A Study of the IGF-1R Inhibitor AXL1717 in Combination With Gemcitabine HCL and Carboplatin to Treat Non-small-cell Lung Cancer (NSCLC)
Primary Purpose
Non Small Cell Lung Cancer
Status
Completed
Phase
Phase 1
Locations
Sweden
Study Type
Interventional
Intervention
AXL1717
Sponsored by

About this trial
This is an interventional treatment trial for Non Small Cell Lung Cancer focused on measuring NSCLC
Eligibility Criteria
Inclusion Criteria:
- At least 18 years of age.
- Histologically or cytologically confirmed diagnosis of locally advanced, or metastatic squamous non-small-cell lung cancer (stage IIIB or IV) and scheduled for treatment with cytotoxic chemotherapy (Gemcitabine HCL/Carboplatin)
Preserved major organ functions, i.e:
- B-Leukocyte count ≥ 3.0 x 109/L
- B-Neutrophil count ≥ 1.5 x 109/L
- B-Platelet count ≥ 75 x109/L
- B-Haemoglobin ≥ 100 g/L (transfusions are allowed)
- P-Total bilirubin level ≤ 1.5 times the upper institutional limit of the "normal" (i.e. reference)range
- P-ASAT or P-ALAT ≤ 2.5 times upper institutional limit of the "normal" range, ≤5 times if liver metastases have been documented
- P-Creatinine ≤ 1.5 times upper institutional limit of the "normal" range
- 12-lead ECG with normal tracings; or clinically nonsignificant changes that did not require medical intervention
- Signed written informed consent.
Exclusion Criteria:
The presence of any of the following criteria will exclude the patient from participating in the study:
- Ongoing infection or other major recent or ongoing disease that, according to the investigator, poses an unacceptable risk to the patient
- Grade 3 or higher constipation within the past 28 days or grade 2 constipation within the past 14 days before randomization. (Patients with grade 2 constipation within the past 14 days could be re-screened if constipation decreases to ≤ grade 1 with optimal management of constipation.)
- Known malignancy in Central Nervous System (CNS)
- Disease and dementia and neuropathy grade more than 1
- Other active malignancy during the previous 3 years
- Major surgical procedure within 4 weeks
- Prior anti-tumor therapy apart from radiation therapy
- Women Of Child Bearing Potential (WOCBP) - For purposes of this study, WOCBP include any female who has experienced menarche and who is not postmenopausal. Post menopause is defined as: Amenorrhea ≥ 12 consecutive months without another cause
- Pregnancy or lactation
- Current participation in any other interventional clinical trial
- Performance status > ECOG 2 after optimization of analgesics
- Life expectancy less than 3 months
- Contraindications to the investigational product, e.g. known or suspected hypersensitivity.
- Lack of suitability for participation in the trial, for any reason, as judged by the Investigator.
Sites / Locations
- KFUE
- University Hospital
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
AXL1717 in combination with Gemcitabine HCL and Carboplatin
Arm Description
AXL1717 in combination with Gemcitabine HCL and Carboplatin
Outcomes
Primary Outcome Measures
Safety of AXL1717 in combination with Gemcitabine HCL and Carboplatin
A dose finding pilot study to evaluate safety and pharmacokinetics in combination with Gemcitabine HCL and Carboplatin during two treatment cycles, i.e. 6 weeks.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01466647
Brief Title
A Study of the IGF-1R Inhibitor AXL1717 in Combination With Gemcitabine HCL and Carboplatin to Treat Non-small-cell Lung Cancer (NSCLC)
Official Title
A Phase I Pilot Study of the IGF-1R Inhibitor AXL1717 in Combination With Gemcitabine HCL and Carboplatin in Previously Untreated, Locally Advanced, or Metastatic Squamous Non-small-cell Lung Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
January 2011 (undefined)
Primary Completion Date
September 2012 (Actual)
Study Completion Date
September 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Axelar AB
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a open single-center, explorative, Phase I pilot dose finding study including patients treated with AXL1717 in addition to standard chemotherapy of gemcitabine HCL and carboplatin.
Detailed Description
Open single-center, explorative, Phase I pilot study including patients treated with AXL1717 in addition to standard chemotherapy of gemcitabine HCL and carboplatin. Patients will be treated within the study for 2 treatment cycles of 3 weeks each. Survival data will be obtained. Tumor assessment will be conducted at baseline and then at the end of the study period. Concomitant supportive therapies will be allowed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non Small Cell Lung Cancer
Keywords
NSCLC
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)
8. Arms, Groups, and Interventions
Arm Title
AXL1717 in combination with Gemcitabine HCL and Carboplatin
Arm Type
Other
Arm Description
AXL1717 in combination with Gemcitabine HCL and Carboplatin
Intervention Type
Drug
Intervention Name(s)
AXL1717
Intervention Description
A repeated BID treatment for 14 days, followed by a 7 day observation period for two treatment periods
Primary Outcome Measure Information:
Title
Safety of AXL1717 in combination with Gemcitabine HCL and Carboplatin
Description
A dose finding pilot study to evaluate safety and pharmacokinetics in combination with Gemcitabine HCL and Carboplatin during two treatment cycles, i.e. 6 weeks.
Time Frame
End of two cycles, i.e. 6 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
At least 18 years of age.
Histologically or cytologically confirmed diagnosis of locally advanced, or metastatic squamous non-small-cell lung cancer (stage IIIB or IV) and scheduled for treatment with cytotoxic chemotherapy (Gemcitabine HCL/Carboplatin)
Preserved major organ functions, i.e:
B-Leukocyte count ≥ 3.0 x 109/L
B-Neutrophil count ≥ 1.5 x 109/L
B-Platelet count ≥ 75 x109/L
B-Haemoglobin ≥ 100 g/L (transfusions are allowed)
P-Total bilirubin level ≤ 1.5 times the upper institutional limit of the "normal" (i.e. reference)range
P-ASAT or P-ALAT ≤ 2.5 times upper institutional limit of the "normal" range, ≤5 times if liver metastases have been documented
P-Creatinine ≤ 1.5 times upper institutional limit of the "normal" range
12-lead ECG with normal tracings; or clinically nonsignificant changes that did not require medical intervention
Signed written informed consent.
Exclusion Criteria:
The presence of any of the following criteria will exclude the patient from participating in the study:
Ongoing infection or other major recent or ongoing disease that, according to the investigator, poses an unacceptable risk to the patient
Grade 3 or higher constipation within the past 28 days or grade 2 constipation within the past 14 days before randomization. (Patients with grade 2 constipation within the past 14 days could be re-screened if constipation decreases to ≤ grade 1 with optimal management of constipation.)
Known malignancy in Central Nervous System (CNS)
Disease and dementia and neuropathy grade more than 1
Other active malignancy during the previous 3 years
Major surgical procedure within 4 weeks
Prior anti-tumor therapy apart from radiation therapy
Women Of Child Bearing Potential (WOCBP) - For purposes of this study, WOCBP include any female who has experienced menarche and who is not postmenopausal. Post menopause is defined as: Amenorrhea ≥ 12 consecutive months without another cause
Pregnancy or lactation
Current participation in any other interventional clinical trial
Performance status > ECOG 2 after optimization of analgesics
Life expectancy less than 3 months
Contraindications to the investigational product, e.g. known or suspected hypersensitivity.
Lack of suitability for participation in the trial, for any reason, as judged by the Investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Bergqvist, M.D., Ph.D
Organizational Affiliation
Uppsala University Hospital, Sweden
Official's Role
Principal Investigator
Facility Information:
Facility Name
KFUE
City
Uppsala
Country
Sweden
Facility Name
University Hospital
City
Uppsala
Country
Sweden
12. IPD Sharing Statement
Learn more about this trial
A Study of the IGF-1R Inhibitor AXL1717 in Combination With Gemcitabine HCL and Carboplatin to Treat Non-small-cell Lung Cancer (NSCLC)
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