A Study of Prexasertib (LY2606368) With Chemotherapy and Radiation in Participants With Head and Neck Cancer

February 12, 2019 updated by: Eli Lilly and Company

A Phase 1b Trial of LY2606368 in Combination With Chemoradiation in Patients With Locally Advanced Head and Neck Squamous Cell Cancer

The main purpose of this study is to investigate the safety of prexasertib in combination with other anti-cancer drugs (cisplatin or cetuximab) and radiation therapy in participants with locally advanced head and neck cancer. The study has two parts (A and B). Participants will only enroll in one part.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The primary purpose of Parts A and B of this study is to determine a recommended dose level of prexasertib (an inhibitor of checkpoint kinase 1[Chk-1]) in combination with cisplatin and radiation therapy (Part A) or cetuximab and radiation therapy (Part B) in participants with locally advanced head and neck cancer.

Study Type

Interventional

Enrollment (Anticipated)

70

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Lyon, France, 69008
        • Centre Leon Berard
      • Villejuif Cedex, France, 94805
        • Gustave Roussy
  • United States
    • Alabama
      • Birmingham, Alabama, United States, 35249
        • University of Alabama at Birmingham Medical Center
    • Texas
      • Houston, Texas, United States, 77030
        • University of Texas MD Anderson Cancer Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Must be able to comply with the treatment plan and follow-up schedule
  • Must have diagnosis of head and neck squamous cell carcinoma of the oropharynx (tonsil, base of tongue, soft palate, or oropharyngeal walls), hypopharynx, or larynx
  • Have adequate organ function
  • If participant is of reproductive potential, must agree to use medically approved contraceptive precautions during the study and for six months following the last dose of study drug
  • If the participant is a female of childbearing potential, must have had a negative serum or urine pregnancy test within 14 days of the first dose of study drug and must not be breast feeding

Exclusion Criteria:

  • Must not have taken an unapproved drug as treatment for any indication within the last 28 days prior to starting study treatment
  • Must not have received any of the following prior therapies or treatments: systemic therapy for the study cancer, radiation therapy to the head and neck region, or curative-intent surgery in the head and neck region
  • Have evidence of a distant metastatic disease
  • Must not have an active symptomatic fungal, bacterial or viral infection, including human immunodeficiency virus (HIV) or Hepatitis A, B, or C
  • Must not have a serious heart condition, such as congestive heart failure, unstable angina pectoris, or heart attack within the last three months
  • Must not have a family history of long corrected QT interval (QTc) syndrome
  • Must not have known allergic reaction against any of the components of the study treatment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Prexasertib + Cisplatin + Radiation Therapy (Part A)

Prexasertib administered intravenously (IV) every 14 days over an approximately 49-day treatment period.

Cisplatin administered IV every 7 days over an approximately 49-day treatment period.

Intensity modulated radiation therapy administered 5 days per week over an approximately 49-day treatment period.

Participants may remain on treatment until completion of the treatment period.
Drug: Cisplatin
Administered IV
Drug: Prexasertib
Administered IV
Other Names:
  • LY2606368
Radiation: Intensity Modulated Radiation Therapy
Experimental: Prexasertib + Cetuximab + Radiation Therapy (Part B)

Prexasertib administered IV every 14 days over an approximately 56-day treatment period.

Cetuximab administered IV every 7 days over an approximately 56-day treatment period.

Intensity modulated radiation therapy administered 5 days per week over an approximately 56-day treatment period (starting at Week 2).

Participants may remain on treatment until completion of the treatment period.
Drug: Cetuximab
Administered IV
Other Names:
  • Erbitux
  • LY2939777
Drug: Prexasertib
Administered IV
Other Names:
  • LY2606368
Radiation: Intensity Modulated Radiation Therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Part A: Maximum Tolerated Dose of Prexasertib in Combination with Cisplatin and Radiation Therapy
Time Frame: First Dose through Last Dose (Estimated up to 7 Weeks)
First Dose through Last Dose (Estimated up to 7 Weeks)
Part B: Maximum Tolerated Dose of Prexasertib in Combination with Cetuximab and Radiation Therapy
Time Frame: First Dose through Last Dose (Estimated up to 8 Weeks)
First Dose through Last Dose (Estimated up to 8 Weeks)

Secondary Outcome Measures

Outcome Measure
Time Frame
Pharmacokinetics (PK): Maximum Concentration of Prexasertib, Cisplatin and Cetuximab
Time Frame: First Dose through Last Dose (Estimated up to 8 Weeks)
First Dose through Last Dose (Estimated up to 8 Weeks)
PK: Area Under the Concentration Curve (AUC) of Prexasertib
Time Frame: First Dose through Last Dose (Estimated up to 8 Weeks)
First Dose through Last Dose (Estimated up to 8 Weeks)
Locoregional Control Rate
Time Frame: Baseline through One Year (Estimated as up to 52 Weeks) or Death from Any Cause
Baseline through One Year (Estimated as up to 52 Weeks) or Death from Any Cause

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Eli Lilly and Company

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 24, 2016

Primary Completion (Actual)

January 14, 2019

Study Completion (Actual)

January 14, 2019

Study Registration Dates

First Submitted

September 18, 2015

First Submitted That Met QC Criteria

September 18, 2015

First Posted (Estimate)

September 21, 2015

Study Record Updates

Last Update Posted (Actual)

February 15, 2019

Last Update Submitted That Met QC Criteria

February 12, 2019

Last Verified

February 1, 2019

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 16016 (REB)
  • I4D-MC-JTJI (Other Identifier: Eli Lilly and Company)
  • 2015-001215-12 (EudraCT Number)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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