NCT03694002

Carboplatin and Paclitaxel With or Without Ramucirumab in Treating Patients With Locally Advanced, Recurrent, or Metastatic Thymic Cancer That Cannot Be Removed by Surgery

A Randomized Phase II Trial of Carboplatin-Paclitaxel With or Without Ramucirumab in Patients With Unresectable Locally Advanced, Recurrent, or Metastatic Thymic Carcinoma

• Status: Completed
• Phase: Phase 2
• Study type: Interventional
• Enrollment: 21 (actual)
• Sponsor: SWOG Cancer Research Network · Network
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This randomized phase II trial studies how well carboplatin and paclitaxel with or without ramucirumab work in treating patients with thymic cancer that has spread to other places in the body, has come back, or cannot be removed by surgery. Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Monoclonal antibodies, such as ramucirumab, may interfere with the ability of tumor cells to grow and spread. It is not yet known if giving carboplatin and paclitaxel with or without ramucirumab will work better in treating patients with thymic cancer.

Detailed description

PRIMARY OBJECTIVE: I. To compare progression-free survival between patients with incurable unresectable locally advanced, or recurrent, or metastatic thymic carcinoma randomized to carboplatin-paclitaxel with or without ramucirumab. SECONDARY OBJECTIVES: I. To evaluate the frequency and severity of toxicity of carboplatin-paclitaxel with or without ramucirumab in this patient population. II. To compare the response rate (complete response, partial response, confirmed and unconfirmed) between treatment arms. III. To compare disease control rate (complete response, partial response, confirmed or unconfirmed, stable disease) between treatment arms. IV. To compare overall survival between treatment arms. ADDITIONAL OBJECTIVE: I. To bank specimens for future research. OUTLINE: Patients are randomized to 1 of 2 arms. ARM A: Patients receive ramucirumab intravenously (IV) over 60 minutes, carboplatin IV, and paclitaxel IV on day 1. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Patients who have not progressed may continue to receive ramucirumab for up to 1 year. ARM B: Patients receive carboplatin IV and paclitaxel IV on day 1. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed up every 3 months for 1 year, and then every 6 months for 1 year.

Conditions

• Locally Advanced Thymic Carcinoma
• Metastatic Thymic Carcinoma
• Recurrent Thymic Carcinoma
• Unresectable Thymic Carcinoma

Interventions

Type	Name	Description
DRUG	Carboplatin	Given IV
DRUG	Paclitaxel	Given IV
BIOLOGICAL	Ramucirumab	Given IV

Timeline

• Start date: 2019-03-20
• Primary completion: 2024-12-01
• Completion: 2025-03-03
• First posted: 2018-10-03
• Last updated: 2025-10-30
• Results posted: 2025-10-30

Locations

254 sites across 1 country: United States

Regulatory

• FDA-regulated drug study