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Phase I Study LJM716 Combined With Trastuzumab in Patients With HER2 Overexpressing Metastatic Breast or Gastric Cancer

2020年12月16日 更新者:Novartis Pharmaceuticals

A Multicenter, Open-label, Dose Escalation, Phase I Study of LJM716 Administered Intravenously in Combination With Trastuzumab in Patients With HER2 Overexpressing Metastatic Breast Cancer or Gastric Cancer

This is a multicenter, open-label, dose escalation, phase I study to estimate the Maximum Tolerated Dose (MTD) or a lower Recommended Dose for Expansion (RDE) of LJM716 in combination with trastuzumab in patients with Human Epidermal growth factor Receptor 2 (HER2) overexpressing Metastatic Breast Cancer (MBC) or gastric cancer (MGC). The study consists of a dose escalation part and a dose expansion part. LJM716 will be administered intravenously once weekly unless a less frequent dosing regimen such as every 2 weeks or once every 4 weeks is introduced. Patients will continue on their trastuzumab dosing, administered intravenously once weekly at 2mg/kg. During dose escalation, a minimum of 15 patients are anticipated to be treated in successive cohorts. The dose escalation will continue until the MTD/RDE is declared. The RDE dose selected will either be the MTD or a dose below the MTD based on safety and Pharmacokinetic/Pharmacodynamic (PK/PD) considerations. Following the MTD/RDE declaration, approximately 20 MBC and 20 MGC patients will be enrolled in separate arms in the dose expansion part and treated at the MTD/RDE to further assess the safety, tolerability, and anti-tumor activity of the combination.

研究概览

研究类型

介入性

注册 (实际的)

64

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Taipei、台湾、10002
        • Novartis Investigative Site
    • Korea
      • Seoul、Korea、大韩民国、03080
        • Novartis Investigative Site
    • MI
      • Milano、MI、意大利、20133
        • Novartis Investigative Site
      • Wilrijk、比利时、2610
        • Novartis Investigative Site
      • Saint Herblain cedex、法国、44805
        • Novartis Investigative Site
    • Massachusetts
      • Boston、Massachusetts、美国、02114
        • Novartis Investigative Site
    • North Carolina
      • Chapel Hill、North Carolina、美国、27514
        • Novartis Investigative Site
    • Pennsylvania
      • Philadelphia、Pennsylvania、美国、19111
        • Novartis Investigative Site
      • Oxford、英国、OX3 7LJ
        • Novartis Investigative Site
      • Amsterdam、荷兰、1066 CX
        • Novartis Investigative Site
    • Comunidad Valenciana
      • Valencia、Comunidad Valenciana、西班牙、46010
        • Novartis Investigative Site

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

Inclusion Criteria:

  • Patients with confirmed HER-2 positive, metastatic or non-operable locally advanced breast or gastric cancer
  • Metastatic breast cancer patients must have received a minimum of 1 and a maximum of 3 prior anti HER2 based regimens with documented progression on the most recent regimen which must contain trastuzumab, ado-trastuzumab emtansine or lapatinib
  • Metastatic gastric cancer patients must have received a minimum of 1 and a maximum of 2 prior anti HER2 based regimens with documented progression on the most recent regimen which must contain trastuzumab or ado-trastuzumab emtansine
  • During the dose expansion part of study, all patients must have at least one measurable lesion as defined by RECIST criteria.
  • Patients must have at least one prior trastuzumab-containing regimen
  • Eastern Cooperative Oncology Group (ECOG) Performance status ≤ 2

Exclusion Criteria:

  • Patients with Central Nervous System (CNS) metastasis which are: symptomatic or require treatment for symptom control and/or growing
  • Prior treatment with any anti-HER3 (Human Epidermal growth factor Receptor 3) treatment
  • Impaired cardiac function
  • Prior to the first dose of study treatment, patients who have received systemic antineoplastic therapy or any investigational therapy within 4 weeks or within 5 half- lives of the therapy prior to starting study treatment, whichever is shorter, or for cyclical therapy, within one cycle length (e.g. 6 weeks for nitrosourea, mitomycin-C).
  • Patients who have a history of primary malignancy other than that being treated in this study, and currently requires active clinical intervention.
  • Patients who do not have an archival tumor sample (or sections of it) available or readily obtainable.

Other protocol-defined inclusion/exclusion criteria may apply

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:LJM716 in combination with trastuzumab
LJM716
曲妥珠单抗

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Incidence rate of Dose Limiting Toxicities
大体时间:4 weeks
Incidence of dose-limiting toxicities (DLTs)
4 weeks

次要结果测量

结果测量
措施说明
大体时间
Number of adverse events
大体时间:4 months
Safety assessment
4 months
Number of serious adverse events
大体时间:4 months
Safety assessment
4 months
Pharmacodynamic response to LJM716 in tumor tissue
大体时间:3 months
Post-treatment change from baseline in pHER3 levels in the tumor
3 months
Progression-free survival
大体时间:18 months
Efficacy assessment
18 months
Duration of response
大体时间:18 months
Efficacy assessment
18 months
Serum concentration of anti-LJM716 antibodies
大体时间:4 months
Incidence of antibodies against LJM716
4 months
Serum concentration of LJM716 when administered in combination with trastuzumab
大体时间:4 months
PK profile
4 months
Frequency of partial responses according to Response Evaluation Criteria In Solid Tumors (RECIST)
大体时间:every 2 months up to 18 months
Efficacy assessment
every 2 months up to 18 months
Frequency of complete responses according to RECIST
大体时间:every 2 months up to 18 months
Efficacy assessment
every 2 months up to 18 months
Frequency of stable disease according to RECIST
大体时间:every 2 months up to 18 months
Efficacy assessment
every 2 months up to 18 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2012年9月21日

初级完成 (实际的)

2017年8月2日

研究完成 (实际的)

2017年8月2日

研究注册日期

首次提交

2012年5月7日

首先提交符合 QC 标准的

2012年5月18日

首次发布 (估计)

2012年5月21日

研究记录更新

最后更新发布 (实际的)

2020年12月19日

上次提交的符合 QC 标准的更新

2020年12月16日

最后验证

2018年7月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

药物和器械信息、研究文件

研究美国 FDA 监管的药品

是的

研究美国 FDA 监管的设备产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

LJM716的临床试验

3
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