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Study of Alimta® (Pemetrexed) Plus VELCADE® (Bortezomib) or Alimta Alone or VELCADE Alone in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Failed Prior Therapy

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ClinicalTrials.gov Identifier: NCT00343720
Recruitment Status : Completed
First Posted : June 23, 2006
Last Update Posted : March 13, 2008
Information provided by:

Study Description
Brief Summary:
The purpose of this study is to establish the objective response rate (complete response + partial response), following treatment with Alimta plus VELCADE, Alimta alone, or VELCADE alone in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) who have failed prior preventative therapy for Stage IIIb/IV NSCLC. The Alimta alone treatment group will be used as the control. The VELCADE single-agent treatment group will be used to determine if VELCADE administered weekly can demonstrate response rates.

Condition or disease Intervention/treatment Phase
Non-Small Cell Lung Cancer Drug: VELCADE Drug: Alimta Phase 2

Study Design

Study Type : Interventional  (Clinical Trial)
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Randomized, Open-Label, Multicenter Study of Alimta® (Pemetrexed) Plus VELCADE® (Bortezomib) or Alimta Alone or VELCADE Alone in Subjects With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Failed Prior Antineoplastic Therapy
Primary Completion Date : October 2007

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Lung Cancer
U.S. FDA Resources

Arms and Interventions

Outcome Measures

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Men or women, 18 years of age or older
  • Non-small cell lung cancer (NSCLC) has been histologically or cytologically confirmed
  • Has relapsed or refractory locally advanced (Stage IIIb) or metastatic (Stage IV) NSCLC
  • Failed one prior line of systemic antineoplastic therapy for Stage IIIb/IV NSCLC (one additional prior line allowed if given as neoadjuvant, or adjuvant therapy to tumor resection)
  • Subject must have documented progressive disease (PD) since previous systemic antineoplastic therapy
  • Has measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) criteria
  • Has an ECOG performance status score of 0 or 1
  • Has a life expectancy greater than 3 months
  • Female subjects must be postmenopausal (for at least 6 months), surgically sterile, abstinent, or, if sexually active, be practicing an effective method of birth control (e.g., prescription oral contraceptives, contraceptive injections, intrauterine device, double-barrier method, contraceptive patch, male partner sterilization) before entry and throughout the study; and have a negative serum or urine β-human chorionic gonadotropin (hCG) pregnancy test at screening.
  • Subjects (or their legally acceptable representatives) must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to and able to comply with the protocol requirements and participate in the study before any study-related procedure not part of normal medical care is conducted.
  • In countries where health authorities have approved the pharmacogenomic and protein testing, subjects (or their legally acceptable representatives) must have signed an informed consent for testing indicating that they agree to participate in the genetic part and protein testing part of the study; participation in the genetic and protein testing component is mandatory for testing, but optional for future research.

Exclusion Criteria:

  • Has peripheral neuropathy of Grade 2 or greater intensity, as defined by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE Version 3.0)
  • Previous treatment with VELCADE or Alimta
  • Has received 2 or more prior lines of antineoplastic therapies for Stage IIIb/IV NSCLC
  • Any prior systemic antineoplastic therapy for NSCLC (i.e., prior chemotherapy, radiation therapy, prior monoclonal antibodies or any investigational drug or any major surgery) within 4 weeks before randomization
  • Has had significant weight loss (documented equal to or greater than 10% body weight in the 6 weeks before randomization)
  • Inadequate organ function at the screening visit as defined by the following laboratory values:

    • Platelet count equal to or less than 100 × 10^9/L
    • Hemoglobin equal to or less than 8.0 g/dL (80 g/L)
    • Absolute neutrophil count (ANC) equal to or less than 1.5 × 10^9/L
    • AST equal to or greater than 3 times the upper limit of the normal range (ULN) or greater than 5 times the ULN for subjects with liver metastases
    • ALT equal to or greater than 3 times ULN
    • Calculated creatinine clearance equal to or greater than 45 mL/min
    • Total bilirubin equal to or greater than 1.5 times ULN
  • Myocardial infarction within 6 months before randomization or has New York Heart Association (NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities
  • Central nervous system metastasis or brain metastases that have not been completely resected or completely eliminated by radiation therapy and/or chemotherapy, or clinical or radiographic evidence that they have recurred. Subjects with a history of brain metastases are required to have had a brain computed tomography (CT) or magnetic resonance imaging (MRI) scan conducted within 1 month of enrollment to verify the continuing absence of brain metastases.
  • Uncontrolled pleural effusion (defined as more than 2 pleuracentesis within 4 weeks of the randomization)
  • Active systemic infection requiring treatment
  • Inability to interrupt aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) for a 5-day period (8-day period for long-acting agents, such as piroxicam)
  • Unable or unwilling to take corticosteroids
  • Other malignancy within the past 5 years. Exceptions for the following if treated and not active:

    • basal cell or nonmetastatic squamous cell carcinoma of the skin;
    • cervical carcinoma in situ; or
    • International Federation of Gynecology and Obstetrics (FIGO) Stage 1 carcinoma of the cervix
  • History of allergic reaction attributable to compounds containing boron or mannitol
  • Is pregnant or breast-feeding
  • Currently enrolled in another clinical research study or has received an investigational agent for any reason within 4 weeks before randomization
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00343720

Hopital de Jolimont
Haine-Saint-Paul, Belgium, 7100
Sponsors and Collaborators
Millennium Pharmaceuticals, Inc.
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00343720     History of Changes
Other Study ID Numbers: JNJ-26866138-LUC-2001
First Posted: June 23, 2006    Key Record Dates
Last Update Posted: March 13, 2008
Last Verified: March 2008

Keywords provided by Millennium Pharmaceuticals, Inc.:
locally advanced
non-small cell lung cancer
complete response
partial response
Locally Advanced or Metastatic Non-Small Cell Lung Cancer

Additional relevant MeSH terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Carcinoma, Bronchogenic
Bronchial Neoplasms
Antineoplastic Agents
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Folic Acid Antagonists
Nucleic Acid Synthesis Inhibitors