An Open-label, Randomized Phase II Study to Evaluate the Efficacy of AUY922 vs Pemetrexed or Docetaxel in NSCLC Patients With EGFR Mutations

This study is currently recruiting participants.
Verified March 2013 by Novartis
Sponsor:
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier:
NCT01646125
First received: June 26, 2012
Last updated: March 12, 2013
Last verified: March 2013
  Purpose

The purpose of this study is to determine if AUY922 has superior efficacy when compared to chemotherapy agents docetaxel or pemetrexed in patients whose tumor have EGFR mutations.


Condition Intervention Phase
Advanced Non Small Cell Lung Cancer (NSCLC)
Drug: AUY922
Drug: Docetaxel
Drug: Pemetrexed
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Multicenter, Open-label, Randomized Phase II Study to Evaluate the Efficacy of AUY922 vs Pemetrexed or Docetaxel in NSCLC Patients With EGFR Mutations Who Have Progressed on Prior EGFR TKI Treatment

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Progression Free Survival (PFS) [ Time Frame: up to 12 months ] [ Designated as safety issue: No ]
    To compare PFS between the treatment of AUY922 to comparators Pemetrexed or Docetaxel. PFS will be based on local investigator assessment per RECIST 1.1


Secondary Outcome Measures:
  • Overall Survival (OS) [ Time Frame: from randomization until death up to death ] [ Designated as safety issue: No ]
    OS is defined as the time from the date of randomization to date of death due to any cause. If a death has not been observed by the date of analysis cutoff, then OS will be censored at the date of last contact.

  • Overall Response Rate (ORR) [ Time Frame: baseline, until disease progression up to 24 months ] [ Designated as safety issue: No ]
    ORR will be compared between treatment arms. The ORR will be based on local investigator assessment per RECIST 1.1

  • Disease Control Rate (DCR) [ Time Frame: baseline, until disease progression up to 24 months ] [ Designated as safety issue: No ]
    Duration of DCR will be compared between treatment arms. The duration of DCR will be based on local investigator assessment per RECIST 1.1

  • Time to Progression (TTP) [ Time Frame: baseline, until disease progression up to 24 months ] [ Designated as safety issue: No ]
    TTP will be compared between treatment arms. The TTP will be based on local investigator assessment per RECIST 1.1

  • Duration of Response (DOR) [ Time Frame: baseline, until disease progression up to 24 months ] [ Designated as safety issue: No ]
    The DOR will be compared between treatment arms. The DOR will be based on local investigator assessment per RECIST 1.1

  • Rate of Adverse Events (AEs) [ Time Frame: baseline, until disease progression up to 24 months ] [ Designated as safety issue: Yes ]
    To evaluate safety and tolerability of AUY922 compared to chemotherapy agents pemetrexed or docetaxel.

  • Rate of serious Adverse events (SAEs) [ Time Frame: baseline, until disease progression up to 24 months ] [ Designated as safety issue: Yes ]
    To evaluate safety and tolerability of AUY922 compared to chemotherapy agents pemetrexed or docetaxel.

  • Change in laboratory parameters [ Time Frame: baseline, until disease progression up to 24 months ] [ Designated as safety issue: Yes ]
    Changes in hematology and chemistry values, vital signs, electrocardiograms (ECGs), Dose interruptions, reductions and dose intensity.


Estimated Enrollment: 120
Study Start Date: November 2012
Estimated Study Completion Date: February 2015
Estimated Primary Completion Date: November 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: AUY922 arm
AUY922 will be administered weekly
Drug: AUY922
Active Comparator: chemotherapy arm
docetaxel or pemetrexed will be given once every three weeks
Drug: Docetaxel
Docetaxel will be given i.v. once every 3 weeks at 75 mg/m2 until progression or unacceptable toxicity
Other Name: TAXOTERE
Drug: Pemetrexed
Pemetrexed will be given once every 3 weeks at 500 mg/m2 until progression or unacceptable toxicity
Other Name: ALIMTA

Detailed Description:

