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NCT02303977

Phase II Study of Abraxane and Gemicitabine in Patients With Advanced Adenocarcinoma Non-Small Cell Lung Cancer Progressing After First-Line Platinum-Based Chemotherapy

Completed Phase 2 Results posted Last updated 29 September 2021
What this trial tests

Phase 2 trial testing Abraxane in Patients With Stage IV or Recurrent Adenocarcinoma of the Lung in 37 participants. Completed in 30 April 2020.

Timeline
26 June 2015
Primary endpoint
30 April 2020
30 April 2020

Quick facts

Lead sponsorAbramson Cancer Center at Penn Medicine
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment37
Start date26 June 2015
Primary completion30 April 2020
Estimated completion30 April 2020

Drugs / interventions tested

Conditions studied

Sponsor

Abramson Cancer Center at Penn Medicine — full company profile →

Who can join

18 and older, any sex, with Patients With Stage IV or Recurrent Adenocarcinoma of the Lung. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Overall Response Rate Primary · Averaging about 16 weeks.

The percentage of patients with a Partial Response or Complete Response recorded from the start of the treatment until disease progression/recurrence by RECIST 1.1 criteria. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the diameter of target lesions; Overall Response (OR) = CR + PR.

GroupValue95% CI
Gemcitabine + Paciltaxel13.52.5 – 24.5
Progression-free Survival Secondary · Averaging about 16 weeks

Measures the length of time from the first day of therapy until Progressive Disease, death from any cause, or last patient contact. Disease Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

GroupValue95% CI
Gemcitabine + Paciltaxel2.61.4 – 3.8
Overall Survival Secondary · Averaging about 47 weeks

Length of time from the first day of therapy to death from any cause or last patient contact

GroupValue95% CI
Gemcitabine + Paciltaxel6.24.2 – 8.2
Disease Control Rate Secondary · The duration of study treatment, averaging about 16 weeks.

The percentage of patients with a Partial Response, a Complete Response, or Stable Disease during the study. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the diameter of target lesions; Overall Response (OR) = CR + PR.

GroupValue95% CI
Gemcitabine + Paciltaxel59.543.5 – 75.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were assessed from the time of the initiation of study treatment, until 30 days after the end of study treatment, for an average of about 20 weeks. All-Cause Mortality was assessed from the time of study initiation until the death of the subject by any cause, up to approximately 47 weeks.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Gemcitabine + Paciltaxel
Serious: 22/37 (59%)
Deaths: 36/37

Serious adverse events (22 terms)

ReactionSystemGemcitabine + Paciltaxel
thromboembolic eventVascular disorders
Lung InfectionInfections and infestations
VomittingGastrointestinal disorders
ANC DecreasedInfections and infestations
anemiaBlood and lymphatic system disorders
SepsisInfections and infestations
NauseaGastrointestinal disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Soft Tissue InfectionInfections and infestations
Bronchopulmonary HemorrhageRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Respiratory FailureRespiratory, thoracic and mediastinal disorders
DiarrheaGastrointestinal disorders
MyelitisNervous system disorders
DehydrationMetabolism and nutrition disorders
Failure to thriveGeneral disorders
WBC decreasedInfections and infestations
HyponatremiaMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
Tumor invasion of left brachial plexusNervous system disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Other adverse events (17 terms — click to expand)

ReactionSystemGemcitabine + Paciltaxel
FatigueGeneral disorders
AnemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
Neutrophil count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
FeverGeneral disorders
VomittingGastrointestinal disorders
Platelet count decreasedInvestigations
ALT increasedInvestigations
NeuropathyNervous system disorders
RashSkin and subcutaneous tissue disorders
White blood cell decreasedBlood and lymphatic system disorders
AST IncreasedInvestigations
ConstipationGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: thromboembolic event, Lung Infection, Vomitting, ANC Decreased, anemia, Sepsis, Nausea, Pleural Effusion.

Data from ClinicalTrials.gov NCT02303977 adverse events section.

Sponsor's own description

The main purpose of this study is to see how well the combination of Abraxane and gemcitabine works in people with advanced adenocarcinoma NSCLC who have already had treatment for their disease. Gemcitabine and Abraxane are FDA approved chemotherapies; however, the FDA has not approved this combination in the treatment of this specific type of cancer. Patients may continue to receive the study drugs until their disease gets worse or they have unacceptable side effects.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Phase II Trial of Combination Nab-paclitaxel and Gemcitabine in Non-squamous Non-small Cell Lung Cancer After Progression on Platinum and Pemetrexed.
    Ciunci CA, Reibel JB, Evans TL, Mick R, et al · · 2022 · cited 8× · PMID 35393247 · DOI 10.1016/j.cllc.2022.02.004
  2. Phase II study of nab-paclitaxel with gemcitabine for relapsed/refractory small cell lung cancer.
    Byrne MM, Sutamtewagul G, Zeitler W, Mott SL, et al · · 2024 · cited 1× · PMID 39144826 · DOI 10.3389/fonc.2024.1303268

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Other trials of Abraxane

Trials testing the same drug.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02303977.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing