Phase Ib Study of LDK378 and AUY922 in ALK-rearranged Non-small Cell Lung Cancer
Primary Purpose
Anaplastic Lymphoma Kinase (ALK), Non-small Cell Lung Cancer
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
LDK378
AUY922
Sponsored by

About this trial
This is an interventional treatment trial for Anaplastic Lymphoma Kinase (ALK) focused on measuring anaplastic lymphoma kinase, ALK-rearranged lung cancer, non-small cell lung cancer
Eligibility Criteria
Inclusion Criteria:
- locally advanced or metastatic NSCLC that has progressed during or following therapy with an ALK inhibitor
- tumor must carry an ALK rearrangement in 15% or more of tumor cells as measured by FISH
- disease that can be evaluated by RECIST v1.1 and measurable disease
Exclusion Criteria:
- central nervous system (CNS) metastases that are symptomatic or require increasing steroids or CNS-directed therapy to control CNS disease
- history of interstitial lung disease or interstitial pneumonitis, including clinically significant radiation pneumonitis
- clinically significant cardiac dysfunction
- inadequate end organ function as defined by specified laboratory values
- use of medications known to be strong inhibitors or inducters of CYP3A4/5 that cannot be discontinued at least 1 week prior to start of treatment
- use of medications that are mainly metabolized by CYP3A4/5 or CYP2C9 that cannot be discontinued at least 1 week prior to start of treatment
- clinically significant, uncontrolled impaired gastrointestinal function or GI disease
- prior treatment with a HSP90 inhibitor
- radiotherapy to lung within 4 weeks prior to the first dose of study treatment or patients who have not recovered from radiotherapy-related toxicities
- pregnant or nursing women
- history of pancreatitis or history of increased amylase or lipase that was due to pancreatic disease.
Sites / Locations
- University of Colorado Dept. of Anschutz Cancer (3)
- Massachusetts General Hospital Mass General
- Fox Chase Cancer Center Fox Chase Cancer (2)
- University of Utah / Huntsman Cancer Institute Huntsman
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
- Novartis Investigative Site
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
LDK378 and AUY922
Arm Description
Outcomes
Primary Outcome Measures
Incidence rate of Dose Limiting Toxicities (DLT)
cycle = within the first 28 days of patient's first dose
Secondary Outcome Measures
Number of patients with adverse events
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Changes in laboratory values
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Assessments of electrocardiograms
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Assessments of dose interruptions, reductions, and dose intensity
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Plasma PK parameter of LDK378 and AUY922: Tmax
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Overall response rate (ORR)
Assess the anti-tumor activity of LDK378 and AUY922
Duration of Response (DoR)
Assess the anti-tumor activity of LDK378 and AUY922
Time to Response (TTR)
Assess the anti-tumor activity of LDK378 and AUY922
Progression free survival (PFS)
Assess the anti-tumor activity of LDK378 and AUY922 per RECIST 1.1
Number of patients with serious adverse events
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Plasma PK parameter of LDK378 and AUY922: Cmax
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Plasma PK parameter of LDK378 and AUY922: AUClast
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Plasma PK parameter of LDK378 and AUY922: AUCtau
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Plasma PK parameter of LDK378 and AUY922: Cmin
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Plasma PK parameter of LDK378 and AUY922: Racc
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Full Information
NCT ID
NCT01772797
First Posted
January 17, 2013
Last Updated
December 16, 2020
Sponsor
Novartis Pharmaceuticals
1. Study Identification
Unique Protocol Identification Number
NCT01772797
Brief Title
Phase Ib Study of LDK378 and AUY922 in ALK-rearranged Non-small Cell Lung Cancer
Official Title
A Phase Ib, Open-label, Dose Escalation Study of LDK378 and AUY922 in Patients With ALK-rearranged Non-small Cell Lung Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
June 2013 (undefined)
Primary Completion Date
January 2016 (Actual)
Study Completion Date
January 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary purpose of the study is to estimate the maximum tolerated dose of the combination of LDK378 and AUY922. This study will assess the safety, tolerability, pharmacokinetics and preliminary evidence of anti-tumor activity of the combination of LDK378 and AUY922 in ALK-rearranged non-small cell lung cancer.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anaplastic Lymphoma Kinase (ALK), Non-small Cell Lung Cancer
Keywords
anaplastic lymphoma kinase, ALK-rearranged lung cancer, non-small cell lung cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
22 (Actual)
8. Arms, Groups, and Interventions
Arm Title
LDK378 and AUY922
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
LDK378
Intervention Description
LDK378 is a capsule to be taken daily by mouth.
