CTRI/2019/08/020665 [Registered on: 09/08/2019] Trial Registered Prospectively
Last Modified On:
09/06/2021
Post Graduate Thesis
No
Type of Trial
Interventional
Type of Study
Drug
Study Design
Randomized, Parallel Group, Active Controlled Trial
Public Title of Study
A study to compare the efficacy and safety of INTP24 against Avastin® in patients with lung cancer.
Scientific Title of Study
A randomized, double-blind, multicentre, multinational comparative clinical study to compare the
efficacy and safety of INTP24 against Avastin® in patients with unresectable, locally advanced,
recurrent or metastatic non-squamous non-small cell lung cancer.
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Name
Mr Prashant Modi
Designation
General Manager
Affiliation
Lambda Therapeutic Research Ltd
Address
Lambda House, Department of Project Management & Regulatory Affairs, Plot No. 38, Survey No. 388 Near Silver Oak Club, S. G.
Highway, Gota Ahmadabad GUJARAT 382481 India
Lambda House, Department of CTM Medical Services, Plot No. 38, Survey No. 388 Near Silver Oak Club, S. G. Highway, Gota Ahmadabad GUJARAT 382481 India
Phone
07940202389
Fax
07940202021
Email
namanshah@lambda-cro.com
Details of Contact Person Public Query
Name
Mr Prashant Modi
Designation
General Manager
Affiliation
Lambda Therapeutic Research Ltd
Address
Lambda House, Department of Project Management & Regulatory Affairs, Plot No. 38, Survey No. 388 Near Silver Oak Club, S. G.
Highway, Gota Ahmadabad GUJARAT 382481 India
Department of clinical research,Room No NA,A-4, Paschim Vihar - 110063 New Delhi DELHI
09999379838
ajaysharma04@rediffmail.com
Dr Rambha Pandey
All India Institute of Medical Sciences
Department of clinical research, Room No. NA,Ansari Nagar, East, Gautam Nagar - 110029. New Delhi DELHI
09310012026
rambha151@gmail.com
Dr Saroj Kumar Das Majumdar
All India Institute of Medical Sciences
Department of Radiotherapy,Sijua, Patrapada, Po- Dumduma, Bhubaneswar-751019, Khordha ORISSA
09438884066
sarojmajumdar@gmail.com
Dr Prashant Mehta
Asian Institute of Medical Sciences
Department of clinical research, Room No NA,Sector 21A, Near Badkal Flyover Road -121001, Faridabad HARYANA
09013590847
prashantcipher7@gmail.com
Dr Arun Kumar L
Care Hospital
Department of clinical research, Room No NA,Hi-Tech City, Old Mumbai Highway, Near Cyberabad Police Commissionerate-500032 Hyderabad TELANGANA
07382348479
arunreddy.thipparthi@carehospitals.com
Dr Padmaj S Kulkarni
Deeenanath Mangeshkar Hospital and Research Centre
Department of clinical research, Room No NA,Erandwane-411004 Pune MAHARASHTRA
09923391255
drpskoncologist@gmail.com
Dr Pragnya Shukla
Delhi State Cancer Institute
Department of clinical research, Room No NA,Dilshad Garden, East-110095 East DELHI
09560390107
pragyaonco@gmail.com
Dr Ashish Singhal
Dr. Ram Manohar Lohia Institute of Medical Sciences
Department of Surgical Oncology,Room No NA, Vibhuti Khand, Gomtinagar,- 226010 Lucknow UTTAR PRADESH
09453077109
ashishpgi@yahoo.co.in
Dr K Velavan
Erode Cancer Centre
Department of clinical research, Room No 1/393, Velavan Nagar, Perundurai Road, Thindal-638012, Erode TAMIL NADU
09842334222
kvels@rediffmail.com
Dr Ashok Kumar Diwan
Government Medical College & Hosiptal,
