ATRACT-1: ASA404 or Placebo in Combination With Paclitaxel and Carboplatin as First-Line Treatment for Stage IIIb/IV Non-Small Cell Lung Cancer

Sponsor
Novartis Pharmaceuticals (Industry)
Overall Status
Terminated
CT.gov ID
NCT00662597
Collaborator
(none)
1,285
249
2
25
5.2
0.2

Study Details

Study Description

Brief Summary

The purpose of this study is to determine if adding ASA404 to standard chemotherapy makes the cancer treatment more effective in patients with advanced lung cancer.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
1285 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase III, Randomized, Double-Blind, Placebo-Controlled Multi-Center Study of ASA404 in Combination With Paclitaxel and Carboplatin as First-Line Treatment for Locally Advanced or Metastatic (Stage IIIb/IV) Non-Small Cell Lung Cancer (NSCLC)
Study Start Date :
Apr 1, 2008
Actual Primary Completion Date :
May 1, 2010
Actual Study Completion Date :
May 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: ASA404

Drug: ASA404

Drug: carboplatin

Drug: Paclitaxel

Placebo Comparator: ASA40 Placebo

Drug: Placebo

Drug: carboplatin

Drug: Paclitaxel

Outcome Measures

Primary Outcome Measures

  1. Overall survival rate [Patients will be followed every six weeks for survival following treatment completion, discontinuation, or documented disease progression until either death or the data cut off date.]

Secondary Outcome Measures

  1. Overall survival of patients with squamous and non-squamous NSCLC [Patients will be followed every six weeks for survival following treatment completion, discontinuation, or documented disease progression until either death or the data cut off date.]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Histologically confirmed non-small cell carcinoma of the lung. (Histological or cytological specimens must be collected via surgical biopsy, brushing, washing or core needle aspiration of a defined lesion. Sputum cytology is not acceptable.)

  2. Newly diagnosed Stage IIIb disease (malignant pleural effusion or pericardial effusion that have been confirmed cytologically) or Stage IV disease

  3. No prior systemic antineoplastic treatment for Stage IIIb/IV non-small cell carcinoma of the lung (Prior neoadjuvant or adjuvant chemotherapy for earlier stage I/II NSCLC is allowed if 12 months or more prior to Baseline visit.)

  4. Age ≥ 18 years old

  5. WHO Performance Status of 0-1

  6. Measurable or non-measurable disease per RECIST criteria (Post-text supplement 1)

  7. Lab values within the range, as defined below, within 2 weeks of randomization:

  • Absolute neutrophils count (ANC) > 2.0 x 109/L

  • Platelets ≥ 100 x109/L

  • Hemoglobin ≥ 10 g/dL

  • Serum creatinine ≤ 1.5 x ULN (≤ 120 micro mol/L)

  • Serum bilirubin ≤ 1.5 x ULN (≤ 25 micro mol/L)

  • Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)

  • International Normalized Ratio (INR) or Prothrombin Time (PT) ≤ 1.5 x IULN (Sections 6.9.1 and 7.3.4.2)

  • Electrolyte values (potassium, calcium, magnesium) within > 1 x LLN and < 1 x ULN. Patients with corrected electrolyte values are eligible. See Sections 6.8.1 and 7.3.4.3.

  • Females of child-bearing potential must have negative serum pregnancy test (confirmation of negative urine pregnancy test within 72 hours prior to initial dosing).

  1. Life expectancy ≥ 12 weeks

  2. Written informed consent obtained according to local guidelines

Exclusion Criteria:
  1. Patients having CNS metastases (Patients having any clinical signs of CNS metastases must have a CT or MRI of the brain performed to rule out CNS metastases in order to be eligible for study participation. Patients who have had brain metastases surgically removed or irradiated with no residual disease confirmed by imaging are allowed.).

  2. Patients with a history of another primary malignancy ≤ 5 years, with the exception of non-melanoma skin cancer or cervical cancer in situ.

