ClinicalTrials.gg
CompletedNCT00418886ZEALUpdated Dec 31, 2024Results posted

Efficacy Study Comparing ZD6474 in Combination With Pemetrexed and Pemetrexed Alone in 2nd Line NSCLC Patients

A Phase 3 interventional study of Vandetanib and Pemetrexed in Non Small Cell Lung Cancer and Lung Cancer, sponsored by Genzyme, a Sanofi Company. Completed at 110 sites in 21 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-31.

Sponsored by Genzyme, a Sanofi Company (part of Sanofi) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
698
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Non-small cell lung cancer (NSCLC) can be treated with drugs that kill tumour cells, stop them from dividing, or stop the growth of the blood supply that cancers need to grow and spread. Clinical research has shown that drugs that inhibit vascular endothelial growth factor receptor (VEGFR) or epidermal growth factor receptor (EGFR) signalling can increase overall survival in patients with advanced non-small cell lung cancer (NSCLC). Preclinical studies have shown that vandetanib (ZD6474) is an inhibitor of both VEGFR and EGFR signalling. Giving vandetanib may therefore inhibit the growth of cancer cells by blocking their blood supply and by stopping them from dividing. This lung cancer study is to investigate if adding vandetanib to Alimta (pemetrexed) is more effective than Alimta (pemetrexed) alone.

Read the detailed description

This randomized phase III non-small cell lung cancer clinical trial is studying the effect of Alimta (pemetrexed) plus vandetanib to see how well the combination works compared to Alimta (pemetrexed) alone in patients who have previously been treated for non-small cell lung cancer (NSCLC).

02

Conditions studied

  • Non Small Cell Lung Cancer
  • Lung Cancer

Keywords

  • NSCLC
  • Non Small Cell Lung Cancer
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's enrollment of 698 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Genzyme, a Sanofi Company is the lead sponsor of 308 studies on the registry; 5 are open to participants now.

Of its 25 completed or terminated interventional studies of FDA-regulated products, 19 (76%) have results posted.

First submitted before Genzyme became part of Sanofi.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Provision of
  • Female or male aged 18 years or above
  • Histologic or cytologic confirmation of locally advanced or NSCLC (stage IIIB or IV) on entry into study
  • Failure of anti-cancer therapy (either radiological documentation of disease progression or due to toxicity) or subsequent relapse of disease following 1st line therapy
  • 0 - 2
  • One or more at least 10 mm in the longest diameter (LD) by spiral CT scan or 20 mm with conventional techniques according to criteria. Previously irradiated lesions will not be considered measurable.
  • of 12 weeks or longer
  • Negative pregnancy test for women of only

Exclusion criteria

Exclusion Criteria:

  • Mixed small cell and non-small cell lung cancer histology
  • Patients have received or subsequent anti-cancer therapy
  • Prior treatment with pemetrexed
  • Prior treatment with VEGFR TKIs (previous treatment with bevacizumab [Avastin] is permitted)
  • Known or suspected or spinal cord compression, unless treated at least 4 weeks before entry, and stable without treatment for 10 days
  • The last radiation therapy within 4 weeks before the start of study therapy, not including local palliative radiation
  • The last dose of prior chemotherapy or other anti-cancer therapy is discontinued less than 3 weeks before the start of study therapy (6 weeks for nitrosoureas, mitomycin, and suramin)
  • Major surgery within 4 weeks before entry, or incompletely healed surgical incision
  • Neutrophils \<1.5 x 109/L or \<100 x 109/L
  • Serum >1.5 x the upper limit of reference range (ULRR)
  • \<50 ml/min calculated by either Cockcroft -Gault, 24 hours urine collection, EDTA scan or other validated methods
  • (ALT) or aspartate aminotransferase (AST) >2.5 x ULRR in the absence of liver , or > 5 x ULRR in the presence of liver metastases
  • Alkaline phosphatase (ALP) >2.5 x ULRR in the absence of liver metastases, or >5 x ULRR in the presence of liver metastases
  • Current active gastrointestinal disease that may affect the ability of the patient to absorb ZD6474 or tolerate diarrhoea
  • Evidence of severe or uncontrolled systemic disease or any concurrent condition which in the investigator's opinion makes it undesirable for the patient to participate in the study or which would jeopardize compliance with the protocol
  • Any unresolved toxicity greater than Grade 2 from previous anti-cancer therapy
  • Significant cardiovascular event (e.g., myocardial infarction, superior vena cava [SVC] syndrome), [NYHA] classification of heart disease ≥2 within 3 months before entry, or presence of cardiac disease that in the opinion of the Investigator increases the risk of ventricular arrhythmia
  • History of arrhythmia (multifocal premature ventricular contractions [PVCs], bigeminy, trigeminy, ventricular tachycardia, or uncontrolled atrial fibrillation) which is symptomatic or requires treatment (CTCAE grade 3) or asymptomatic sustained ventricular tachycardia. Atrial fibrillation, controlled on medication is not excluded
  • Congenital long syndrome or 1st degree relative with unexplained sudden death under 40 years of age
  • QT prolongation with other medications that required discontinuation of that medication
  • Presence of left bundle branch block (LBBB)
  • QTc with Bazett's correction unmeasurable or ≥ 480 msec on screening (Note: If a patient has QTc interval ≥480 msec on screening ECG, the screen ECG may be repeated twice [at least 24 hours apart]. The average QTc from the three screening ECGs must be \<480 msec in order for the patient to be eligible for the study) Patients who are receiving a drug that has a risk of QTc prolongation are eligible if QTc is \<460 msec.
  • Potassium \<4.0 mmol/L despite supplementation; serum calcium (or ionized or adjusted for albumin), or magnesium out of normal range despite supplementation
  • Women who are pregnant or breast-feeding
  • Any concomitant medications that may cause QTc prolongation or induce Torsades de Pointes or induce function. Drugs that have a risk of QTc prolongation, that in the investigator's opinion cannot be discontinued, are allowed, but only of the QTc is \<460 msec
  • Hypertension not controlled by medical therapy (systolic blood pressure greater than 160 millimetre of mercury [mmHg] or diastolic blood pressure greater than 100 mmHg)
  • Previous or current of other histologies within the last 5 years, with the exception of in situ carcinoma of the cervix and adequately treated basal cell or squamous cell carcinoma of the skin
  • Treatment with a non-approved or drug within 30 days before Day 1 of study treatment
  • Concomitant use of yellow fever vaccine or any
Terms in these criteria, in plain language(22)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
698 participants (actual)

Study arms

  • Placebo comparator
    1

    Placebo Vandetanib + Pemetrexed

    Drug: Pemetrexed

  • Experimental
    2

    Vandetanib + Pemetrexed

    Drug: Vandetanib · Drug: Pemetrexed

Interventions

  • oral once daily tablet

    Also known as: ZACTIMA™, ZD6474, SAR390530

  • intravenous infusion

    Also known as: Pemetrexed disodium, Alimta®

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS) in the Overall Population

    Median time (in weeks) from randomization until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable Response Evaluation Criteria in Solid Tumors (RECIST) assessment.

    Time frame: RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression

  2. Progression-Free Survival in the Female Population

    Median time (in weeks) from randomization until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable RECIST assessment.

    Time frame: RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression

Secondary outcomes

  1. Overall Survival (OS)

    The OS is defined as the time from date of randomization until death. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive (i.e, their status must be known at the censored date and should not be lost to follow up or unknown).

    Time frame: Time to death in months

  2. Objective Response Rate (ORR)

    The ORR is the number of participants that are responders i.e, those participants with a confirmed best objective response of complete response (CR) or partial response (PR) as defined by RECIST criteria. The categories for best objective response are CR, PR, stable disease (SD)\>= 6 weeks, progressive disease (PD) or NE.

    Time frame: Each participant was assessed for objective response from the sequence of RECIST scan data up to data cut off. RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression

  3. Disease Control Rate (DCR)

    The DCR is defined as the number of patients who achieved disease control at 6 weeks following randomization. Disease control at 6 weeks is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) \>= 6 weeks.

    Time frame: RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression

  4. Duration of Response (DoR)

    Response is defined as a confirmed best objective response of CR or PR. Duration of response is defined as time from the date of first documented response until date of documented progression or death in the absence of disease progression (provided death is within 3 months of last RECIST assessment).

    Time frame: RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression

  5. Time to Deterioration of Disease-Related Symptoms (TDS) by Lung Cancer Symptom Scale (LCSS) Total Score

    TDS is the interval from the date of randomization to the first assessment of worsened without an improvement in the next 21 days. A deterioration in symptoms is defined as a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 21 days. The LCSS scale measures changes in symptoms associated with lung cancer.

    Time frame: LCSS questionnaires are to be administered every 3 weeks after randomization

  6. Time to Deterioration of Disease-Related Symptoms by Average Symptom Burden Index (ASBI) Score

    Time to deterioration is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 21 days. A deterioration in symptoms is defined as a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 21 days. The ASBI is derived from 6 of LCSS's 9 items.

    Time frame: ASBI is a score taken from the LCSS questionnaires which are to be administered every 3 weeks after randomization

  7. Longitudinal Analysis of Lung Cancer Symptom Scale Total Score

    The longitudinal data analysis will include all non-missing visit scores and the model will include only the first 12 weeks of data. LCSS total score is an average of all 9 visual analogue participant scales from "none" \[0 millimeter (mm)\] to "as much as it could be" (100 mm).

    Time frame: LCSS questionnaires are to be administered every 3 weeks after randomization

  8. Longitudinal Analysis of Average Symptom Burden Index Score

    The longitudinal data analysis will include all non-missing visit scores and the model will include only the first 12 weeks of data. ASBI is an average of the 6 symptom visual analogue patient scales from "none" (0 mm) to "as much as it could be" (100 mm).

    Time frame: ASBI is a score taken from the LCSS questionnaires administered every 3 weeks after randomization

07

Results

Posted Mar 26, 2012

Participant flow

First participant enrolled 09 January 2007, last participant enrolled 29 February 2008, cut off date 05 September 2008.

Randomized Period
Participant flow — Randomized Period
MilestoneVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Started256278
Treated260273
Completed3023
Not completed226255
Withdrew: Discontinue treatment survival follow-up9091
Withdrew: Death122147
Withdrew: Withdrawal by subject910
Withdrew: Lost to follow-up46
Withdrew: Withdrawn due to other reason10
Withdrew: Randomised but no treatment received01
Survival Follow-up Period
Participant flow — Survival Follow-up Period
MilestoneVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Started120114
Treated with vandetanib124110
Completed120114
Not completed00

Outcome measures

PrimaryProgression-Free Survival (PFS) in the Overall Population

Median time (in weeks) from randomization until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable Response Evaluation Criteria in Solid Tumors (RECIST) assessment.

Time frame:
RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
Reported as:
Median · weeks
Progression-Free Survival (PFS) in the Overall Population
weeksVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Progression-Free Survival (PFS) in the Overall Population17.6 (13.4 to 18.9)11.9 (11.4 to 15.9)
PrimaryProgression-Free Survival in the Female Population

Median time (in weeks) from randomization until objective disease progression or death (by any cause in the absence of objective progression) provided death is within 3 months from the last evaluable RECIST assessment.

Time frame:
RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
Reported as:
Median · weeks
Progression-Free Survival in the Female Population
weeksVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Progression-Free Survival in the Female Population17.9 (14.7 to 22.7)13.0 (11.1 to 17.7)
SecondaryOverall Survival (OS)

The OS is defined as the time from date of randomization until death. Any participant not known to have died at the time of analysis was censored based on the last recorded date on which the participant was known to be alive (i.e, their status must be known at the censored date and should not be lost to follow up or unknown).

Time frame:
Time to death in months
Reported as:
Median · months
Overall Survival (OS)
monthsVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Overall Survival (OS)10.5 (8.9 to 12.3)9.2 (7.1 to 12.0)
SecondaryObjective Response Rate (ORR)

The ORR is the number of participants that are responders i.e, those participants with a confirmed best objective response of complete response (CR) or partial response (PR) as defined by RECIST criteria. The categories for best objective response are CR, PR, stable disease (SD)\>= 6 weeks, progressive disease (PD) or NE.

Time frame:
Each participant was assessed for objective response from the sequence of RECIST scan data up to data cut off. RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
Reported as:
Number · percentage of participants
Objective Response Rate (ORR)
percentage of participantsVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Objective Response Rate (ORR)19.17.9
SecondaryDisease Control Rate (DCR)

The DCR is defined as the number of patients who achieved disease control at 6 weeks following randomization. Disease control at 6 weeks is defined as a best objective response of complete response (CR), partial response (PR) or stable disease (SD) \>= 6 weeks.

Time frame:
RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
Reported as:
Number · percentage of participants
Disease Control Rate (DCR)
percentage of participantsVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Disease Control Rate (DCR)56.645.7
SecondaryDuration of Response (DoR)

Response is defined as a confirmed best objective response of CR or PR. Duration of response is defined as time from the date of first documented response until date of documented progression or death in the absence of disease progression (provided death is within 3 months of last RECIST assessment).

Time frame:
RECIST tumour assessments carried out every 6 weeks (+/- 3 days) from randomization until objective progression
Reported as:
Median · weeks
Duration of Response (DoR)
weeksVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Duration of Response (DoR)24.1 (17.4 to 30.0)24.4 (18.0 to 32.0)
SecondaryTime to Deterioration of Disease-Related Symptoms (TDS) by Lung Cancer Symptom Scale (LCSS) Total Score

TDS is the interval from the date of randomization to the first assessment of worsened without an improvement in the next 21 days. A deterioration in symptoms is defined as a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 21 days. The LCSS scale measures changes in symptoms associated with lung cancer.

Time frame:
LCSS questionnaires are to be administered every 3 weeks after randomization
Reported as:
Median · weeks
Time to Deterioration of Disease-Related Symptoms (TDS) by Lung Cancer Symptom Scale (LCSS) Total Score
weeksVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Time to Deterioration of Disease-Related Symptoms (TDS) by Lung Cancer Symptom Scale (LCSS) Total Score18.1 (15.1 to 23.6)12.1 (9.7 to 17.3)
SecondaryTime to Deterioration of Disease-Related Symptoms by Average Symptom Burden Index (ASBI) Score

Time to deterioration is defined as the interval from the date of randomization to the first assessment of worsened without an improvement in the next 21 days. A deterioration in symptoms is defined as a single visit assessment of 'worsened' with no visit assessment of 'improved' within the next 21 days. The ASBI is derived from 6 of LCSS's 9 items.

Time frame:
ASBI is a score taken from the LCSS questionnaires which are to be administered every 3 weeks after randomization
Reported as:
Median · weeks
Time to Deterioration of Disease-Related Symptoms by Average Symptom Burden Index (ASBI) Score
weeksVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Time to Deterioration of Disease-Related Symptoms by Average Symptom Burden Index (ASBI) Score16.0 (14.0 to 20.3)13.4 (10.3 to 17.9)
SecondaryLongitudinal Analysis of Lung Cancer Symptom Scale Total Score

The longitudinal data analysis will include all non-missing visit scores and the model will include only the first 12 weeks of data. LCSS total score is an average of all 9 visual analogue participant scales from "none" \[0 millimeter (mm)\] to "as much as it could be" (100 mm).

Time frame:
LCSS questionnaires are to be administered every 3 weeks after randomization
Reported as:
Least squares mean · mms on a visual analogue scale
Longitudinal Analysis of Lung Cancer Symptom Scale Total Score
mms on a visual analogue scaleVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Longitudinal Analysis of Lung Cancer Symptom Scale Total Score25.7 ± 2.8528.3 ± 2.77
SecondaryLongitudinal Analysis of Average Symptom Burden Index Score

The longitudinal data analysis will include all non-missing visit scores and the model will include only the first 12 weeks of data. ASBI is an average of the 6 symptom visual analogue patient scales from "none" (0 mm) to "as much as it could be" (100 mm).

