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Individualized Chemotherapy Based on BRCA1 and RRM1 mRNA for Advanced Non-small Cell Lung Cancer (NSCLC) (BRAVO)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified September 2014 by Caicun Zhou, Tongji University.
Recruitment status was:  Active, not recruiting
Sponsor:
ClinicalTrials.gov Identifier:
NCT01424709
First Posted: August 29, 2011
Last Update Posted: September 25, 2014
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.
Information provided by (Responsible Party):
Caicun Zhou, Tongji University
  Purpose
Gemcitabine, docetaxel, CPT-11 and cisplatin are effective in 1st line treatment of advanced non-small cell lung cancer (NSCLC). Platinum-based doublets including gemcitabine, docetaxel or CPT-11 are standard 1st regimens. BRCA1 and RRM1 expression levels are reported to be associated with sensitivity of the tumor cells to cytotoxic agents. Some Phase II or III trials did prove feasibility of customized chemotherapy based upon expression levels of one or two biomarkers in the NSCLC patients. The investigators think customized chemotherapy may further improve efficacy of chemotherapy in advanced NSCLC. But there is no randomised trial to compare efficacy of standard chemotherapy with individualized chemotherapy in this setting. So, the investigators plan to initiate this phase II trial to compare efficacy between standard chemotherapy of gemcitabine/cisplatin versus customized chemotherapy in chemonaive NSCLC patients.

Condition Intervention Phase
Non-small Cell Lung Cancer Drug: Gemcitabine, Docetaxel, CPT-11,Cisplatin Drug: gemcitabine/cisplatin Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Individualized 1st Line Chemotherapy Based on BRCA1 and RRM1 mRNA Expression Levels for Advanced Non-small Cell Lung Cancer

Resource links provided by NLM:


Further study details as provided by Caicun Zhou, Tongji University:

Primary Outcome Measures:
  • Overall response rate [ Time Frame: tumor assessment 6-8 weeks after the initiation of chemotherapy ]
    to evaluate ORR during 6-8 weeks after all cycles complete


Secondary Outcome Measures:
  • Progression free survival [ Time Frame: 24 months ]
    PFS is evaluated in the 24th month since the treatment began

  • duration of response [ Time Frame: 24 months ]
    evaluated in the 24th month since the treatment began

  • overall survival [ Time Frame: 24 months ]
    evaluated in the 24th month since the treatment began

  • safety [ Time Frame: 24 months ]
    evaluated in the 24th month since the treatment began

  • Quality Of Life [ Time Frame: 24 months ]
    evaluated in the 24th month since the treatment began


Estimated Enrollment: 120
Study Start Date: December 2010
Estimated Study Completion Date: December 2014
Primary Completion Date: May 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm 1
Based on expression levels of RRM1 and BRCA1 mRNA,one of the four regimens will be given to each patient: Gemcitabine/cisplatin, Docetaxel/gemcitabine, CPT-11/Cisplatin, docetaxel monotherapy. The chemotherapy will be repeated every 3 week. Dose reduction or interruption for toxicity could take place at any time.
Drug: Gemcitabine, Docetaxel, CPT-11,Cisplatin
Based on expression levels of RRM1 and BRCA1 mRNA,one of the four regimens will be given to each patient: Gemcitabine/cisplatin, Docetaxel/gemcitabine, CPT-11/Cisplatin, docetaxel monotherapy. The chemotherapy will be repeated every 3 week. Dose reduction or interruption for toxicity could take place at any time.
Other Names:
  • gemcitabine:Gemzar
  • Docetaxel:Taxotere
  • CPT-11:Irinotecan
Active Comparator: Arm 2
gemcitabine/cisplatin up to 6 cycles or disease progression or intolerable toxicity.
Drug: gemcitabine/cisplatin
gemcitabine/cisplatin up to 6 cycles or disease progression or intolerable toxicity.
Other Name: gemcitabine:Gemzar

Detailed Description:
Primary end point:ORR Secondary end point:PFS,OS,safety,QOL,etc.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Written informed consent,
  2. Histologically confirmed stage M1a or M1b NSCLC,
  3. Aged over 18 years old,
  4. Measurable disease,
  5. Life expectancy of at least 12 weeks,
  6. No prior chemotherapy or target therapy,
  7. No brain metastases or spinal cord compression,
  8. Less than 10% body weight loss,
  9. ECOG performance status 0-2,
  10. Adequate vital organ function (haematological, renal, hepatic, etc).
  11. Enough tissue for detection of BRCA1 and RRM1 expression.

Exclusion Criteria:

  1. Prior systemic cytotoxic chemotherapy or EGFR TKI therapy,
  2. Positive pregnancy test,
  3. Another active malignancy, other than superficial basal cell and squamous cell or carcinoma in situ of the cervix, within the last 5 years,
  4. Patients with brain metastases or spinal cord compression,
  5. Allergy to gemcitabine, cisplatin, docetaxel, CPT-11,
  6. Any unstable systemic disease including active infection,
  7. No enough tissue for detection of BRCA1 and RRM1
  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): NCT01424709


Locations
China
Medical Department, Shanghai Pulmonary Hospital
Shanghai, China, 200433
Sponsors and Collaborators
Tongji University
Investigators
Principal Investigator: Caicun Zhou, Ph.D Tongji University Affiliated Shanghai Pulmonary Hospital
  More Information

Responsible Party: Caicun Zhou, Tonji University Affiliated Shanghai Pulmonary Hospital, Tongji University
ClinicalTrials.gov Identifier: NCT01424709     History of Changes
Other Study ID Numbers: BRAVO study
First Submitted: May 9, 2011
First Posted: August 29, 2011
Last Update Posted: September 25, 2014
Last Verified: September 2014

Keywords provided by Caicun Zhou, Tongji University:
Chemotherapy
Individual therapy
RRM1
BRCA1

Additional relevant MeSH terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Neoplasms
Lung Diseases
Respiratory Tract Diseases
Carcinoma, Bronchogenic
Bronchial Neoplasms
Gemcitabine
Docetaxel
Irinotecan
Cisplatin
Antineoplastic Agents
Antimetabolites, Antineoplastic
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Antineoplastic Agents, Phytogenic
Topoisomerase I Inhibitors
Topoisomerase Inhibitors