  3. Radiotherapy ≤ 2 weeks prior to randomization. Patients must have recovered from all radiotherapy-related toxicities.

  4. Major surgery ≤ 4 weeks prior to randomization or minor surgery ≤ 2 weeks prior to randomization.(Major surgery is defined by the use of general anesthesia however, endoscopic examinations with diagnostic intent are not considered major surgery. Insertion of a vascular access device is exempt from this exclusion criteria. Patients must have recovered from all surgery-related complications.

  5. Concurrent use of other investigational agents and patients who have received investigational agents ≤ 4 weeks prior to randomization

  6. Prior exposure to Tumor-VDAs or other vascular targeting agents (anti-VEGF, anti-VEGF receptor agents, anti-EGFR agents [bevacizumab, cetuximab, etc.])

  7. Pleural effusion that causes ≥ CTC grade 2 dyspnea

  8. Patients with systolic BP > 160 mm Hg and/or diastolic BP >90 mm Hg

  9. Patients with recent hemoptysis associated with NSCLC (> 1 teaspoon in a single episode within 4 weeks)

  10. Patients with any one of the following:

  • Patients with long QT syndrome

  • Patients with a Baseline 12-lead ECG QTc of > 450 msec per central evaluation

  • Congestive heart failure (NY Heart Association class III or IV)

  • Patients with a myocardial infarction within 12 months of study entry

  • Unstable or poorly controlled angina pectoris, including Prinzmetal variant angina pectoris

  • History of labile hypertension or poor compliance with anti-hypertensive regimen

  • History of a sustained ventricular tachycardia

  • Any history of ventricular fibrillation or Torsades de Pointes

  • Right bundle branch block and left anterior hemiblock (bifasicular block)

  • Bradycardia defined as heart rate < 50 beats per minute

  1. Concomitant use of drugs with a risk of causing Torsades de Pointes (See Table 6-3)

  2. Known allergy or hypersensitivity to platinum-containing drugs, taxanes, other drugs formulated in Cremophor EL (polyoxyethylated castor oil) or any known excipients of these drugs.

  3. Peripheral sensory neuropathy with functional impairment (CTC grade 2 neuropathy, regardless of causality)

  4. Pregnant or breast feeding females

• Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (> 5 mIU/ml)

  1. Women of child bearing potential or sexually active males, unwilling or unable to use the required highly effective method(s) of contraception for both sexes while receiving treatment and for at least 6 months after the discontinuation of study treatment. (Adequate forms of contraception include IUD, oral or depot contraceptive or the barrier method plus spermicide.)

• Oral, implantable, or injectable contraceptives may be affected by cytochrome P450 interactions while taking paclitaxel and therefore are not considered effective contraceptive methods for this study when used as a single agent. Therefore, it is highly recommended that a concomitant barrier method be used with oral, implantable, or injectable contraceptives. The investigator shall counsel the patient accordingly. Women of childbearing potential must have a negative pregnancy test (serum or urine) 72 hours prior to administration of study treatment. For a list of substrates of human liver microsomal P450 enzymes, visit website (http://medicine.iupui.edu/flockhart/)

  1. Concurrent severe and/or uncontrolled medical disease (i.e. uncontrolled diabetes, chronic renal disease, chronic liver disease, confirmed diagnosis of HIV infection or active uncontrolled infection).

  2. Significant neurologic or psychiatric disorder which could compromise participation in the study Patient unwilling or unable to comply with the protocol

