CClinicalTrials.gg
TerminatedNCT01532362Updated Sep 22, 2020Results posted

Evaluation of Apricoxib (Selective Cyclooxygenase 2 Inhibition) in Modulating T Regulatory Cells of Patients With Early Stage Non-small Cell Lung Cancer

An interventional study of Apricoxib in Non Small Cell Lung Cancer, sponsored by Jonsson Comprehensive Cancer Center. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-09-22.

Sponsored by Jonsson Comprehensive Cancer Center · Not applicable, Interventional, and Prevention

Why this study was terminated
Drug sponsor stopped drug manufacture due to toxicity issues from other studies
Phase
Not applicable
Study type
Interventional
Enrollment
1
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective for this trial is to determine the biological ability of apricoxib to decrease T reg cells in the peripheral blood and tumor infiltrating lymphocytes in subjects compared to those who have not in subjects with early stage Non-small Cell Lung Cancer (NSCLC). The secondary objectives are to determine the efficacy of apricoxib to inhibit CD4+CD25+ T reg and FOXP3 function and exploration of COX-2 dependent biomarkers of apoptosis resistance, angiogenesis, invasion, and immunity.

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Conditions studied

  • Non Small Cell Lung Cancer
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 1 is below the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Jonsson Comprehensive Cancer Center is the lead sponsor of 396 studies on the registry; 67 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 2 (5%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Adults over the age of 18 capable of giving informed consent. Radiographic findings suspicious for primary lung cancer or pathologically confirmed NSCLC which is surgically resectable and radiographically early stage (stage I and II).
  • ECOG performance status of 0, 1, or 2 (see Appendix A).
  • Ineligible for or refuse preoperative chemotherapy or chemoradiation therapy
  • Normal renal function (defined as serum creatinine ≤ 2 mg/dl or creatinine clearance ≥ 60 ml/min/1.73m2).
  • Normal liver function (defined as total bilirubin ≤ 1.5 x ULN, SGOT \& SGPT ≤ 2.5 xULN).
  • Negative pregnancy test prior to initiation of treatment and adequate contraception throughout treatment.
  • Preoperative pulmonary function test (PFT) with FEV1 and D LCO ≥ 60% or predicted postoperative FEV1 and DLCO ≥ 40% based on quantitative lung perfusion scan
  • Must be able to come off anticoagulants and have normal coagulation studies (PTT \< 40 seconds and INR \< 1.4) prior to planned surgery.
  • For subjects on COX-2 inhibitors or other NSAIDS prior to study initiation, cessation of the drug for 1 week prior to Apricoxib administration is required for study enrollment.

Exclusion criteria

Exclusion Criteria:

  • Radiation therapy, chemotherapy, non-cytotoxic investigational agents, or corticosteroids within 4 weeks of initiating treatment.
  • Comorbid disease or a medical condition that would impair the ability of the subject to receive or comply with the study protocol.
  • Hypersensitivity to apricoxib, sulfonamides, aspirin, or other NSAIDS or to any reagents used in the study.
  • Previous history of gastrointestinal ulceration, bleeding, or perforation.
  • Required concurrent use of COX-2 inhibitors or other NSAIDS during Apricoxib administration.
  • Chronic or concurrent use of steroids (topical steroids are acceptable if medically indicated).
  • Pregnant or nursing women.
  • Evidence of NYHA class III or greater cardiac disease.
  • History of myocardial infarction, stroke, ventricular arrhythmia, or symptomatic conduction abnormality within 12 months of initiating treatment.
  • History of heart surgery for coronary artery disease.
  • Known HIV infection or AIDS.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    Apricoxib

    As part of the trial, forty eligible subjects will be randomly assigned to receive Apricoxib 400 mg orally once daily or no drug intervention for a 7 day period (Days 0-6) prior to surgical resection of the lung tumor but between the two surgeries.

    Drug: Apricoxib

  • Other
    No drug intervention

    Drug: Apricoxib

Interventions

  • DrugApricoxib

    As part of the trial, forty eligible subjects will be randomly assigned to receive Apricoxib 400 mg orally once daily or no drug intervention for a 7 day period (Days 0-6) prior to surgical resection of the lung tumor but between the two surgeries.

06

What researchers measure

Primary outcomes

  1. Compare Level of CD4+CD25high T Lymphocyte Regulatory Cells in Peripheral Blood Lymphocytes and Tumor Infiltrating Lymphocytes From Surgical Resection Specimens of Subjects With Early Stage NSCLC Who Have Received Apricoxib to Those Who Have Not

    As part of the trial, forty eligible subjects will be randomly assigned to receive Apricoxib 400 mg orally once daily or no drug intervention for a 7 day period (Days 0-6) prior to surgical resection of the lung tumor but between the two surgeries. Peripheral blood and urine will be obtained on Days 0 and 7 from both groups (prior to surgical incision). Bronchoalveolar lavage (BAL) and lymph node tissue will be obtained on Days 0 and 7. TIL will be obtained from surgical resection specimens of the primary lung tumor only on Day 7

    Time frame: 7 days

Secondary outcomes

  1. Effect of Apricoxib on Levels of CD4+CD25+ T Regulatory Cells in Peripheral Blood.Also,Biomarkers of Apoptosis Resistance,Angiogenesis,Invasion and Immunity Will be Tested in the Lab to Check How Effective Apricoxib is in Inhibiting These Proteins.

