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Itacitinib in Combination With Erlotinib in Non Small Cell Lung Cancer Patients With Epidermal Growth Factor Receptor (EGFR) Activating Mutations

Primary Purpose

Solid Tumors and Hematologic Malignancy, NSCLC (Non-small Cell Lung Carcinoma)

Status
Withdrawn
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Itacitinib
erlotinib
placebo
Sponsored by
Incyte Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumors and Hematologic Malignancy focused on measuring EGFR, mutation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologically or cytologically confirmed diagnosis of nonsquamous NSCLC that is Stage IIIB, Stage IV, or recurrent (including Stage II).
  • Documented evidence of an activating mutation in EGFR in tumor samples (exon 19 deletions or point mutation L858R in exon 21 or point mutations at codon 719).
  • A mGPS of 1 or 2 as defined below:

    • Criteria: C-reactive protein >10 mg/L AND albumin ≥35 g/L Score-1
    • Criteria: C-reactive protein >10 mg L AND albumin <35 g/L Score-2
  • Radiographically measurable or evaluable disease.
  • Life expectancy of at least 12 weeks.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
  • Adequate renal, hepatic, and bone marrow function demonstrated by protocol-specified laboratory parameters at the screening visit.

Exclusion Criteria:

  • Known presence of the T790M mutation in EGFR in tumor samples
  • Candidates for curative radiation therapy or surgery.
  • Previous systemic chemotherapy for advanced disease, including EGFR inhibitor therapy, except subjects who received 1 cycle of chemotherapy while waiting to receive EGFR results, who may enroll provided that 21 days have elapsed from end of chemotherapy to the day to the baseline radiographic measurement prior to Cycle 1 Day 1.
  • Distinct or suspected, or history of, pulmonary fibrosis or ILD.
  • Current or previous other malignancy within 2 years of study entry, except cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive indolent or Stage I malignancy without sponsor approval.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Itacitinib plus erlotinib

Placebo plus erlotinib

Arm Description

Outcomes

Primary Outcome Measures

Part 1: Determination of the dose of itacitinib that is safe and tolerable in combination with erlotinib as measured by the number of dose-limiting toxicities (DLTs) observed in the evaluation cohort.
Subjects will take erlotinib daily and begin dosing with itacitinib once daily (QD) on Cycle 1, Day 1. The safety and tolerability of the regimen will be assessed during the first 21 days of therapy
Part 2: Overall Survival (OS)
Part 2: Progression-free survival (PFS)
PFS is defined as the time from randomization until the earliest date of disease progression determined by investigator assessment of objective radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause if sooner.

Secondary Outcome Measures

Part 2: Objective Response
Objective response determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment
Part 2: Duration of Response
Duration of response determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Part 2: Safety and tolerability of the treatment regimens assessed by a summary of adverse events and clinical laboratory assessments.