Time frame:
ASBI is a score taken from the LCSS questionnaires administered every 3 weeks after randomization
Reported as:
Least squares mean · mms on a visual analogue scale
Longitudinal Analysis of Average Symptom Burden Index Score
mms on a visual analogue scaleVandetanib Plus PemetrexedPlacebo Plus Pemetrexed
Longitudinal Analysis of Average Symptom Burden Index Score21.7 ± 2.7524.3 ± 2.67

Adverse events

Collected over From the date of informed consent up to the study completion for each participant, approximately 193 months.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Randomized Period: Vandetanib Plus Pemetrexed122/260 (46.9%)84/260 (32.3%)234/260 (90%)
Randomized Period: Placebo Plus Pemetrexed147/273 (53.8%)94/273 (34.4%)242/273 (88.6%)
Survival Follow-up Period: Vandetanib Plus Pemetrexed63/124 (50.8%)7/124 (5.6%)22/124 (17.7%)
Survival Follow-up Period: Placebo Plus Pemetrexed58/110 (52.7%)3/110 (2.7%)19/110 (17.3%)
Most frequent serious events
Showing 10 of 129
Most frequent serious events
EventRandomized Period: Vandetanib Plus PemetrexedRandomized Period: Placebo Plus PemetrexedSurvival Follow-up Period: Vandetanib Plus PemetrexedSurvival Follow-up Period: Placebo Plus Pemetrexed
PneumoniaInfections and infestations7/26010/2731/1240/110
DyspnoeaRespiratory, thoracic and mediastinal disorders8/26010/2730/1240/110
PyrexiaGeneral disorders7/2603/2730/1241/110
AnaemiaBlood and lymphatic system disorders2/2607/2730/1240/110
VomitingGastrointestinal disorders3/2606/2730/1240/110
FatigueGeneral disorders1/2606/2730/1240/110
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders3/2606/2731/1240/110
NeutropeniaBlood and lymphatic system disorders2/2605/2730/1240/110
Lower Respiratory Tract InfectionInfections and infestations4/2602/2730/1240/110
Febrile NeutropeniaBlood and lymphatic system disorders3/2604/2730/1240/110
Most frequent other events
Showing 10 of 41
Most frequent other events
EventRandomized Period: Vandetanib Plus PemetrexedRandomized Period: Placebo Plus PemetrexedSurvival Follow-up Period: Vandetanib Plus PemetrexedSurvival Follow-up Period: Placebo Plus Pemetrexed
FatigueGeneral disorders99/260118/2732/1242/110
RashSkin and subcutaneous tissue disorders99/26071/2733/1241/110
NauseaGastrointestinal disorders73/26098/2730/1243/110
DiarrhoeaGastrointestinal disorders66/26048/2733/1242/110
CoughRespiratory, thoracic and mediastinal disorders66/26059/2734/1243/110
AnorexiaMetabolism and nutrition disorders56/26065/2733/1241/110
DyspnoeaRespiratory, thoracic and mediastinal disorders49/26056/2732/1241/110
VomitingGastrointestinal disorders37/26055/2733/1243/110
ConstipationGastrointestinal disorders52/26053/2733/1240/110
AnaemiaBlood and lymphatic system disorders19/26054/2730/1241/110

Baseline characteristics

The full analysis set included all randomized participants.

Age, Continuous
Age, Continuous(years)Vandetanib Plus PemetrexedPlacebo Plus PemetrexedTotal
Mean58.7 ± 9.9560.2 ± 9.559.4 ± 9.73
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Vandetanib Plus PemetrexedPlacebo Plus PemetrexedTotal
Female97107204
Male159171330
08

