Lung cancer drug cocktail aims to extend life
NCT ID NCT01630733
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 3 trial tested whether adding custirsen to the chemotherapy drug docetaxel helps people with advanced non-small cell lung cancer live longer. The study involved 664 patients who had already tried one platinum-based treatment. Researchers compared survival between those getting the combo and those getting docetaxel alone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- custirsen (a drug) combined with docetaxel (chemotherapy)
- What this could lead to
- If successful, this combination could offer a new second-line treatment option for advanced lung cancer, potentially extending survival.
- What could go wrong
- This is a completed Phase 3 trial, but results may not show a significant survival benefit. The combination may also increase side effects without improving outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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664 people
The number who actually took part.
- Started
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Oct 2012
- Finished
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Nov 2016
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients must have a histologically or cytologically confirmed, unresectable, advanced or metastatic (Stage IV per American Joint Committee on Cancer 7th edition Tumor size, lymph Nodes affected, Metastases staging) non-small cell lung cancer (NSCLC). 2. Males or females ≥ 18 years of age at screening. 3. Life expectancy of \> 12 weeks from screening, according to the investigator's assessment. 4. Patients must have received one prior line of platinum-based systemic anticancer therapy for advanced or metastatic NSCLC. Prior maintenance therapy is allowed and will be considered as the same line of therapy when continued at the end of a treatment regimen. 5. Patients must have documented radiological disease progression either during or after the first-line therapy. 6. Patients must have at least one measurable lesion per Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 criteria. 7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at screening. 8. Have adequate values, bone marrow, renal and liver functions at screening as defined below: * Absolute neutrophil count ≥ 1.5 x 10\^9/L * Platelet count ≥ 100 x 10\^9/L * Hemoglobin ≥ 9 g/dL * Serum creatinine ≤ 1.5 x upper limit of normal (ULN) * Total Bilirubin ≤ 1.0 x ULN (unless elevated secondary to benign conditions such as Gilbert's disease) * Aspartate aminotransferase and alanine aminotransferase ≤ 1.5 x ULN. 9. Resolution of any toxic effects of prior therapy to Grade ≤1 according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), version 4.0 (exception of alopecia and ≤ Grade 2 peripheral neuropathy). 10. Females of child-bearing potential must have negative serum pregnancy test within 72 hours before randomization. 11. Women of child-bearing potential will practice a highly effective method of birth control during and for 3 months after the chemotherapy/custirsen last dose. Men of reproductive potential who are not surgically sterile must agree to abstain from sexual activity or use medically accepted and highly effective method of contraception during and for 6 months after the chemotherapy/custirsen last dose. 12. Patients must be willing and able to give written informed consent prior to any protocol-specific procedures being performed and comply with the protocol requirements for the duration of the study. Exclusion Criteria: 1. Patients treated with any systemic anti-cancer therapy for NSCLC within 21 days prior to randomization (6 weeks for bevacizumab). 2. Radiotherapy ≤ 2 weeks prior to randomization. Patients must have recovered from all radiotherapy-related toxicities. 3. Major surgical procedure within 4 weeks prior to randomization. Patient must have recovered from all surgery-related complications. 4. Patients with known central nervous system (CNS) metastases (patients with any clinical signs of CNS metastases must have a computed tomography or magnetic resonance imaging of the brain to rule out CNS metastases in order to be eligible for participation in the study). Patients who have had brain metastases treated with radiotherapy or surgically removed with no residual disease confirmed by imaging; patients should be clinically stable and off corticosteroid treatment at least 3 weeks prior to randomization). 5. Patients with current diagnosis or a history of another active primary malignancy (except in situ carcinoma of the cervix, adequately treated non-melanomatous skin cancers, clinically localized prostate cancer, superficial bladder cancer or other malignancy treated at least 5 years previously with no evidence of recurrence). 6. Severe or unstable medical conditions such as heart failure, ischemic heart disease, uncontrolled hypertension, uncontrolled diabetes mellitus, psychiatric condition, as well as an ongoing cardiac arrhythmia requiring medication (≥ Grade 2, according to NCI CTCAE v4.0) or any other significant or unstable concurrent medical illness that in the opinion of the Investigator would preclude protocol therapy. 7. A history of events such as myocardial infarction, cerebrovascular accident or acute hepatitis within 3 months of randomization or treatment of a major active infection within one month of randomization, or any other significant event that in the opinion of the Investigator would preclude protocol therapy. 8. Planned concomitant participation in another clinical trial of an experimental agent, vaccine, or device. Concomitant participation in observational studies is acceptable. 9. Female patients who are breastfeeding. 10. Patients previously treated with docetaxel for NSCLC or with known severe hypersensitivity to taxane therapies. 11. Patients with known and documented epidermal growth factor receptor (EGFR) mutation who have not received an EGFR inhibitor.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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ASST Grande Ospedale Metropolitano Niguarda - Presidio Ospedaliero Ospedale Niguarda Ca' Granda
Milan, Italy
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ASST Papa Giovanni XXIII - Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, Italy
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ASST Santi Paolo e Carlo - Ospedale San Carlo Borromeo
Milan, Italy
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ASST di Cremona - Azienda Socio Sanitaria Territoriale di Cremona
Lombardia, Italy
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Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, Russia
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Asklepios Fachkliniken GmbH
Gauting, Germany
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Assaf Harofe Medical Center
Yizre‘el, Israel
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Aultman Hospital
Canton, Ohio, United States
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Austin Health
Heidelberg, Australia
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Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona-Umberto I G.M. Lancisi G. Salesi
Ancona, Italy
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Blood and Cancer Center of East Texas
Tyler, Texas, United States
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Border Medical Oncology
Wodonga, Victoria, Australia
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Buddhachinnaraj Hospital
Phisanulok, Thailand
