You are here
STELLAR 3 Trial Shows Xyotax Reduces Side Effects of Paclitaxel With Equivalent Efficacy in Non-Small Cell Lung Cancer
"When one controls for validated risk factors, including weight loss, LDH (a marker of tumor aggressiveness), and calcium levels, the single most important and highly statistically significant determinant of survival in the STELLAR 3 study was whether the patient received XYOTAX instead of paclitaxel," noted Jack W. Singer, M.D., Chief Medical Officer at CTI. "This intent-to-treat analysis, using a Cox multivariate model, was pre-specified in the protocol's statistical analysis plan. It provides a strong argument for a survival benefit for XYOTAX over paclitaxel that is not apparent in the primary analysis."
The multi-center, randomized, controlled phase III study compared XYOTAX (210mg/m2) in combination with carboplatin (AUC 6) to paclitaxel (225mg/m2) in combination with carboplatin (AUC 6) every three weeks for up to six cycles of therapy in 400 poor performance status (PS2) NSCLC patients.
"We are disappointed that XYOTAX in combination with carboplatin showed equal efficacy after the unprecedented blended median and 1-year survival we saw on the trial. We are encouraged by the preliminary analysis, which demonstrates a significant XYOTAX treatment effect, reduction in toxicities, and increased patient convenience," stated James A. Bianco, M.D., President and CEO of CTI. "We look forward to our upcoming discussion with FDA regarding our STELLAR 2 amendment and the preliminary results of STELLAR 3, as well as having results from STELLAR 2 in April, with STELLAR 4 results coming in shortly thereafter."
About the STELLAR Trials
The STELLAR trials are among the largest randomized trials to date in either second-line non-small cell lung cancer (NSCLC) or front-line PS2 NSCLC patients.
STELLAR 2 is a phase III clinical trial of XYOTAX versus docetaxel for the potential second-line treatment of NSCLC patients.
STELLAR 3 is a phase III clinical trial of carboplatin in combination with either XYOTAX or paclitaxel for the potential front-line treatment of poor performance status (PS2) patients with NSCLC.
STELLAR 4 is a phase III clinical trial of XYOTAX versus either gemcitabine or vinorelbine for the potential front-line treatment of poor performance status (PS2) patients with NSCLC.
XYOTAX (paclitaxel poliglumex) is a pharmaceutical that links paclitaxel, the active ingredient in Taxol(R), to a biodegradable polyglutamate polymer. This polymer technology results in a new chemical entity, designed to selectively deliver higher and potentially more effective levels of active chemotherapeutics to tumors. Blood vessels in tumor tissue, unlike blood vessels in normal tissue, are porous to molecules like polyglutamate. Based on preclinical studies, it appears that XYOTAX is preferentially trapped in the tumor blood vessels allowing significantly more of the dose of chemotherapy to localize in the tumor. Because more of the chemotherapy is targeted to the tumor and the levels of chemotherapy delivered to normal tissue are reduced, XYOTAX may be potentially more effective and have less severe side effects than currently available chemotherapeutics.
Source: Cell Therapeutics, Inc.