Phase 3
N=186
Carboxyamidotriazole in Treating Patients With Stage III or Stage IV Non-small Cell Lung Cancer
Stage IIIA Non-small Cell Lung Cancer · Stage IIIB Non-small Cell Lung Cancer · Stage IV Non-small Cell Lung Cancer
Bottom Line
View on ClinicalTrials.gov: NCT00003869 ↗Enrolled (actual)
186
Serious AEs
8.2%
Results posted
Dec 2010
Primary outcome: Primary: Overall Survival (OS) — 11.4; 10.5 Months — p=0.54
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- carboxyamidotriazole (Drug); placebo (Other); quality-of-life assessment (Procedure); laboratory biomarker analysis (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- National Cancer Institute (NCI)
- Primary completion
- May 2008
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Overall Survival (OS) |
11.4; 10.5 | 0.54 |
| SECONDARY Participants With Severe Non-hematologic Adverse Events |
38; 30 | 0.18 |
| SECONDARY Time to Disease Progression (TTP) |
2.8; 2.4 | 0.50 |
| SECONDARY Clinically Significant (10-point) Decrease in UNISCALE Quality of Life (QOL)Assessment From Baseline to Week 8 |
28; 32 | 0.04 sig |
| SECONDARY Clinically Significant (10-point) Decrease in Functional Assessment of Cancer Therapy for Lung Cancer (FACT-L) Quality of Life (QOL)Assessment From Baseline to Week 8 |
27; 33 | 0.18 |
| SECONDARY Number of Patients With a Confirmed Tumor Responses Treated With CAI. |
— | — |
Summary
Randomized phase III trial to determine the effectiveness of carboxyamidotriazole in treating patients who have stage III or stage IV non-small cell lung cancer. Chemotherapeutic agents are modestly effective for the treatment of advanced lung cancer, with rapid tumor relapse and growth even after initial response to therapy. It is not yet known whether carboxyamidotriazole is more effective than no further treatment after standard chemotherapy for non-small cell lung cancer.
Eligibility Criteria
Inclusion Criteria
- TRACK I: Histologically or cytologically confirmed NSCLC stage III or IV; disease must be stable or responding after standard chemotherapy (with or without TRT) for a minimum of 3 or a maximum of 6 months
- TRACK I: Not required to have measurable or evaluable disease at study entry
- TRACK I: Must have had one and only one prior chemotherapy regimen for NSCLC (radiosensitizers are allowed)
- TRACK I: = = 1500/mm^3
- TRACK I: PLT >= 100,000/mm^3
- TRACK I: HgB >= 10.0 g/dL
- TRACK I: Total bilirubin = = 1500/mm^3
- TRACK II AT RANDOMIZATION: PLT >= 100,000/mm^3
- TRACK II AT RANDOMIZATION: HgB >= 10.0 g/dL
- TRACK II AT RANDOMIZATION: Total bilirubin =< 1.5 x UNL
- TRACK II AT RANDOMIZATION: Alkaline phosphatase =< 3 x UNL
- TRACK II AT RANDOMIZATION: AST =< 3 x UNL
- TRACK II AT RANDOMIZATION: Creatinine =< 1.5 x UNL
- TRACK II AT RANDOMIZATION: Expected survival of at least three months
Exclusion Criteria
- TRACK I: Pregnant, nursing women, females or sexual partners of childbearing potential not using adequate contraception (condoms, diaphragm, birth control pills, injections, intrauterine device [IUD], or abstinence, etc.) while on study treatment and for two months after discontinuing study treatment as this regimen may be harmful to a developing fetus or nursing child
- TRACK I: Untreated brain metastases
- TRACK I: Concomitant participation in a phase III lung cancer treatment trial
- TRACK I: Planned concurrent chemotherapy, immunotherapy or radiotherapy
- TRACK II AT RANDOMIZATION: Pregnant, nursing women, females or sexual partners of childbearing potential not using adequate contraception (condoms, diaphragm, birth control pills, injections, intrauterine device [IUD], or abstinence, etc.) while on study treatment and for two months after discontinuing study treatment as this regimen may be harmful to a developing fetus or nursing child
- TRACK II AT RANDOMIZATION: Untreated brain metastases
- TRACK II AT RANDOMIZATION: Planned concurrent chemotherapy, immunotherapy, or radiotherapy
Data sourced from ClinicalTrials.gov (NCT00003869). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.