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Pemetrexed (Alimta®) in maintenance in patients with impaired renal function: multicenter randomized Phase 4 study comparing two strategies for dose calculation

Pemetrexed (Alimta®) in maintenance in patients with impaired renal function: multicenter randomized Phase 4 study comparing two strategies for dose calculation - PKAPIR

Status
Not yet recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2016-002552-24-FR
Enrollment
Unknown
Registered
2017-01-05
Start date
2016-12-16
Completion date
Unknown
Last updated
2017-08-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients with non-small lung cell cancer MedDRA version: 19.0 Level: PT Classification code 10061873 Term: Non-small cell lung cancer System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)

Interventions

Trade Name: ALIMTA Product Name: ALIMTA Pharmaceutical Form: Infusion

Sponsors

Centre Georges François Leclerc
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: •Patient over 18 years •patient with a non-small cell lung cancer predominantly non-squamous histologically documented •Patient planned to start a treatment or ongoing maintenance treatment with pemetrexed •Neutrophils> 1500 / mm3; platelets> 100,000 / mm3 •Written informed consent signed and dated •For patients of childbearing age, effective contraception •Creatinine clearance according to Cockcroft-Gault formula between 70 and 45 mL / min •PS=0 or 1 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: •Patient contraindicated with pemetrexed treatment •Patient with symptomatic brain metastases •Pregnant or nursing women •Patient under guardianship or submitted to major people protection regime •Patient not affiliated with a social security scheme (beneficiary or beneficiary)

Design outcomes

Primary

MeasureTime frame
Main Objective: To assess the impact of calculating the dose of pemetrexed administered according to the creatinine clearance by Cockcroft-Gault (CrCLCG) versus depending on body surface area (BSA) on the median time to treatment discontinuation for renal function = 45mL / min in patients treated for non-small lung cell cancer predominantly non-squamous in maintenance situation;Secondary Objective: To assess the impact of calculating the dose of pemetrexed administered according to the CrCLCG versus according to the SC on the time to treatment discontinuation, progression-free survival (PFS) and overall survival (OS) of patients;Primary end point(s): The median time to treatment discontinuation for renal function = 45 mL / min (Cockcroft-Gault) is defined as the time interval between the date of randomization to treatment discontinuation date due to a creatinine clearance = 45 mL / min. Treatment stops for other reasons than a too low clearance will be censored.;Timepoint(s) of evaluation of this end point: when treatment is stopped

Secondary

MeasureTime frame
Secondary end point(s): The median time to therapy discontinuation is defined as the time interval between the date of randomization and the stop date regardless of the cause. ;Timepoint(s) of evaluation of this end point: Progression-free survival is defined as the time interval between the date of randomization and the date of death from any cause or date of increase, taking into account the event occurs first. The progress will be assessed according to RECIST criteria. Progression-free survival is defined as the time interval between the date of randomization and the date of death.

Countries

France

Contacts

Public ContactRederstorff

Centre Georges François Leclerc

ERederstorff@cgfl.fr+33(0)380 76 75 003461

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026