Primary Objective: * to assess the objective response rate (ORR) of Iniparib (SAR240550) administered as a 60-min intravenous infusion twice weekly, when combined to gemcitabine/cisplatin chemotherapy regimen (GCS) as well as with the standard regimen of gemcitabine/cisplatin (GC) in patients with stage IV non small cell lung cancer. Secondary objectives are: * to assess the safety profiles of the study combination GCS and of the standard regimen GC; * to assess the progression free survival and the overall survival in both arms; * to assess the relationship between DNA repair pathway characteristics of tumors at baseline and clinical outcome of disease. * to assess the effect of Iniparib on PAR level in peripheral blood mononuclear cells (PBMC). (As of 10 September 2010, the collection of PBMC is temporarily discontinued.)
The duration of the study for a patient will include a period for inclusion of up to 3 weeks. The patients may continue treatment up to a maximum of 6 cycles or until disease progression, unacceptable toxicity or consent withdrawal, followed by a minimum of 30-day follow-up after the last study treatment administration. Patients will be followed for at least 30 days after the last administration of study treatment for safety purpose. In case of study treatment discontinuation without disease progression, efficacy data will be collected every 6 weeks until disease progression, death or end of study whatever comes first. After disease progression, the patient will be followed-up every 12 weeks (3 months) for overall survival (OS) until death or end of study whatever comes first. The end of the study will be one year after the first dose of the last treated patient.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
119
Pharmaceutical form: solution for infusion Route of administration: 60-minute IV infusion
Pharmaceutical form: solution for infusion Route of administration: 30-minute IV infusion
Pharmaceutical form: solution for infusion Route of administration: 1- to 4-hour IV infusion, according to the local standard
Sanofi-Aventis Investigational Site Number 250002
Caen, France
Sanofi-Aventis Investigational Site Number 250003
Marseille, France
Sanofi-Aventis Investigational Site Number 250004
Toulouse, France
Sanofi-Aventis Investigational Site Number 250001
Villejuif, France
Sanofi-Aventis Investigational Site Number 276003
Essen, Germany
Sanofi-Aventis Investigational Site Number 276002
Gauting, Germany
Sanofi-Aventis Investigational Site Number 276001
Großhansdorf, Germany
Sanofi-Aventis Investigational Site Number 380003
Livorno, Italy
Sanofi-Aventis Investigational Site Number 380001
Orbassano, Italy
Sanofi-Aventis Investigational Site Number 380002
Rozzano, Italy
...and 4 more locations
overall response rate (ORR) that is defined in the RECIST 1.1 version, as: complete response rate + partial response rate
Time frame: up to a maximum follow-up of 25 weeks
progression free survival
Time frame: up to a maximum of 2 years
overall survival
Time frame: up to a maximum of 2 years
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