Docetaxel + Plinabulin Compared to Docetaxel + Placebo in Patients With Advanced NSCLC

Completed · Phase 3 · Has a placebo group

Conditions studied: Non-Small Cell Lung Cancer

In brief

To compare the overall survival of NSCLC patients receiving 2nd- or 3rd-line systemic therapy with docetaxel + plinabulin (DP Arm) to patients treated with docetaxel + placebo (D5W) (D Arm) for advanced or metastatic disease. Secondary purposes of the study are: * To compare overall response rate (ORR) of NSCLC patients receiving 2nd- or 3rd-line systemic therapy with docetaxel + plinabulin (DP Arm) to patients treated with docetaxel + placebo (D5W) (D Arm) for advanced or metastatic disease. * To compare progression free survival (PFS) of NSCLC patients receiving 2nd- or 3rd-line systemic therapy with docetaxel + plinabulin (DP Arm) to patients treated with docetaxel + placebo (D5W) (D Arm) for advanced or metastatic disease. * To compare incidence of Grade 4 neutropenia (absolute neutrophil count \[ANC\] \< 0.5 × 109/L) on Day 8 (+/- 1 day) of Cycle 1 of NSCLC patients receiving 2nd- or 3rd-line systemic therapy with docetaxel + plinabulin (DP Arm) to patients treated with docetaxel + placebo (D5W) (D Arm) for advanced or metastatic disease. * To compare 24-month and 36-month OS rate of NSCLC patients receiving 2nd- or 3rd-line systemic therapy with docetaxel + plinabulin (DP Arm) to patients treated with docetaxel + placebo (D5W) (D Arm) for advanced or metastatic disease.

Key facts

Study ID

NCT02504489

Run by

BeyondSpring Pharmaceuticals Inc.

People needed

559

Starts

2015-12-01

Expected to finish

2023-10-30

Last updated by the study team

2026-05-19

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Males and females ≥ 18 years of age
• ECOG performance status ≤ 2.
• Histopathologically or cytologically confirmed non-squamous or squamous NSCLC.
• Disease progression during or after treatment with one or two treatment regimen(s) Treatment regimens can be chemotherapy, targeted therapy, biological therapy, or immunotherapy for advanced (Stage IIIB) or metastatic disease (Stage IV). Modification of a regimen to manage toxicity with a different drug does not constitute a new regimen. Maintenance therapy following platinum-based chemotherapy is not considered as a separate regimen. Adjuvant or neoadjuvant chemotherapy and/or chemo-radiation for early stage disease do not count as prior systemic therapy. Prior radiation therapy is not exclusionary. Prior immunotherapy with a PD-1/PD-L1 inhibitor is not exclusionary. Prior treatment for advanced or metastatic disease must have included a platinum-based regimen. (Treatment of early stage disease [Stage IIIA or earlier] with a platinum-containing therapy does not count).
• Patients with active brain metastasis or leptomeningeal involvement with brain metastases who are asymptomatic, and whose lesions by imaging are at least stable and without interim development of new lesions for at least 4 weeks may be enrolled. Patients who require continued therapy with steroid medication for management for their brain metastases are eligible; dosing must be stable for at least 4 weeks prior to randomization;
• Patients must have at least one measurable lung lesion of ≥10 mm by CT or MRI per RECIST 1.1 criteria. Radiographic tumor assessment is to be performed within 28 days prior to randomization;
• All patients with non-squamous NSCLC must have been tested for 19 deletion and exon 21 L858R substitution mutation. Only patients without EGFR sensitizing mutations are eligible, and they must have progressed on platinum-based chemotherapy. Patients with known ALK-rearrangements should be treated with an appropriate tyrosine kinase inhibitor (TKI) before entering the study. The TKI regimen would count as a line of treatment.
• All adverse events of any prior systemic therapy, surgery, or radiotherapy, must have resolved to CTCAE (v4.03) Grade ≤2, except for neurological adverse events that must have resolved to Grade ≤1;
• The following laboratory results from the central laboratory within 14 days prior to Cycle 1 Day 1 study drug administration.
• Hemoglobin ≥9 g/dL independent of transfusion or growth factor support;
• Absolute neutrophil count ≥1.5 x 109/L independent of growth factor support;
• Platelet count ≥100 x 109/L independent of transfusion or growth factor support;
• Serum total bilirubin ≤ ULN, unless the patient has a diagnosis of Gilbert's disease in which case serum bilirubin ≤3.0 times ULN;
• AST and ALT ≤2.5 x ULN (≤1.5 x ULN if alkaline phosphatase is >2.5 x ULN);
• Serum creatinine ≤1.5 x ULN;
• Life expectancy more than 12 weeks;
• Female patients of childbearing potential have a negative pregnancy test at baseline. Females of childbearing potential are defined as sexually mature women without prior hysterectomy or who have had any evidence of menses in the past 12 months. However, women who have been amenorrheic for 12 or more months are still considered to be of childbearing potential if the amenorrhea is possibly due to prior chemotherapy, anti-estrogens, or ovarian suppression.
• Women of childbearing potential (i.e., menstruating women) must have a negative urine pregnancy test (positive urine tests are to be confirmed by serum test) documented within the 24-hour period prior to the first dose of study drug.
• Sexually active women of childbearing potential enrolled in the study must agree to use two forms of accepted methods of contraception during the course of the study and for 3 months after their last dose of study drug. Effective birth control includes (a) intrauterine device (IUD) plus one barrier method; (b) on stable doses of hormonal contraception for at least 3 months (e.g., oral, injectable, implant, transdermal) plus one barrier method; (c) 2 barrier methods. Effective barrier methods are male or female condoms, diaphragms, and spermicides (creams or gels that contain a chemical to kill sperm); or (d) a vasectomized partner.
• For male patients who are sexually active and who are partners of premenopausal women: agreement to use two forms of contraception as in criterion 11b above during the treatment period and for at least 3 months after the last dose of study drug.
• Signed informed consent.
• EXCLUSION CRITERIA: Patients with any of the following:
• Administration of chemotherapy, immunotherapy, biological, targeted, or radiation therapy or investigational agent (therapeutic or diagnostic) within 3 weeks prior to receipt of study medication. Major surgery, other than diagnostic surgery, within 4 weeks before first study drug administration.
• Significant cardiac history:
• History of myocardial infarction or ischemic heart disease within 1 year (within a window of 18 days) before first study drug administration;

