Clinical trial NCT01355497: Effect of GTx-024 on Muscle Wasting in Patients With Non-Small Cell Lung Cancer (NSCLC) on First Line Platinum
Official title: Phase III, Randomized, Double-Blind, Placebo-Controlled Study of the Effect of GTx-024 on Muscle Wasting in Patients With Non-Small Cell Lung Cancer on First Line Platinum Plus a Non-Taxane Chemotherapy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Muscle Wasting
Non-Small Cell Lung Cancer
Lead sponsor: GTx
Sponsor class: INDUSTRY
First posted: 2011-05-18
Enrollment: 330
Sex: ALL
Minimum age (years): 30
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine if the investigational drug GTx-024 can help patients with non small cell lung cancer increase physical function and maintain or gain muscle.

Detailed description: This is a randomized, double blind, placebo controlled, multicenter, multinational efficacy and safety study in subjects with non small cell lung cancer. Subjects will be evenly randomized to placebo or GTx-024 prior to initiation of first line chemotherapy. The primary efficacy analysis will be based on total Lean Body Mass (LBM) and physical function.

Eligibility criteria: Inclusion Criteria:

* give voluntary, signed informed consent in accordance with institutional policies
* be non-obese as defined as body mass index (BMI)\< or = 32 and weight \< 300 pounds (\< 136 kg)
* have been diagnosed with Stage III or IV NSCLC
* be prior to first line chemotherapy
* planned first line chemotherapy regimen is platinum plus gemcitabine only or platinum plus vinorelbine only or platinum plus pemetrexed only
* if surgery is part of the cancer treatment, screening for this study should be conducted at least 4 weeks (28 days) after surgery
* life expectancy of \> 6 months
* ECOG score \< or = 1
* serum creatinine \< or = 2.0 mg/dL
* MALES - age \> or = 30 years
* - FEMALES - age \>or=30 years and clinically confirmed as postmenopausal.Subjects must have undergone the onset of spontaneous or surgical menopause prior to the start of this study. Spontaneous menopause is defined as the natural cessation of ovarian function as indicated by being amenorrheic for at least 12 months. If the subject has been amenorrheic for \>or=6 months but \<12 months they must have a serum FSH concentration of \>or=50 mIU/mL and an estradiol concentration of \<or=25 pg/mL. Surgical menopause is defined as bilateral oophorectomy.
* MALES - subjects must agree to use a double barrier method of contraception during the study and for 3 months after study completion. This may include the following: condom + spermicide or condom + oral hormonal contraception
* MALES - have a serum PSA of \< or = 4.0 ng/mL or a negative prostate biopsy (no prostate cancer) within 6 months of evaluation

Exclusion Criteria:

* Have, in the judgment of the Investigator, a clinically significant concurrent illness or psychological, familial, sociological, geographical or other concomitant condition that would not permit adequate follow-up and compliance with the study protocol
* Have ALT/SGOT or AST/SGPT above 1.5 times the upper limit of normal (ULN) without evidence of liver metastases and above 5 times the ULN in subjects with evidence of liver metastases
* have alkaline phosphatase greater than 3 times ULN and/or total bilirubin levels above 2 mg/dL at baseline
* have biologic agents or kinase inhibitors as part of their first line chemotherapy regimen including, but not limited to bevacizumab (Avastin), gefitinib (Nexavar) and erlotinib (Tarceva)
* cardiovascular: uncontrolled hypertension, congestive heart failure or angina
* Pulmonary: Stage 4 chronic obstructive pulmonary disease (COPD)
* positive screen for Hepatitis B consisting of HBsAg (Hepatitis B Surface Antigen), unless subject was diagnosed \> 10 years prior to enrollment and no evidence of active liver disease
* currently taking testosterone, oxandrolone (Oxandrin), testosterone-like agents (such as dehydroepiandrosterone (DHEA), androstenedione, and other androgenic compounds including herbals), or antiandrogens; previous therapy with testosterone and testosterone-like agents is acceptable with a 30 day washout (if previous testosterone therapy was long term depot within the past 6 months, the site should contact the medical monitor for this study to determine appropriate washout period)
* currently taking megestrol acetate (Megace), dronabinol (Marinol), medical marijuana (medical cannabis) or any prescription medication intended to increase appetite or treat unintentional weight loss
* have a baseline stair climb time \>or=30 seconds (mean of two stair climbs)
* have active cancer, other than NSCLC or non-melanoma carcinoma of the skin, within the previous two years.

Primary outcomes:
measure: Physical Function
timeFrame: Day 84
measure: Lean Body Mass
timeFrame: Day 84
Secondary outcomes:
Other outcomes:
Locations:
city: Birmingham
country: United States
facility: GTx Investigative Site
state: Alabama
city: Scottsdale
country: United States
facility: GTx Investigative Site
state: Arizona
city: La Jolla
country: United States
facility: GTx Investigative Site
state: California
city: Long Beach
country: United States
facility: GTx Investigative Site
state: California
city: Miami
country: United States
facility: GTx Investigative Site
state: Florida
city: Orange City
country: United States
facility: GTx Investigative Site
state: Florida
city: Tampa
country: United States
facility: GTx Investigative Site
state: Florida
city: Decatur
country: United States
facility: GTx Investigative Site
state: Illinois
city: Peoria
country: United States
facility: GTx Investigative Site
state: Illinois
city: Skokie
country: United States
facility: GTx Investigative Site
state: Illinois
city: Goshen
country: United States
facility: GTx Investigative Site
state: Indiana
city: Indianapolis
country: United States
facility: GTx Investigative Site
state: Indiana
city: Ashland
country: United States
facility: GTx Investigative Site
state: Kentucky
city: Concord
country: United States
facility: GTx Investigative Site
state: Massachusetts
city: Saint Clair Shores
country: United States
facility: GTx Investigative Site
state: Michigan
city: Tupelo
country: United States
facility: GTx Investigative Site
state: Mississippi
city: Great Falls
country: United States
facility: GTx Investigative Site
state: Montana
city: Rochester
country: United States
facility: GTx Investigative Site
state: New York
city: Burlington
country: United States
facility: GTx Investigative Site
state: North Carolina
city: Flat Rock
country: United States
facility: GTx Investigator
state: North Carolina
city: Wilmington
country: United States
facility: GTx Investigative Site
state: North Carolina
city: Winston-Salem
country: United States
facility: GTx Investigative Site
state: North Carolina
city: Canfield
country: United States
facility: GTx Investigative Site
state: Ohio
city: Canton
country: United States
facility: Gabrail Cancer Center
state: Ohio
city: Sandusky
country: United States
facility: GTx Investigative Site
state: Ohio
city: Portland
country: United States
facility: GTx Investigative Site
state: Oregon
city: Lancaster
country: United States
facility: GTx Investigative Site
state: Pennsylvania
city: Spartanburg
country: United States
facility: GTx Investigative Site
state: South Carolina
city: Nashville
country: United States
facility: GTx Investigative Site
state: Tennessee
city: Round Rock
country: United States
facility: GTx Investigative Site
state: Texas
Study officials:
References:
citation: Crawford J, Prado CM, Johnston MA, Gralla RJ, Taylor RP, Hancock ML, Dalton JT. Study Design and Rationale for the Phase 3 Clinical Development Program of Enobosarm, a Selective Androgen Receptor Modulator, for the Prevention and Treatment of Muscle Wasting in Cancer Patients (POWER Trials). Curr Oncol Rep. 2016 Jun;18(6):37. doi: 10.1007/s11912-016-0522-0.