Study of Alimta in Patients With Recurrent or Metastatic Nasopharyngeal Carcinoma (NPC) Who Have Had Prior Platinum Based Chemotherapy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00630149
Recruitment Status : Completed
First Posted : March 6, 2008
Last Update Posted : February 16, 2012
Eli Lilly and Company
Information provided by (Responsible Party):
Li Zhang, Sun Yat-sen University

Brief Summary:
This is a pilot phase II study of locally advanced or metastatic nasopharyngeal carcinoma (NPC) with the single drug Alimta. The objective of this study is to assess efficacy and safety profiles of Alimta as 2nd line treatment for patients with advanced NPC.

Condition or disease Intervention/treatment Phase
Nasopharyngeal Neoplasms Drug: Pemetrexed (Alimta) Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 35 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Open-Label Single-Arm Phase 2 Study of Alimta in Patients With Recurrent or Metastatic Nasopharyngeal Carcinoma Who Have Had Prior Platinum Based Chemotherapy
Study Start Date : November 2007
Actual Primary Completion Date : November 2011
Actual Study Completion Date : January 2012

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: 1 Drug: Pemetrexed (Alimta)
500 mg/m2 in Cycle 1, every 3 weeks, with folic acid and vitamin B12 supplementation.
Other Name: Alimta

Primary Outcome Measures :
  1. response rate [ Time Frame: Jan 2010 ]

Secondary Outcome Measures :
  1. progression-free survival [ Time Frame: Jan 2010 ]
  2. overall survival [ Time Frame: Jan 2010 ]
  3. safety profile of pemetrexed (Alimta) treatment [ Time Frame: Jan 2010 ]
  4. pharmacokinetic analysis of half-life, maximum plasma concentration (Cpmax), clearance (CL), area under the curve (AUC), and apparent volume of distribution [ Time Frame: Jan 2010 ]
  5. evaluate the relationship between the expression of alpha folate receptor protein, TS and clinical response [ Time Frame: Jan 2010 ]

Information from the National Library of Medicine

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

Inclusion Criteria:

  • Histologic diagnosis of nasopharyngeal carcinoma.
  • Locally recurrent or metastatic disease.
  • Patients must have previously received one platinum based chemotherapy regimen for palliative therapy of locally advanced or metastatic disease.
  • Prior platinum based chemotherapy completed at least 3 months prior to study enrollment and the patient must have recovered from toxic effects of the treatment.
  • Previous radiation therapy is allowed, but should have been limited and must not have included whole pelvis radiation. Patients must have recovered from the toxic effects of the treatment prior to study enrollment (except for alopecia). Prior radiotherapy must be completed 30 days before study entry. Lesions that have been radiated cannot be included as sites of measurable disease unless clear tumor progression has been documented in these lesions since the end of radiation therapy.
  • Disease status must be that of measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
  • Performance status of 0 to 1 on the Eastern Cooperative Oncology Group (ECOG) Scale.
  • Estimated life expectancy of at least 8 weeks.
  • Patient compliance and geographic proximity that allow adequate follow-up.
  • Adequate organ function including the following: Bone marrow: absolute neutrophil count (ANC) >or= 1.5x10^9/L, platelets >or= 100x10^9/L, hemoglobin >or= 9g/dL. Hepatic: bilirubin <1.5 x ULN, alkaline phosphatase, aspartate transaminase (AST) and alanine transaminase (ALT) < 2.5 x ULN (alkaline phosphatase, AST, ALT < 5 x ULN is acceptable if liver has tumor involvement). Renal: calculated creatinine clearance > 45 ml/min.
  • Men or women of at least 18 years of age.
  • For women: Must be surgically sterile, post-menopausal, or compliant with a medically approved contraceptive regimen during and for 3 months after the treatment period; must have a negative serum or urine pregnancy test and must not be lactating. For men: Must be surgically sterile, or compliant with a contraceptive regimen during and for 3 months after the treatment period.
  • Signed informed consent from patient.

Exclusion Criteria:

  • Known or suspected brain metastasis. Patients who have clinical signs or symptoms that are suspicious of brain metastasis must have a pretreatment computed tomography (CT) or magnetic resonance imaging (MRI) of the brain. A patient with documented brain metastasis, at the time of consideration for study entry or in the past, will be excluded from entering in the study.
  • Have previously completed or withdrawn from this study, or received Alimta previously outside this study.
  • Concurrent administration of any other tumor therapy.
  • Active infection (at the discretion of the investigator).
  • Serious concomitant disorders that would compromise the safety of the patient or compromise the patient's ability to complete the study, at the discretion of the investigator.
  • Pregnancy or breast feeding.
  • History of significant neurological or mental disorder, including seizures or dementia.
  • Second primary malignancy that is clinically detectable at the time of consideration for study enrollment.
  • Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry.
  • Inability to interrupt aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) 2 days before, the day of, and 2 days after the dose of Alimta. If a patient is taking a NSAID (Cox-2 inhibitors included) or salicylate with a long half-life, it should not be taken 5 days before, the day of, and 2 days after the dose of Alimta.
  • Presence of clinically relevant third-space fluid collections that cannot be controlled by drainage or other procedures prior to study entry.
  • Inability or unwillingness to take folic acid, vitamin B12 supplementation, or dexamethasone.

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 identifier (NCT number): NCT00630149

China, Guangdong
Cancer Center of Sun-Yat Sen University (CCSYSU)
GuangZhou, Guangdong, China, 510000
Sponsors and Collaborators
Sun Yat-sen University
Eli Lilly and Company
Principal Investigator: Li Zhang, Master Cancer Center of Sun-Yat Sen University (CCSYSU)

Responsible Party: Li Zhang, Professor, Sun Yat-sen University Identifier: NCT00630149     History of Changes
Other Study ID Numbers: H3E-GH-0034
First Posted: March 6, 2008    Key Record Dates
Last Update Posted: February 16, 2012
Last Verified: February 2012

Keywords provided by Li Zhang, Sun Yat-sen University:
Nasopharyngeal Neoplasms

Additional relevant MeSH terms:
Nasopharyngeal Neoplasms
Pharyngeal Neoplasms
Otorhinolaryngologic Neoplasms
Head and Neck Neoplasms
Neoplasms by Site
Nasopharyngeal Diseases
Pharyngeal Diseases
Stomatognathic Diseases
Otorhinolaryngologic Diseases
Antineoplastic Agents
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Folic Acid Antagonists
Nucleic Acid Synthesis Inhibitors