This trial is active, not recruiting.

Condition non small cell lung cancer
Treatment nelfinavir
Phase phase 1
Sponsor Abramson Cancer Center of the University of Pennsylvania
Start date March 2010
End date August 2014
Trial size 72 participants
Trial identifier NCT01108666, UPCC 01510


Seventy two patients are being asked to take part in this research study because they have been diagnosed with Stage IIIA or IIIB non-small cell lung cancer (NSCLC). This study is being done to determine the highest safe dose of proton beam radiotherapy and/or study drug (called Nelfinavir) that can be given with concurrent chemoradiotherapy to patients with cancer without causing bad side effects; and to develop biomarker for clinical outcome. This study will be done in two phases. In the first phase, feasibility will be established. We will follow patients treatment courses and record side effects at the standard proton radiation dose that can be given together with Cisplatinum + Etoposide or Carboplatin + Paclitaxel. In the second phase, we will see if it is possible to increase the total proton radiation dose or study drug without increasing the number of bad side effects while treated together with chemotherapy drugs.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Endpoint classification efficacy study
Primary purpose treatment

Primary Outcomes

time frame: 10 days of estimated date of treatment completion or requires a treatment break greater than 5 days
Acute Toxicity (or dose limiting toxicity)
time frame: Greater than 14 days
Late Toxicity
time frame: Open-Ended, Known to occur a year or more after therapy

Secondary Outcomes

Clinical Efficacy
time frame:
time frame:

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: 1. Histologically confirmed diagnosis of NSCLC. 2. Stage IIIA or IIIB NSCLC. 3. Patients must have no evidence of metastatic disease based on routine imaging. 4. Patients must have a Karnofsky Performance Status of 60. 5. Age 18 and older. 6. Patients must be able to provide informed consent. 7. Adequate bone marrow function (i.e. WBC larger than or equal to 4000/mm3, platelets larger than or equal to 100,000 mm3). 8. Adequate renal function for cisplatin or carboplatin as determined by the medical oncologist: Usually Calculated creatinine clearance (CrCl) larger than or equal to 45 mL/min or serum creatinine level smaller than or equal to1.5 x institutional ULN. 9. Patients must have bilirubin 1.5 mg/dl. 10. Women of child-bearing potential as long as she agrees to use a recognized method of birth control (e.g. oral contraceptive, IUD, condoms or other barrier methods etc). 11. Hysterectomy or menopause must be clinically documented. Exclusion Criteria: 1. Prior or simultaneous malignancies within the past two years (other than cutaneous squamous or basal cell carcinoma or melanoma in situ). 2. Pregnant women, women planning to become pregnant and women that are nursing. 3. Actively being treated on any other research study. 4. For the Nelfinavir phase of the trial only: Patients who are taking Antiarrhythmics (amiodarone, quinidine), Antimycobacterial (rifampin), Ergot Derivatives (dihydroergotamine, ergonovine, ergotamine, ethylergonovine), Herbal Products (St. John's wort/ hypericum perforatum), HMG-CoA Reductase Inhibitors (lovastatin, simvastatin), Neuroleptic (pimozide), Proton Pump Inhibitors, or Sedative/ Hypnotics (midazolam, triazolam). Note: Patients with the following conditions are deemed unsuitable for cisplatin-based chemotherapy (and will be treated with carboplatin): (a) Hearing impairment/ peripheral neuropathy Grade 1 or less at baseline (b) Symptomatic/uncontrolled congestive heart failure (unable to tolerate volume load with pre- and post-cisplatin hydration)

Additional Information

Official title Phase I Dose Escalation Trial of Proton Beam Radiotherapy With Concurrent Chemotherapy and Nelfinavir for Inoperable Stage III NSCLC
Description Overall objectives: 1. Determine MTD of proton beam radiotherapy with concurrent cisplatin and etoposide for stage III NSCLC. 2. Determine MTD of proton beam radiotherapy with concurrent carboplatin and paclitaxel for stage III NSCLC in non-cisplatin candidates. 3. Determine MTD of Nelfinavir with concurrent chemoradiotherapy for stage III NSCLC at RPTD of proton beam radiotherapy. 4. Develop biomarker for clinical outcome with concurrent chemoradiotherapy in stage III NSCLC. 5. To determine clinical efficacy, as defined by metabolic response, sites of recurrence (e.g., local, regional, distant) and progression-free and overall survival.
Trial information was received from ClinicalTrials.gov and was last updated in July 2016.
Information provided to ClinicalTrials.gov by Abramson Cancer Center of the University of Pennsylvania.