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OpenTrials
Completed

NCT Number: NCT00037713

Survival in a Randomized Phase III Trial in Patients With Limited Disease (LD) Small Cell Lung Cancer Vaccinated With Adjuvant BEC2 and BCG

This trial is designed to test the impact of adjuvant BEC2 (2.5 mg)/BCG vaccination on survival in patients with LD Small Cell Lung Cancer (SCLC). Patients will be stratified by institution, KPS (60 - 70% vs 80 - 100%), and response to first line combined modality therapy (CR vs PR) that consisted of at least a 2 drug regimen (4 - 6 cycles) and a chest radiotherapy regimen. Patients will be randomized to one of two treatment arms: standard arm (Observational cohort) or best supportive care, or the treatment arm (5 intradermal vaccinations of BEC2 (2.5 mg) + BCG given on day 1 of weeks 0, 2, 4, 6, and 10.

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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

  • Histo-cytologically proven SCLC
  • Limited disease at diagnosis
  • Age greater than or equal to 18
  • Patients with a clinical response of CR or PR to first line combined modality therapy
  • KPS greater than or equal to 60
  • Adequate bone marrow, liver and heart functions
  • Written informed Consent

Exclusion criteria

  • Prior surgical treatment for SCLC
  • History of tuberculosis
  • NCIC CTG grade 3 local skin toxicity reaction (ulceration) to > IU PPD test > 5 IU
  • HIV positive
  • Splenectomy or spleen radiation therapy in medical history
  • Prior therapy to proteins of murine origin
  • Any second line therapy for SCLC
  • Investigational agent or immune therapy within 4 weeks prior to study randomization
  • Severe active infections
  • Active infections requiring systemic antibiotics, antiviral, or antifungal treatments
  • Serious unstable chronic illness
  • The use of systemic anti-histamines, NSAID or systemic corticosteroids
  • Any previous malignancy except adequately treated CIS of the cervix or non melanoma skin cancer or if previous malignancy was more than 5 years prior and there are no signs of recurrence
  • Pregnancy or breast feeding or absence of adequate contraception for fertile patients
  • Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be assessed with the patient before randomization in the trial.

Treatment and study plan

BEC2 Vaccine

Biological

5 vaccinations of BEC2 (2.5 mg) + BCG given day 1 of weeks 0,2,4,6 & 10.

Primary outcomes

  1. Overall survival

    Time frame: 6 monthly basis until progression of disease

Secondary outcomes

  1. Progression-free survival

    Time frame: 6 monthly basis until progression of disease

  2. Safety

    Time frame: 6 monthly basis until progression of disease

  3. Quality of Life

    Time frame: 6 monthly basis until progression of disease

  4. Health Economics Aspects

    Time frame: 6 monthly basis until progression of disease

Sponsors and collaborators

Lead sponsor

Eli Lilly and Company

Industry

Collaborators

  • EORTC Lung Cancer Cooperative Group
  • Groupe Francais De Pneumo-Cancerologie
  • Independent centers (Australia, New Zealand, Europe, USA)
  • Memorial Sloan Kettering Cancer Center
  • Merck KGaA, Darmstadt, Germany
  • Schweizerische Arbeitsgruppe fuer angewandte Krebsforschung (SAKK)
  • Spanish Lung Cancer Group
  • US Department of Veterans Affairs

Registry information

Official study title

The SILVA Study: Survival in an International Phase III Prospective Randomized LD Small Cell Lung Cancer Vaccination Study With Adjuvant BEC2 and BCG

Important dates

Study start
1998
Primary completion
2002
Study completion
2002
First posted
May 21, 2002
Registry last updated
Apr 8, 2010

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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