Intervention Type
Drug
Intervention Name(s)
AUY922
Intervention Description
AUY922 is an intravenous infusion that will be administered by the investigative site to the patient on a weekly basis.
Primary Outcome Measure Information:
Title
Incidence rate of Dose Limiting Toxicities (DLT)
Description
cycle = within the first 28 days of patient's first dose
Time Frame
up to day 28 after the patient's first dose
Secondary Outcome Measure Information:
Title
Number of patients with adverse events
Description
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Changes in laboratory values
Description
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Assessments of electrocardiograms
Description
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Assessments of dose interruptions, reductions, and dose intensity
Description
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Plasma PK parameter of LDK378 and AUY922: Tmax
Description
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Overall response rate (ORR)
Description
Assess the anti-tumor activity of LDK378 and AUY922
Time Frame
30 months
Title
Duration of Response (DoR)
Description
Assess the anti-tumor activity of LDK378 and AUY922
Time Frame
30 months
Title
Time to Response (TTR)
Description
Assess the anti-tumor activity of LDK378 and AUY922
Time Frame
30 months
Title
Progression free survival (PFS)
Description
Assess the anti-tumor activity of LDK378 and AUY922 per RECIST 1.1
Time Frame
30 months
Title
Number of patients with serious adverse events
Description
Characterize the safety and tolerability of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Plasma PK parameter of LDK378 and AUY922: Cmax
Description
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Plasma PK parameter of LDK378 and AUY922: AUClast
Description
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Plasma PK parameter of LDK378 and AUY922: AUCtau
Description
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Plasma PK parameter of LDK378 and AUY922: Cmin
Description
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Time Frame
30 months
Title
Plasma PK parameter of LDK378 and AUY922: Racc
Description
Characterize single and multiple dose PK of LDK378 and AUY922 in patients
Time Frame
30 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
locally advanced or metastatic NSCLC that has progressed during or following therapy with an ALK inhibitor
tumor must carry an ALK rearrangement in 15% or more of tumor cells as measured by FISH
disease that can be evaluated by RECIST v1.1 and measurable disease
Exclusion Criteria:
central nervous system (CNS) metastases that are symptomatic or require increasing steroids or CNS-directed therapy to control CNS disease
history of interstitial lung disease or interstitial pneumonitis, including clinically significant radiation pneumonitis
clinically significant cardiac dysfunction
inadequate end organ function as defined by specified laboratory values
use of medications known to be strong inhibitors or inducters of CYP3A4/5 that cannot be discontinued at least 1 week prior to start of treatment
use of medications that are mainly metabolized by CYP3A4/5 or CYP2C9 that cannot be discontinued at least 1 week prior to start of treatment
clinically significant, uncontrolled impaired gastrointestinal function or GI disease
prior treatment with a HSP90 inhibitor
radiotherapy to lung within 4 weeks prior to the first dose of study treatment or patients who have not recovered from radiotherapy-related toxicities
pregnant or nursing women
history of pancreatitis or history of increased amylase or lipase that was due to pancreatic disease.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
University of Colorado Dept. of Anschutz Cancer (3)
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Massachusetts General Hospital Mass General
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Fox Chase Cancer Center Fox Chase Cancer (2)
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111-2497
Country
United States
Facility Name
University of Utah / Huntsman Cancer Institute Huntsman
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84103
Country
United States
Facility Name
Novartis Investigative Site
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3000
Country
Australia
Facility Name
Novartis Investigative Site
City
Milano
State/Province
MI
ZIP/Postal Code
20141
Country
Italy
Facility Name
Novartis Investigative Site
City
Singapore
ZIP/Postal Code
169610
Country
Singapore
Facility Name
Novartis Investigative Site
City
Barcelona
State/Province
Catalunya
ZIP/Postal Code
08035
Country
Spain
12. IPD Sharing Statement
Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=15547
Description
Results for CLDK378X2102 can be found on the Novartis Clinical Trial Results Website
Learn more about this trial
Phase Ib Study of LDK378 and AUY922 in ALK-rearranged Non-small Cell Lung Cancer
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