Where it is running

• Pacific Cancer Medical Center, Inc. — Anaheim, California, United States
• Innovative Clinical Research Institute — Whittier, California, United States
• Memorial Health Care System — Colorado Springs, Colorado, United States
• Cancer Center of Central Connecticut — Plainville, Connecticut, United States
• Peachtree Hematoloy-Oncology Consultants, PC — Atlanta, Georgia, United States
• Orchard Healthcare Research Inc. — Skokie, Illinois, United States
• Carle Cancer Center — Urbana, Illinois, United States
• Kansas University Medical Center — Westwood, Kansas, United States
• University of Louisville-Brown Cancer Center — Louisville, Kentucky, United States
• Henry Ford Hospital — Detroit, Michigan, United States
• Michigan Center of Medical Research — Farmington Hills, Michigan, United States
• Hattiesburg Clinic Hematology/Oncology — Hattiesburg, Mississippi, United States
• Central Care Cancer Center — Bolivar, Missouri, United States
• Wake Forest Baptist Health — Winston-Salem, North Carolina, United States
• University of Cincinnati — Cincinnati, Ohio, United States
• Toledo Cancer Center — Toledo, Ohio, United States
• Allegheny Health Network — Pittsburgh, Pennsylvania, United States
• Cookeville Regional Medical Center Cancer Center — Cookeville, Tennessee, United States
• Blacktown Cancer Centre — Blacktown, New South Wales, Australia
• Border Medical Oncology Research Unit — East Albury, New South Wales, Australia
• Gosford Hospital — Gosford, New South Wales, Australia
• Adult Mater Hospital — South Brisbane, Queensland, Australia
• Peninsula and South East Oncology — Melbourne, Victoria, Australia
• Epworth Hospital — Richmond, Victoria, Australia
• Ironwood Cancer & Research Centers — Chandler, Arizona, United States

Full record on ClinicalTrials.gov

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