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:
Novartis Pharmaceuticals
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
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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:
- 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.
- Patients must have EGFR gene mutation in their tumors
- 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.
- Patients must have received prior platinum containing treatment.
- 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:
- Patients who have received more than two prior lines of antineoplastic therapy for advanced disease.
- 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
- 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
Hide Study Locations
Contacts
| Contact: Novartis Pharmaceuticals | 1-888-669-6682 | |
| Contact: Novartis Pharmaceuticals |
Hide Study LocationsLocations
| 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