Clinical trial · Interventional
Vandetanib, Carboplatin, and Paclitaxel in Treating Patients With Stage I, Stage II, or Stage III Non-Small Cell Lung Cancer That Can Be Removed by Surgery
Assessment of Feasibility and Safety of the Addition of ZD6474 (Zactima) to Carboplatin and Paclitaxel Administered Neo-Adjuvantly in Stage IB, II and T3, N1 Non-Small Cell Lung Cancer (NSCLC)
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
RATIONALE: Vandetanib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving vandetanib together with chemotherapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. PURPOSE: This phase II trial is studying how well giving vandetanib together with carboplatin and paclitaxel works in treating patients with stage I, stage II, or stage III non-small cell lung cancer that can be removed by surgery.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Lung Cancer | Malignant Lung Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| carboplatin | Drug | Carboplatin | ALIAS |
| neoadjuvant therapy | Procedure | — | UNRESOLVED |
| paclitaxel | Drug | Paclitaxel | ALIAS |
| Zactima | Drug | Vandetanib | ALIAS |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Zactima, Paclitaxel, Carboplatin
- description
- Zactima- 100 mg orally daily, starting on day 1 of cycle 1. Paclitaxel- 200mg/m2 IV, every 3 weeks starting on day 1 of cycle 1. Carboplatin AUC6 IV, every 3 weeks starting on day 1 of cycle 1 Duration of each cycle: 21 days. The last dose of zactima will be on the first day of the last cycle. Neoadjuvant Surgery: Surgical resection of the tumor will be performed after the resolution of all the adverse effects from the last cycle of treatment but no earlier than 3 weeks after the last cycle of treatment.
- interventionNames
- Drug: carboplatin
- Drug: paclitaxel
- Drug: Zactima
- Procedure: neoadjuvant therapy
Primary outcomes (1)
- measure
- Complete Resection (R0) Rate
- timeFrame
- Following three cycles of pre-operative zactima and carboplatin/paclitaxel
Secondary outcomes (4)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 120 Years
Show eligibility criteria text
DISEASE CHARACTERISTICS:
* Histologically or cytologically confirmed non-small cell lung cancer (NSCLC), meeting 1 of the following staging criteria:
* Stage IB or II disease
* T3, N0-1 disease (stage IIIA)
* Deemed a surgical candidate
* No prior lung cancer (NSCLC or small cell lung cancer)
PATIENT CHARACTERISTICS:
* ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100%
* WBC ≥ 3,000/mm³
* Absolute neutrophil count ≥ 1,500/mm³
* Platelet count ≥ 100,000/mm³
* Bilirubin normal
* AST and ALT ≤ 2.5 times upper limit of normal (ULN)
* Creatinine ≤ 1.5 times ULN
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception
* No evidence of severe or uncontrolled systemic disease or any concurrent condition that, in the opinion of the investigator, would preclude study compliance
* No peripheral neuropathy ≥ grade 2
* No hemoptysis within the past 12 weeks
* No spontaneous bleeding within the past 12 weeks
* No clinically significant cardiac event (e.g., NYHA class II-IV heart disease, myocardial infarction) within the past 3 months
* No history of asymptomatic sustained ventricular tachycardia or arrhythmia that is symptomatic or requires treatment, including any of the following:
* Multifocal premature ventricular contractions
* Bigeminy
* Trigeminy
* Ventricular tachycardia
* Uncontrolled atrial fibrillation
* Atrial fibrillation controlled with medication allowed
* No history of QTc prolongation as a result from other medication that required discontinuation of that medication
* No congenital long QT syndrome or first-degree family relative with an unexplained death before the age of 40
* No left bundle branch block
* No QTc with Bazett's correction that is unmeasurable or QTc ≥ 480 milliseconds on screening ECG
* Patients with QTc ≥ 480 milliseconds on screening ECG may have ECG repeated twice
* Average QTc from the 3 screening ECG's must be \< 480 milliseconds
* No uncontrolled hypertension (systolic BP \> 160 mm Hg or diastolic BP \> 100 mm Hg)
* No active diarrhea or active gastrointestinal disease that may affect the absorption of study drugs or ability to tolerate study drugs
* No other malignancy within the past 3 years except in situ cervical carcinoma or adequately treated basal cell or squamous cell carcinoma of the skin
PRIOR CONCURRENT THERAPY:
* More than 4 weeks since major surgery and recovered
* No prior carboplatin, paclitaxel, or vandetanib
* More than 30 days since prior investigational agents
* More than 2 weeks since prior and no concurrent drugs that induce CYP3A4 including, but not limited to, any of the following:
* Rifampin
* Phenytoin
* Carbamazepine
* Barbiturates
* Hypericum perforatum (St. John's wort)
* No medication that may cause QTc prolongation or induce torsades de pointes for 2 weeks prior to beginning study treatment, during, and for 2 weeks after completion of study treatment
* No concurrent combination antiretroviral treatment for HIV-positive patients
* No other concurrent investigational agentsReferences
Publications (0)
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