A Study Of Oral PF-02341066, A C-Met/Hepatocyte Growth Factor Tyrosine Kinase Inhibitor, In Patients With Advanced Cancer (PROFILE 1001)
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ClinicalTrials.gov Identifier: NCT00585195 |
Recruitment Status :
Completed
First Posted : January 3, 2008
Results First Posted : October 14, 2021
Last Update Posted : February 8, 2023
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Sponsor:
Pfizer
Information provided by (Responsible Party):
Pfizer
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Study Type | Interventional |
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Study Design | Allocation: N/A; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Non-Small Cell Lung Cancer ALK-positive Non-Small Cell Lung Cancer c-Met Dependent Non-Small Cell Lung Cancer ROS Marker Positive Systemic Anaplastic Large-Cell Lymphoma Advanced Malignancies Except Leukemia |
Interventions |
Drug: PF-02341066 Drug: Rifampin Drug: Itraconazole |
Enrollment | 596 |
Participant Flow
Recruitment Details | |
Pre-assignment Details | There was a lead-in period of 7 days in which single-dose pharmacokinetics of crizotinib or midazolam was characterized on Day-7, prior to initiation of continuous dosing in the first cycle (each cycle 28 days) of treatment in dose escalation cohorts and recommended phase 2 dose (RP2D) cohorts. |
Arm/Group Title | Low Dose Escalation Cohort: Crizotinib 50 mg QD | Low Dose Escalation Cohort: Crizotinib 100 mg QD | Low Dose Escalation Cohort: Crizotinib 200 mg QD | Low Dose Escalation Cohort: Crizotinib 200 mg BID | Low Dose Escalation Cohort: Crizotinib 250 mg BID | Low Dose Escalation Cohort: Crizotinib 300 mg BID | High Dose Escalation Cohort: Crizotinib 300 mg QD | High Dose Escalation Cohort: Crizotinib 400 mg QD | High Dose Escalation Cohort: Crizotinib 500 mg QD | High Dose Escalation Cohort: Crizotinib 650 mg QD | High Dose Escalation Cohort: Crizotinib 800 mg QD | RP2D Cohort: ROS1-Positive NSCLC: Crizotinib 250 mg | RP2D Cohort: MET Exon 14 Alterations NSCLC: Crizotinib 250 mg | RP2D Cohort: MET Amplification NSCLC: Crizotinib 250 mg | RP2D Cohort: ALK-Negative Cohort 1, NSCLC: Crizotinib 250 mg | RP2D Cohort: ALK-Negative Cohort 2, NSCLC: Crizotinib 250 mg | RP2D Cohort: ALK-Positive Cohort, NSCLC: Crizotinib 250 mg | RP2D Cohort: Enriched Other: Crizotinib 250 mg | RP2D Cohort: Itraconazole Interaction: Crizotinib 250 mg +Itraconazole | RP2D Cohort: Rifampin Interaction: Crizotinib 250 mg +Rifampin | RP2D Cohort: Midazolam Interaction: Crizotinib 250 mg +Midazolam |
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Participants received Crizotinib 50 milligram (mg) capsule or tablet orally once daily (QD) for up to 34 cycles (each cycle 28 days). | Participants received Crizotinib 100 mg capsule or tablet orally QD for up to 34 cycles (each cycle 28 days) and 2 mg oral dose of Midazolam along with Crizotinib 100 mg on Cycle 2 Day 1 only. Participants who did not receive Crizotinib on Day -7, received single 2 mg oral dose of Midazolam on Day -7. | Participants received Crizotinib 200 mg (2 capsules/tablet of 100 mg each) capsule/tablet orally QD for up to 34 cycles (each cycle 28 days). | Participants received Crizotinib 200 mg (2 capsules/tablet of 100 mg each) capsule/tablet orally twice daily (BID) for up to 34 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet BID for up to 34 cycles (each cycle 28 days). | Participants received Crizotinib 300 mg (3 capsules/tablet of 100 mg each) capsule/tablet orally BID for up to 34 cycles (each cycle 28 days) and 2 mg oral dose of Midazolam along with Crizotinib 300 mg on Cycle 2 Day 1 only. Participants who did not receive Crizotinib on Day -7, received single 2 mg oral dose of Midazolam on Day -7. | Participants received Crizotinib 300 mg (3 capsules/tablet of 100 mg each) capsule/tablet QD for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 400 mg (4 capsules/tablet of 100 mg each) capsule/tablet QD for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 500 mg (5 capsules/tablet of 100 mg each) capsule/tablet QD for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 650 mg (6 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet twice daily (BID) for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 800 mg (8 capsules/tablet of 100 mg each) capsule/tablet QD for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally twice daily (BID) with or without food for up to 105 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally twice daily (BID) with or without food for up to 55 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally twice daily (BID) with or without food for up to 101 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet twice daily (BID) with or without food for up to 70 cycles (each cycle 21 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally BID with or without food for up to 70 cycles (each cycle 21 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet twice daily (BID) with or without food for up to 133 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally twice daily (BID) with or without food for up to 54 cycles (each cycle 28 days). | Participants received with or without food Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet QD from Cycle 1Day1 to Cycle 2 Day1 thereafter 250 mg BID from Cycle 2 Day 2 up to 58 cycles (each cycle 28 days). Participants also received Itraconazole 200 mg QD from Cycle 1 Day 1 to Cycle 1 Day 16. | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet twice daily (BID) with or without food from Cycle 1 Day 1 up to 13 cycles (each cycle 28 days). Participants also received commercially available Rifampin 650 mg QD from Cycle 1 Day 16 to Cycle 2 Day 1 (14 days) either one hour before or 2 hours after food. | Participants received Crizotinib 250 mg tablet/capsule (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) orally BID with or without food from Day 1 Cycle 1 up to 133 cycles (each cycle 28 days). Participants also received single 2 mg oral dose of Midazolam on Day -7 and another single 2-mg oral dose of Midazolam concurrently with Crizotinib on Cycle 2 Day 1 |
Period Title: Overall Study | |||||||||||||||||||||
Started | 3 | 4 | 9 | 7 | 9 | 6 | 7 | 5 | 3 | 6 | 11 | 53 | 85 | 41 | 48 | 19 | 154 | 67 | 21 | 18 | 14 |
Treated | 3 | 4 | 8 | 7 | 8 | 6 | 6 | 5 | 3 | 6 | 9 | 53 | 85 | 41 | 48 | 18 | 154 | 66 | 18 | 18 | 12 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Not Completed | 3 | 4 | 9 | 7 | 9 | 6 | 7 | 5 | 3 | 6 | 11 | 53 | 85 | 41 | 48 | 19 | 154 | 67 | 21 | 18 | 14 |
Reason Not Completed | |||||||||||||||||||||
Adverse Event | 0 | 0 | 0 | 0 | 2 | 1 | 0 | 1 | 0 | 0 | 3 | 0 | 8 | 6 | 4 | 1 | 14 | 9 | 2 | 3 | 1 |
Progressive Disease | 2 | 2 | 5 | 4 | 6 | 4 | 6 | 3 | 0 | 5 | 2 | 25 | 29 | 26 | 21 | 12 | 94 | 42 | 4 | 9 | 8 |
Withdrawal by Subject | 1 | 1 | 2 | 2 | 0 | 0 | 0 | 1 | 0 | 0 | 3 | 8 | 15 | 0 | 3 | 0 | 7 | 1 | 2 | 2 | 0 |
Other | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 2 | 1 | 0 | 19 | 24 | 7 | 11 | 3 | 28 | 12 | 10 | 4 | 2 |
Randomized not treated | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 3 | 0 | 2 |
Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 7 | 2 | 8 | 2 | 11 | 0 | 0 | 0 | 1 |
Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 |
Site Terminated by Sponsor | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Withdrawn Due to Pregnancy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Baseline Characteristics
Arm/Group Title | Low Dose Escalation Cohort: Crizotinib 50 mg QD | Low Dose Escalation Cohort: Crizotinib 100 mg QD | Low Dose Escalation Cohort: Crizotinib 200 mg QD | Low Dose Escalation Cohort: Crizotinib 200 mg BID | Low Dose Escalation Cohort: Crizotinib 250 mg BID | Low Dose Escalation Cohort: Crizotinib 300 mg BID | High Dose Escalation Cohort: Crizotinib 300 mg QD | High Dose Escalation Cohort: Crizotinib 400 mg QD | High Dose Escalation Cohort: Crizotinib 500 mg QD | High Dose Escalation Cohort: Crizotinib 650 mg QD | High Dose Escalation Cohort: Crizotinib 800 mg QD | RP2D Cohort: ROS1-Positive NSCLC: Crizotinib 250 mg | RP2D Cohort: MET Exon 14 Alterations NSCLC: Crizotinib 250 mg | RP2D Cohort: MET Amplification NSCLC: Crizotinib 250 mg | RP2D Cohort: ALK-Negative Cohort 1, NSCLC: Crizotinib 250 mg | RP2D Cohort: ALK-Negative Cohort 2, NSCLC: Crizotinib 250 mg | RP2D Cohort: ALK-Positive Cohort, NSCLC: Crizotinib 250 mg | RP2D Cohort: Enriched Other: Crizotinib 250 mg | RP2D Cohort: Itraconazole Interaction: Crizotinib 250 mg +Itraconazole | RP2D Cohort: Rifampin Interaction: Crizotinib 250 mg +Rifampin | RP2D Cohort: Midazolam Interaction: Crizotinib 250 mg +Midazolam | Total | |
