Multicenter Study of Rociletinib Administered to Patients With Previously Treated Mutant EGFR Non-small Cell Lung Cancer (NSCLC)
Non-small Cell Lung Cancer

About this trial
This is an interventional treatment trial for Non-small Cell Lung Cancer focused on measuring cancer, metastatic, locally advanced, lung, non-small cell lung cancer, NSCLC, epidermal growth factor receptor, EGFR, T790M, CO-1686, unresectable, recurrent, EGFR-directed therapy, irreversible EGFR inhibitor, TIGER, Rociletinib
Eligibility Criteria
Inclusion Criteria
- Histologically or cytologically confirmed metastatic or unresectable locally advanced NSCLC
- Documented evidence of a tumor with 1 or more EGFR mutations excluding exon 20 insertion
- Disease progression confirmed by radiologic assessment while receiving treatment with the first single agent EGFR-TKI
- EGFR TKI treatment discontinued less than or equal to 30 days prior to planned initiation of rociletinib
- The washout period for an EGFR inhibitor is a minimum of 3 days
- No intervening treatment between cessation of single agent EGFR TKI and planned initiation of rociletinib
- Previous treatment with less than or equal to 1 prior chemotherapy (excluding prior neo-adjuvant or adjuvant chemotherapy or chemoradiotherapy with curative intent)
- Any toxicity related to prior EGFR inhibitor treatment must have resolved to Grade 1 or less
- Central laboratory confirmation of the presence of the T790M mutation in tumor tissue in Cohort A and the presence or absence of the T790M mutation in tumor tissue in Cohort B. Centrally indeterminate, unknown or invalid specimens are not acceptable. Biopsy material obtained from either primary or metastatic tumor tissue and sent to the central laboratory must be within 60 prior to dosing study drug but following disease progression on the first EGFR TKI
- Measurable disease according to RECIST Version 1.1
- Life expectancy of at least 3 months
- ECOG performance status of 0 to 1
- Minimum Age 18 years (in certain territories, the minimum age requirement may be higher eg age 20 years in Japan and Taiwan)
- Adequate hematological and biological function, confirmed by defined laboratory values
- Written consent on an IRB/IEC-approved Informed Consent Form (ICF) prior to any study specific evaluation
Exclusion Criteria
- Documented evidence of an exon 20 insertion activating mutation in the EGFR gene
- Active second malignancy i.e. patient known to have potentially fatal cancer present for which he/she may be (but not necessarily) currently receiving treatment
- Patients with a history of malignancy that has been completely treated, with no evidence of that cancer currently, are permitted to enrol in the trial provided all chemotherapy was completed greater than 6 months prior and/or bone marrow transplant greater than 2 years prior
- Known pre-existing interstitial lung disease
- Cohort A only: Patients with leptomeningeal carcinomatosis are excluded. Other central nervous system (CNS) metastases are only permitted if treated, asymptomatic, and stable (not requiring steroid for at least 4 weeks prior to the start of study treatment). Cohort B only: Patients with CNS metastases or leptomeningeal carcinomatosis are excluded.
- Treatment with prohibited medications less than or equal to 14 days prior to treatment with rociletinib
- Patients who are currently receiving treatment with any medications that have the potential to prolong the QT interval and the treatment cannot be either discontinued or switched to a different medication before starting rociletinib
- Prior treatment with rociletinib, or other drugs that target T790M positive mutant EGFR with sparing of wild type EGFR
- Any of the following cardiac abnormalities or history
- Clinically significant abnormal 12-lead ECG, QT interval corrected using Fridericia's method (QTCF) greater than 450 msec
- Inability to measure QT interval on ECG
- Personal or family history of long QT syndrome
- Implantable pacemaker or implantable cardioverter defibrillator
- Resting bradycardia less than 55 beats/min
- Non-study related surgical procedures less than or equal to 7 days prior to administration of rociletinib. In all cases, the patient must be sufficiently recovered and stable before treatment administration
- Females who are pregnant or breastfeeding
- Refusal to use adequate contraception for fertile patients (females and males) while on treatment and for 12 weeks after the last dose of rociletinib
- Presence of any serious or unstable concomitant systemic disorder incompatible with the clinical study
- Any other reason the investigator considers the patient should not participate in the study
Sites / Locations
- UCLA Medical Center
- Comprehensive Blood and Cancer Center
- Saint Jude Heritage Healthcare
- University of California San Diego Moores Cancer Center
- Northridge Hospital Medical Center
- Cancer Care Associates
- University of California Davis Medical Center
- University of California San Francisco
- Coastal Integrative Cancer Care
- Saint Mary's Regional Cancer Center
- Rocky Mountain Cancer Centers, LLP
- Yale University School of Medicine
- Advanced Medical Specialties
- Cleveland Clinic Florida
- Northwestern University Feinberg School of Medicine
- University of Illinois Chicago
- Illinois Cancer Specialists
- Beth Israel Comprehensive Cancer Center
- Lahey Hospital and Medical Center
- Minnesota Oncology Hematology, P.A
- Mayo Clinic - Rochester
- Washington University School of Medicine
- Montefiore Medical Center
- New York Oncology Hematology, PC
- University of Rochester
- University Hospitals of Cleveland
- Cleveland Clinic
- Fox Chase Cancer Center
- Tennessee Oncology, PLLC
- Texas Oncology P.A.
