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A Study of Ridaforolimus in Non-Small Cell Lung Cancer (NSCLC) Patients With Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) Mutations (MK-8669-021 AM1)

19. januar 2015 opdateret af: Merck Sharp & Dohme LLC

A Randomized Discontinuation Phase II Trial of Ridaforolimus in Non-Small Cell Lung Cancer (NSCLC) Patients With KRAS Mutations

This is a randomized discontinuation study of ridaforolimus in patients with advanced NSCLC who have failed at least 1 but no more than 3 prior treatment regimens and who have KRAS mutant lung cancer. Following 8 weeks of open-label ridaforolimus lead-in there will be an assessment of disease status. Patients assessed by the investigator to have stable disease after 8 weeks will be randomized to double-blind treatment with ridaforolimus or placebo. Patients assessed to have partial or complete response will continue on open-label ridaforolimus. Patients assessed to have disease progression will be discontinued from study.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Allocation and Arms Additional Information: All Patients will receive an 8-week

open-label lead-in treatment of ridaforolimus. After this 8 week period patients will be re-assessed for disease status. Patients who are stable after 8 weeks are randomized in a double-blind fashion to continue treatment with ridaforolimus or to a placebo until disease progression. (Those patients who have stable disease but are randomized to placebo may cross-over to open-label ridaforolimus at the time of disease progression.)

Those patients with tumor shrinkage during the open-label lead-in treatment will continue on open-label ridaforolimus, while those patients who have disease progression at 8-weeks are taken off-study.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

80

Fase

  • Fase 2

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Patient has histologically confirmed stage IIIB/IV non-small cell lung cancer
  • Patient has a documented mutation of the KRAS gene
  • Patient has evidence of disease progression following 1 but no more than 3 prior chemotherapy regimens
  • A minimum of 4 weeks has passed since the most recent anti-cancer treatment
  • Women of childbearing potential must have a negative pregnancy test prior to start of therapy and must use an approved contraceptive method for the duration of the study
  • Patient has adequate organ function
  • Patient has performance status of <=2 on Eastern Cooperative Oncology Group (ECOG) performance scale
  • Patient is >=18 years of age

Exclusion Criteria:

  • Patient has received more than 2 prior chemotherapy regimens for the treatment lung cancer
  • Patient is known to have active brain metastases
  • Patient is currently participating or has participated in an investigational drug study within 30 days
  • Patient is known to be Human Immunodeficiency Virus (HIV) positive or has a known history of Hepatitis B or C
  • Patient has an active infection requiring prescribed intervention
  • Patient has newly diagnosed or un-controlled Type 1 or 2 diabetes

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Placebo komparator: Placebo
Medicin: Lead-In Ridaforolimus
Four 10mg tablets of ridaforolimus once daily for five consecutive days each week followed by 2 days days of treatment holiday, during the 8 week lead in treatment period.
Andre navne:
  • MK-8669; AP23573
  • Deforolimus (until May, 2009)
Medicin: Comparator: Blinded Placebo
Four tablets of blinded placebo (to match ridaforolimus) administered daily for 5 consecutive days each week followed by 2 days of treatment holiday
Eksperimentel: Ridaforolimus
Medicin: Lead-In Ridaforolimus
Four 10mg tablets of ridaforolimus once daily for five consecutive days each week followed by 2 days days of treatment holiday, during the 8 week lead in treatment period.
Andre navne:
  • MK-8669; AP23573
  • Deforolimus (until May, 2009)
Medicin: Comparator: Blinded Ridaforolimus
Four tablets of blinded ridaforolimus administered daily for 5 consecutive days each week followed by 2 days days of treatment holiday
Andre navne:
  • MK-8669; AP23573
  • Deforolimus (until May, 2009)

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Progression-free survival (PFS) in the randomized population
Tidsramme: Randomization (Week 8) and every 8 weeks until progressive disease or death
Randomization (Week 8) and every 8 weeks until progressive disease or death

Sekundære resultatmål

Resultatmål
Tidsramme
Overall response rate (ORR) in the full analysis population
Tidsramme: Study entry (Visit 1) and every 8 weeks until progressive disease or death
Study entry (Visit 1) and every 8 weeks until progressive disease or death
Overall survival (OS) in the full analysis population
Tidsramme: From study entry (Visit 1) to death due to any cause
From study entry (Visit 1) to death due to any cause
OS in the randomized population
Tidsramme: From study entry (Visit 1) to death due to any cause
From study entry (Visit 1) to death due to any cause
PFS in the full analysis population
Tidsramme: Study entry (Visit 1) and every 8 weeks until progressive disease or death
Study entry (Visit 1) and every 8 weeks until progressive disease or death

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Merck Sharp & Dohme LLC

Samarbejdspartnere

Ariad Pharmaceuticals

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. marts 2009

Primær færdiggørelse (Faktiske)

1. august 2012

Studieafslutning (Faktiske)

1. august 2012

Datoer for studieregistrering

Først indsendt

7. januar 2009

Først indsendt, der opfyldte QC-kriterier

7. januar 2009

Først opslået (Skøn)

8. januar 2009

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

21. januar 2015

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

19. januar 2015

Sidst verificeret

1. januar 2015

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 8669-021
  • 2008_599

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Kliniske forsøg med Ikke-småcellet lungekræft

Kliniske forsøg med Lead-In Ridaforolimus

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Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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