E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Non small cell lung cancer (NSCLC) stage IIIB or stage IV
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To investigate the efficacy of ZK 219477 in platinum-pretreated patients with NSCLC (proof of concept) |
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E.2.2 | Secondary objectives of the trial |
To investigate the safety and tolerability of the above treatment |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
1. Pharmacogenomics – Biomarker discovery (optional study module), Attachment 4 to study protocol, dated 14.04.2005
The evaluation of pharmagenomics (here DNA methylation) is an optional module of this study. From each participating patient, a 12-mL blood sample will be taken prior to first dose of study medication.
The objective of the biomarker discovery program within the framework of this clinical trial is to assess promoter methylation in selected genes potentially involved in the pathogenesis of NSCLC and search for correlation between the pattern of methylated sequences and tumor response.
2. Pharmacokinetics (optional substudy), Attachment 5 to stuy protocol, dated 18.07.2006 - Further investigation of the pharmacokinetic profile of ZK 219477 when infused over 30 minutes and over 3 hours
The evaluation of pharmakokinetic is an optional module of this study. For each patient, a total of 13 respectively 15 blood samples is scheduled to be collected per course for pharmacokinetic analysis.
3. Pharmacogenomics – Biomarker Analysis (optional study module), Attachment 6 to study protocol, dated 20.07.2007
The objective of the biomarker discovery program within the framework of this clinical trial is to search for correlation between tumor-specific pharmacogenomic and pharmacogenetic characteristics and clinical response to treatment with ZK 219477. In particular, these exploratory analyses aim to detect: 1. Associations between gene expression in tumor tissue and drug response to find predictors or indicators of response to the study medication, ZK 219477. 2. Associations between protein biomarkers in blood and drug response to find predictors or indicators of response to the study medication, ZK 219477. 3. Association between the mutational status of the p53 gene in tumor tissue and drug response to find predictors or indicators of response to the study medication, ZK 219477. 4. Associations between methylated tumor DNA markers in blood and drug response to find predictors or indicators of response to the study medication, ZK 219477.
The procedures from attachment 4 are integrated in the new attachment 6. Patients participating in the biomarker substudy described in attachment 6 will not have to sign the informed consent form for the biomarker substudy procedures described in attachment 4. Patients can still participate in the biomarker substudy as described in attachment 4, if they are not willing to make their tissue samples available.
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E.3 | Principal inclusion criteria |
1. Males or females aged ≥ 18 years
2. Histologically or cytologically proven NSCLC, Stage IIIB or Stage IV
3. At least 1 unidimensionally measurable lesion (suitable for modRECIST evaluation)
4. WHO performance status 0 to 1
5. Treatment failure of one previous platinum-based chemotherapy regimen
6. Time period since prior therapy: - Prior radiotherapy: ≥ 3 weeks - Prior chemotherapy: ≥ 3 weeks - Prior immunotherapy: ≥ 3 weeks
7. Adequate recovery (excluding alopecia) from previous surgery, radiation, and chemotherapy
8. Adequate function of major organs and systems • Nervous system: - No Grade 2 or greater peripheral neuropathy • Hematopoietic: - Hemoglobin: ≥ 10 g/dL - WBC: ≥ 3,000/mm3 - Absolute neutrophil count: ≥ 1,500/mm3 - Platelet count: ≥ 100,000/mm3 • Hepatic: - Total bilirubin: normal - AST/ALT: ≤ 2.5 times the upper limit of normal • Renal: - Creatinine: ≤ 2 mg/dL • Cardiovascular: - No symptomatic congestive heart failure - No unstable angina pectoris - No arrhythmia needing continuous treatment • No other uncontrolled concurrent illness
9. Survival expectation ≥ 3 months
10. Negative pregnancy test at enrollment (females of childbearing potential only)
11. Agreement to use highly effective contraception methods (intra-uterine contraceptive device IUCD, condoms, oral contraceptives, or other adequate barrier contraception) in females of child-bearing potential
12. Written informed consent
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E.4 | Principal exclusion criteria |
1. More than one previous chemotherapy regimen for advanced disease
2. Prior treatment with epothilones
3. Use of any investigational drug within 4 weeks before start of study treatment or inadequate recovery from any toxic effects of such therapy
4. Candidacy for curative resection
5. Symptomatic brain metastases requiring whole-brain irradiation
6. Active infection
7. Breast feeding
8. Any condition that in the opinion of the investigator could hamper the compliance with the study protocol
9. History of any other primary malignancy with the exceptions of non- melanoma skin cancer and carcinoma in situ of the cervix
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E.5 End points |
E.5.1 | Primary end point(s) |
Proportion of patients with either CR or PR as ‘best overall response’ |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | |