Combination Chemotherapy Plus Radiation Therapy With or Without AE-941 in Treating Patients With Stage III Non-small Cell Lung Cancer That Cannot Be Removed By Surgery
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ClinicalTrials.gov Identifier: NCT00005838 |
Recruitment Status :
Completed
First Posted : January 27, 2003
Last Update Posted : January 23, 2013
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Condition or disease | Intervention/treatment | Phase |
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Adenocarcinoma of the Lung Adenosquamous Cell Lung Cancer Large Cell Lung Cancer Squamous Cell Lung Cancer Stage IIIA Non-small Cell Lung Cancer Stage IIIB Non-small Cell Lung Cancer | Drug: shark cartilage extract AE-941 Other: placebo Drug: cisplatin Drug: vinorelbine tartrate Drug: carboplatin Drug: paclitaxel Radiation: radiation therapy | Phase 3 |
PRIMARY OBJECTIVES:
I. Determine the overall survival of patients with unresectable stage IIIA or IIIB non-small cell lung cancer treated with induction platinum-based chemotherapy and radiotherapy with or without AE-941 (Neovastat).
II. Determine the progression-free survival, tumor response, tumor response duration, and metastasis-free survival of patients treated with these regimens.
III. Determine the tolerability of this regimen in these patients.
OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to stage (IIIA vs IIIB), type of platinum-based induction chemotherapy to be received (cisplatin and vinorelbine vs carboplatin and paclitaxel), and gender. Patients are randomized to 1 of 2 treatment arms.
Arm I: Patients receive oral AE-941 (Neovastat) twice daily beginning on day 1 or within 10 days of initiation of chemotherapy.
Arm II: Patients receive oral placebo twice daily beginning on day 1 or within 10 days of initiation of chemotherapy.
All patients receive induction chemotherapy with 1 of the following platinum-based regimens: cisplatin IV on days 1, 22, 50, and 71 and vinorelbine IV on days 1, 8, 22, 29, 50, 57, 71, and 78 carboplatin IV over 30 minutes and paclitaxel IV over 3 hours on days 1, 22, 50, 57, 64, 71, 78, and 85.
All patients receive radiotherapy beginning on day 50 for 6 weeks. Treatment in both arms continues in the absence of unacceptable toxicity.
Patients are followed every 3 months.
PROJECTED ACCRUAL: A total of 756 patients (378 per treatment arm) will be accrued for this study within 36 months.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 756 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Double (Participant, Investigator) |
Primary Purpose: | Treatment |
Official Title: | Multicenter, Open-Ended, Double-Blind, Placebo-Controlled, Phase III Study of AE-941 in Addition to Combined Modality Treatment (Chemotherapy/Radiotherapy) for Locally Advanced Unresectable Non-Small Cell Lung Cancer |
Study Start Date : | March 2000 |
Actual Primary Completion Date : | February 2007 |