Department of clinical research, Room No NA,Medical Square road-440003, Nagpur MAHARASHTRA
09822816608
tinuad76@gmail.com
Dr Ashish Kaushal
HCG Cancer Centre
Department of clinical research, Room No Sola-Science City Road, Near Sola Bridge, S.G. Highway-380060 Ahmadabad GUJARAT
09978297842
drashish4@yahoo.co.in
Dr VS N Rao
HCG City Cancer Centre
Department of clinical research, Room No 33-25-33,Ch Venkata Krishnayya street, suryarao pet, Vijayawada-520002 Krishna ANDHRA PRADESH
09849121050
vsnrao@yahoo.co.in
Dr Rajnish Nagarkar
HCG Manavata Cancer Centre
Department of clinical research, Room No NA Behind Shivang Auto,Mumbai Naka-422001 Nashik MAHARASHTRA
09823061929
drraj@manavatacancercentre.com
Dr Vijay Aditya
HCG Pinnacle Cancer Centre,
Department of clinical research, Room No NA ,Plot No 10, Survey No: 13P, APIIC,Health City, Chinagadili-530040 Visakhapatnam ANDHRA PRADESH
07675945176
yvamail@gmail.com
Dr Kakali Choudhury
Health Point Hospital
Department of clinical
research, Room No 21, Prannath Pandit Street,
Opposite Lansdowne
Padmapukur-700025 Kolkata WEST BENGAL
09883083052
mailkakalichoudhury@gmail.com
Dr Narendra Khippal
Institute of Respiratory Diseases, SMS Medical College and Hospital
Department of clinical
research, Room No,B-2
Subhash Nagar
Shopping Center,
Shashtri Nagar-302016 Jaipur RAJASTHAN
09829017619
drnkhippal@rediffmail.com
Dr Mangesh Mekha
Jehangir Clinical Development Centre Pvt. Ltd.
Department of clinical research, Room No NA,Jehangir Hospital Premises, 32 sassoon road-411001, Pune MAHARASHTRA
08149364641
mangesh.mekha@gmail.com
Dr Guru Prasad Mohanty
Kailash Cancer Hospital and Research Centre
Department of clinical research, Room No NA,Muni Seva Ashram, Goraj, Waghodia-391760 Vadodara GUJARAT
09427432383
Guru.prasad@greenashram.org
Dr Rajendra Kumar
King Georges Medical University
Department of
Radiotherapy, Shah
Mina Rd,
Chowk,Shatabdi Phase
II-226003 Lucknow UTTAR PRADESH
09369918180
drrkumar10@gmail.com
Dr S P Shrivastav
Kiran Hospital Multi Super Speacility Hospital and Research center
Department of clinical research, Room No NA,Vasta Devdi Roadnear sumul dairy,Katargam,--395004 Surat GUJARAT
09824196710
communication@kiranhospital.com
Dr Mahesh Kumar Kalloli
KLES Dr. Prabhakar Kore Hospital & MRC
Department of clinical research, Room No NA,Nehru Nagar, Belgavi-590010, Belgaum KARNATAKA
09945014996
mahesh.kalloli@gmail.com
Dr Rashmi Anand Gudur
Krishna Institute of Medical Sciences
Pune-Banglore Highway-4, Department of clinical research, Room No: NA, Malkapur, Karad-415110 Satara MAHARASHTRA
9860249027
rashmiagudur@gmail.com
Dr Rakesh Reddy
Mahatma Gandhi Cancer Hospital & Research Institute
Department of clinical research, Room No 1/7,MVP Colony-530017 Visakhapatnam ANDHRA PRADESH
09013355935
drrakeshreddyboya@yahoo.com
Dr Manu Prasad
Malabar Cancer Centre
Department of clinical research, Room No NA,Moozhikara, Kodiyeri, Thalassery-670103 Kannur KERALA
08589957229
manuprasadmcc@gmail.com
Dr Balaji Shewalkar
Marathwada Regional Cancer Centre & Research Institute
Department of clinical research, Room No NA,Near Jama Masjid, Aam Khas Maidan Road-431001 Aurangabad MAHARASHTRA
09850632639
drbalajishewalkar@gmail.com
Dr Gautam Goyal
Max Super Speciality Hospital
