ClinicalTrials.gg
TerminatedNCT00872482Updated Jul 1, 2011

A Study of Nimotuzumab in Combination With Radiation Therapy in Patients With Brain Metastases

A Phase 2 interventional study of nimotuzumab in Metastatic Non-Small Cell Lung Cancer, sponsored by YM BioSciences. Terminated at 15 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-07-01.

Sponsored by YM BioSciences · Phase 2, Interventional, and Treatment

Why this study was terminated
Study closed due to low enrollment
Phase
Phase 2
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a randomized, Phase II study designed to investigate Nimotuzumab plus whole-brain radiation therapy (WBRT)and to compare it rith WBRT alone in patients with brain metastases from non-small cell lung cancer (NSCLC). The purpose of the study is to assess the efficacy of nimotuzumab in combination with WBRT.

Read the detailed description

A phase II, randomized, controlled, double blinded and multicenter study with 2 arms, administering the study drug during radiotherapy and following radiotherapy until disease progression, unacceptable toxicity or at the discretion of the physician. Randomization will be done 2:1 (experimental:control). Chemotherapy can be added before documented disease progression at the discretion of the physician.

The primary objective is to assess the efficacy of Nimotuzumab in combination with WBRT. The primary endpoint is intracranial disease progression over 6 months.

The secondary endpoints are overall survival (OS); time to neurologic progression (TNP) or death with evidence of neurologic progression; OS rate at 6 months; time to intracranial disease progression; and time to overall progression.

Tissue samples and serum will be collected for future correlative studies.

All the images will be centrally reviewed at the end of study.

02

Conditions studied

  • Metastatic Non-Small Cell Lung Cancer

Keywords

  • non-small cell lung cancer
  • NSCLC
  • Brain metastases
  • nimotuzumab
  • TheraCIM
  • h-R3
  • Radiation
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 21 is below 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

YM BioSciences is the lead sponsor of 13 studies on the registry; none are open to participants now.

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

  • Providing a written (see Appendix A);
  • Age ≥18 years;
  • Histologic or cytologic confirmed diagnosis of NSCLC of any epithelial type (squamous, adenocarcinoma, large cell, or other);
  • At least one newly diagnosed measurable lesion from NSCLC in the brain;
  • Patient had initial diagnosis of by image, within 8 weeks of registration
  • ≥70;
  • ≥ 1500/mm³;
  • count ≥ 50,000/mm³;
  • Serum creatinine ≤2.0 mg/dL;
  • Serum transaminases ≤2 x the (ULN);
  • Total serum ≤2 x ULN;
  • And a lactate dehydrogenase (LDH) level ≤1.3 x ULN.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy, lactation or parturition within the previous 30 days (fertile female or male patients should practice );
  • Prior WBRT, resection with no other remaining;
  • Extracranial in two or more organs;
  • Known or subarachnoid tumor spread;
  • Plan to use radiosurgery or radiation boost after completion of WBRT;
  • Plan to use chemotherapy or any other systemic antineoplastic modality during WBRT;
  • Previous use of an anti-EGFR drug;
  • Participation in another ongoing therapeutic trial;
  • Presence of known seropositivity, severe comorbidities, or other malignant neoplasm within 5 years (except adequately treated basal- or squamous-cell carcinoma of skin or in situ carcinoma of the uterine cervix);
  • or allergy to any of the drugs to be administered in this study;
  • Inability or unwillingness to complete the required assessments;
  • Geographic inaccessibility for treatment or follow-up evaluations.
Terms in these criteria, in plain language(13)

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.

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    1

    Nimotuzumab (200 mg fixed dose) will be administered by the intravenous route weekly during WBRT and following WBRT. Radiotherapy will consist of 30 Gy, in 10 fractions of 3 Gy/day.

    Drug: nimotuzumab

  • Placebo comparator
    2

    A placebo will be administered by the intravenous route weekly during WBRT and following WBRT. Radiotherapy will consist of 30 Gy, in 10 fractions of 3 Gy/day.

    Drug: nimotuzumab

Interventions

  • Nimotuzumab (200 mg fixed dose) will be administered by the intravenous route weekly during WBRT and following WBRT Radiotherapy will consist of 30 Gy, in 10 fractions of 3 Gy/day.

06

What researchers measure

Primary outcomes

  1. Phase II: efficacy.Withhold of intracranial progression at 2, 4 and 6 months in comparison with control arm. Patients will be assessed by lab tests, MRI,neurologic examination

    Time frame: weekly infusions during radiotherapy and following radiotherapy until disease progression, unacceptable toxicity or withdrawal of consent.

Secondary outcomes

  1. Overall survival (OS); time to neurologic progression (TNP) or death with evidence of neurologic progression; OS rate at 6 months; time to intracranial disease progression; and time to overall progression.

    Time frame: 1 year

07

Study locations

15 sites
  • Florida Cancer Institute - New Hope
    New Port Richey, Florida 34655, United States
  • Park Nicollet Institute - Frauenshuh Cancer Center
    St. Louis Park, Minnesota 55426, United States
  • Overlake Hospital Medical Center
    Bellevue, Washington 98004, United States
  • Tom Baker Cancer Center
    Calgary, Alberta T2N4N2, Canada
  • Cancer Centre for the Southern Interior
    Kelowna, British Columbia V1Y 5L3, Canada
  • Dr. H. Bliss Murphy Cancer Centre
    St. John's, Newfoundland and Labrador A1B 3V6, Canada
  • Royal Victoria Hospital
    Barrie, Ontario L4M 6M2, Canada
  • London Regional Cancer Center
    London, Ontario N6A-4L6, Canada
  • Princess Margaret Hospital
    Toronto, Ontario M5G-2M9, Canada
  • Hopital Maisonneuve-Rosemont
    Montreal, Quebec H1T-2M4, Canada
  • Hotel Dieu Hospital
    Quebec City, Quebec G1H 2J6, Canada
  • Hospital Clínico Quirúrgico Hermanos Ameijeiras
    Centro Habana, La Habana, Cuba
  • Severance Hospital
    Seoul, Korea, Republic of
  • Hameed Latif Hospital, Lahore (HLH)
    Town, Lahore, Pakistan
  • Nuclear Medicine and Radiation Oncology Institute (NORI)
    Islamabad, Pakistan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 1, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00872482
Lead sponsor
YM BioSciences
Collaborators
CIMYM BioSciences
First posted
Mar 31, 2009
Start date
Apr 2009
Primary completion
Jun 2011
Completion
Jul 2011 (estimated)
Last update
Jul 1, 2011

Study contacts

Anthony Brade, M.D.
principal investigator · Assitant Professor, Department of Radiation Oncology, University of Toronto

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jun 2011. You cannot join it, but the record below documents what was studied.

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