Other protocol-defined inclusion/exclusion criteria may apply

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of South Alabama/Mitchell Cancer Institute Mobile Alabama United States 36604
2 Arizona Oncology Associates Tucson Arizona United States 85704
3 University of Arizona Cancer Center Tucson Arizona United States 85724-5024
4 Highlands Oncology Group Bentonville Arkansas United States 72712
5 Genesis Cancer Center Hot Springs Arkansas United States 71913
6 Alta Bates Summit Medical Center Berkeley California United States 94704
7 Pacific Oncology and Hematology Association Encinitas California United States 92024
8 Cancer Care Associates Fresno California United States 93720
9 Ronald Yanagihara - Private Practice Gilroy California United States 95020
10 California Cancer Care Greenbrae California United States 94904
11 Moores UCSD Cancer Center La Jolla California United States 92093-0698
12 Loma Linda University Cancer Center Loma Linda California United States 92354-3834
13 Cedars Sinai Medical Center Los Angeles California United States 90048
14 University of California Irvine Comprhensive Center Orange California United States 92868
15 Loma Linda Oncology Medical Group, Inc. Redlands California United States 92374
16 UC Davis Comprehensive Cancer Center Sacramento California United States 95817
17 California Pacific Medical Research Institute San Francisco California United States 94115
18 Redwood Regional Cancer Center Santa Rosa California United States 95403
19 Georgetown University Hospital Washington District of Columbia United States 20007
20 Palm Beach Institute of Hematology & Oncology Boynton Beach Florida United States 33435
21 Florida Cancer Specialists Bradenton Florida United States 34209
22 Cancer Centers of Central Florida, PA Leesburg Florida United States 34788
23 Advanced Medical Specialties (ACORN) Miami Florida United States 33176
24 Northwest Georgia Oncology Centers Marietta Georgia United States 30060
25 Cancer Research Center of Hawaii Honolulu Hawaii United States 96813
26 Kootenai Cancer Center (ACORN) Coeur d'Alene Idaho United States 83814
27 Advocate Illinois Masonic Medical Center Chicago Illinois United States 60657
28 Illinois Oncology/Warren Billhartz Cancer Ctr. Maryville Illinois United States 62062
29 Loyola University Medical Center Maywood Illinois United States 60153
30 Hematology/Oncology of North Shore Skokie Illinois United States 60076
31 Loyola Cancer Care & Research Ctr. at Central Dupage Hospital Winfield Illinois United States 60190
32 Ft. Wayne Oncology and Hematology Fort Wayne Indiana United States 46815
33 Siouxland Hematology-Oncology Assoc., LLC Sioux City Iowa United States 51101
34 Kansas City Cancer Center, Southwest Overland Park Kansas United States 66210
35 University of Louisville - James Graham Brown Cancer Center Louisville Kentucky United States 40202
36 Hematology Oncology Specialists Metairie Louisiana United States 70006
37 Louisiana State University Health Sciences Center - Feist-Weiller Cancer Center Shreveport Louisiana United States 71103
38 St. Agnes Cancer Center Baltimore Maryland United States 21129-5299
39 Sinai Hospital of Baltimore - The Alvin & Lois Lapidus Cancer Institute Baltimore Maryland United States 21215-5271
40 The Harry and Jeanette Weinberg Cancer Institute at Franklin Square/MedStar Health Baltimore Maryland United States 21237
41 Peninsula Regional Oncology and Hematology Salisbury Maryland United States 21801
42 Boston VA Healthcare System Boston Massachusetts United States 02130
43 Fallon Clinic Worcester Massachusetts United States 01605
44 Breslin Cancer Center Lansing Michigan United States 48910
45 Osteopathic Medical Oncology and Hematology PC Woodhaven Michigan United States 28183
46 St. Luke's Hospital - St Luke's Cancer Center Duluth Minnesota United States 55811