Mohali-A, Unit of Hometrail Buildtech Pvt. Ltd.,Near Civil Hospital,Phase-6,Mohali-160055 Rupnagar PUNJAB
08195849111
gautam3636@gmail.com
Dr Kirushna Kumar Kosanam Subramanian
Meenakshi Mission Hospital & Research Centre
Department of clinical research, Room No NA,Lake Area, Melur Road-625107 Madurai TAMIL NADU
09787713004
drkskk@yahoo.com
Dr Mukul Goyal
Metro Asian Cancer Research Institute,Metro Mas Hospital
Department of clinical research, Room No NA Shipra Path, Near Technology Park, Mansarovar-302020 Jaipur RAJASTHAN
09530370043
drmukulgoyal@yahoo.in
Dr Suman Kalyan
MIOT International Multi Speciality Hospital
Department of clinical research, Room No 4/112, Mount Poonamalle High Road, Manapakkam -600089 Chennai TAMIL NADU
07708866883
mailsumankalyan@gmail.com
Dr Parimkayala Radhika
MNJ Institute of Oncology & Regional Cancer Centre
Red Hills-500004, India Hyderabad TELANGANA
9848792682
radhika.parimkayala@gmail.com
Dr Ashish Joshi
Mumbai Oncocare Centre
Department of clinical research, Room No NA 2nd Floor, Majithia Apartments, Gods gift premises Co.op.Soc.Ltd, S.V.Road, Vileparle(W)-400056 Mumbai MAHARASHTRA
Department of clinical research, Room No NA,Sector No. 27, Near Bhel Chowk, Nigdi Pradhikaran,-411044 Pune MAHARASHTRA
09881143140
rakesh.neve23@gmail.com
Dr K R Madhava
Prakriya Hospital
Department of clinical research, Room No NA,Service Road , 8th Mile , Nagasandra-560073 Bangalore KARNATAKA
09686724368
krmadhava1@gmail.com
Dr Adwite Gore
Prince Aly Khan Hospital, Aga Hall
Department of clinical research, Room No NA,Nesbit Road,Mazagaon-400010, Mumbai MAHARASHTRA
09821262618
adygore@gmail.com
Dr Ullas Batra
Rajiv Gandhi Cancer Institute and Research Centre
Department of clinical research, Room No NA,Rohini, Sector-5-110085 New Delhi DELHI
09711080001
ullasbatra@gmail.com
Dr Vaibhav Choudhary
Rashtra Sant Tukdoji Regional Cancer Hospital & Research Centre
Department of clinical research, Room No NA,Manewada Square, Tukdoji Square-440027 Nagpur MAHARASHTRA
09833621049
dr.vaibhav155@gmail.com
Dr Dinesh Kumar Sinha
Regional Cancer Center, Indira Gandhi Institute of Medical sciences
Department of clinical research, Room No NA,Sheikhpura - 800014 Patna BIHAR
09771433132
drdineshkumarsinha@gmail.com
Dr Minish Jain
Ruby Hall Clinic
Department of clinical research, Room No 40, Sassoon Road-411001, Pune MAHARASHTRA
09823133390
minishjain009@gmail.com
Dr Abhishek Kakroo
Sangini Hospital
Department of clinical research, Room No 1st floor and office No. 708, Santorini Square, B/H, Abhishree complex, opp. Star bazar, Nr. Jodhpur cross roads, satelite-380015 Ahmadabad GUJARAT
09974911291
kakrooabhishek@yahoo.com
Dr Aniket Thoke
Sanjeevani CBCC USA Cancer Hospital
Department of clinical research, Room No NA,Infront of Jain Mandir Dawada Colony Pachpedi Naka- 492001 Raipur CHHATTISGARH
09752929741
drthoke@gmail.com
Dr Akash Tiwari
Shalby Hospital Indore
Department of clinical research, Room No Part 5 & 6, R.S. Bhandari Marg , Near Janjeerwala,Square-452003 Indore MADHYA PRADESH
09968721696
akash07tiwari@gmail.com
Dr Tushar Patil
Shree Hospital
Department of clinical research, Room No NA,Siddharth Mansion nagar-411006 Pune MAHARASHTRA
09552522556
tussipats@hotmail.com
Dr Ghanshyam Biswas
Sparsh Hospital & Critical Care(P) Ltd.