Full Information

First Posted
January 30, 2015
Last Updated
March 6, 2019
Sponsor
Incyte Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02355431
Brief Title
Itacitinib in Combination With Erlotinib in Non Small Cell Lung Cancer Patients With Epidermal Growth Factor Receptor (EGFR) Activating Mutations
Official Title
A Randomized, Double-blind Phase 2 Study of Itacitinib in Combination With Erlotinib Versus Erlotinib Alone in Subjects With Stage IIIB/ IV or Recurrent Non-Small Cell Lung Cancer (NSCLC) Whose Tumors Have Epidermal Growth Factor Receptor (EGFR) Activating Mutations
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Withdrawn
Why Stopped
Study withdrawn before enrolling first patient
Study Start Date
December 2014 (undefined)
Primary Completion Date
September 2015 (Actual)
Study Completion Date
September 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Incyte Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine if Itacitinib in combination with erlotinib is safe and effective in the treatment of nonsquamous non-small cell lung cancer (NSCLC) that is Stage IIIB/Stage IV or recurrent whose tumors have EGFR activating mutations.
Detailed Description
The study consists of an open-label, safety run-in to confirm the safety of Itacitinibin combination with erlotinib in subjects with nonsquamous non-small cell lung cancer (NSCLC) that is Stage IIIB, Stage IV, or recurrent whose tumors have EGFR activating mutations. Subjects in the safety run-in will receive open-label Itacitinib and erlotinib. In the second part of the study, subjects will be enrolled and randomized to receive erlotinib (open-label) and either Itacitinib or placebo in a blinded manner. The dose of Itacitinib administered will be determined from the data produced in the safety run-in phase. Treatment will consist of repeating 21-day cycles. Subjects will take erlotinib tablets daily and Itacitinib/placebo will be self-administered daily during the entire cycle.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumors and Hematologic Malignancy, NSCLC (Non-small Cell Lung Carcinoma)
Keywords
EGFR, mutation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Itacitinib plus erlotinib
Arm Type
Experimental
Arm Title
Placebo plus erlotinib
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Itacitinib
Other Intervention Name(s)
INCB039110
Intervention Description
tablets to be administered by mouth once daily at dose selected from safety run-in phase
Intervention Type
Drug
Intervention Name(s)
erlotinib
Other Intervention Name(s)
Tarceva®
Intervention Description
150 mg tablets administered by mouth once daily at total daily dose of 150 mg
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
matching placebo tablets to be administered by mouth at dose selected from safety run-in phase
Primary Outcome Measure Information:
Title
Part 1: Determination of the dose of itacitinib that is safe and tolerable in combination with erlotinib as measured by the number of dose-limiting toxicities (DLTs) observed in the evaluation cohort.
Description
Subjects will take erlotinib daily and begin dosing with itacitinib once daily (QD) on Cycle 1, Day 1. The safety and tolerability of the regimen will be assessed during the first 21 days of therapy
Time Frame
Baseline through Day 21
Title
Part 2: Overall Survival (OS)
Time Frame
Randomization until death. Approximately 31 months.
Title
Part 2: Progression-free survival (PFS)
Description
PFS is defined as the time from randomization until the earliest date of disease progression determined by investigator assessment of objective radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause if sooner.
Time Frame
Randomization to disease progression, or death due to any cause if sooner. Approximately 23 months.
Secondary Outcome Measure Information:
Title
Part 2: Objective Response
Description
Objective response determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment
Time Frame
Baseline through end of study. Approximately 31 months.
Title
Part 2: Duration of Response
Description
Duration of response determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Time Frame
Baseline through end of study. Approximately 31 months.
Title
Part 2: Safety and tolerability of the treatment regimens assessed by a summary of adverse events and clinical laboratory assessments.
Time Frame
Baseline through approximately 30 days post treatment discontinuation. Assessed after approximately 31 months.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically confirmed diagnosis of nonsquamous NSCLC that is Stage IIIB, Stage IV, or recurrent (including Stage II). Documented evidence of an activating mutation in EGFR in tumor samples (exon 19 deletions or point mutation L858R in exon 21 or point mutations at codon 719). A mGPS of 1 or 2 as defined below: Criteria: C-reactive protein >10 mg/L AND albumin ≥35 g/L Score-1 Criteria: C-reactive protein >10 mg L AND albumin <35 g/L Score-2 Radiographically measurable or evaluable disease. Life expectancy of at least 12 weeks. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2. Adequate renal, hepatic, and bone marrow function demonstrated by protocol-specified laboratory parameters at the screening visit. Exclusion Criteria: Known presence of the T790M mutation in EGFR in tumor samples Candidates for curative radiation therapy or surgery. Previous systemic chemotherapy for advanced disease, including EGFR inhibitor therapy, except subjects who received 1 cycle of chemotherapy while waiting to receive EGFR results, who may enroll provided that 21 days have elapsed from end of chemotherapy to the day to the baseline radiographic measurement prior to Cycle 1 Day 1. Distinct or suspected, or history of, pulmonary fibrosis or ILD. Current or previous other malignancy within 2 years of study entry, except cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive indolent or Stage I malignancy without sponsor approval.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gerard T. Kennealey, M.D.
Organizational Affiliation
Incyte Corporation
Official's Role
Study Director
Facility Information:
City
Ogden
State/Province
Utah
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Itacitinib in Combination With Erlotinib in Non Small Cell Lung Cancer Patients With Epidermal Growth Factor Receptor (EGFR) Activating Mutations

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