47 Kansas City Veterans Affair Medical Center Kansas City Missouri United States 64128
48 St. Louis University Cancer Center Saint Louis Missouri United States 63110
49 Center for Cancer Care and Research (US Oncology) Saint Louis Missouri United States 63141
50 St. John's Mercy Medical Center Saint Louis Missouri United States 63141
51 St. Louis Cancer and Breast Institute Saint Louis Missouri United States 63141
52 Billings Clinic Billings Montana United States 59107-7000
53 Sletten Cancer Institute Great Falls Montana United States 59405
54 University of Nebraska Medical Center Omaha Nebraska United States 68198-7680
55 Eastchester Center for Cancer Care Bronx New York United States 10469
56 Arena Oncology Associates Lake Success New York United States 11042
57 New York Oncology Hematology Latham New York United States 12210
58 Hematology Oncology Associates of Rockland Nyack New York United States 10960
59 Rochester General Hospital - Lipson Cancer Center Rochester New York United States 14621
60 Syracuse VA Medical Center Syracuse New York United States 13210
61 Alamance Regional Medical Center-Cancer Ctr. Burlington North Carolina United States 27215
62 Carolina Cancer Mgmt/Cape Fear Valley Health System/Med Onc Fayetteville North Carolina United States 28304
63 Akron City Hospital Akron Ohio United States 44309-2090
64 Oncology Hematology Care Research Cincinnati Ohio United States 45242
65 University Hospitals of Cleveland Cleveland Ohio United States 44106
66 Medical Oncology Hematology Associates, Inc. - Dayton Clinical Oncology Program Dayton Ohio United States 45429
67 Medical Oncology Hematology Associates, Inc. Dayton Ohio United States 45429
68 Cleo Craig Memorial Cancer Ctr. & Research Clinic Lawton Oklahoma United States 73505
69 University of Oklahoma Health Science Center Oklahoma City Oklahoma United States 73104
70 Kaiser Permanente, Northwest Region Portland Oregon United States 97227
71 Allegheny General Hospital/Allegheny Cancer Center Pittsburgh Pennsylvania United States 15212
72 South Carolina Oncology Associate Columbia South Carolina United States 29210
73 Lowcountry Hematology & Oncology PA Mount Pleasant South Carolina United States 29464
74 Chattanooga Oncology Hematology Associates Chattanooga Tennessee United States 37804
75 The West Clinic Memphis Tennessee United States 38120
76 Tennessee Oncology Nashville Tennessee United States 37203
77 Texas Oncology Cancer Center of the High Plains Amarillo Texas United States 79106
78 Arlington Cancer Center Arlington Texas United States 76012
79 Patient's Comprehensive Cancer Center Carrollton Texas United States 75010
80 South Texas Cancer Institute Corpus Christi Texas United States 78405
81 Cancer Care Centers of South Texas Dallas Texas United States 75204
82 Texas Oncology at Presbyterian Hospital Dallas Texas United States 75231
83 University of Texas Southwestern Medical Center/Simmons Comprehensive Cancer Center Dallas Texas United States 75390-9179
84 Texas Oncology at Garland Garland Texas United States 75042
85 HOPE Oncology Richardson Texas United States 75080
86 Tyler Cancer Center Tyler Texas United States 75702
87 UT Health Center Tyler Texas United States 75709
88 Deke Slayton Cancer Center Webster Texas United States 77598
89 Texoma Cancer Center Wichita Falls Texas United States 76310
90 Northern Utah Associates Ogden Utah United States 84403
91 Danville Hematology & Oncology Danville Virginia United States 24541
92 Medical Oncology & Hematology Associates of Northern Virginia Fairfax Virginia United States 22031
93 Virginia Oncology Associates Norfolk Virginia United States 23502
94 Virginia Cancer Institute Richmond Virginia United States 23230
95 Highline Medical Oncology Burien Washington United States 98166
96 Providence Everett Medical Center/Providence regional Cancer Partnership Everett Washington United States 98201
97 Northwest Cancer Specialists Vancouver Washington United States 98684
