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Brief Title: Phase II Trial of Carboplatin and Pemetrexed +/- OGX-427 in Untreated Stage IV Non-Squamous-Non-Small-Cell Lung Cancer
Official Title: Double-Blind Randomized Phase II Trial of Carboplatin and Pemetrexed With or Without OGX-427 in Patients With Previously Untreated Stage IV Non-Squamous-Non-Small-Cell Lung Cancer (The Spruce Clinical Trial)
Study ID: NCT01829113
Brief Summary: This randomized phase II study will compare the efficacy and safety of the combination of carboplatin and pemetrexed with and without OGX-427 in patients with previously untreated advanced non-squamous NSCLC.
Detailed Description: Modern doublet chemotherapy improves survival in patients with advanced non-small cell lung cancer (NSCLC) compared with supportive care alone, with non-squamous NSCLC patients treated with platinum/pemetrexed living longer than patients treated with platinum/gemcitabine. Despite these advances, poor outcomes with advanced disease warrant exploration of novel drugs with unique mechanisms of action. Preclinical evidence in lung cancer models shows promising antitumor activity with OGX-427 in combination with platinum based therapy or pemetrexed. In this double-blind, placebo-controlled, Phase II study, pemetrexed and carboplatin plus OGX-427 followed by maintenance pemetrexed and OGX-427 will be compared with pemetrexed and carboplatin plus placebo followed by maintenance pemetrexed and placebo in patients with previously untreated advanced non-squamous NSCLC.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Rocky Mountain Cancer Center, Denver, Colorado, United States
Florida Cancer Specialists-South, Fort Myers, Florida, United States
Florida Hospital Cancer Insitute, Orlando, Florida, United States
Florida Cancer Specialists-North, Saint Petersburg, Florida, United States
Baptist Hospital East, Louisville, Kentucky, United States
Center for Cancer and Blood Disorders, Bethesda, Maryland, United States
Research Medical Center, Kansas City, Missouri, United States
Nebraska Methodist Hospital, Omaha, Nebraska, United States
Hematology-Oncology Associates of Northern NJ, Morristown, New Jersey, United States
Oncology Hematology Care, Inc., Cincinnati, Ohio, United States
South Carolina Oncology Associates, Columbia, South Carolina, United States
Tennessee Oncology - Chattanooga, Chattanooga, Tennessee, United States
Tennessee Oncology, Nashville, Tennessee, United States
The Center for Cancer and Blood Disorders, Fort Worth, Texas, United States
Peninsula Cancer Institute, Newport News, Virginia, United States
Virginia Cancer Institute, Richmond, Virginia, United States
Name: David R. Spigel, M.D.
Affiliation: SCRI
Role: STUDY_CHAIR