
    37 Umberto I Hospital Lugo Ravenna Italy 48022
    38 Ospedale Civile di Siderno - ASL n°9 Locri Siderno Reggio Calabria Italy 89946
    39 S. Sebastiano Hospital Correggio Reggio Emilia Italy 42015
    40 Ospedale di Scandiano Scandiano Reggio Emilia Italy 42019
    41 S. Giovanni Evangelista Hospital Tivoli Roma Italy 00019
    42 ASL SA1 -P.O. Umberto I Nocera Inferiore Salerno Italy 84014
    43 Presidio Ospedaliero San Luca Vallo della Lucania Salerno Italy 84078
    44 Ospedale Valdichiana "Nottola" Montepulciano Siena Italy 53045
    45 Ospedale Valdelsa "Campostaggia" Poggibonsi Siena Italy 53036
    46 Ospedale di Terni Terni TR Italy 05100
    47 Multimedia Santa Maria Castellanza Varese Italy 21053
    48 Azienda Ospedaliera Busto Arsizio Saronno Varese Italy 21047
    49 Umberto I Hospital Mestre Venezia Italy 30174
    50 Ospedale Mater Salutis Legnago Verona Italy 37045
    51 Ospedale Policlinico G.B. Rossi Verona VR Italy 37134
    52 S. Giovanni di Dio Hospital Agrigento Italy 92100
    53 Ospedale San Donato Arezzo Italy 52100
    54 Azienda Ospedaliera Universitaria Consorziale Policlinico Bari Italy 70124
    55 Fatebenefratelli Hospital Benevento Italy 82100
    56 G. Rummo Hospital Benevento Italy 82100
    57 Ospedali Riuniti Bergamo Italy 24128
    58 Armando Businco Oncological Hospital Cagliari Italy 09100
    59 Presidio Ospedaliero Cardarelli ASL 3 Campobasso Italy 86100
    60 Sant'Anna Hospital Como Italy 22100
    61 Mariano Santo Hospital Cosenza Italy 87100
    62 Ospedale Maggiore di Crema Crema Italy 26013
    63 S. Croce e Carle Hospital Cuneo Italy 12100
    64 A.O.U. S. Anna Ferrara Italy 44100
    65 A.O.U. Careggi Firenze Italy 50130
    66 Azienda Ospedaliero Universitaria Careggi Firenze Italy 50130
    67 A.O. San Martino Genova Italy 16100
    68 Galliera Hospital Genova Italy 16128
    69 F. Veneziale Hospital Isernia Italy 86170
    70 Azienda Ospedaliera di Lecco Lecco Italy 23900
    71 Fatebenefratelli and Ophthalmic Hospital Milano Italy 20121
    72 Fondazione Ospedale Maggiore Policlinico - Mangiagalli e Regina Elena Milano Italy 20122
    73 San Paolo Hospital Milano Italy 20142
    74 San Carlo Borromeo Hospital Milano Italy 20153
    75 Azienda Ospedaliera Luigi Sacco Polo Universitario Milano Italy 20157
    76 A.O. Monaldi Napoli Italy 80131
    77 Cardarelli Hospital Napoli Italy 80131
    78 D. Cotugno Hospital Napoli Italy 80131
    79 San Gennaro Hospital - ASL NA 1 Napoli Italy 80136
    80 Ospedale Maggiore della Carità Novara Italy 28100
    81 Azienda Ospedaliera Universitaria Presidio "Paolo Giaccone" Palermo Italy 90127
    82 Presidio Ospedaliero "M. Ascoli" ARNAS Civico Palermo Italy 90127
    83 Centro Oncologico "La Maddalena" Palermo Italy 90146
    84 S. Maria della Misericordia Hospital Perugia Italy 06156
    85 Piacenza Hospital Piacenza Italy 29100
    86 S. Maria degli Angeli Hospital Pordenone Italy 33170
    87 Ospedale Civile Santa Maria delle Croci Ravenna Italy 48100
    88 Arcispedale S. Maria Nuova Reggio Emilia Italy 42100
    89 Ospedale San Pietro Fatebenefratelli Roma Italy 00100
    90 Pneumologia Oncologica II-San Camillo Forlanini Hospital Roma Italy 00149
    91 Oncologia Medica-San Camillo Forlanini Hopsital Roma Italy 00152
    92 Università Campus Bio-Medico Roma Italy 00155
    93 Policlinico Umberto I Roma Italy 00161
    94 Policlinico Umberto I Roma Italy 00161
    95 S. Giovanni - Addolorata Hospital Roma Italy 00184
    96 Azienda Ospedaliera S. Giovanni di Dio e Ruggi d'Aragona Salerno Italy 84122
    97 Ospedale Civile SS. Annunziata Sassari Italy 07100
    98 Universita' di Sassari Oncologia Medica Sassari Italy 07100
    99 Ospedale Morelli Sondrio Italy 23035
    100 Sondrio Hospital-Azienda Ospedaliera Valtellina e Valchiavenna Sondrio Italy 23100
    101 A.O.U. San Giovanni Battista Molinette Torino Italy 10134
    102 Ospedale di Circolo Varese Italy 21100
    103 SS. Giovanni e Paolo Hospital Venezia Italy 30122
    104 San Bartolo Hospital Vicenza Italy 36100
    105 Belcolle Hospital Viterbo Italy 01100

    Sponsors and Collaborators

    • Fatebenefratelli and Ophthalmic Hospital
    • Mario Negri Institute for Pharmacological Research
    • Niguarda Hospital

    Investigators

    • Principal Investigator: Alberto Scanni, MD, Fatebenefratelli and Ophthalmic Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    Responsible Party:
    Scanni Alberto, Alberto Scanni MD, Fatebenefratelli and Ophthalmic Hospital
    ClinicalTrials.gov Identifier:
    NCT00637910
    Other Study ID Numbers:
    • FARM6F5JER
    • 2007-004786-17
    First Posted:
    Mar 18, 2008
    Last Update Posted:
    Feb 24, 2012
    Last Verified:
    Feb 1, 2012
    Keywords provided by Scanni Alberto, Alberto Scanni MD, Fatebenefratelli and Ophthalmic Hospital
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Feb 24, 2012