ClinicalTrials.gg
Status unknownNCT02906150Updated Sep 19, 2016

Thymosin Alpha 1 Plus Maintenance Therapy With the Standard of Care (SoC) in Patients With Metastatic Non-Small Cell Lung Cancer (NSCLC), EGFR Wild Type

A Phase 2 interventional study of Thymalfasin (Thymosin alpha 1, Ta1) and SoC (chemotherapy and platinum agent) in Non-Small Cell Lung Cancer, sponsored by SciClone Pharmaceuticals. Status unknown at 8 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-09-19.

Sponsored by SciClone Pharmaceuticals · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2016), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Thymosin alpha 1 plus maintenance therapy with the Standard of Care (SoC) chemotherapy plus cisplatin (or carboplatin) in patients with metastatic Non-Small Cell Lung Cancer (NSCLC), EGFR wild type

02

Conditions studied

  • Non-Small Cell Lung Cancer

Keywords

  • EGFR Wild Type
  • Thymosin Alpha 1
  • Non-Small Cell Lung Cancer
  • Thymalfasin
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 planned enrollment of 140 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

SciClone Pharmaceuticals is the lead sponsor of 16 studies on the registry; 3 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

  • Age 18 years or older
  • Histological or cytological confirmation of NSCLC (may be from initial diagnosis of NSCLC or subsequent ). Only patients with available tissue samples may be included in the study (see major details in section 8 for the minimum sample characteristics)
  • Activating mutations of EGFR diagnosis of Stage IIIB (with proven pleural effusion or pericardial effusion) or NSCLC, not amenable to curative surgery or radiotherapy
  • by (RECIST) in a lesion not previously irradiated or non-measurable disease (non measurable disease only for Phase I)
  • - performance status (ECOG-PS) 0-2
  • (ANC) > 1.5 x 109/liter (L) and > 100 x 109/L
  • level either normal or \<1.5 x
  • (SGOT) and ALT (SGPT) \<2.5 x ULN (≤ 5 x ULN if liver metastases are present)
  • Serum creatinine \<1.5 x ULN
  • Effective for both, male and female patients, if the risk of conception exists
  • Provision of written to the analysis of biological markers (registration)

Exclusion criteria

Exclusion Criteria:

  • Prior therapy with Thymosin alpha-1
  • Prior chemotherapy for and/or NSCLC. /adjuvant chemotherapy is permitted if at least 12 months has elapsed between the end of chemotherapy and randomisation
  • Prior treatment with Epidermal Growth Factor Receptor targeting small molecules or antibodies
  • Radiotherapy within 14 days prior to drug administration, except as follows:
  • Palliative radiation to organs other than chest may be allowed up to 2 weeks prior to drug administration, and
  • Single dose palliative treatment for symptomatic metastasis outside above allowance to be discussed with sponsor prior to enrolling
  • Patients with previously diagnosed and treated or spinal cord compression may be considered if they have evidence of clinically stable disease (SD) (no therapy or steroid dose being tapered) for at least 28 days
  • Patients with toxicities that have not come back (at least) to grade 1
  • Pregnancy or suspected pregnancy
  • Known severe to TKI products
  • Other co-existing or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ
  • Any evidence of clinically active interstitial lung disease (ILD) (patients with chronic, stable, radiographic changes who are asymptomatic or patients with uncomplicated progressive lymphangitic carcinomatosis need not be excluded)
  • As judged by the investigator, any evidence of severe or uncontrolled systemic disease (e.g., unstable or uncompensated respiratory, cardiac, hepatic or renal disease)
  • As judged by the investigator, any inflammatory changes of the surface of the eye
  • Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the patient to participate in the study
Terms in these criteria, in plain language(19)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

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

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.

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.

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.

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.

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.

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.

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.

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    Thymalfasin (Thymosin alpha 1, Ta1)

    Arm A: 70 patients will receive Thymosin alpha 1 in 1mL SC injection five times a week (first four months); then two times a week for eight months. SoC chemotherapy and cisplatin (or carboplatin) for twelve months.

    Drug: Thymalfasin (Thymosin alpha 1, Ta1) · Drug: SoC (chemotherapy and platinum agent)

  • Active comparator
    SoC (chemotherapy and platinum agent)

    Arm B: 70 patients (control group) will receive SoC chemotherapy and cisplatin (or carboplatin) for twelve months.

    Drug: SoC (chemotherapy and platinum agent)

Interventions

  • Patients will be randomized to Thymosin alpha 1 plus SoC for treatment duration of 12 months. All patients will be followed for approximately 12 months or until the total number of PFS events required will be observed.

    Also known as: ZADAXIN

  • DrugSoC (chemotherapy and platinum agent)

    Patients will be randomized to SoC for treatment duration of 12 months. All patients will be followed for approximately 12 months or until the total number of PFS events required will be observed.

    Also known as: Pemetrexed, carboplatin or cisplatin

06

What researchers measure

Primary outcomes

  1. Time to progression free survival (PFS)

    Time frame: Up to 12 months

07

Study locations

8 sites
  • Azienda Sanitaria Locale Frosinone
    Frosinone, Italy
    • Dott.ssa Teresa Gamucci · Contact
    • Dott.ssa Teresa Gamucci · Principal investigator
  • Istituto Nazionale dei Tumori
    Milan, Italy
    • Dott.ssa Marina Chiara Garassino · Contact
    • Dott.ssa Marina Chiara Garassino · Principal investigator
  • Roma_Campus Bio-Medico
    Rome, Italy
    • Prof. Daniele Santini · Contact
    • Prof. Daniele Santini · Principal investigator
  • Roma_Gemelli
    Rome, Italy
    • Prof. Carlo Antonio Mario Barone · Contact
    • Prof. Carlo Antonio Mario Barone · Principal investigator
  • Roma_Regina Apostolorum
    Rome, Italy
    • Dott. Francesco Angelini · Contact
    • Dott. Francesco Angelini · Principal investigator
  • Roma_Tor Vergata
    Rome, Italy
    • Prof. Mario Roselli · Contact
    • Prof. Mario Roselli · Principal investigator
  • Sant'Andrea Hospital
    Rome, Italy
    • Prof. Paolo Marchetti · Contact
    • Prof. Paolo Marchetti · Principal investigator
  • Presidio Sanitario San Camillo
    Torino, Italy
    • Dott.ssa Maria Rita Migliorino · Contact
    • Dott.ssa Maria Rita Migliorino · Principal investigator
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02906150
Lead sponsor
SciClone Pharmaceuticals
Responsible party
Sponsor
First posted
Sep 19, 2016
Start date
Sep 2016
Primary completion
May 2019 (estimated)
Completion
Jul 2019 (estimated)
Last update
Sep 19, 2016

Study contacts

Carlo Tomino, MD
Contact
carlotomino@gmail.com

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

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