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A Study of LUT014 in Patients With Metastatic Colorectal Cancer With EGFR Inhibitor Induced Acneiform Lesions

Primary Purpose

EGFR Inhibitor Induced Acneiform Lesions

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
LUT014
Sponsored by
Lutris Pharma Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for EGFR Inhibitor Induced Acneiform Lesions

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosed with mCRC;
  • Currently being treated with an FDA approved EGFRI for the treatment of mCRC, including but not limited to Erbitux® (cetuximab) Injection and Vectibix® (panitumumab) Injection, as directed by the approved labeling;
  • Treatment with the FDA approved EGFRI initiated within 12 weeks prior to the Screening Visit;
  • Grade 1 or 2 acneiform lesions at the Screening and Baseline (Day 0) Visits; A minimum of 3 subjects per dose cohort must have Grade 2 non-infected acneiform lesions at the Screening and Baseline (Day 0) Visits;
  • Age ≥18 years at the time of signing the informed consent form (ICF);
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2;
  • Expected life expectancy greater than 3 months;
  • Subject can understand and sign the ICF, can communicate with the Investigator, can understand and comply with the requirements of the protocol, and can apply the study drug by himself/herself or has a care giver that can apply the drug;
  • Women of childbearing potential (WCBP) must have a negative serum pregnancy test at Screening and a negative urine pregnancy test at baseline (Day 0);
  • WCBP must agree to abstain from sex or use an adequate method of contraception from the time of informed consent through the Day 55 Visit and for 90 days after the last dose of study drug (LUT014);
  • Males must abstain from sex with WCBP or use an adequate method of contraception from the time of informed consent through the Day 55 Visit and for 90 days after the last dose of study drug (LUT014).

Exclusion Criteria:

  • Active infection;
  • Significant skin disease other than EGFRI induced acneiform lesions;
  • Any cancer other than mCRC within 3 years of Screening;
  • Any condition which, in the opinion of the Investigator, places the subject at unacceptable risk if he/she were to participate in the study;
  • Clinically relevant serious co-morbid medical conditions including, but not limited to, unstable angina, symptomatic congestive heart failure, uncontrolled hypertension, uncontrolled cardiac arrhythmias, chronic obstructive or chronic restrictive pulmonary disease, active central nervous system (CNS) disease uncontrolled by standard of care, known positive status for human immunodeficiency virus (HIV) and/or active hepatitis B or C, cirrhosis, or psychiatric illness/social situations that would limit compliance with study requirements;
  • Pregnant or lactating;
  • Treatment with an EGFRI other than those specified in the inclusion criteria within 30 days or 5 half-lives of the drug prior to Screening, whichever is longer;
  • Treatment with a serine/threonine-protein kinase B-Raf (B-Raf) inhibitor, including but not limited to Zelboraf® (vemurafenib), Tafinlar® (dabrafenib), BraftoviTM (encorafenib), and Nexavar® (sorafenib), within 30 days or 5 half-lives of the drug prior to Screening, whichever is longer;
  • Treatment with a systemic antibiotic within 7 days prior to Screening;
  • Treatment with a topical corticosteroid to the face, neck, or upper portion of the anterior or posterior chest within 14 days prior to Screening or treatment with a systemic corticosteroid within 14 days prior to Screening, except for low dose systemic corticosteroids (e.g., 8-20 mg dexamethasone or comparable) given for up to one or two days every two weeks as part of standard of care for the prevention or treatment of chemotherapy-induced nausea and vomiting (CINV) for subjects being treated with FDA-approved EGFRI and chemotherapy combinations for mCRC;
  • Treatment with an oral retinoid within 7 days prior to Screening;
  • Treatment with another investigational drug within 30 days or 5 half-lives of drug prior to Screening, whichever is longer;
  • Known hypersensitivity to the inactive ingredients of the study drug (LUT014).

Sites / Locations

  • UCLA Health Santa Monica - Cancer Care
  • Washington University School of Medicine-Dermatology
  • Memorial Sloan Kettering Cancer Center
  • MD Anderson Cancer Center
  • Rabin Medical Center
  • Sheba Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

LUT014 dose level 1

LUT014 dose level 2

LUT014 dose level 3

Arm Description

LUT014 will be topically applied to the face, neck, and upper portion of the anterior and posterior chest once a day for 4 weeks.

LUT014 will be topically applied to the face, neck, and upper portion of the anterior and posterior chest once a day for 4 weeks.

LUT014 will be topically applied to the face, neck, and upper portion of the anterior and posterior chest once a day for 4 weeks.

