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CompletedNCT01048645Updated Jan 13, 2010

Effect of All-trans Retinoic Acid With Chemotherapy Based in Paclitaxel and Cisplatin as First Line Treatment of Patients With Advanced Non-small Cell Lung Cancer

A Phase 2 interventional study of ATRA and PLACEBO in Non-Small-Cell Lung Carcinoma, sponsored by National Institute of Cancerología. Completed at 1 site in Mexico. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2010-01-13.

Sponsored by National Institute of Cancerología · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
107
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Purpose:

This randomized phase II trial evaluated whether the combination of cisplatin and paclitaxel plus All-trans retinoic acid (ATRA) increases Response rate (RR) and Progression-free survival (PFS) in patients with advanced Non-small cell lung cancer (NSCLC) with an acceptable toxicity profile and its association with the expression of Retinoic acid receptor beta 2 (RAR-beta2) as a response biomarker.

Patients and Methods:

Patients with stage IIIB and IV NSCLC were included to receive Paclitaxel and Cisplatin (PC). Patients were randomized to receive ATRA 20 mg/m2/day (RA/PC) or placebo (P/PC) 1 week prior to treatment until completing two cycles. RAR-beta2 expression was analyzed by Immunohistochemistry (IHC) and RT-PCR in tumor and adjacent lung tissue.

Read the detailed description

Purpose:

This randomized phase II trial evaluated whether the combination of cisplatin and paclitaxel plus All-trans retinoic acid (ATRA) increases Response rate (RR) and Progression-free survival (PFS) in patients with advanced Non-small cell lung cancer (NSCLC) with an acceptable toxicity profile and its association with the expression of Retinoic acid receptor beta 2 (RAR-beta2 ) as a response biomarker.

Patients and Methods:

Patients with stage IIIB and IV NSCLC were included to receive Paclitaxel and Cisplatin (PC). Patients were randomized to receive ATRA 20 mg/m2/day (RA/PC) or placebo (P/PC) 1 week prior to treatment until completing two cycles. RAR-beta2 expression was analyzed by Immunohistochemistry (IHC) and RT-PCR in tumor and adjacent lung tissue.

02

Conditions studied

  • Non-Small-Cell Lung Carcinoma

Keywords

  • All-trans retinoic acid
  • non-small cell lung cancer
  • retinoic acid receptor beta
  • chemotherapy
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 107 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

National Institute of Cancerología is the lead sponsor of 38 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Stage III B and IV NSCLC
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
  • No prior cytotoxic chemotherapy for NSCLC
  • Age ≥18 years, adequate laboratory measurements
  • Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST)
  • Life expectancy of >12 weeks.

Exclusion criteria

Exclusion Criteria:

  • Patients who had received prior chemotherapy
  • Patients with other comorbid conditions
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
107 participants (actual)

Study arms

  • Placebo comparator
    P/PC arm

    Patients were assigned to receive placebo (P/PC) 1 week prior to treatment until completing two cycles

    Other: PLACEBO

  • Experimental
    RA/PC arm

    Patients were assigned to receive ATRA 20 mg/m2/day (RA/PC) 1 week prior to treatment until completing two cycles

    Drug: ATRA

Interventions

  • DrugATRA

    Patients were assigned to receive ATRA 20 mg/m2/day (RA/PC) 1 week prior to treatment until completing two courses of chemotherapy based on paclitaxel and cisplatin

  • OtherPLACEBO

    Patients were randomized to receive or placebo (P/PC) 1 week prior to treatment until completing two courses of chemotherapy based on paclitaxel and cisplatin

06

What researchers measure

Primary outcomes

  1. The primary end-point was Response rate (RR) and Progression-free survival (PFS), as well as identifying whether expression of RAR-beta2 is a response biomarker.

    Time frame: 2 years

Secondary outcomes

  1. Evaluate the efficiency and safety of low doses of ATRA in patients with advanced NSCLC who receive first-line CT.

    Time frame: 2 years

07

Study locations

1 site
  • National Institute of Cancerología
    Mexico City, 14080, Mexico
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01048645
Lead sponsor
National Institute of Cancerología
Collaborators
Instituto Nacional de Enfermedades Respiratorias
First posted
Jan 13, 2010
Start date
Sep 2007
Primary completion
Dec 2008
Completion
Nov 2009
Last update
Jan 13, 2010

Study contacts

Oscar Arrieta, M.D.
principal investigator · National Institute of Cancerología

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2010. You cannot join it, but the record below documents what was studied.

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