Department of clinical research, Room No A/407, Saheed Nagar, Bhubaneswar, 751007 Khordha ORISSA
09937500878
drgbiswas@gmail.com
Dr Suresh Sudaliandi
Sri Ramachandra Medical Center
Department of clinical research, Room No 13, East Spur Tank Road, Chetpet-600031, Chennai TAMIL NADU
09841217666
drsureshonco@gmail.com
Dr Lokanatha Dasappa
Sri Venkateshwara Hospital,
Department of clinical research, Room No # 86, Hosur Main Road, Madiwala- 560068 Bangalore KARNATAKA
09845695589
drlok61@gmail.com
Dr Rajendra Arora
Sujan Surgical Cancer Hospital & Amravati Cancer Foundation
Department of clinical
research, Room No
52/B Shankar Nagar,
Main Road-444606 Amravati MAHARASHTRA
09823097973
dr_rsarora@rediffmail.com
Dr S H Advani
Sushrut hospital & Research Centre
Department of clinical research, Room No NA,Chambur(E), 365 Swastik Park, 400071 Mumbai MAHARASHTRA
09821157706
shadvani2000@yahoo.com
Dr Bhavesh Poladia
Thangam Hospital and Thangam Cancer,
Department of clinical research, Room No 54, Dr.Sankaran Road, Near BSNL Office, K K Nagar,-637001 Namakkal TAMIL NADU
09819151554
bhaveshpoladia@gmail.com
Dr Kiran Kattimani
The Karnataka Cancer Therapy & research Institute, Padmashree, Dr. R. B. Patil Cancer Hospital
Padmashree, Department of clinical research, Room No NA, Dr. R. B. Patil Cancer Hospital,Navanagar,Hubli-580025 Dharwad KARNATAKA
9480616656
kctrihubli@gmail.com
Dr Tanveer Maksud
Unique Hospital-Multispecialty & Research Institute
Department of clinical research, Room No NA,opp. Kiran Motor, Near canal road, Civil Char Rasta, Sosyo Circle Lane-395002 Surat GUJARAT
09909918887
tanveermaksud@gmail.com
Dr P Vijaya Veeran
Universal cancer Hospital Limited
No.-370, Department of clinical research, Kondalampathy Roundana-630010 Salem TAMIL NADU
9843535362
drvijayaveeran@gmail.com
Dr Amit Jain
Valentis Cancer Hospital
Department of clinical research,Room No NA,Mussoorie, Mawana Road, -250001 Meerut UTTAR PRADESH
09410816252
dramit2001@gmail.com
Dr Nikhil Ghadyalpatil
Yashoda Hospital
Department of clinical research, Room No NA,Raj Bhavan Road, Soamjiguda-500082 Hyderabad TELANGANA
(1) ICD-10 Condition: C349||Malignant neoplasm of unspecifiedpart of bronchus or lung,
Intervention / Comparator Agent
Type
Name
Details
Comparator Agent
Avastin of Roche Registration Limited, United Kingdom
Dose: 15 mg/kg on day 1 of each 21-day chemotherapy cycle; Frequency: every 3 weeks (18 cycles); Mode of Administration: Intravenous infusion; Duration of treatment: 54 weeks
Intervention
INTP24 Of Intas Pharmaceuticals Ltd., India
Dose: 15 mg/kg on Day 1 of each 21-day chemotherapy cycle; Frequency: every 3 weeks (18 cycles); Mode of Administration: Intravenous infusion; Duration of
treatment: 54 weeks
Inclusion Criteria
Age From
18.00 Year(s)
Age To
99.00 Year(s)
Gender
Both
Details
1. Patient of either gender and aged greater than or equal to 18 years
2. Patient having histologically or cytological confirmed predominately nonsquamous, non-small cell lung cancer.
3. Patients with locally advanced, unresectable or metastatic non-small cell lung cancer or recurrent non-small cell lung cancer according to The Union for International Cancer Control (UICC) staging system.