Outcomes

Primary Outcome Measures

Safety and tolerability (maximum tolerated dose, MTD) of LUT014 topically applied qd for 4 weeks in metastatic colorectal cancer (mCRC) patients with epidermal growth factor receptor inhibitor (EGFRI) induced acneiform lesions.

Secondary Outcome Measures

Maximum concentration (Cmax) in plasma after a single administration and after qd administrations for 8 days
Time to maximum concentration (Tmax) in plasma after a single administration and after qd administrations for 8 days
Area under the concentration-time curve from time zero to last measurable concentration (AUC0-T)
Area under the concentration-time cure from time zero extrapolated to infinity (AUC0-∞)
Plasma elimination half-life (t1/2)
Plasma clearance (CL)
Volume of distribution (Vd)
NCI, Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 skin and subcutaneous tissue disorders grading scale performed locally by the Investigator
The scale contains 5 grades from 1 which demonstrates the mild form of the disease up to 5, defined as death.
MASCC Study Group EGFRI-dermatologic AE grading by central reader based on photographs
Functional Assessment of Cancer Therapy-EGFRI 18 (FACT-EGFRI-18) on health-related quality of life (HRQoL) questionnaire
FACT-EGFRI-18 is a patient-reported outcomes questionnaire developed to assess the effect of EGFRI on health-related quality of life The questionnaire includes 18 questions, each should be graded from 0, not suffering from this side effect at all, up to 4, suffering greatly from this side effect

Full Information

First Posted
March 11, 2019
Last Updated
April 5, 2022
Sponsor
Lutris Pharma Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03876106
Brief Title
A Study of LUT014 in Patients With Metastatic Colorectal Cancer With EGFR Inhibitor Induced Acneiform Lesions
Official Title
A Phase 1, Open-Label, Dose Escalation Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy Study of Topically Administered LUT014 in Metastatic Colorectal Cancer Patients With EGFR Inhibitor Induced Acneiform Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
August 21, 2019 (Actual)
Primary Completion Date
July 9, 2020 (Actual)
Study Completion Date
November 18, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lutris Pharma Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this phase 1, multicenter study is to evaluate the safety, tolerability and preliminary efficacy of LUT014 in adult metastatic colorectal cancer patients with EGFR Inhibitor induced acneiform lesions

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
EGFR Inhibitor Induced Acneiform Lesions

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
3+3 Dose escalation of LUT014
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LUT014 dose level 1
Arm Type
Experimental
Arm Description
LUT014 will be topically applied to the face, neck, and upper portion of the anterior and posterior chest once a day for 4 weeks.
Arm Title
LUT014 dose level 2
Arm Type
Experimental
Arm Description
LUT014 will be topically applied to the face, neck, and upper portion of the anterior and posterior chest once a day for 4 weeks.
Arm Title
LUT014 dose level 3
Arm Type
Experimental
Arm Description
LUT014 will be topically applied to the face, neck, and upper portion of the anterior and posterior chest once a day for 4 weeks.
Intervention Type
Drug
Intervention Name(s)
LUT014
Intervention Description
Topical
Primary Outcome Measure Information:
Title
Safety and tolerability (maximum tolerated dose, MTD) of LUT014 topically applied qd for 4 weeks in metastatic colorectal cancer (mCRC) patients with epidermal growth factor receptor inhibitor (EGFRI) induced acneiform lesions.
Time Frame
From Day 0 (following administration of the first dose of study drug) through the Day 55
Secondary Outcome Measure Information:
Title
Maximum concentration (Cmax) in plasma after a single administration and after qd administrations for 8 days
Time Frame
Pre-dose through Day 8
Title
Time to maximum concentration (Tmax) in plasma after a single administration and after qd administrations for 8 days
Time Frame
Pre-dose through Day 8
Title
Area under the concentration-time curve from time zero to last measurable concentration (AUC0-T)
Time Frame
Pre-dose through Day 8
Title
Area under the concentration-time cure from time zero extrapolated to infinity (AUC0-∞)
Time Frame
Pre-dose through Day 8
Title
Plasma elimination half-life (t1/2)
Time Frame
Pre-dose through Day 8
Title
Plasma clearance (CL)
Time Frame
Pre-dose through Day 8
Title
Volume of distribution (Vd)
Time Frame
Pre-dose through Day 8
Title
NCI, Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 skin and subcutaneous tissue disorders grading scale performed locally by the Investigator
Description
The scale contains 5 grades from 1 which demonstrates the mild form of the disease up to 5, defined as death.
Time Frame
Pre-dose through Day 55
Title
MASCC Study Group EGFRI-dermatologic AE grading by central reader based on photographs
Time Frame
Pre-dose through Day 55
Title
Functional Assessment of Cancer Therapy-EGFRI 18 (FACT-EGFRI-18) on health-related quality of life (HRQoL) questionnaire
Description
FACT-EGFRI-18 is a patient-reported outcomes questionnaire developed to assess the effect of EGFRI on health-related quality of life The questionnaire includes 18 questions, each should be graded from 0, not suffering from this side effect at all, up to 4, suffering greatly from this side effect
Time Frame
Pre-dose through Day 55