98 University of Wisconsin Madison Wisconsin United States 53792
99 Medical Consultants Milwaukee Wisconsin United States 53215
100 Medical College of Wisconsin/Division of Neoplastic & Related Disorders Milwaukee Wisconsin United States 53226
101 Novartis Investigative Site Buenos Aires Argentina
102 Novartis Investigative Site Capital Federal Argentina
103 Novartis Investigative Site Cordoba Argentina
104 Novartis Investigative Site La Plata Argentina
105 Novartis Investigative Site Mendoza Argentina
106 Novartis Investigative Site Rosario Argentina
107 Novartis Investigative Site Heidelberg Australia
108 Novartis Investigative Site Herston Australia
109 Novartis Investigative Site South Brisbane Australia
110 Novartis Investigative Site Duffel Belgium
111 Novartis Investigative Site Jette Belgium
112 Novartis Investigative Site Liege Belgium
113 Novartis Investigative Site Barretos Brazil
114 Novartis Investigative Site Belo Horizonte Brazil
115 Novartis Investigative Site Goiania Brazil
116 Novartis Investigative Site Jaù Brazil
117 Novartis Investigative Site Jaú Brazil
118 Novartis Investigative Site Porto Alegre Brazil
119 Novartis Investigative Site Santo Andre Brazil
120 Novartis Investigative Site Sao Paulo Brazil
121 Novartis Investigative Site São Paulo Brazil
122 Novartis Investigative Site Calgary Canada
123 Novartis Investigative Site Greenfield Park Canada
124 Novartis Investigative Site Kitchener Canada
125 Novartis Investigative Site London Canada
126 Novartis Investigative Site Moncton Canada
127 Novartis Investigative Site Montreal Canada
128 Novartis Investigative Site Rimouski Canada
129 Novartis Investigative Site Sainte-Foy Canada
130 Novartis Investigative Site Sherbrooke Canada
131 Novartis Investigative Site Sult Ste-Marie Canada
132 Novartis Investigative Site Bejing China
133 Novartis Investigative Site Guangzhou China
134 Novartis Investigative Site Shanghai China
135 Novartis Investigative Site Wuhan China
136 Novartis Investigative Site Xi'an China
137 Novartis Investigative Site Brno Czechia
138 Novartis Investigative Site Ostrava Poruba Czechia
139 Novartis Investigative Site Prague Czechia
140 Novartis Investigative Site Bobigny France
141 Novartis Investigative Site Boujan-sur-Libron France
142 Novartis Investigative Site Clamart Cedex France
143 Novartis Investigative Site Le Mans France
144 Novartis Investigative Site Limoges France
145 Novartis Investigative Site Lyon Cedex France
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148 Novartis Investigative Site Paris France
149 Novartis Investigative Site Saint Herblain France
150 Novartis Investigative Site Toulon Armées France
151 Novartis Investigative Site Tours Cedex 9 France
152 Novartis Investigative Site Aschaffenburg Germany
153 Novartis Investigative Site Bad Berka Germany
154 Novartis Investigative Site Berlin Germany
155 Novartis Investigative Site Donaustauf Germany
156 Novartis Investigative Site Ebensberg Germany
157 Novartis Investigative Site Essen Germany
158 Novartis Investigative Site Freiburg Germany
159 Novartis Investigative Site Gerlingen Germany
160 Novartis Investigative Site Grosshandsdorf Germany
161 Novartis Investigative Site Göttingen Germany
162 Novartis Investigative Site Heidenheim Germany
163 Novartis Investigative Site Koeln Germany
164 Novartis Investigative Site Leipzig Germany
165 Novartis Investigative Site Merseburg Germany
166 Novartis Investigative Site Muenchen Germany
167 Novartis Investigative Site Nuernberg Germany
168 Novartis Investigative Site Athens Greece
169 Novartis Investigative Site Heraklion Crete Greece
170 Novartis Investigative Site Thessaloniki Greece
171 Novartis Investigative Site Hong Kong Hong Kong
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175 Novartis Investigative Site Kfar-Sava Israel
176 Novartis Investigative Site Rehovot Israel