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Participants received Crizotinib 50 milligram (mg) capsule or tablet orally once daily (QD) for up to 34 cycles (each cycle 28 days). | Participants received Crizotinib 100 mg capsule or tablet orally QD for up to 34 cycles (each cycle 28 days) and 2 mg oral dose of Midazolam along with Crizotinib 100 mg on Cycle 2 Day 1 only. Participants who did not receive Crizotinib on Day -7, received single 2 mg oral dose of Midazolam on Day -7. | Participants received Crizotinib 200 mg (2 capsules/tablet of 100 mg each) capsule/tablet orally QD for up to 34 cycles (each cycle 28 days). | Participants received Crizotinib 200 mg (2 capsules/tablet of 100 mg each) capsule/tablet orally twice daily (BID) for up to 34 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet BID for up to 34 cycles (each cycle 28 days). | Participants received Crizotinib 300 mg (3 capsules/tablet of 100 mg each) capsule/tablet orally BID for up to 34 cycles (each cycle 28 days) and 2 mg oral dose of Midazolam along with Crizotinib 300 mg on Cycle 2 Day 1 only. Participants who did not receive Crizotinib on Day -7, received single 2 mg oral dose of Midazolam on Day -7. | Participants received Crizotinib 300 mg (3 capsules/tablet of 100 mg each) capsule/tablet QD for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 400 mg (4 capsules/tablet of 100 mg each) capsule/tablet QD for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 500 mg (5 capsules/tablet of 100 mg each) capsule/tablet QD for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 650 mg (6 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet twice daily (BID) for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 800 mg (8 capsules/tablet of 100 mg each) capsule/tablet QD for up to 7 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally twice daily (BID) with or without food for up to 105 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally twice daily (BID) with or without food for up to 55 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally twice daily (BID) with or without food for up to 101 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet twice daily (BID) with or without food for up to 70 cycles (each cycle 21 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally BID with or without food for up to 70 cycles (each cycle 21 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet twice daily (BID) with or without food for up to 133 cycles (each cycle 28 days). | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet orally twice daily (BID) with or without food for up to 54 cycles (each cycle 28 days). | Participants received with or without food Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet QD from Cycle 1Day1 to Cycle 2 Day1 thereafter 250 mg BID from Cycle 2 Day 2 up to 58 cycles (each cycle 28 days). Participants also received Itraconazole 200 mg QD from Cycle 1 Day 1 to Cycle 1 Day 16. | Participants received Crizotinib 250 mg (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) capsule/tablet twice daily (BID) with or without food from Cycle 1 Day 1 up to 13 cycles (each cycle 28 days). Participants also received commercially available Rifampin 650 mg QD from Cycle 1 Day 16 to Cycle 2 Day 1 (14 days) either one hour before or 2 hours after food. | Participants received Crizotinib 250 mg tablet/capsule (2 capsules/tablet of 100 mg each + 1 capsule/tablet of 50 mg) orally BID with or without food from Day 1 Cycle 1 up to 133 cycles (each cycle 28 days). Participants also received single 2 mg oral dose of Midazolam on Day -7 and another single 2-mg oral dose of Midazolam concurrently with Crizotinib on Cycle 2 Day 1 | Total of all reporting groups | |
Overall Number of Baseline Participants | 3 | 4 | 8 | 7 | 8 | 6 | 6 | 5 | 3 | 6 | 9 | 53 | 85 | 41 | 48 | 18 | 154 | 66 | 18 | 18 | 12 | 578 | |
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Safety analysis (SA) set included all enrolled participants who received at least one dose of Crizotinib on Cycle 1 Day 1.