    Peripheral blood from patients with NSCLC has been reported to have an increase in the percentages of CD4+CD25+ T reg cells.In contrast \<10% of the PBLs of normal donors have this phenotype. As such, CD4+CD25+ cells will be assessed in addition to FOXP3 levels in PBL. In addition, exploration of COX-2 dependent biomarkers of apoptosis resistance, angiogenesis, invasion, and immunity will be studied. COX-2, FOXP3, IL-10, IL-12, MDC, CXCR4 and survivin will be analyzed in plasma.

    Time frame: 7 days

07

Results

Posted Feb 11, 2016
Limitations and caveats
Early termination of study when sponsor withdrew drug from market due to toxicities revealed from other studies.

Participant flow

Participant flow — Overall Study
MilestoneApricoxibNo Drug Intervention
Started10
Completed10
Not completed00

Outcome measures

PrimaryCompare Level of CD4+CD25high T Lymphocyte Regulatory Cells in Peripheral Blood Lymphocytes and Tumor Infiltrating Lymphocytes From Surgical Resection Specimens of Subjects With Early Stage NSCLC Who Have Received Apricoxib to Those Who Have Not

As part of the trial, forty eligible subjects will be randomly assigned to receive Apricoxib 400 mg orally once daily or no drug intervention for a 7 day period (Days 0-6) prior to surgical resection of the lung tumor but between the two surgeries. Peripheral blood and urine will be obtained on Days 0 and 7 from both groups (prior to surgical incision). Bronchoalveolar lavage (BAL) and lymph node tissue will be obtained on Days 0 and 7. TIL will be obtained from surgical resection specimens of the primary lung tumor only on Day 7

Time frame:
7 days

No measurements were reported for this outcome.

SecondaryEffect of Apricoxib on Levels of CD4+CD25+ T Regulatory Cells in Peripheral Blood.Also,Biomarkers of Apoptosis Resistance,Angiogenesis,Invasion and Immunity Will be Tested in the Lab to Check How Effective Apricoxib is in Inhibiting These Proteins.

Peripheral blood from patients with NSCLC has been reported to have an increase in the percentages of CD4+CD25+ T reg cells.In contrast \<10% of the PBLs of normal donors have this phenotype. As such, CD4+CD25+ cells will be assessed in addition to FOXP3 levels in PBL. In addition, exploration of COX-2 dependent biomarkers of apoptosis resistance, angiogenesis, invasion, and immunity will be studied. COX-2, FOXP3, IL-10, IL-12, MDC, CXCR4 and survivin will be analyzed in plasma.

Time frame:
7 days

No measurements were reported for this outcome.

Adverse events

Collected over from enrollment up to approximately 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Apricoxib0/1 (0%)0/1 (0%)0/1 (0%)
No Drug Intervention———

Baseline characteristics

the truncated study had only one participant and that participant was on the Apricoxib arm of the study. Therefore the no drug intervention arm of the study had zero participants.

Age, Categorical
Age, Categorical(Participants)ApricoxibNo Drug InterventionTotal
<=18 years0—0
Between 18 and 65 years0—0
>=65 years1—1
Sex: Female, Male
Sex: Female, Male(Participants)ApricoxibNo Drug InterventionTotal
Female1—1
Male0—0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ApricoxibNo Drug InterventionTotal
American Indian or Alaska Native0—0
Asian0—0
Native Hawaiian or Other Pacific Islander0—0
Black or African American0—0
White1—1
More than one race0—0
Unknown or Not Reported0—0
Region of Enrollment
Region of Enrollment(participants)ApricoxibNo Drug InterventionTotal
United States1—1
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Study locations

1 site
  • Jonsson Comprehensive Cancer Center
    Los Angeles, California 90095, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01532362
Lead sponsor
Jonsson Comprehensive Cancer Center
Responsible party
Sponsor
First posted
Feb 14, 2012
Start date
Nov 2011
Primary completion
May 2012
Completion
May 2012
Results posted
Feb 11, 2016
Last update
Sep 22, 2020

Study contacts

Jay M Lee, M.D.
principal investigator · University of California, Los Angeles

Oversight

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

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This study is terminated, as verified in Jun 2013. You cannot join it, but the record below documents what was studied.

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