4. At-least one measurable lesion according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 or higher criteria.
5. For patients with recurrent disease, at least 6 months must have elapsed since
completing adjuvant or neoadjuvant treatment
6. ECOG performance status less than or equal to 2.
7. Patient should be eligible to receive study treatment of bevacizumab, paclitaxel, and carboplatin for the treatment of locally advanced or recurrent or metastatic non-squamous NSCLC.
8. Patient must have an adequate bone marrow, renal and hepatic function
9. Women of childbearing potential and partners of sexually active males must agree to use an accepted and effective method of contraception (oral, transdermal, or implanted contraceptives [any hormonal method in conjunction with a
secondary method], intrauterine device, female condom with spermicide, diaphragm with spermicide, absolute sexual abstinence, / and if males, absolute sexual abstinence, use of condom with spermicide by sexual partner or
temporarily sterile [at least 6 months prior to study drug administration] sexual partner) for the duration of the study and for at least 6 months after the last dose of the study treatment or permanently sterile.
Female patients who are not of childbearing potential should have undergone a documented hysterectomy and/or bilateral oophorectomy or have achieved postmenopausal status, defined as follows: cessation of regular menses for at least 12 consecutive months with no alternative pathological or physiological cause (status may be confirmed at Investigator discretion by having a serum follicle stimulating hormone (FSH) level)
10. Patients able to understand the investigational nature of this study and give
written informed consent prior to the participation in the trial and able to comply
with study requirement in the opinion of Principal Investigator.
ExclusionCriteria
Details
1. Patient who has documented evidence of sensitizing epidermal growth factor receptor (EGFR) mutations or EML4-ALK translocation positive mutations.
2. Prior systemic therapy for non-small cell lung cancer (adjuvant or neoadjuvant therapy in case of recurrent disease will be allowed).
3. Prior immunotherapy or bevacizumab therapy.
4. Concurrent treatment with other anticancer therapies (excluding that defined in the protocol). Bone directed therapies like bisphosphonates and denosumab will be allowed.
5. Pregnant and breast-feeding women. Male patients with current pregnant partners will not be eligible.
6. History of local radiation therapy for bone metastases within last 1 month prior to the day of randomization.
7. Patients with a history of gross haemoptysis (defined as bright red blood of 1/2 teaspoon (2.5 ml) or more) or haemorrhage within last 3 months
8. Evidence of bleeding diathesis or coagulopathy (in the absence of therapeutic
Anticoagulation)
9. Current or recent (within 10 days of randomization) use of aspirin (greater than 325 mg/day) or treatment with dipyramidole, ticlopidine, clopidogrel, and cilostazol
10. Current use of oral or parenteral anticoagulants or thrombolytic agents for
therapeutic purposes that has not been stable for greater than 2 weeks prior to randomization
and INR/aPTT is within therapeutic limits (as per the local medical standards)
11. Therapeutic anticoagulation and/or coagulation abnormalities (e.g., INR greater than 1.5 and aPTT greater than ULN unless on prophylactic anticoagulation).
12. Patient with known brain metastases. A CT/MRI brain is required to confirm if it
was not done within 4 weeks prior to study entry.
13. Patients with non-healing wound ulcer, or bone fracture, or major surgical procedure, open biopsy, or significant traumatic injury within last 28 days or anticipation of need for major surgical procedure during the study.
14. Patients with history of gastrointestinal perforation, tracheoesophageal fistula or any grade 4 fistula
15. Patients with clinically significant cardiac diseases like New York Heart Association (NYHA) Grade II or greater, congestive heart failure (multigated acquisition [MUGA] or echocardiogram [ECHO]), unstable angina pectoris, myocardial infarction, cardiac arrhythmia, cerebral infarction, or transient ischemic attacks.
