Non Small Cell Lung Cancer (NSCLC)
Conditions
Brief summary
The purpose of this study is to estimate and compare the objective response rate of SPI-1620 administered in combination with docetaxel in patients with NSCLC and to determine the safety of SPI-1620 when administered in combination with docetaxel.
Detailed description
This will be a two part study. In Single Arm Part, patients will receive 11 μg/m2 of SPI-1620 IV followed by docetaxel 75 mg/m2 IV. Cycles will continue every 3 weeks until progression or intolerable toxicity. Overall 27 patients will be enrolled in the Single Arm Part. If 6 or more responses (CR/PR) are observed in this group then the Randomized Part will be initiated. In the Randomized Part approximately 200 patients (100 per arm) will be randomized to receive SPI-1620 plus docetaxel or docetaxel alone. In the experimental arm, patients will receive 11 μg/m2 of SPI-1620 IV followed by docetaxel 75 mg/m2 IV administered in 3-week cycles until progression or intolerable toxicity. In the control arm, patients will receive 75 mg/m2 docetaxel in 3-week cycles until progression or intolerable toxicity.
Interventions
SPI-1620 11 μg/m2 administered intravenously over one minute.
Docetaxel: 75 mg/m2 administered as IV infusion.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically confirmed locally advanced or metastatic NSCLC that has failed one prior platinum-containing chemotherapy * Measurable disease as per RECIST v. 1.1 * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2 * Adequate bone marrow, liver and renal function
Exclusion criteria
* More than one prior chemotherapy regimen for metastatic NSCLC * Known, uncontrolled central nervous system (CNS) metastases * Significant circulatory disorders in the past 6 mo. * Concomitant treatment with phosphodiesterase inhibitors * Uncontrolled orthostatic hypotension, asthma or chronic obstructive pulmonary disease (COPD)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective Response Rate(ORR) of SPI-1620 | Up to 2 years | To estimate and compare the objective response rate of SPI-1620 administered in combination with docetaxel in patients with NSCLC |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of Response (DoR) | Up to 12 weeks | only in Randomized Part. |
| Progression-free survival(PFS) | 2 years from the start of study treatment | only in Randomized Part |
| Overall survival (OS) | 2 years from the start of study treatment | — |
| Safety of SPI-1620 | Up to 2 years | Periodic physical examinations with vital sign monitoring, safety laboratories and monitoring of adverse events will be performed. |
Countries
United States