Title

Phase3 Study of Amrubicin With Cisplatin Versus Etoposide-cisplatin for Extensive Disease Small Cell Lung Cancer
Randomized, Open-label, phase3 Trial Comparing Amrubicin Combined With Cisplatin Versus Etoposide-Cisplatin as First-line Treatment in Patients With Extensive Disease SCLC
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Study Participants

    300
This study drug(Amrubicin)is believed to work by stopping the tumor cell in your body from growing. The purpose of this study is to evaluate the efficacy and safety of amrubicin with cisplatin compared to etoposide-cisplatin in the first-line treatment in extensive disease small cell lung cancer The subject, who is randomized to AP group may be involved into a pharmacokinetic study of amrubicin and the metabolites: amrubicinol voluntarily.
Study Started
Apr 30
2008
Primary Completion
Feb 29
2012
Study Completion
Aug 31
2012
Results Posted
Jul 04
2014
Estimate
Last Update
Jul 18
2014
Estimate

Drug Amrubicin Hydrochloride

Amrubicin Hydrochloride combined with cisplatin

Drug Etoposide-Cisplatin combined chemotherapy

combined chemotherapy

1 Experimental

Amrubicin Hydrochloride-Cisplatin combined chemotherapy

2 Active Comparator

Etoposide-Cisplatin combined chemotherapy

Criteria

Inclusion Criteria:

Histologically/cytologically proven small cell lung cancer
Extensive disease
No prior chemotherapy regimen
Age 18 years or older
ECOG performance status of 0-1

Exclusion Criteria:

Brain metastasis requiring treatment
Treatment (Surgical or radiotherapy)of primary tumor
Interstitial pneumonia or pulmonary fibrosis
Abnormal cardiac function or myocardial infraction within 6 months before study enrollment

Summary

Amrubicin, Anticancer, Injection

Etoposide, Anticancer, Injection

All Events

Event Type Organ System Event Term Amrubicin, Anticancer, Injection Etoposide, Anticancer, Injection

Overall Survival

Amrubicin Combined With Cisplatin Group

11.79
month (Median)
95% Confidence Interval: 11.01 to 12.62

Etoposide Combined With Cisplatin Group

10.28
month (Median)
95% Confidence Interval: 9.23 to 11.96

Progression-Free Survival

Amrubicin Combined With Cisplatin Group

6.83
month (Median)
95% Confidence Interval: 6.11 to 7.39

Etoposide Combined With Cisplatin Group

5.72
month (Median)
95% Confidence Interval: 5.06 to 6.93

Objective Response Rate

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Amrubicin Combined With Cisplatin Group

69.8
percentage of participants

Etoposide Combined With Cisplatin Group

57.33
percentage of participants

Overall Survival at 6 and 12 Months

Amrubicin Combined With Cisplatin Group

12-month

48.59
percentage of patients
95% Confidence Interval: 40.31 to 56.36

6-month

89.26
percentage of patients
95% Confidence Interval: 83.07 to 93.28

Etoposide Combined With Cisplatin Group

12-month

41.93
percentage of patients
95% Confidence Interval: 33.97 to 49.68

6-month

86.0
percentage of patients
95% Confidence Interval: 79.34 to 90.64

Total

299
Participants

Age, Continuous

56.78
years (Mean)
Standard Deviation: 9.92

Region of Enrollment

Sex: Female, Male

Overall Study

Amrubicin Combined With Cisplatin Group

Etoposide Combined With Cisplatin Group