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Trial Title:
Sorafenib and Erlotinib in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer That Has Not Responded to Chemotherapy
NCT ID:
NCT00801385
Condition:
Lung Cancer
Conditions: Official terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Erlotinib Hydrochloride
Sorafenib
Conditions: Keywords:
recurrent non-small cell lung cancer
stage IIIB non-small cell lung cancer
stage IV non-small cell lung cancer
Study type:
Interventional
Study phase:
Phase 2
Overall status:
Unknown status
Study design:
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
erlotinib hydrochloride
Intervention type:
Drug
Intervention name:
sorafenib tosylate
Intervention type:
Genetic
Intervention name:
DNA analysis
Intervention type:
Genetic
Intervention name:
mutation analysis
Intervention type:
Genetic
Intervention name:
polymerase chain reaction
Intervention type:
Genetic
Intervention name:
protein analysis
Intervention type:
Genetic
Intervention name:
protein expression analysis
Intervention type:
Other
Intervention name:
immunohistochemistry staining method
Intervention type:
Other
Intervention name:
laboratory biomarker analysis
Summary:
RATIONALE: Sorafenib and erlotinib may stop the growth of tumor cells by blocking some of
the enzymes needed for cell growth. Sorafenib may also stop the growth of non-small cell
lung cancer by blocking blood flow to the tumor. Giving sorafenib together with erlotinib
may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving sorafenib together with
erlotinib works in treating patients with stage IIIB or stage IV non-small cell lung
cancer that has not responded to chemotherapy.
Detailed description:
OBJECTIVES:
Primary
- To assess the response rate of sorafenib tosylate in combination with erlotinib
hydrochloride in patients with stage IIIB-IV non-small cell lung cancer refractory
to 1 or 2 prior chemotherapy regimens.
Secondary
- To assess the response duration in patients treated with this regimen.
- To assess the disease control rate in patients treated with this regimen.
- To assess the progression-free survival of patients treated with this regimen.
- To assess the overall survival of patients treated with this regimen.
- To assess the safety and tolerability of this regimen in these patients.
- To analyze biomarkers, including evaluation of EGFR expression, mutational analysis
of EGFR and K-ras, and immunohistochemical analysis of EGFR downstream pathway
(phospho-EGFR, phospho-AKT, phospho-Erk, phospho-STAT3).
OUTLINE: This is a multicenter study.
Patients receive oral erlotinib hydrochloride once daily and oral sorafenib tosylate
twice daily on days 1-28. Courses repeat every 28 days in the absence of disease
progression or unacceptable toxicity.
Tissue samples are analyzed at the nucleic acid level for EGFR mutation (exon 18-21) and
K-ras mutation (exon 2), DNA mutations via PCR, presence of EGFR protein by IHC, and
downstream effectors of EGFR activation by IHC.
After completion of study therapy, patients are followed periodically.
Criteria for eligibility:
Criteria:
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed non-small cell lung cancer
- Advanced (stage IIIB-IV) or recurrent disease
- Must have failed 1 or 2 prior chemotherapy regimens, including platinum-containing
regimen
- At least 1 unidimensionally measurable lesion > 10 mm by spiral CT scan or > 20 mm
by conventional CT scan
- Previously irradiated lesions cannot be included as sites of measurable disease
unless clear tumor progression has been documented in the lesions since the end
of radiotherapy
- No known or suspected brain metastases
- Patients with clinical signs or symptoms that are suspicious of brain
metastasis must have a pre-treatment CT scan or MRI of the brain
- Patients with prior brain metastases are eligible provided they have completed
their treatment for brain metastases, no longer require corticosteroids, and
are asymptomatic
PATIENT CHARACTERISTICS:
- ECOG performance status 0-2
- WBC 4,000-12,000/μL
- Neutrophil ≥ 1,500/μL
- Platelet count ≥ 100,000/μL
- Hemoglobin ≥ 9.0 g/dL
- Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
- AST and ALT ≤ 2.0 times ULN
- Alkaline phosphatase ≤ 2.0 times ULN
- Serum creatinine ≤ 1.5 times ULN
- Not pregnant or nursing
- No active clinically serious infections
- No prior or concurrent cancer that is distinct in primary site or histology from the
cancer being evaluated in this study except cervical carcinoma in situ, treated
basal cell carcinoma, superficial bladder tumors (Ta, Tis and T1), or any cancer
curatively treated > 5 years before study
- Able to swallow oral medications
- No substance abuse or medical, psychological, or social conditions that may
interfere with participation in the study or evaluation of the study results
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Recovered from all prior therapy
- No prior anti-EGFR targeted therapy
- At least 4 weeks since prior surgery
- At least 4 weeks since prior and no concurrent radiotherapy
- No prior radiotherapy to the whole pelvis or chest or to ≥ 25% of the bone
marrow
- No other concurrent anticancer agents (e.g., chemotherapy or immunotherapy agents)
which might affect evaluation of study treatment
Gender:
All
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
Yonsei Cancer Center at Yonsei University Medical Center
Address:
City:
Seoul
Zip:
120-752
Country:
Korea, Republic of
Status:
Recruiting
Contact:
Last name:
Joo-Hang Kim, MD
Phone:
82-2-2228-8131
Email:
kjhang@yuhs.ac
Start date:
September 2008
Lead sponsor:
Agency:
Yonsei University
Agency class:
Other
Source:
National Cancer Institute (NCI)
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT00801385
