A Study of AMG 951 [rhApo2L/TRAIL] in subjects with Previously Untreated Non-Small Cell Lung Cancer (NSCLC) Treated with Chemotherapy +/- Bevacizumab
Study Details
This is a phase 2 multicenter, open label, randomized study of AMG 951 (rhApo2L/TRAIL) in subjects with previously untreated stage IIIb/IV NSCLC treated with chemotherapy with or without bevacizumab.
Subjects will be assigned to a set of treatment groups depending on their eligibility to receive bevacizumab. Subjects with squamous NSCLC and/or CNS metastases will not be eligible to receive bevacizumab and will be assigned to either cohort A or B (provided all other eligibility criteria are met). Subjects who are eligible to receive bevacizumab will be assigned to cohort C, D or E. Cohorts are defined as follows:
Subjects with squamous NSCLC or CNS mets:
Cohort A: Chemotherapy alone
Cohort B: Chemotherapy plus 8 mg/kg AMG 951 for 5 days
Subjects without squamous NSCLC and without CNS mets:
Cohort C: Chemotherapy and bevacizumab
Cohort D: Chemotherapy, bevacizumab plus 8 mg/kg AMG 951 for 5 days
Cohort E: Chemotherapy, bevacizumab plus up to 20 mg/kg AMG 951 for 2 days
Approximately forty subjects will be recruited to each cohort.
Protocol Summary
Objective response rate (CR and PR) by modified RECIST
Timeframe: Until disease progression, drug intolerability or withdrawal of consent
Progression free survival
Timeframe: Until disease progression, drug intolerability or withdrawal of consent
Time to response
Timeframe: Until disease progression, drug intolerability or withdrawal of consent
Duration of response
Timeframe: Until disease progression, drug intolerability or withdrawal of consent
Time to progression
Timeframe: Until disease progression, drug intolerability or withdrawal of consent
Overall response rate (complete, partial or stable response)
Timeframe: Until disease progression, drug intolerability or withdrawal of consent
Overall Survival
Timeframe: Until disease progression, drug intolerability or withdrawal of consent