TAILOR: Tarceva Italian Lung Optimization tRial
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 |
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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
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Erlotinib Arm
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Drug: Erlotinib
Erlotinib 150 mg/day per os until disease progression or unacceptable toxicity develops
Other Names:
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Active Comparator: Docetaxel Arm
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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:
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Outcome Measures
Primary Outcome Measures
- Overall Survival [12 months after the last patient is randomized]
Secondary Outcome Measures
- Progression Free Survival [with 4 years and 12 months after the last patient is randomized]
- Response assessed with RECIST criteria [within 4 years]
- Quality of Life assessed with QLQ-C30 and QLQ-LC13 questionnaires [within 4 years]
- Toxicity, graded according to the NCI-CTAE version 3.0 [within 4 years]
- Frequency and nature of serious adverse reactions [within 4 years]
- Premature withdrawals [within 4 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age 18 years or older
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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
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Absence of EGFR mutations of exons 19 or 21 (randomization)
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Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy
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One prior platinum-based at adequate doses and taxane free regimen
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Measurable (uni-dimensional) disease by RECIST in a lesion not previously irradiated or non-measurable disease
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ECOG-PS 0-2
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ANC greater than 1.5 x 109/L and platelets greater than 100 x 109/L
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Bilirubin level either normal or <1.5xULN
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AST (SGOT) and ALT (SGPT) <2.5xULN (≤5 x ULN if liver metastases are present)
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Serum creatinine <1.5xULN
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Effective contraception for both, male and female pts, if the risk of conception exists
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Recovery from all acute toxicities of prior therapies
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Provision of written informed consent to the analysis of biological markers (registration)
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Provision of written informed consent to enter the randomized part of the study (randomization)
Exclusion Criteria:
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Prior therapy with an experimental agent whose primary mechanism of action is inhibition of EGFR or its associated tyrosine kinase
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Prior chemotherapy with taxanes
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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
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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
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Known hypersensitivity to docetaxel, polysorbate 80 or other drugs formulated with polysorbate 80, or any of the excipients of docetaxel
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Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ
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Unable to swallow tablets
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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)
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As judged by the investigator, any evidence of severe or uncontrolled systemic disease (e.g., unstable or uncompensated respiratory, cardiac, hepatic or renal disease)
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As judged by the investigator, any inflammatory changes of the surface of the eye
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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 | |
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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
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- FARM6F5JER
- 2007-004786-17