16. Uncontrolled hypertension (systolic blood pressure [BP] greater than 140 or diastolic BP
greater than 90 mmHg) (Patients with hypertension controlled by antihypertensive therapies are eligible).
17. Patients with a prior history of hypertensive crisis and hypertensive encephalopathy
18. Patient with ongoing or active infection (patient should be off anti-infective to be
eligible for participation).
19. A known case of or positive test for human immunodeficiency virus (HIV) infection or hepatitis B or hepatitis C virus (HCV).
20. History of thrombotic events like stroke, active symptomatic peripheral vascular disease within last 6 months.
21. Peripheral motor or sensory neuropathy of grade greater than 2.
22. Known hypersensitivity to any components of the study medications / chemotherapy / supportive medications or its ingredients that can impact treatment.
23. Past or current history of neoplasm other than the entry diagnosis with the exception of treated non-melanoma skin cancer or carcinoma in situ of the cervix, or other cancers cured by local therapy alone and patient having a disease-free survival greater than or equal to 5 years.
24. The receipt of an IMP, or participation in a drug research study within a period of 30 days (or as per the respective national regulations) prior to the first dose of the IMP (Elimination half-life of the study drug should be taken into consideration for inclusion of the patient in the study).
25. Any other medical conditions (including mental illness, substance abuse, social situations) deemed by the clinician to be likely to interfere with a subject ability to provide informed consent, cooperate, or participate in the study, or to interfere with the interpretation of the results.
Method of Generating Random Sequence
Computer generated randomization
Method of Concealment
Not Applicable
Blinding/Masking
Participant and Investigator Blinded
Primary Outcome
Outcome
TimePoints
Comparision of efficacy and establishment of therapeutic equivalence of INTP24 (bevacizumab) with Avastin.
Every 6 weeks until 18 weeks and thereafter every 9 weeks until 1 year
Secondary Outcome
Outcome
TimePoints
Comparision of safety and immunogenicity of INTP24 and Avastin.
Comparision of the pharmacokinetics of INTP24 and Avastin.
For Safety
Through out the study
For Immunogenicity
screening, at randomization and at 3, 6, 9, 12, 18, 24, 33, 42, 51 and 54 weeks
For Pharmacokinetic
At 3, 6, 9, 12, 18, 24, 33, 42, 51 and 54 weeks
Target Sample Size
Total Sample Size="594" Sample Size from India="544" Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials" Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials"
Individual Participant Data (IPD) Sharing Statement
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Brief Summary
Lung cancer remains a major cause of morbidity and mortality worldwide, accounting for more deaths than any other cancer cause. Lung cancer has been the most common cancer in the world for several decades. Risk factors for lung cancer are smoking, genetic mutation/predisposition, and occupational/environmental exposure. Biosimilarity of a monoclonal antibody can be established by demonstrating comparable clinical efficacy of the biosimilar and the reference medicinal product in adequately powered, randomised, parallel group comparative clinical trial(s), by using efficacy end points in a study population that is representative of approved therapeutic indication(s) of the reference product and is sensitive for detecting potential differences between the biosimilar and the reference product. To establish the biosimilarity between the test and reference bevacizumab, Intas Pharmaceuticals Limited, India will be conducting this comparative clinical study with the aim of comparing the efficacy and safety of INTP24 (biosimilar bevacizumab) with that of Avastin (Roche Registration Limited, United Kingdom) in patients with advanced, unresectable or metastatic non-squamous non-small cell lung cancer. The study will be a randomized, double-blind, multicentre, multinational, parallelgroup, active-controlled, comparative clinical trial. The study will enrol female or male patients aged greater than or equal to 18 years and having histologically or cytologically-confirmed locally advanced, unresectable or recurrent or metastatic non-squamous non-small cell lung cancer with Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2. Each enrolled patients will be randomized to receive either bevacizumab manufactured by Intas Pharmaceuticals Limited, India or Avastin of Roche Registration Limited, United Kingdom as per randomization schedule generated. All patients will receive intravenous injection of 15 mg/kg of bevacizumab in 21-day cycles. 594 patients will be enrolled.