- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02258607
Efficacy and Safety of Momelotinib Combined With Trametinib in Adults With Metastatic KRAS-mutated Non-Small Cell Lung Cancer (NSCLC) Who Have Failed Platinum-Based Chemotherapy Preceded by a Dose-finding Lead-in Phase
A Phase 1b With Expansion Study Evaluating the Efficacy and Safety of Momelotinib Combined With Trametinib in Subjects With Metastatic KRAS-mutated Non-Small Cell Lung Cancer (NSCLC) Who Have Failed Platinum-Based Chemotherapy Preceded by a Dose-finding Lead-in Phase
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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California
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Duarte, California, Forenede Stater
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Sacramento, California, Forenede Stater
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Massachusetts
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Boston, Massachusetts, Forenede Stater
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Virginia
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Fairfax, Virginia, Forenede Stater
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Washington
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Spokane, Washington, Forenede Stater
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
- Individuals with KRAS-mutated metastatic or recurrent non-small cell lung cancer
- Radiologic documentation of disease progression
- Measurable disease per RECIST v1.1
Adequate organ function defined as follows:
- Hepatic: Total conjugated bilirubin ≤ 1.25 x upper limit of normal (ULN); aspartate transaminase (AST) and alanine transaminase (ALT) < 3 x upper limit of normal (ULN) or < 5 x ULN in the setting of liver metastases
Hematological: Absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L, platelet ≥ 100 x 10^9/L, hemoglobin ≥ 9 g/dL
- Renal: Serum creatinine < 1.5 x ULN OR calculated creatinine clearance (CLcr) ≥ 60 ml/min
- Adequate left ventricular ejection fraction (LVEF) ≥ 50%
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Negative serum pregnancy test for females
Key Exclusion Criteria:
- Less than or equal to 3 weeks since receiving treatment with biologic, small molecule, chemotherapy or other agent for non-small cell lung cancer and 28 days since any prior immunotherapy (such as nivolumab)
- History of a concurrent or second malignancy, except for specified exceptions in the protocol or any other cancer that has been in complete remission for ≥ 5 years
- Known positive status for human immunodeficiency virus (HIV)
- Chronic active or acute viral hepatitis A, B, or C infection or hepatitis B or C carrier
- Presence of ≥ Grade 2 peripheral neuropathy
- Brain metastases, or spinal cord compression. Individuals with brain metastases are allowed if they have been treated with irradiation or surgery, are clinically stable without steroid treatment. Individuals with documented leptomeningeal disease are not eligible
- A history of uveitis and/or scleritis
- Retinal pathology beyond normal age-related processes
- Evidence of a retinal vein occlusion on ophthalmological exam or a history of retinal vein occlusion
- History of newly diagnosed or uncontrolled glaucoma/intraocular pressure > 21 mm Hg as measured by tonography
- Use of daily and/or chronic oral or ocular steroids. Individuals must be off daily steroids for at least 3 weeks prior to enrolling into the trial
- History of interstitial pneumonitis
- History of long QT syndrome or whose corrected QT interval (QTc) measured (Fridericia method) at screening is prolonged (> 480 ms for males and females)
Note: Other protocol defined Inclusion/Exclusion criteria may apply
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Momelotinib (MMB) dose escalation
Participants will receive momelotinib (MMB) plus trametinib.
Momelotinib (MMB) dose will increase to find the MTD.
|
Momelotinib (MMB) tablet(er) indgivet oralt en eller to gange dagligt
Andre navne:
Trametinib tablet administered orally once daily
|
|
Eksperimentel: Trametinib dose escalation
Participants will receive momelotinib (MMB) plus trametinib.
Trametinib dose will increase to find the MTD.
|
Momelotinib (MMB) tablet(er) indgivet oralt en eller to gange dagligt
Andre navne:
Trametinib tablet administered orally once daily
|
|
Eksperimentel: Momelotinib (MMB)+trametinib
Expansion Phase: participants will receive momelotinib (MMB) plus trametinib for the duration of the study.
|
Momelotinib (MMB) tablet(er) indgivet oralt en eller to gange dagligt
Andre navne:
Trametinib tablet administered orally once daily
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
For the Dose-finding Lead-in Phase, incidence of dose limiting toxicities (DLTs)
Tidsramme: Up to 28 days
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Dose limiting toxicities (DLTs) refer to toxicities experienced during the first 28 days of treatment that have been judged to be clinically significant and at least possibly related to study treatment.
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Up to 28 days
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For Expansion Phase, disease control rate (DCR) at Week 8
Tidsramme: Week 8
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Disease control rate (DCR) is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR) or stable disease (SD) as assessed by Response Evaluation Criteria In Solid Tumor (RECIST) v1.1.
|
Week 8
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
For the Dose-finding Lead-in Phase, disease control rate (DCR) at Week 8
Tidsramme: Week 8
|
Week 8
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|
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For the Dose-finding Lead-in Phase, overall survival
Tidsramme: Up to 2 years
|
Overall survival is defined as the interval from first dose of study drug to death from any cause.
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Up to 2 years
|
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For the Dose-finding Lead-in Phase, progression free survival (PFS)
Tidsramme: Up to 2 years
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Progression free survival (PFS) is defined as the interval from first dose date of study drug to the earlier of the first documentation of definitive disease progression or death from any cause.
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Up to 2 years
|
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For the Dose-finding Lead-in Phase, overall response rate (ORR)
Tidsramme: Up to 2 years
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Overall response rate (ORR) is defined as the proportion of participants who achieve a CR or PR as assessed by RECIST v1.1.
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Up to 2 years
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For the Dose-finding Lead-in Phase, plasma pharmacokinetics (PK) parameters of momelotinib (MMB) and major metabolite GS-644603 as measured by Cmax and AUCtau
Tidsramme: Days 1 and 15 (Cycle 1 only)
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This composite endpoint will measure the plasma PK profile of momelotinib (MMB) and GS-644603. The following parameters will be measured:
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Days 1 and 15 (Cycle 1 only)
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For Expansion Phase, overall survival
Tidsramme: Up to 2 years
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Up to 2 years
|
|
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For Expansion Phase, progression free survival (PFS)
Tidsramme: Up to 2 years
|
Up to 2 years
|
|
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For Expansion Phase, overall response rate (ORR)
Tidsramme: Up to 2 years
|
Up to 2 years
|
Samarbejdspartnere og efterforskere
Sponsor
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Luftvejssygdomme
- Neoplasmer
- Lungesygdomme
- Neoplasmer efter sted
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Karcinom, bronkogent
- Bronkiale neoplasmer
- Lungeneoplasmer
- Karcinom, ikke-småcellet lunge
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antineoplastiske midler
- Proteinkinasehæmmere
- Trametinib
- N-(cyanomethyl)-4-(2-((4-(4-morpholinyl)phenyl)amino)-4-pyrimidinyl)benzamid
Andre undersøgelses-id-numre
- GS-US-370-1297
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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