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Burnside War Memorial Hospital
Toorak Gardens, Australia
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Cabrini Hospital Malvern
Malvern, Australia
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Center for Biomedical Research LLC
Knoxville, Tennessee, United States
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Central City Clinical Hospital
Uzhhorod, Ukraine
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China Medical University Hospital
Taichung, Taiwan
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Christchurch Hospital
Christchurch, New Zealand
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Complejo Hospitalario Universitario Insular-Materno Infantil
Las Palmas de Gran Canaria, Spain
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Consorcio Hospitalario Provincial de Castellon
Las Palmas de Gran Canaria, Spain
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Corporacio Sanitaria Parc Tauli
Sabadell, Spain
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Federal State Institution Medical Radiology Research Center
Obninsk, Russia
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Florida Hospital
Orlando, Florida, United States
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Fondazione IRCCS Policlinico San Matteo di Pavia
Pavia, Italy
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Gachon University Gil Hospital
Incheon, South Korea
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Hadassah University Hospital Ein Kerem
Jerusalem, Israel
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Hospital Universitario Doctor Peset
Valencia, Spain
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Hospital Universitario Fundación Alcorcón
Alcorcón, Spain
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Hospital Universitario La Paz
Madrid, Spain
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Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda-Madrid, Spain
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Hospital del Mar
Barcelona, Spain
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Istituto Nazionale Per La Ricerca Sul Cancro
Genova, Italy
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Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet
Szolnok, Hungary
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Joliet Oncology-Hematology Associates Ltd.
Joliet, Illinois, United States
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Kath. Marienkrankenhaus gGmbH
Hamburg, Germany
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Kentucky Cancer Clinic
Hazard, Kentucky, 33426, United States
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Kliniken der Stadt Koln gGmbH
Cologne, Germany
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Klinikum Kassel
Kassel, Germany
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Korea University Anam Hospital
Seoul, South Korea
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Kosin University Gospel Hospital
Busan, South Korea
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Krankenhaus Martha Maria Halle Dölau gGmbH
Halle, Germany
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Leningrad Regional Clinical Hospital
Saint Petersburg, Russia
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Med-Polonia Sp. z o.o.
Poznan, Poland
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Meir Medical Center
Kfar Saba, Israel
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Missouri Baptist Cancer Center
St Louis, Missouri, United States
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Municipal Noncommercial Institution Regional Center of Oncology
Kharkiv, Ukraine
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Municipal institution Multifield City Clinical Hospital Numero 4 of Dnipropetrovsk Regional Council
Dnipropetrovsk, Ukraine
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National Cancer Institute
Phayathai, Bangkok, Thailand
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National Cheng Kung University Hospital
Tainan, Taiwan
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Novant Health
Winston-Salem, North Carolina, United States
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Oncology Centre #2
Sochi, Russia
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Orszagos Koranyi Pulmonologiai Intezet
Budapest, Hungary
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Ospedale Livorno
Livorno, Italy
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Palmerston North Hospital
Palmerston North, New Zealand
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Port Macquarie Base Hospital
Port Macquarie, Australia
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Regional Clinical Oncology Hospital
Yaroslavl, Russia
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Regional Municipal Institution Sumy Regional Clinical Oncology Dispensary
Sumy, Ukraine
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Royal Hobart Hospital
Hobart, Australia
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Samodzielny Publiczny Zespol Gruzlicy i Chorob Pluc w Olsztynie
Olsztyn, Poland
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Samsung Medical Center
Seoul, South Korea
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Samsung Medical Center - PPDS
Seoul, South Korea
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Sarah Cannon Cancer Center
Nashville, Tennessee, United States
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Seoul National University Bundang Hospital
Seongnam, South Korea
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Songklanagarind Hospital Prince of Songkla University
Hat Yai, Songkhla, Thailand
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St George Hospital
Kogarah, Australia
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Summa Health System
Akron, Ohio, United States
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Taichung Veterans General Hospital
Taichung, Taiwan
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Tauranga Hospital
Tauranga, New Zealand
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Tel Aviv Sourasky Medical Center
Tel Aviv, Israel
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Treatment and Diagnostics center of LLC Center of Clinical Diagnostics
Simferopol, Ukraine
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Treatment and Prevention Institution Volyn Regional Oncology Dispensary
Lutsk, Ukraine
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Tyler Hematology/Oncology PA
Tyler, Texas, United States
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University Cancer Institute
Boynton Beach, Florida, United States
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University Cancer and Blood Center, LLC
Athens, Georgia, United States
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Uzsoki Utcai Korhaz
Budapest, Hungary
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Vinnytsya Regional Clinical Oncology Dispensary
Vinnytsia, Ukraine
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Virginia Cancer Specialists (Leesburg) - USOR
Fairfax, Virginia, 22031, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo targets stubborn KRAS lung cancer
- Smaller chest drain may speed recovery after lung cancer surgery
- Gut bacteria may hold clues to why some cancer treatments work better
- Breath-Tracking sensor aims to sharpen lung cancer scans
- Can PET scan signals predict who beats lung cancer with immunotherapy?
- Two-Drug combo takes aim at Hard-to-Treat lung cancer