Arm | Intervention/treatment |
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Experimental: Arm I (shark cartilage extract AE-941)
Patients receive oral AE-941 (Neovastat) twice daily beginning on day 1 or within 10 days of initiation of chemotherapy. All patients receive induction chemotherapy with 1 of the following platinum-based regimens: cisplatin IV on days 1, 22, 50, and 71 and vinorelbine IV on days 1, 8, 22, 29, 50, 57, 71, and 78 carboplatin IV over 30 minutes and paclitaxel IV over 3 hours on days 1, 22, 50, 57, 64, 71, 78, and 85. All patients receive radiotherapy beginning on day 50 for 6 weeks. Treatment in both arms continues in the absence of unacceptable toxicity. |
Drug: shark cartilage extract AE-941
Given orally
Other Names:
Drug: cisplatin Given IV
Other Names:
Drug: vinorelbine tartrate Given IV
Other Names:
Drug: carboplatin Given IV
Other Names:
Drug: paclitaxel Given IV
Other Names:
Radiation: radiation therapy Undergo radiotherapy
Other Names:
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Placebo Comparator: Arm II (placebo)
Patients receive oral placebo twice daily beginning on day 1 or within 10 days of initiation of chemotherapy. All patients receive induction chemotherapy with 1 of the following platinum-based regimens: cisplatin IV on days 1, 22, 50, and 71 and vinorelbine IV on days 1, 8, 22, 29, 50, 57, 71, and 78 carboplatin IV over 30 minutes and paclitaxel IV over 3 hours on days 1, 22, 50, 57, 64, 71, 78, and 85. All patients receive radiotherapy beginning on day 50 for 6 weeks. Treatment in both arms continues in the absence of unacceptable toxicity. |
Other: placebo
Given orally
Other Name: PLCB Drug: cisplatin Given IV
Other Names:
Drug: vinorelbine tartrate Given IV
Other Names:
Drug: carboplatin Given IV
Other Names:
Drug: paclitaxel Given IV
Other Names:
Radiation: radiation therapy Undergo radiotherapy
Other Names:
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- Overall survival [ Time Frame: From randomization until date of death or last follow-up, assessed up to 7 years ]Survival distributions will be compared by use of the log-rank test. The stratified log-rank test (nominal or categorical covariates) may be used to simultaneously control for important prognostic factors. Kaplan-Meier curves will also be plotted to illustrate the comparative survival experience of both groups over the entire study period.
- Progression-free survival every 3 months [ Time Frame: From randomization until disease progression, assessed up to 7 years ]Will be compared by use of the log-rank test. The stratified log-rank test (nominal or categorical covariates) may be used to simultaneously control for important prognostic factors. Kaplan-Meier curves will also be plotted.
- Tumor response rate [ Time Frame: Up to 7 years ]Will be compared by chi-square test.
- Tumor response duration [ Time Frame: From first observation of at least a partial response to detection of disease progression or death due to any cause, assessed up to 7 years ]Will be compared by use of the log-rank test. The stratified log-rank test (nominal or categorical covariates) may be used to simultaneously control for important prognostic factors. Kaplan-Meier curves will also be plotted.
- Metastasis-free survival [ Time Frame: From randomization until metastasis documented by imaging procedures, assessed up to 7 years ]Will be compared by use of the log-rank test. The stratified log-rank test (nominal or categorical covariates) may be used to simultaneously control for important prognostic factors. Kaplan-Meier curves will also be plotted.

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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:
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Histologically or cytologically confirmed newly diagnosed, untreated, unresectable stage IIIA or stage IIIB non-small cell lung cancer
- Squamous cell carcinoma, adenocarcinoma, or large cell carcinoma of the lung
- Mixed tumors allowed if non-small cell elements identified
- Contralateral supraclavicular and/or scalene lymph node involvement allowed
- No disease extending into the cervical region
- At least 1 bidimensionally or unidimensionally measurable lesion
- No pleural effusion unless cytologically negative or too small to safely aspirate
- Not scheduled for curative cancer surgery
- Performance status - ECOG 0-1
- Absolute neutrophil count greater than 1,500/mm^3
- Platelet count greater than 100,000/mm^3
- Hematocrit greater than 30%
- SGOT or SGPT less than 1.5 times upper limit of normal
- Bilirubin normal
- Creatinine less than 1.5 mg/dL
- Creatinine clearance greater than 60 mL/min
- No other major medical or psychiatric illness that would preclude study participation or consent
- No medical condition that interferes with oral medication intake and/or absorption (gastrectomy or major intestinal resection)
- No grade 2 or greater peripheral neuropathy unless secondary to mechanical etiology
- No hypersensitivity to fish products
- No more than 10% weight loss within past 3 months
- No other malignancy within past 3 years except inactive carcinoma in situ of the cervix or nonmelanoma skin cancer
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- At least 30 days since prior chemotherapy
- See Disease Characteristics
- Recovered from prior major surgery
- At least 30 days since prior shark cartilage products
- No other concurrent investigational anticancer agents
- No other concurrent cartilage products
- No other concurrent investigational agents
- No concurrent amifostine or other radioprotectants
- No concurrent enrollment in other clinical trials

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): NCT00005838
United States, Texas | |
M D Anderson Cancer Center | |
Houston, Texas, United States, 77030 |
Principal Investigator: | Charles Lu | M.D. Anderson Cancer Center |
Responsible Party: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00005838 |
Other Study ID Numbers: |
NCI-2012-02725 ID99-303 U10CA045809 ( U.S. NIH Grant/Contract ) CDR0000067853 ( Registry Identifier: PDQ (Physician Data Query) ) |
First Posted: | January 27, 2003 Key Record Dates |
Last Update Posted: | January 23, 2013 |
Last Verified: | January 2013 |
Lung Neoplasms Carcinoma, Non-Small-Cell Lung Adenocarcinoma of Lung Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases Carcinoma, Bronchogenic Bronchial Neoplasms Adenocarcinoma |
Carcinoma Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Paclitaxel Vinorelbine Carboplatin Antineoplastic Agents, Phytogenic Antineoplastic Agents Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action |