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ABI-007 in Treating Patients With Chemotherapy-Naïve Stage IV Non-Small Cell Lung Cancer

An Open-Label, Phase I/II Trial Of ABI-007 (A CREMOPHOR® El-Free, Protein Stabilized, Nanoparticle Paclitaxel) Administered Weekly In Chemotherapy Naive Patients With Advanced Non-Small Cell Lung Cancer

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00077246
Enrollment
64
Registered
2004-02-11
Start date
2003-09-30
Completion date
Unknown
Last updated
2013-11-06

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

Conditions

Lung Cancer

Keywords

stage IV non-small cell lung cancer, recurrent non-small cell lung cancer

Brief summary

RATIONALE: Drugs used in chemotherapy, such as ABI-007, work in different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: This phase I/II trial is studying the side effects and best dose of ABI-007 and to see how well it works in treating patients with stage IV non-small cell lung cancer.

Detailed description

OBJECTIVES: Primary * Determine the maximum tolerated dose and dose-limiting toxicity of paclitaxel (albumin-stabilized Nanoparticle formulation) (ABI-007) in patients with chemotherapy-naïve stage IV non-small cell lung cancer. * Determine the antitumor activity of this drug in these patients. * Determine the safety and tolerability of this drug in these patients. Secondary * Determine the time to disease progression in patients treated with this drug. * Determine duration of response in patients treated with this drug. * Determine survival of patients treated with this drug. OUTLINE: This is an open-label, dose-escalation study. * Phase I: Patients receive paclitaxel (albumin-stabilized Nanoparticle formulation) (ABI-007) IV on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of ABI-007 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. * Phase II: Patients receive ABI-007 as above at the MTD (determined in phase I). Patients are followed monthly for 6 months and then every 3 months for 1.5 years. PROJECTED ACCRUAL: A total of 64 patients will be accrued for this study.

Interventions

DRUGpaclitaxel albumin-stabilized nanoparticle formulation

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
Memorial Sloan Kettering Cancer Center
Lead SponsorOTHER

Study design

Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed stage IV non-small cell lung cancer * Evidence of inoperable local recurrence or metastasis * Bone metastases or other nonmeasurable disease may not be only evidence of metastasis * Measurable disease documented radiographically * No evidence of active brain metastases or leptomeningeal involvement PATIENT CHARACTERISTICS: Age * 18 and over Performance status * ECOG 0-1 OR * Karnofsky 80-100% Life expectancy * More than 12 weeks Hematopoietic * Absolute neutrophil count ≥ 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Hemoglobin ≥ 9 g/dL Hepatic * AST and ALT ≤ 2.5 times upper limit of normal (ULN) * Bilirubin normal * Alkaline phosphatase ≤ 2.5 times ULN (unless due to bone metastases and there is no radiologic evidence of hepatic metastases) Renal * Creatinine ≤ 1.5 mg/dL Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective barrier contraception for 1 month before and during study participation * No prior allergy or hypersensitivity to study drug * No other concurrent active malignancy * No pre-existing peripheral neuropathy grade 1 or greater * No other concurrent clinically significant illness * No concurrent serious medical risk factor involving any of the major organ systems that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy * Not specified Chemotherapy * No prior chemotherapy for metastatic disease * More than 4 weeks since prior cytotoxic chemotherapy * No concurrent doxorubicin * No other concurrent taxanes * No concurrent anthracyclines Endocrine therapy * Not specified Radiotherapy * At least 3 weeks since prior radiotherapy to a major bone marrow-containing area * More than 4 weeks since prior radiotherapy except to a non-target lesion * Prior radiotherapy to a target lesion allowed provided there has been clear progression of the lesion since completion of radiotherapy Surgery * Not specified Other * Prior epidermal growth factor-targeted therapy allowed * More than 4 weeks since prior investigational drugs * No concurrent enrollment in another clinical trial in which investigational drugs are administered or investigational procedures are performed * No concurrent treatment with any of the following: * Ritonavir * Saquinavir * Indinavir * Nelfinavir * No concurrent anticonvulsants * No other concurrent anticancer drugs * No other concurrent investigational drugs

Design outcomes

Primary

MeasureTime frame
Maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) of ABI-007
Objective target lesion response (complete or partial) as measured by RECIST criteria

Secondary

MeasureTime frame
Changes in hematologic and clinical chemistry values
Changes in physical examination
Incidence of dose modifications, dose interruptions, and/or premature discontinuation of study treatment
Percentage of patients with stable disease for ≥ 16 weeks
Incidence of treatment-emergent adverse events and serious adverse events
Time to disease progression
Duration of response
Survival
Percentage of patients with complete or partial target response (total response)
Nadir of myelosuppression

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026