The primary purpose of this study is to compare the efficacy of AUY922, when administered i.v. on a once-weekly schedule at 70 mg/m2, versus docetaxel or pemetrexed in adult patients with advanced NSCLC, whose tumors harbor EGFR activating mutations, and have developed resistance to EGFR TKI.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients with histologically or cytologically documented, locally advanced (stage IIIB who are not amenable to combined modality treatment) or recurrent or metastatic (Stage IV) non-small cell lung cancer.
  2. Patients must have EGFR gene mutation in their tumors
  3. Patients must have documented clinical benefit (CR, PR, or patients with SD for 6 months or greater) on prior EGFR TKI (e.g. erlotinib or gefitinib) followed by documented progression according to RECIST.
  4. Patients must have received prior platinum containing treatment.
  5. Patients must be suitable and willing to undergo mandatory baseline biopsy according to treating institution's own guidelines and requirements for such procedure.

Exclusion Criteria:

  1. Patients who have received more than two prior lines of antineoplastic therapy for advanced disease.
  2. Evidence of spinal cord compression or current evidence of CNS metastases. Screening CT/MRI of the brain is mandatory. Note: Patients who have been treated for CNS metastases by radiation or gamma knife surgery, who been stable for at least 2 months and have discontinued high dose corticosteroids will be eligible for protocol participation
  3. Prior treatment with an HSP90 inhibitor

Other protocol-defined inclusion/exclusion criteria may apply

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01646125

Contacts
Contact: Novartis Pharmaceuticals 1-888-669-6682
Contact: Novartis Pharmaceuticals

