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Completed

NCT Number: NCT00403403

A Study of Bevacizumab in Previously Untreated Extensive-Stage Small Cell Lung Cancer (SALUTE)

This is a placebo-controlled, double-blind, multicenter, randomized study for preliminary evaluation of the efficacy and safety of combining bevacizumab with cisplatin (or carboplatin) and etoposide in patients with previously untreated extensive-stage small cell lung cancer (SCLC).

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Histologically or cytologically documented small cell carcinoma of the bronchus, classified as extensive-stage disease
  • Measurable disease or lesions
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2

Exclusion criteria

  • Life expectancy of < 12 weeks
  • Current, recent, or planned participation in another experimental drug study
  • Ongoing or active infection
  • Active malignancy other than SCLC or superficial basal/squamous cell carcinoma within the previous 5 years
  • Prior systemic therapy, radiation therapy, or surgery for SCLC
  • Inadequate bone marrow function, renal function, or hepatic function
  • Serum sodium of < 120 mg/dL
  • Inadequately controlled hypertension
  • History of hypertensive crisis or hypertensive encephalopathy
  • New York Heart Association Class II or greater congestive heart failure
  • History of myocardial infarction or unstable angina within 6 months prior to study enrollment
  • History of stroke or transient ischemic attack within 6 months prior to study enrollment
  • Known central nervous system disease, except for brain metastases treated with whole-brain radiotherapy
  • Significant vascular disease or recent peripheral arterial thrombosis within 6 months prior to study enrollment
  • History of hemoptysis within 4 weeks prior to study enrollment
  • Evidence of bleeding diathesis or coagulopathy in the absence of therapeutic anticoagulation
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study enrollment or anticipation of a need for a major surgical procedure during the course of the study
  • Core biopsy or other minor surgical procedure, including placement of a vascular access device, within 7 days prior to Day 1
  • History of abdominal fistula or gastrointestinal perforation within 6 months prior to study enrollment
  • Serious, non-healing wound, active ulcer, or untreated bone fracture
  • Known hypersensitivity to any component of bevacizumab
  • Pregnant (positive pregnancy test) or lactating

Treatment and study plan

Bevacizumab

Drug

Bevacizumab 15 mg/kg by intravenous (IV) infusion on Day 1 of each of the first four 21-day cycles during chemotherapy, followed by single agent administration until disease progression, unacceptable toxicity, discontinuation from study, or death.

Chemotherapy

Drug

Chemotherapy = cisplatin (or carboplatin) + etoposide. Cisplatin 75 mg/m² IV on Day 1 of each of the first four 21-day cycles OR carboplatin (area under the curve [AUC]=5 mg/mL/min, per Calvert formula) IV on Day 1 of each of the first four 21-day cycles; etoposide 100 mg/m² on Days 1-3 of each of the first four 21-day cycles.

Placebo

Drug

Placebo 15 mg/kg by intravenous (IV) infusion on Day 1 of each of the first four 21-day cycles during chemotherapy, followed by single agent administration until disease progression, unacceptable toxicity, discontinuation from study, or death.

Primary outcomes

  1. Progression-free Survival (PFS)

    Time frame: Randomization until progression or lost to follow-up (up to 2 years)

    Duration of PFS, defined as the time from randomization to disease progression or on-study death, whichever occurred first.

Secondary outcomes

  1. Overall Survival

    Time frame: Randomization until death or lost of follow-up (up to 27 months)

    Duration of overall survival from randomization until death or loss to follow-up

  2. Percentage of Participants With an Objective Response

    Time frame: Randomization until progression or lost to follow-up (up to 2 years)

    Objective response was defined as a complete or partial response (per RECIST) determined by two investigator assessments conducted at least 4 weeks apart.

    Complete Response (CR), Partial Response (PR), Incomplete Response (IR), Stable Disease (SD) (per RECIST):

    Target Lesions Non-Target Lesions New Lesions Overall Response CR CR No CR CR IR/SD No PR PR Non-PD No PR

  3. Number of Participants With an Objective Response

    Time frame: Randomization until progression or lost to follow-up (up to 2 years)

    Objective response was defined as a complete or partial response (per RECIST) determined by two investigator assessments conducted at least 4 weeks apart.

    Complete Response (CR), Partial Response (PR), Incomplete Response (IR), Stable Disease (SD) (per RECIST):

    Target Lesions Non-Target Lesions New Lesions Overall Response CR CR No CR CR IR/SD No PR PR Non-PD No PR

  4. Duration of Objective Response

    Time frame: Randomization until progression or lost to follow-up (up to 2 years)

    Duration of response was defined as time from the first response date to disease progression or on-study death (i.e., death occurring any time from randomization to 30 days after the final treatment with bevacizumab/placebo). Objective response was defined as a complete or partial response (per RECIST) determined by two investigator assessments conducted at least 4 weeks apart.

Sponsors and collaborators

Lead sponsor

Genentech, Inc.

Industry

Registry information

Official study title

A Placebo-Controlled, Double-Blind, Multicenter, Randomized, Phase II Study of Bevacizumab in Previously Untreated Extensive-Stage Small Cell Lung Cancer

Important dates

Study start
2007
Primary completion
2009
Study completion
2009
First posted
Nov 23, 2006
Registry last updated
Apr 29, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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