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
2019年1月30日 更新者:Sierra Oncology, Inc.
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
This study is conducted in two phases.
The Dose-finding Lead-in Phase, Part A, will evaluate the safety and determine the maximum tolerated dose (MTD) of momelotinib (MMB) when combined with trametinib.
Once the MTD of momelotinib (MMB) is determined, the study will proceed to the Dose-finding Lead-in Phase, Part B, to determine the MTD of trametinib.
After the MTD is established, the study may proceed to an expansion phase to determine the efficacy, safety, and tolerability of MMB combined with trametinib at the MTD in participants with kirsten rat sarcoma viral oncogene homolog (KRAS) mutated metastatic non-small cell lung cancer (NSCLC).
Each treatment cycle will consist of 28 days and treatment will continue in the absence of disease progression, unacceptable toxicity, consent withdrawal, or participant's refusal of treatment.
研究概览
地位
终止
干预/治疗
研究类型
介入性
注册 (实际的)
21
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
-
-
California
-
Duarte、California、美国
-
Sacramento、California、美国
-
-
Massachusetts
-
Boston、Massachusetts、美国
-
-
Virginia
-
Fairfax、Virginia、美国
-
-
Washington
-
Spokane、Washington、美国
-
-
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
不
有资格学习的性别
全部
描述
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
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:非随机化
- 介入模型:并行分配
- 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:Momelotinib (MMB) dose escalation
Participants will receive momelotinib (MMB) plus trametinib.
Momelotinib (MMB) dose will increase to find the MTD.
|
每日一次或两次口服莫美洛替尼 (MMB) 片剂
其他名称:
Trametinib tablet administered orally once daily
|
|
实验性的:Trametinib dose escalation
Participants will receive momelotinib (MMB) plus trametinib.
Trametinib dose will increase to find the MTD.
|
每日一次或两次口服莫美洛替尼 (MMB) 片剂
其他名称:
Trametinib tablet administered orally once daily
|
|
实验性的:Momelotinib (MMB)+trametinib
Expansion Phase: participants will receive momelotinib (MMB) plus trametinib for the duration of the study.
|
每日一次或两次口服莫美洛替尼 (MMB) 片剂
其他名称:
Trametinib tablet administered orally once daily
|
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 |
|---|---|---|
|
For the Dose-finding Lead-in Phase, incidence of dose limiting toxicities (DLTs)
大体时间:Up to 28 days
|
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.
|
Up to 28 days
|
|
For Expansion Phase, disease control rate (DCR) at Week 8
大体时间:Week 8
|
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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
For the Dose-finding Lead-in Phase, disease control rate (DCR) at Week 8
大体时间:Week 8
|
Week 8
|
|
|
For the Dose-finding Lead-in Phase, overall survival
大体时间:Up to 2 years
|
Overall survival is defined as the interval from first dose of study drug to death from any cause.
|
Up to 2 years
|
|
For the Dose-finding Lead-in Phase, progression free survival (PFS)
大体时间:Up to 2 years
|
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.
|
Up to 2 years
|
|
For the Dose-finding Lead-in Phase, overall response rate (ORR)
大体时间:Up to 2 years
|
Overall response rate (ORR) is defined as the proportion of participants who achieve a CR or PR as assessed by RECIST v1.1.
|
Up to 2 years
|
|
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
大体时间:Days 1 and 15 (Cycle 1 only)
|
This composite endpoint will measure the plasma PK profile of momelotinib (MMB) and GS-644603. The following parameters will be measured:
|
Days 1 and 15 (Cycle 1 only)
|
|
For Expansion Phase, overall survival
大体时间:Up to 2 years
|
Up to 2 years
|
|
|
For Expansion Phase, progression free survival (PFS)
大体时间:Up to 2 years
|
Up to 2 years
|
|
|
For Expansion Phase, overall response rate (ORR)
大体时间:Up to 2 years
|
Up to 2 years
|
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)
2015年3月11日
初级完成 (实际的)
2016年7月19日
研究完成 (实际的)
2017年2月27日
研究注册日期
首次提交
2014年10月3日
首先提交符合 QC 标准的
2014年10月3日
首次发布 (估计)
2014年10月7日
研究记录更新
最后更新发布 (实际的)
2019年2月1日
上次提交的符合 QC 标准的更新
2019年1月30日
最后验证
2019年1月1日
更多信息
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.