177 Novartis Investigative Site Tel-Aviv Israel
178 Novartis Investigative Site Tel-Hashomer Israel
179 Novartis Investigative Site Zrifin Israel
180 Novartis Investigative Site Avellino Italy
181 Novartis Investigative Site Milano Italy
182 Novartis Investigative Site Modena Italy
183 Novartis Investigative Site Napoli Italy
184 Novartis Investigative Site Orbassano Italy
185 Novartis Investigative Site Parma Italy
186 Novartis Investigative Site Perugia Italy
187 Novartis Investigative Site Roma Italy
188 Novartis Investigative Site Akashi Japan
189 Novartis Investigative Site Fukuoka Japan
190 Novartis Investigative Site Habikino Japan
191 Novartis Investigative Site Hiroshima Japan
192 Novartis Investigative Site Kashiwa Japan
193 Novartis Investigative Site Kobe-city Japan
194 Novartis Investigative Site Koto Japan
195 Novartis Investigative Site Kumamoto Japan
196 Novartis Investigative Site Kurashiki Japan
197 Novartis Investigative Site Matsuyama Japan
198 Novartis Investigative Site Nagoya Japan
199 Novartis Investigative Site Niigata Japan
200 Novartis Investigative Site Okayama Japan
201 Novartis Investigative Site Osaka Sayama Japan
202 Novartis Investigative Site Osaka Japan
203 Novartis Investigative Site Sapporo Japan
204 Novartis Investigative Site Sendai Japan
205 Novartis Investigative Site Ube Japan
206 Novartis Investigative Site Yokohama Japan
207 Novartis Investigative Site Seoul Korea, Republic of
208 Novartis Investigative Site Seungnam Korea, Republic of
209 Novartis Investigative Site Suwon Korea, Republic of
210 Novartis Investigative Site Amsterdam Netherlands
211 Novartis Investigative Site Breda Netherlands
212 Novartis Investigative Site Eindhoven Netherlands
213 Novartis Investigative Site Harderwijk Netherlands
214 Novartis Investigative Site Hertogenbosch Netherlands
215 Novartis Investigative Site Zwolle Netherlands
216 Novartis Investigative Site Auckland New Zealand
217 Novartis Investigative Site Christchurch New Zealand
218 Novartis Investigative Site Hamilton New Zealand
219 Novartis Investigative Site Wellington New Zealand
220 Novartis Investigative Site Lodz Poland
221 Novartis Investigative Site Lublin Poland
222 Novartis Investigative Site Otwock Poland
223 Novartis Investigative Site Poznan Poland
224 Novartis Investigative Site Singapore Singapore
225 Novartis Investigative Site Baracaldo Spain
226 Novartis Investigative Site Barcelona Spain
227 Novartis Investigative Site Córdoba Spain
228 Novartis Investigative Site Granada Spain
229 Novartis Investigative Site Jaen Spain
230 Novartis Investigative Site Madrid Spain
231 Novartis Investigative Site Pontevedra Spain
232 Novartis Investigative Site Sevilla Spain
233 Novartis Investigative Site Zaragoza Spain
234 Novartis Investigative Site Umea Sweden
235 Novartis Investigative Site Kaoshiung Taiwan
236 Novartis Investigative Site Lin-Ko Taiwan
237 Novartis Investigative Site Taichung Taiwan
238 Novartis Investigative Site Tainan Taiwan
239 Novartis Investigative Site Taipei Taiwan
240 Novartis Investigative Site Altunizade Turkey
241 Novartis Investigative Site Ankara Turkey
242 Novartis Investigative Site Istanbul Turkey
243 Novartis Investigative Site Izmir Turkey
244 Novartis Investigative Site Aberdeen United Kingdom
245 Novartis Investigative Site Cambridge United Kingdom
246 Novartis Investigative Site Leicester United Kingdom
247 Novartis Investigative Site London United Kingdom
248 Novartis Investigative Site Manchester United Kingdom
249 Novartis Investigative Site Sutton United Kingdom

Sponsors and Collaborators

  • Novartis Pharmaceuticals

Investigators

  • Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00662597
Other Study ID Numbers:
  • CASA404A2301
First Posted:
Apr 21, 2008
Last Update Posted:
Dec 24, 2020
Last Verified:
May 1, 2012

Study Results

No Results Posted as of Dec 24, 2020