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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00547651
Registration number
NCT00547651
Ethics application status
Date submitted
18/10/2007
Date registered
22/10/2007
Date last updated
6/11/2019
Titles & IDs
Public title
AMR PH GL 2007 CL001 Phase 3 Trial in Patients With Small Cell Lung Cancer After Failure of First-Line Chemotherapy
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Scientific title
AMR PH GL 2007 CL001 Phase 3 A Randomized, Open-Label, Multinational Phase 3 Trial Comparing Amrubicin Versus Topotecan in Patients With Extensive or Limited and Sensitive or Refractory Small Cell Lung Cancer After Failure of First-Line Chemotherapy
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Secondary ID [1]
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AMR PH GL 2007 CL001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Small Cell Lung Cancer
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Condition category
Condition code
Cancer
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Lung - Mesothelioma
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Cancer
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Lung - Non small cell
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Cancer
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Amrubicin
Treatment: Drugs - Topotecan
Experimental: Amrubicin - Amrubicin
Active comparator: Topotecan - Topotecan
Treatment: Drugs: Amrubicin
Amrubicin for injection is supplied as 50-mg vials. Patients will receive 40 mg/m2 amrubicin as a 5-minute infusion once daily for 3 consecutive days starting on Day 1 of a 21-day course
Treatment: Drugs: Topotecan
Topotecan for injection is supplied as 4-mg vials. Patients will receive 1.5 mg/m2 as a 30-minute infusion once daily for 5 consecutive days starting on Day 1 of a 21-day course
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The primary objective is to demonstrate superiority in overall survival of amrubicin compared with topotecan hydrochloride in patients with small cell lung cancer (SCLC) after failure of first-line chemotherapy.
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Assessment method [1]
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Timepoint [1]
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Until death from any cause
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Secondary outcome [1]
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To further characterize the clinical benefit of amrubicin compared with topotecan in terms of objective response rate
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Assessment method [1]
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Timepoint [1]
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Until death
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Secondary outcome [2]
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To further characterize the clinical benefit of amrubicin compared with topotecan in terms of progression-free survival.
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Assessment method [2]
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Timepoint [2]
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Until death
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Secondary outcome [3]
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To further characterize the clinical benefit of amrubicin compared with topotecan in terms of duration of response
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Assessment method [3]
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Timepoint [3]
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Until death
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Secondary outcome [4]
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To further characterize the clinical benefit of amrubicin compared with topotecan in terms of time to tumor progression
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Assessment method [4]
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Timepoint [4]
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Until death
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Secondary outcome [5]
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To further characterize the clinical benefit of amrubicin compared with topotecan in terms of safety
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Assessment method [5]
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Timepoint [5]
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Until death
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Secondary outcome [6]
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To further characterize the clinical benefit of amrubicin compared with topotecan in terms of quality of life
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Assessment method [6]
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Timepoint [6]
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Until death
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Eligibility
Key inclusion criteria
* Histological or cytological diagnosis of SCLC at study entry according to the International Association for the Study of Lung Cancer (IASLC) histopathologic classification. Mixed or combined subtypes according to the IASLC are not allowed;
* SCLC that is either sensitive (defined as a response including stable disease to first-line platinum-based chemotherapy, with subsequent progression >/= 90 days after completing first-line chemotherapy) or refractory (defined as best response to first-line platinum-based chemotherapy or progression < 90 days after completing first-line chemotherapy);
* Extensive or limited disease; patients with limited disease who are candidates for local or regional salvage radiation therapy must have been offered such treatment prior to participation in this study;
* Radiographically documented progression after first-line treatment with platinum-based chemotherapy;
* No more than 1 prior chemotherapy regimen;
* At least 18 years of age;
* ECOG performance status of 0 - 1
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Chest radiotherapy with curative intent to the primary disease complex </= 28 days prior to first dose; CNS radiotherapy </= 21 days prior to first dose; radiotherapy to all other areas </= 7 days prior to first dose;
* Prior anthracycline, topotecan, or irinotecan treatment.
* Prior anthracycline or topotecan treatment.
* Patients with know history of seropositive human immunodeficiency virus (HIV) or patients who are receiving immunosuppressive medications that would increase the risk of serious neutropenic complications
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2011
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Sample size
Target
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Accrual to date
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Final
637
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA
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Recruitment hospital [1]
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Royal North Shore Hospital - St. Leonards
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New South Wales Southern Medical Day Care Centre - Wollongong
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The Princess Alexandra Hospital, Dept of Respiratory Medicine - Woolloongabba
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Flinders Medical Centre - Bedford Park
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The Queen Elizabeth Hospital - Woodville South
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2065 - St. Leonards
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2500 - Wollongong
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- Woolloongabba
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5042 - Bedford Park
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SA 5011 - Woodville South
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Celgene
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Ethics approval
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Summary
Brief summary
This study drug (Amrubicin) is believed to work by stopping the tumor cells in your body from growing. The purpose of this study is to evaluate the effect of amrubicin compared to topotecan in the treatment of small cell lung cancer.
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Trial website
https://clinicaltrials.gov/study/NCT00547651
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Trial related presentations / publications
von Pawel J, Jotte R, Spigel DR, O'Brien ME, Socinski MA, Mezger J, Steins M, Bosquee L, Bubis J, Nackaerts K, Trigo JM, Clingan P, Schutte W, Lorigan P, Reck M, Domine M, Shepherd FA, Li S, Renschler MF. Randomized phase III trial of amrubicin versus topotecan as second-line treatment for patients with small-cell lung cancer. J Clin Oncol. 2014 Dec 10;32(35):4012-9. doi: 10.1200/JCO.2013.54.5392. Epub 2014 Nov 10.
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Public notes
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Contacts
Principal investigator
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Markus Renschler, M.D.
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Address
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Celgene Corporation
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00547651
Download to PDF