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Australian New Zealand Clinical Trials Registry

Trial Details
indicate updates made to monitored data item(s) since trial registration. These data item(s) are monitored to ensure they comply with the WHO / journal editors standards.
 
Request Number: 082570
ACTR Number: ACTRN12608000061336
Trial Status: Registered
Date Submitted: 28/01/2008
Date Registered: 31/01/2008

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Public title: ANTS Trial (Australian Neoadjuvant Therapy Study for Non-small Cell Lung Cancer)
ANZCTR registration title: A randomised phase II study comparing cisplatin and docetaxel with or without cetuximab given as neoadjuvant therapy in patients with stage II and IIIA resectable non-small cell lung cancer.
Secondary ID:Trial Number: ALTG 04/008 
UTN:
Trial acronym: ANTS (Australian Neoadjuvant Therapy Study)

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Health condition(s) or problem(s) studied:
Non-small Cell Lung Cancer (NSCLC) 
Condition category: Condition code:
Cancer Lung - Non small cell 

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Description of intervention(s) / exposure: Standard chemotherapy (cisplatin 75mg/m2 i.v. and docetaxel 75mg/m2 i.v., 3-weekly for 3 cycles) plus cetuximab 400mg/m2 i.v., then 250mg/m2 i.v. weekly, followed by surgery
Intervention code:Treatment: drugs 
Comparator / control treatment: Standard chemotherapy (cisplatin 75mg/m2 i.v. and docetaxel 75mg/m2 i.v., 3-weekly for 3 cycles), followed by surgery
Control group: Active

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Primary outcome:To estimate the pathologic response rate of chemotherapy plus cetuximab and relate this rate to that for chemotherapy alone. 
Timepoint:Following 3 cycles of chemotherapy (approximately 9 weeks) 
Secondary outcome:To compare response as assessed by Computed Tomography (CT) scanning 
Timepoint:Following 3 cycles of chemotherapy (approximately 9 weeks) 

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Key inclusion criteria: 1) Histological diagnosis of NSCLC
2) Adequate baseline histological specimen available
3) Measurable primary tumour
4) Stage II or IIIA
5) Considered to be surgically resectable by thoracic surgeon
6) No prior therapy for NSCLC
7) Performance Status 0-1
8) Peripheral neuropathy no worse than grade I
9) Adequate organ function including lung, hepatic, renal and haematological function
10) Written informed consent
Minimum Age: 18 Years
Maximum Age: No limit
Gender: Both males and females
Healthy volunteers? No
Key exclusion criteria: 1) No prior malignancy within 5 years 2) No other concurrent investigational drug 3) No active infection 4) No pregnancy or breast feeding 5) No serious concomitant medical or psychiatric disorders 6) No significant cardiovascular disease 7) No concurrent systemic corticosteroid (prednisolone >10 mg/day, or equivalent) 8) No history of severe hypersensitivity reactions to polysorbate 80 or any of the study medications.

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Study type: Interventional
Purpose of the study: Treatment
Allocation to intervention: Randomised controlled trial
Describe the procedure for enrolling a subject and allocating the treatment (allocation concealment procedures): Eligible patients will be registered and randomised via the Coordinating Trial Centre at Peter MacCallum Cancer Centre. Randomisation will be 2:1 experimental vs standard arms.
Describe the methods used to generate the sequence in which subjects will be randomised (sequence generation): Minimisation
Masking / blinding: Open (masking not used)
Assignment:
Other design features (specify): Tumour and normal tissue specimens will be collected to investigate the molecular effects of chemotherapy and of cetuximab
Type of endpoint(s): Efficacy

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Phase Phase 2
Anticipated or actual date of first participant enrolement: 1/02/2008
Target sample size: 100
Recruitment status: Not yet recruiting

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Funding source 1:Commercial sector/Industry 
Name:Sanofi-Aventis 
Address:12-24 Talavera Rd Macquarie Park NSW 2113 
Country:Australia 
Funding source 2:Commercial sector/Industry 
Name:Merck Serono 
Address:U3 / 25 Frenchs Forest Frenchs Forest NSW 2086 
Country:Australia 
Funding source 3:Government funding body e.g. Australian Research Council 
Name:National Health & Medical Research Council 
Address:GPO Box 1421 Canberra ACT 2601 
Country:Australia 
Primary sponsor: Hospital
Name: Austin Health
Address: Studley Rd, Heidelberg, VIC 3084
Country: Australia
Secondary sponsor:None 
Name: 
Address: 
Country: 
Other collaborator: 

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Has the study received approval from at least one ethics committee? Yes
Ethics Committee name:Human Research Ethics Committee, Austin Health 
Address:Studley Rd, Heidelberg, VIC 3084 
Country:Australia 
Date of approval:1/04/2007 
HREC Number: 
Countries of recruitment:Australia 
Postcode:3084 
Brief summary: The primary objective of the study is to estimate the benefit of adding cetuximab to standard chemotherapy, administered prior to surgery. Cetuximab inhibits the Epidermal Growth Factor receptor. Additional objectives are to examine the relationships between various measures of tumour shrinkage and various molecular analyses of normal and cancer tissues. This may provide information on how cetuximab works, and which patients benefit most from the drug, as well as further information on the effects of chemotherapy.
Trial website:
Presentations / publication list:

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Contact person for public queries
Name: Bev McClur
Address: CBCT, Pater MacCallum Cancer Centre, St Andrews Place, East Melbourne, VIC 3002
Country: Australia
Tel: +61 3 9656 1266
Fax: +61 3 9656 1420
Email: Bev.McClur@petermac.org

Contact person for scientific queries
Name: A/Prof Paul Mitchell
Address: Austin Health, Studley Rd, Heidelberg, VIC 3084
Country: Australia
Tel: +61 3 9496 3546
Fax: +61 3 9496 3379
Email: paul.mitchell@austin.org.au

Contact person responsible for updating information
Name: A/Prof Paul Mitchell
Address: Austin Health, Studley Rd, Heidelberg, VIC 3084
Country: Australia
Tel: +61 3 9496 3546
Fax: +61 3 9496 3379
Email: paul.mitchell@austin.org.au
   
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