Survival in a Randomized Phase III Trial in Patients With Limited Disease (LD) Small Cell Lung Cancer Vaccinated With Adjuvant BEC2 and BCG - Full Text View

Purpose

This trial is designed to test the impact of adjuvant BEC2 (2.5 mg)/BCG vaccination on survival in patients with LD Small Cell Lung Cancer (SCLC). Patients will be stratified by institution, KPS (60 - 70% vs 80 - 100%), and response to first line combined modality therapy (CR vs PR) that consisted of at least a 2 drug regimen (4 - 6 cycles) and a chest radiotherapy regimen. Patients will be randomized to one of two treatment arms: standard arm (Observational cohort) or best supportive care, or the treatment arm (5 intradermal vaccinations of BEC2 (2.5 mg) + BCG given on day 1 of weeks 0, 2, 4, 6, and 10.

Condition	Intervention	Phase
Carcinoma, Small Cell Lung	Biological: BEC2 Vaccine	Phase III

MedlinePlus related topics:

Cancer Lung Cancer

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Open Label, Placebo Control, Parallel Assignment, Safety/Efficacy Study

Official Title:	The SILVA Study: Survival in an International Phase III Prospective Randomized LD Small Cell Lung Cancer Vaccination Study With Adjuvant BEC2 and BCG

Further study details as provided by ImClone Systems:

Primary Outcome Measures:

Overall survival [ Time Frame: 6 monthly basis until progression of disease ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Progression-free survival [ Time Frame: 6 monthly basis until progression of disease ] [ Designated as safety issue: No ]
Safety [ Time Frame: 6 monthly basis until progression of disease ] [ Designated as safety issue: Yes ]
Quality of Life [ Time Frame: 6 monthly basis until progression of disease ] [ Designated as safety issue: No ]
Health Economics Aspects [ Time Frame: 6 monthly basis until progression of disease ] [ Designated as safety issue: No ]

Enrollment:	515
Study Start Date:	September 1998
Study Completion Date:	October 2002
Primary Completion Date:	October 2002 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: No Intervention Best supportive care, but no cancer specific therapy (cytotoxic, radiation or other tumor reductive therapy) can be given until documented progression of disease.
2: Experimental Treatment will consist of 5 vaccinations (each consisting of 8 single intradermal injections) over a period of 10 to 12 weeks unless one of the following occur: intolerable toxicity precluding further treatment progression of disease patient refusal occurrence of pregnancy	Biological: BEC2 Vaccine 5 vaccinations of BEC2 (2.5 mg) + BCG given day 1 of weeks 0,2,4,6 & 10.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Histo-cytologically proven SCLC
Limited disease at diagnosis
Age greater than or equal to 18
Patients with a clinical response of CR or PR to first line combined modality therapy
KPS greater than or equal to 60
Adequate bone marrow, liver and heart functions
Written informed Consent

Exclusion Criteria:

Prior surgical treatment for SCLC
History of tuberculosis
NCIC CTG grade 3 local skin toxicity reaction (ulceration) to > IU PPD test > 5 IU
HIV positive
Splenectomy or spleen radiation therapy in medical history
Prior therapy to proteins of murine origin
Any second line therapy for SCLC
Investigational agent or immune therapy within 4 weeks prior to study randomization
Severe active infections
Active infections requiring systemic antibiotics, antiviral, or antifungal treatments
Serious unstable chronic illness
The use of systemic anti-histamines, NSAID or systemic corticosteroids
Any previous malignancy except adequately treated CIS of the cervix or non melanoma skin cancer or if previous malignancy was more than 5 years prior and there are no signs of recurrence
Pregnancy or breast feeding or absence of adequate contraception for fertile patients
Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be assessed with the patient before randomization in the trial.

Contacts and Locations

No Contacts or Locations Provided

More Information

Publications:

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Responsible Party:	ImClone Systems Incorporated ( Eric Rowinsky/ Chief Medical Officer )
Study ID Numbers:	SILVA EORTC 08971
First Received:	May 20, 2002
Last Updated:	October 29, 2008
ClinicalTrials.gov Identifier:	NCT00037713
Health Authority:	United States: Food and Drug Administration

Keywords provided by ImClone Systems:

LD Small Cell Lung Cancer

BEC2, vaccine

adjuvant, monoclonal antibody

LD Small Cell Lung Cancer (VA Classification, Zelen, 1973)

Study placed in the following topic categories:

Thoracic Neoplasms

Carcinoma, Neuroendocrine

Carcinoma

Neuroendocrine Tumors

Antibodies, Monoclonal

Carcinoma, Small Cell

Neuroectodermal Tumors

Antibodies

Respiratory Tract Diseases

Lung Neoplasms

Lung Diseases

Neoplasms, Germ Cell and Embryonal

Neuroepithelioma

Adenocarcinoma

Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:

Respiratory Tract Neoplasms

Neoplasms

Neoplasms by Site

Neoplasms by Histologic Type

Neoplasms, Nerve Tissue

ClinicalTrials.gov processed this record on November 20, 2008

Sponsors and Collaborators:	ImClone Systems Merck KGaA EORTC Lung Cancer Cooperative Group Spanish Lung Cancer Group Schweizerische Arbeitsgruppe fuer angewandte Krebsforschung (SAKK) Centers of Veterans' Administration Groupe Francais De Pneumo-Cancerologie Memorial Sloan-Kettering Cancer Center Independent centers (Australia, New Zealand, Europe, USA)
Information provided by:	ImClone Systems
ClinicalTrials.gov Identifier:	NCT00037713