Non-small Cell Lung Cancer, Recurrent Non-small Cell Lung Cancer, Stage IV Non-small Cell Lung Cancer
Conditions
Brief summary
This trial is studying two different schedules of docetaxel and bortezomib to compare how well they work in treating patients with progressive or recurrent non-small cell lung cancer. Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving docetaxel together with bortezomib may kill more tumor cells
Detailed description
PRIMARY OBJECTIVE: I. To compare the efficacy and tolerability of sequential vs concurrent docetaxel and bortezomib in patients with previously treated, progressive or recurrent, advanced non-small cell lung cancer (NSCLC). SECOND OBJECTIVES: I. To compare time to progression in patients with previously treated NSCLC treated with these regimens. II. To compare 1-year and overall survival of patients treated with these regimens. III. To compare the toxicity of these regimens in these patients. IV. To determine the pharmacokinetics of docetaxel in the context of this study. TERTIARY OBJECTIVE: I. To determine levels of expression of molecular markers regulated by docetaxel and bortezomib and correlate with clinical response and overall survival of these patients. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to ECOG performance status (0 vs 1) and number of prior chemotherapy treatments (1 vs \>1). Patients are randomized to 1 of 2 treatment arms. ARM I: Patients receive docetaxel IV over 60 minutes on day 1 and bortezomib IV over 3-5 seconds on days 1 and 8. Treatment repeats every 21 days for up to 8 courses in the absence of disease progression or unacceptable toxicity. ARM II: Patients receive docetaxel as in arm I and bortezomib IV over 3-5 seconds on days 2 and 8. Treatment repeats every 21 days for up to 8 courses in the absence of disease progression or unacceptable toxicity. After completion of study therapy, patients are followed periodically.
Interventions
Given IV
Given IV
correlative study
correlative study
correlative study
correlative study
Sponsors
Study design
Eligibility
Inclusion criteria
Criteria: * No other prior malignancy except adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated stage I or II cancer for which the patient is currently in complete remission, or any other cancer for which the patient has been disease-free for 5 years. * Histologically or cytologically confirmed non-small cell lung cancer (NSCLC). * Progressive or recurrent NSCLC after treatment with 1 prior platinum-based chemotherapy regimen for metastatic disease. Prior neoadjuvant/adjuvant chemotherapy and/or concurrent chemoradiation for early-stage disease allowed. * At least 4 weeks since prior chemotherapy (6 weeks for mitomycin C or nitrosoureas) and recovered. * No prior docetaxel or bortezomib * Prior epidermal growth factor receptor inhibitor therapy allowed. * Prior paclitaxel allowed * At least 4 weeks since prior major surgery and recovered. * At least 2 weeks since prior and no concurrent enzyme-inducing anticonvulsants. * No concurrent hormonal therapy, biologic therapy, or radiotherapy to measurable lesions. Concurrent palliative radiotherapy to small-field nonindicator lesions (e.g., painful bony metastases) allowed. * Measurable disease\* with \>= 1 unidimensionally objectively measurable lesion, including any of the following: * Lung mass (measurable on chest x-ray, tomograms, or CT scan) * Enlarged lymph nodes * Liver metastasis (measurable as a discrete focal lesion on radionuclide or CT scan, or ultrasound) * Metastatic abdominal mass (measurable on CT scan with \>= 1 perpendicular diameter ≥ the distance between cuts) * Measurable disease must be outside the previous radiation field or a new lesion must be present. * Life expectancy \>= 12 weeks * Progressive disease within a previously radiated field allowed. * \[Note: \*Measurable disease DOES NOT include bone metastases or non-focal liver metastases\]. * No symptomatic or untreated brain metastasis requiring steroids. Asymptomatic, previously treated (surgical resection or radiotherapy) brain metastasis allowed provided they are neurologically stable and \>= 4 weeks since prior steroids. * Creatinine clearance \>= 50 mL/min * Creatinine =\< 1.6 mg/dL * Bilirubin normal * AST =\< 2 times upper limit of normal * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No peripheral neuropathy \>= grade 2 * Absolute granulocyte count \>= 1,500/mm³ * Platelet count \>= 100,000/mm³ * Cutaneous nodule * ECOG performance status 0-1 * At least 4 weeks since prior radiotherapy and recovered.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate | Up to 4 years | Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT, MRI or X-ray: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival | From first day of treatment to time of death due to any cause, up to 4 years | Will be estimated using the product-limit method of Kaplan and Meier. |
| Disease Control Rate | Up to 4 years | Disease control rate was defined as the rate of partial response (PR) plus stable disease (SD; for at least 2 cycles). |
| Progression-free Survival @ 6 Months | 6 months | Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Arm 1 Patients receive docetaxel IV at 75 mg/m2 on day 1 and bortezomib IV at 1.6 mg/m2 seconds on days 1 and 8.
docetaxel: Given IV
bortezomib: Given IV
laboratory biomarker analysis: correlative study
immunoenzyme technique: correlative study
immunohistochemistry staining method: correlative study
pharmacological study: correlative study | 40 |
| Arm 2 Patients receive docetaxel IV at 75 mg/m2 on day 1 and bortezomib IV at 1.6 mg/m2 seconds on days 2 and 8.
docetaxel: Given IV
bortezomib: Given IV
laboratory biomarker analysis: correlative study
immunoenzyme technique: correlative study
immunohistochemistry staining method: correlative study
pharmacological study: correlative study | 41 |
| Total | 81 |
Baseline characteristics
| Characteristic | Arm 1 | Arm 2 | Total |
|---|---|---|---|
| Age, Continuous | 61 years | 61 years | 61 years |
| Race/Ethnicity, Customized African Americian | 5 participants | 1 participants | 6 participants |
| Race/Ethnicity, Customized Asian | 3 participants | 6 participants | 9 participants |
| Race/Ethnicity, Customized Caucasion | 32 participants | 33 participants | 65 participants |
| Race/Ethnicity, Customized Other | 0 participants | 1 participants | 1 participants |
| Region of Enrollment United States | 40 participants | 41 participants | 81 participants |
| Sex: Female, Male Female | 17 Participants | 21 Participants | 38 Participants |
| Sex: Female, Male Male | 23 Participants | 20 Participants | 43 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 40 / 40 | 41 / 41 |
| serious Total, serious adverse events | 15 / 40 | 21 / 41 |
Outcome results
Overall Response Rate
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT, MRI or X-ray: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR
Time frame: Up to 4 years
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm 1 | Overall Response Rate | 10 percentage of participants |
| Arm 2 | Overall Response Rate | 10 percentage of participants |
Disease Control Rate
Disease control rate was defined as the rate of partial response (PR) plus stable disease (SD; for at least 2 cycles).
Time frame: Up to 4 years
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm 1 | Disease Control Rate | 50 percentage of participants |
| Arm 2 | Disease Control Rate | 49 percentage of participants |
Overall Survival
Will be estimated using the product-limit method of Kaplan and Meier.
Time frame: From first day of treatment to time of death due to any cause, up to 4 years
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Arm 1 | Overall Survival | 13.3 Months |
| Arm 2 | Overall Survival | 7.8 Months |
Progression-free Survival @ 6 Months
Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Time frame: 6 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm 1 | Progression-free Survival @ 6 Months | 30 percent of participants |
| Arm 2 | Progression-free Survival @ 6 Months | 17 percent of participants |