Status:

COMPLETED

Study of Oral Topotecan With Bevacizumab for Recurrent Small Cell Lung Cancer

Lead Sponsor:

GlaxoSmithKline

Conditions:

Recurrent Small-cell Lung Cancer (SCLC)

Lung Cancer, Small Cell

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Combination of Hycamtin (topotecan) and Avastin (bevacizumab) could allow killing of both endothelial and neoplastic cells. We postulate that addition of bevacizumab to topotecan will increase deliver...

Eligibility Criteria

Inclusion

  • Histologically or cytologically confirmed diagnosis of SCLC.
  • First recurrence of SCLC after therapy with one prior chemotherapy regimen at initial diagnosis.
  • Relapsed SCLC of any duration (both sensitive and resistant relapse).
  • ECOG performance status of \</= 2.
  • Adequate bone marrow reserve, hepatic, renal, and cardiovascular function.
  • No prior therapy with bevacizumab or any other VEGF inhibitor or topotecan

Exclusion

  • Uncontrolled emesis, regardless of etiology.
  • Active uncontrolled infection.
  • GI conditions or drugs that could impact absorption of oral topotecan.
  • Known hypersensitivity to any component of topotecan capsule or compounds chemically related to topotecan.
  • Uncontrolled hypertension with BP\>150/100.
  • Prior h/o hypertensive crisis or encephalopathy.
  • NYHA Grade II or greater congestive heart failure.
  • H/O myocardial infarction within 6 months.
  • H/O stroke or TIA within 6 months.
  • H/O thrombotic or hemorrhagic disorders.
  • Clinically significant vascular disease (e.g., aortic aneurysm requiring surgical repair or recent peripheral arterial thrombosis) within 6 months.
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days.
  • Anticipation of need for major surgical procedure during the study.
  • Minor surgical procedures within 7 days prior to treatment start (placement of vascular access devices is permitted).
  • H/O abdominal fistula, GI perforation, or intra-abdominal abscess within prior 6 months. Serious, non-healing wound, active ulcer, or untreated bone fracture. - H/O hemoptysis within prior 1 month.
  • Concurrent radiotherapy.
  • H/O whole lung radiation within 90 days prior to start of treatment.
  • Presence or h/o central nervous system or brain metastases.
  • H/o another malignancy other than SCLC.
  • Concurrent chemotherapy, immunotherapy, or investigational therapy for the treatment of small cell lung cancer.

Key Trial Info

Start Date :

July 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2010

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT00698516

Start Date

July 1 2008

End Date

May 1 2010

Last Update

March 27 2012

Active Locations (16)

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Page 1 of 4 (16 locations)

1

GSK Investigational Site

Jonesboro, Arkansas, United States, 72401

2

GSK Investigational Site

Gainesville, Florida, United States, 32605

3

GSK Investigational Site

Naples, Florida, United States, 34119

4

GSK Investigational Site

Athens, Georgia, United States, 30607