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosed with mCRC; Currently being treated with an FDA approved EGFRI for the treatment of mCRC, including but not limited to Erbitux® (cetuximab) Injection and Vectibix® (panitumumab) Injection, as directed by the approved labeling; Treatment with the FDA approved EGFRI initiated within 12 weeks prior to the Screening Visit; Grade 1 or 2 acneiform lesions at the Screening and Baseline (Day 0) Visits; A minimum of 3 subjects per dose cohort must have Grade 2 non-infected acneiform lesions at the Screening and Baseline (Day 0) Visits; Age ≥18 years at the time of signing the informed consent form (ICF); Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2; Expected life expectancy greater than 3 months; Subject can understand and sign the ICF, can communicate with the Investigator, can understand and comply with the requirements of the protocol, and can apply the study drug by himself/herself or has a care giver that can apply the drug; Women of childbearing potential (WCBP) must have a negative serum pregnancy test at Screening and a negative urine pregnancy test at baseline (Day 0); WCBP must agree to abstain from sex or use an adequate method of contraception from the time of informed consent through the Day 55 Visit and for 90 days after the last dose of study drug (LUT014); Males must abstain from sex with WCBP or use an adequate method of contraception from the time of informed consent through the Day 55 Visit and for 90 days after the last dose of study drug (LUT014). Exclusion Criteria: Active infection; Significant skin disease other than EGFRI induced acneiform lesions; Any cancer other than mCRC within 3 years of Screening; Any condition which, in the opinion of the Investigator, places the subject at unacceptable risk if he/she were to participate in the study; Clinically relevant serious co-morbid medical conditions including, but not limited to, unstable angina, symptomatic congestive heart failure, uncontrolled hypertension, uncontrolled cardiac arrhythmias, chronic obstructive or chronic restrictive pulmonary disease, active central nervous system (CNS) disease uncontrolled by standard of care, known positive status for human immunodeficiency virus (HIV) and/or active hepatitis B or C, cirrhosis, or psychiatric illness/social situations that would limit compliance with study requirements; Pregnant or lactating; Treatment with an EGFRI other than those specified in the inclusion criteria within 30 days or 5 half-lives of the drug prior to Screening, whichever is longer; Treatment with a serine/threonine-protein kinase B-Raf (B-Raf) inhibitor, including but not limited to Zelboraf® (vemurafenib), Tafinlar® (dabrafenib), BraftoviTM (encorafenib), and Nexavar® (sorafenib), within 30 days or 5 half-lives of the drug prior to Screening, whichever is longer; Treatment with a systemic antibiotic within 7 days prior to Screening; Treatment with a topical corticosteroid to the face, neck, or upper portion of the anterior or posterior chest within 14 days prior to Screening or treatment with a systemic corticosteroid within 14 days prior to Screening, except for low dose systemic corticosteroids (e.g., 8-20 mg dexamethasone or comparable) given for up to one or two days every two weeks as part of standard of care for the prevention or treatment of chemotherapy-induced nausea and vomiting (CINV) for subjects being treated with FDA-approved EGFRI and chemotherapy combinations for mCRC; Treatment with an oral retinoid within 7 days prior to Screening; Treatment with another investigational drug within 30 days or 5 half-lives of drug prior to Screening, whichever is longer; Known hypersensitivity to the inactive ingredients of the study drug (LUT014).
Facility Information:
Facility Name
UCLA Health Santa Monica - Cancer Care
City
Los Angeles
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Washington University School of Medicine-Dermatology
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10022
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Rabin Medical Center
City
Petach Tikva
ZIP/Postal Code
4941492
Country
Israel
Facility Name
Sheba Medical Center
City
Ramat Gan
ZIP/Postal Code
5266202
Country
Israel

12. IPD Sharing Statement

Learn more about this trial

A Study of LUT014 in Patients With Metastatic Colorectal Cancer With EGFR Inhibitor Induced Acneiform Lesions

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