  Hide Study Locations
Locations
United States, California
Cedars Sinai Medical Center Dept.of Cedars-Sinai Med. Ctr. Not yet recruiting
Los Angeles, California, United States, 90048
Contact: Virginia Naessig     310-423-2276     Virginia.naessig@cshs.org    
Principal Investigator: Ronald B. Natale            
University of California at Los Angeles David Geffen School - UCLA Not yet recruiting
Los Angeles, California, United States, 90095
Contact: Caitlin Marx     310-586-2098     cmarx@mednet.ucla.edu    
Principal Investigator: Edward Garon            
United States, Kentucky
Norton Cancer Institute Clinical Research Program Recruiting
Louisville, Kentucky, United States, 40202
Contact: Dana Adams         dana.adams@nortonhealthcare.org    
Principal Investigator: John T Hamm            
United States, Maryland
Associates in Oncology/Hematology, P.C. SC Recruiting
Rockville, Maryland, United States, 20850
Contact: Nicole Barnes         nbarnes@aohmd.com    
Principal Investigator: Paul Thambi            
United States, Massachusetts
Dana Farber Cancer Institute DFCI AUY Not yet recruiting
Boston, Massachusetts, United States, 02115
Contact: Kelly Masone     617-632-3383     kelly_masone@dfci.harvard.edu    
Principal Investigator: Leena Gandi            
United States, New York
Arena Oncology Associates, PC SC Location Not yet recruiting
Lake Success, New York, United States, 11042
Contact: Victoria Maresca-Travers     516-466-6611 ext 121     victoria@arenaonc.com    
Principal Investigator: Nikhal Uppal            
United States, Wisconsin
University of Wisconsin / Paul P. Carbone Comp Cancer Center Univ Wisc 5 Not yet recruiting
Madison, Wisconsin, United States, 53792-6164
Contact: Susan Masterson     608-262-8126     smmaster@medicine.wisc.edu    
Principal Investigator: Anne M. Traynor            
Australia, Victoria
Novartis Investigative Site Withdrawn
Geelong, Victoria, Australia, 3220
Novartis Investigative Site Not yet recruiting
Heidelberg, Victoria, Australia, 3084
Novartis Investigative Site Withdrawn
Wodonga, Victoria, Australia, 3690
France
Novartis Investigative Site Recruiting
Creteil, France, 94000
Novartis Investigative Site Recruiting
Marseille cedex 20, France, 13915
Novartis Investigative Site Not yet recruiting
Villejuif Cedex, France, 94805
Hong Kong
Novartis Investigative Site Not yet recruiting
Hong Kong, Hong Kong
Italy
Novartis Investigative Site Not yet recruiting
Milano, MI, Italy, 20133
Novartis Investigative Site Not yet recruiting
Milano, MI, Italy, 20141
Novartis Investigative Site Not yet recruiting
Parma, PR, Italy, 43100
Novartis Investigative Site Recruiting
Orbassano, TO, Italy, 10043
Novartis Investigative Site Not yet recruiting
Udine, UD, Italy, 33100
Korea, Republic of
Novartis Investigative Site Not yet recruiting
Seoul, Korea, Korea, Republic of, 120-752
Novartis Investigative Site Not yet recruiting
Seoul, Korea, Korea, Republic of, 110 744
Novartis Investigative Site Not yet recruiting
Seoul, Korea, Korea, Republic of, 135-710
Novartis Investigative Site Not yet recruiting
Seoul, Korea, Republic of, 738-736
Novartis Investigative Site Not yet recruiting
Seoul, Korea, Republic of, 137-701
Netherlands
Novartis Investigative Site Not yet recruiting
Amsterdam, Netherlands, 1081 HV
Novartis Investigative Site Recruiting
Groningen, Netherlands, 9713 GZ
Novartis Investigative Site Not yet recruiting
Maastricht, Netherlands, 6229 HX
Norway
Novartis Investigative Site Recruiting
Oslo, Norway, NO-0424
Novartis Investigative Site Withdrawn
Trondheim, Norway, 7006
Poland
Novartis Investigative Site Not yet recruiting
Otwock, Mazowieckie, Poland, 05-400
Novartis Investigative Site Not yet recruiting
Warszawa, Poland, 02-781
Spain
Novartis Investigative Site Recruiting
Barcelona, Cataluna, Spain, 08035
Novartis Investigative Site Recruiting
Madrid, Spain, 28040
Novartis Investigative Site Not yet recruiting
Madrid, Spain, 28034
Taiwan
Novartis Investigative Site Not yet recruiting
Kuei-Shan Chiang, Taoyuan/ Taiwan ROC, Taiwan, 33305
Novartis Investigative Site Recruiting
Taichung, Taiwan, 407
Novartis Investigative Site Recruiting
Taipei, Taiwan, 10048
United Kingdom
Novartis Investigative Site Not yet recruiting
Leicester, United Kingdom, LE1 5WW
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
  More Information

No publications provided

Responsible Party: Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier: NCT01646125     History of Changes
Other Study ID Numbers: CAUY922A2207, 2012-001050-25
Study First Received: June 26, 2012
Last Updated: March 12, 2013
Health Authority: United States: Food and Drug Administration
Australia: National Health and Medical Research Council
France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)
Hong Kong: Department of Health
Norway: Norwegian Medicines Agency
Italy: National Monitoring Centre for Clinical Trials - Ministry of Health
Netherlands: Dutch Health Care Inspectorate
Netherlands: Medical Ethics Review Committee (METC)
United Kingdom: Medicines and Healthcare Products Regulatory Agency
Spain: Spanish Agency of Medicines
Korea: Food and Drug Administration
Singapore: Clinical Trials & Epidemiology Research Unit (CTERU)
Poland: The Central Register of Clinical Trials
Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products

Keywords provided by Novartis:
HSP90, AUY922, Pemetrexed, Docetaxel, EGFR TKI, EGFR mutations, NSCLC, non small cell lung cancer

Additional relevant MeSH terms:
Carcinoma, Non-Small-Cell Lung
Lung Neoplasms
Carcinoma, Bronchogenic
Bronchial Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Neoplasms
Lung Diseases
Respiratory Tract Diseases
Docetaxel
Pemetrexed
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Folic Acid Antagonists
Antimetabolites, Antineoplastic
Antimetabolites

ClinicalTrials.gov processed this record on June 18, 2013