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Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 3 participants | 4 participants | 8 participants | 7 participants | 8 participants | 6 participants | 6 participants | 5 participants | 3 participants | 6 participants | 9 participants | 53 participants | 85 participants | 41 participants | 48 participants | 18 participants | 154 participants | 66 participants | 18 participants | 18 participants | 12 participants | 578 participants |
less than 65 years |
3 100.0%
|
4 100.0%
|
5 62.5%
|
5 71.4%
|
8 100.0%
|
6 100.0%
|
3 50.0%
|
5 100.0%
|
3 100.0%
|
6 100.0%
|
5 55.6%
|
23 43.4%
|
18 21.2%
|
20 48.8%
|
30 62.5%
|
12 66.7%
|
131 85.1%
|
51 77.3%
|
9 50.0%
|
12 66.7%
|
9 75.0%
|
368 63.7%
|
|
greater than or equals to 65 years |
0 0.0%
|
0 0.0%
|
3 37.5%
|
2 28.6%
|
0 0.0%
|
0 0.0%
|
3 50.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
4 44.4%
|
30 56.6%
|
67 78.8%
|
21 51.2%
|
18 37.5%
|
6 33.3%
|
23 14.9%
|
15 22.7%
|
9 50.0%
|
6 33.3%
|
3 25.0%
|
210 36.3%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||||||||||||||||
Number Analyzed | 3 participants | 4 participants | 8 participants | 7 participants | 8 participants | 6 participants | 6 participants | 5 participants | 3 participants | 6 participants | 9 participants | 53 participants | 85 participants | 41 participants | 48 participants | 18 participants | 154 participants | 66 participants | 18 participants | 18 participants | 12 participants | 578 participants | |
Female |
3 100.0%
|
1 25.0%
|
2 25.0%
|
3 42.9%
|
4 50.0%
|
2 33.3%
|
3 50.0%
|
5 100.0%
|
0 0.0%
|
1 16.7%
|
3 33.3%
|
30 56.6%
|
48 56.5%
|
19 46.3%
|
24 50.0%
|
8 44.4%
|
80 51.9%
|
25 37.9%
|
11 61.1%
|
9 50.0%
|
8 66.7%
|
289 50.0%
|
|
Male |
0 0.0%
|
3 75.0%
|
6 75.0%
|
4 57.1%
|
4 50.0%
|
4 66.7%
|
3 50.0%
|
0 0.0%
|
3 100.0%
|
5 83.3%
|
6 66.7%
|
23 43.4%
|
37 43.5%
|
22 53.7%
|
24 50.0%
|
10 55.6%
|
74 48.1%
|
41 62.1%
|
7 38.9%
|
9 50.0%
|
4 33.3%
|
289 50.0%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||||||||||||||||
Number Analyzed | 3 participants | 4 participants | 8 participants | 7 participants | 8 participants | 6 participants | 6 participants | 5 participants | 3 participants | 6 participants | 9 participants | 53 participants | 85 participants | 41 participants | 48 participants | 18 participants | 154 participants | 66 participants | 18 participants | 18 participants | 12 participants | 578 participants | |
White |
2 66.7%
|
3 75.0%
|
7 87.5%
|
6 85.7%
|
8 100.0%
|
6 100.0%
|
6 100.0%
|
4 80.0%
|
2 66.7%
|
5 83.3%
|
8 88.9%
|
30 56.6%
|
60 70.6%
|
38 92.7%
|
35 72.9%
|
11 61.1%
|
98 63.6%
|
49 74.2%
|
13 72.2%
|
16 88.9%
|
11 91.7%
|
418 72.3%
|
|
Black |
1 33.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 20.0%
|
1 33.3%
|
0 0.0%
|
0 0.0%
|
2 3.8%
|
2 2.4%
|
2 4.9%
|
1 2.1%
|
3 16.7%
|
5 3.2%
|
4 6.1%
|
3 16.7%
|
2 11.1%
|
0 0.0%
|
27 4.7%
|
|
Asian |
0 0.0%
|
0 0.0%
|
1 12.5%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 11.1%
|
21 39.6%
|
15 17.6%
|
1 2.4%
|
9 18.8%
|
2 11.1%
|
43 27.9%
|
9 13.6%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
102 17.6%
|
|
Other |
0 0.0%
|
1 25.0%
|
0 0.0%
|
1 14.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 16.7%
|
0 0.0%
|
0 0.0%
|
8 9.4%
|
0 0.0%
|
3 6.3%
|
2 11.1%
|
8 5.2%
|
4 6.1%
|
2 11.1%
|
0 0.0%
|
1 8.3%
|
31 5.4%
|
Outcome Measures
Adverse Events