- USO - Texas Oncology P.A.
- Texas Oncology-Austin Central
- Texas Oncology-Beaumont
- Texas Oncology P.A.
- Texas Oncology P.A.
- Texas Oncology P.A.
- The Methodist Hospital
- Texas Oncology - Plano East
- Virginia Cancer Specialists
- Northwest Cancer Specialists, P.C.
- Yakima Valley Memorial Hospital, North Star Lodge
- Icon Cancer Centre
- Royal North Shore Hospital
- Westmead Hospital
- Flinders Medical Centre
- Princess Margaret Hospital
- Centre Hospitalier Regional Universitaire (CHRU) de Besancon - L'Hopital Jean Minjoz
- Hôpital Tenon
- Institut Gustave Roussy
- Institut de Cancérologie de l'Ouest - René Gauducheau
- Centre Hospitalier Lyon Sud
- Centre Hospitalier Universitaire Côte de Nacre
- Centre Hospitalier Universitaire Hôpital Nord
- Asklepios Fachkliniken München-Gauting
- Klinikum Innenstadt LMU
- Goethe-Universität Frankfurt am Main
- Pius Hospital Oldenburg
- Universitaetsklinikum Bonn - Zentrum fuer Innere Medizin - Medizinische Klinik und Poliklink III
- Universitätsklinikum Essen
- Universitätsklinikum Köln
- LungenClinic Großhansdorf GmbH
- Evangelische Lungenklinik Berlin
- Queen Mary Hospital
- Chungbuk National University Hospital
- National Cancer Center
- Gachon University Gil Medical Center
- Dong-A University Hospital
- Inha University Hospital
- Samsung Medical Center
- Asan Medical Center
- Seoul National University Hospital
- Seoul Saint Mary's Hospital
- Severance Hospital, Yonsei University Health System
- Antoni van Leeuwenhoek Hospital
- Vrije Universiteit Medisch Centrum
- Hospital Universitario Virgen del Rocio
- Hospital Universitari Germans Trias i Pujol
- Hospital Vall d´Hebrón
- Hospital Universitario Quirón Dexeus
- Hospital Universitario La Paz
- Centre Hospitalier Universitaire Vaudoise
- Taipei Veterans General Hospital
- Chang Gung Memorial Hospital Linkou
- China Medical University Hospital
- Taichung Veterans General Hospital
- National Taiwan University Hospital
- Cambridge University Hospitals NHS Foundation Trust
- Guy's and Saint Thomas NHS Foundation Trust
- Royal Marsden Hospital
- Royal Marsden NHS Trust
- University College Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Rociletinib Mono-Therapy, T790M +ve (625mg BID)
Rociletinib Mono-Therapy, T790M +ve (500mg BID)
Rociletinib Mono-Therapy, T790M -ve (500mg BID)
Starting dose of 625mg rociletinib, taken orally twice daily, with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Tablets should be swallowed whole. Treatment with rociletinib is continuous and each cycle will comprise of 28 days.
Starting dose of 500mg rociletinib, taken orally twice daily, with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Tablets should be swallowed whole. Treatment with rociletinib is continuous and each cycle will comprise of 28 days.
Starting dose of 500mg rociletinib, taken twice daily, with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Tablets should be swallowed whole. Treatment with rociletinib is continuous and each cycle will comprise of 28 days.