Study locations

110 sites
  • Research Site
    Casa Grande, Arizona, United States
  • Research Site
    Chandler, Arizona, United States
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    Farmington, Connecticut, United States
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    Stamford, Connecticut, United States
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    Washington, District of Columbia, United States
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    Orlando, Florida, United States
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    Gainesville, Georgia, United States
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    Skokie, Illinois, United States
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    Sioux City, Iowa, United States
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    Mount Sterling, Kentucky, United States
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    Portland, Maine, United States
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    Baltimore, Maryland, United States
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    Rockville, Maryland, United States
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    Boston, Massachusetts, United States
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    Saint Louis, Missouri, United States
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    Mineola, New York, United States
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    Rochester, New York, United States
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    Winston-Salem, North Carolina, United States
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    Cincinnati, Ohio, United States
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    Middletown, Ohio, United States
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    Hilton Head Island, South Carolina, United States
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    Austin, Texas, United States
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    Salt Lake City, Utah, United States
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    Avellaneda, Argentina
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    Buenos Aires, Argentina
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    Ciudad de Buenos Aires, Argentina
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    Córdoba, Argentina
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    La Plata, Argentina
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    Ramos Mejía, Argentina
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    Salta, Argentina
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    Santa Fe, Argentina
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    Chermside, Australia
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    Fitzroy, Australia
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    Footscray, Australia
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    Heidelberg, Australia
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    Randwick, Australia
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    St. Leonards, Australia
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    Wodonga, Australia
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    Brussels (Woluwé-St-Lambert), Belgium
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    Leuven, Belgium
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    Liège, Belgium
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    Bogota, Colombia
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    Medellín, Colombia
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    Pereira, Colombia
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    Valledupar, Colombia
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    Avignon Cedex 09, France
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    Lyon Cedex 04, France
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    Paris Cedex 15, France
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    Pontoise Cedex, France
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    Strasbourg Cedex, France
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    Hannover, Germany
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    Karlsruhe, Germany
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    Kassel, Germany
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    Köln, Germany
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    Leipzig, Germany
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    N. Faliro, Greece
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    Patras, Greece
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    Thessaloniki, Greece
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    Hong Kong, Hong Kong
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    Ahmedabad, India
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    Vellore, India
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    Beer-Sheeva, Israel
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    Haifa, Israel
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    Jerusalem, Israel
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    Kfar Saba, Israel
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    Petach-Tikva, Israel
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    Safed, Israel
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    Tel-Hashomer, Israel
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    Zerifin, Israel
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    Genova, Italy
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    Milano, Italy
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    Orbassano, Italy
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    Roma, Italy
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    S.Andrea Delle Fratte, Italy
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    Aguascalientes, Mexico
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    Mexico, Mexico
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    Puebla, Mexico
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    Cebu City, Philippines
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    Manila, Philippines
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    Pasay City, Philippines
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    Quezon City, Philippines
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    Lisboa, Portugal
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    Santa Maria da Feira, Portugal
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    Setúbal, Portugal
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    Cape Town, South Africa
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    Durban, South Africa
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    Johannesburg, South Africa
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    Port Elizabeth, South Africa
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    Pretoria, South Africa
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    A Coruña, Spain
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    Lugo, Spain
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    Majadahonda, Spain
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    Mataró(Barcelona), Spain
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    Málaga, Spain
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    Orense, Spain
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    Santiago De Compostela(A Coru, Spain
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    Vigo(Pontevedra), Spain
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    Lund, Sweden
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    Sundsvall, Sweden
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    Umeå, Sweden

Showing the first 100 of 110 sites across 21 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • de Boer RH, Arrieta O, Yang CH, Gottfried M, Chan V, Raats J, de Marinis F, Abratt RP, Wolf J, Blackhall FH, Langmuir P, Milenkova T, Read J, Vansteenkiste JF. Vandetanib plus pemetrexed for the second-line treatment of advanced non-small-cell lung cancer: a randomized, double-blind phase III trial. J Clin Oncol. 2011 Mar 10;29(8):1067-74. doi: 10.1200/JCO.2010.29.5717. Epub 2011 Jan 31. PubMed 21282537 ↗
  • Platt A, Morten J, Ji Q, Elvin P, Womack C, Su X, Donald E, Gray N, Read J, Bigley G, Blockley L, Cresswell C, Dale A, Davies A, Zhang T, Fan S, Fu H, Gladwin A, Harrod G, Stevens J, Williams V, Ye Q, Zheng L, de Boer R, Herbst RS, Lee JS, Vasselli J. A retrospective analysis of RET translocation, gene copy number gain and expression in NSCLC patients treated with vandetanib in four randomized Phase III studies. BMC Cancer. 2015 Mar 23;15:171. doi: 10.1186/s12885-015-1146-8. PubMed 25881079 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00418886
Responsible party
Sponsor
First posted
Jan 5, 2007
Start date
Jan 2007
Primary completion
Sep 2008
Completion
Feb 14, 2023
Results posted
Mar 26, 2012
Last update
Dec 31, 2024

Study contacts

Clinical Sciences & Operations
study director · Sanofi
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Vandetanib

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