Basket Study of Entrectinib (RXDX-101) for the Treatment of Patients With Solid Tumors Harboring NTRK 1/2/3 (Trk A/B/C), ROS1, or ALK Gene Rearrangements (Fusions) (STARTRK-2)
Breast Cancer, Cholangiocarcinoma, Colorectal Cancer
About this trial
This is an interventional treatment trial for Breast Cancer focused on measuring Entrectinib, RXDX-101, TrkA, TrkB, TrkC, NTRK1, NTRK2, NTRK3, ROS1, ALK, Trk Fusions, NTRK Gene Rearrangements, ROS1 Fusions, ROS1 Gene Rearrangements, ALK Fusions, ALK Gene Rearrangements, Basket study, Non-small cell lung cancer, Colorectal cancer, Salivary gland cancers, Primary brain tumors, Melanoma, Sarcomas, Papillary thyroid cancer, Renal cell cancer, Pancreatic cancer, Breast cancer, Cholangiocarcinoma, Head & Neck cancers, Ovarian cancer, Neuroendocrine tumors
Eligibility Criteria
Inclusion Criteria:
- Histologically- or cytologically-confirmed diagnosis of locally advanced or metastatic solid tumor that harbors an NTRK1/2/3, ROS1, or ALK gene rearrangement
- For patients enrolled via local molecular testing, an archival or fresh tumor tissue (unless medically contraindicated) is required to be submitted for independent central molecular testing at Ignyta's CLIA laboratory post-enrollment
- Measurable or evaluable disease
- Patients with CNS involvement, including leptomeningeal carcinomatosis, which is either asymptomatic or previously-treated and controlled, are allowed
Prior anticancer therapy is allowed (excluding approved or investigational Trk, ROS1, or ALK inhibitors in patients who have tumors that harbor those respective gene rearrangements)
- Note: prior treatment with crizotinib is permitted only in ALK- or ROS1-rearranged NSCLC patients presenting with CNS-only progression. Other ALK inhibitors are prohibited.
- At least 2 weeks or 5 half-lives, whichever is shorter, must have elapsed after prior chemotherapy or small molecule targeted therapy
- At least 4 weeks must have elapsed since completion of antibody-directed therapy
- Prior radiotherapy is allowed if more than 14 days have elapsed since the end of treatment
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 and minimum life expectancy of 4 weeks
- Adequate organ function as defined per protocol
- Ability to swallow entrectinib intact
- Other protocol specified criteria
Exclusion Criteria:
- Current participation in another therapeutic clinical trial
Prior treatment with approved or investigational Trk, ROS1, or ALK inhibitors in patients who have tumors that harbor those respective gene rearrangements
- Note: prior treatment with crizotinib is permitted only in ALK- or ROS1-rearranged NSCLC patients presenting with CNS-only progression. Other ALK inhibitors are prohibited.
- History of other previous cancer that would interfere with the determination of safety or efficacy
- Familial or personal history of congenital bone disorders, or bone metabolism alterations
- Incomplete recovery from any surgery
- History of recent (within the past 3 months) symptomatic congestive heart failure or ejection fraction ≤50% observed during screening for the study
- History of non-pharmacologically induced prolonged QTc interval
- History of additional risk factors for torsades de pointes
- Peripheral neuropathy Grade ≥ 2
- Known active infections
- Active gastrointestinal disease or other malabsorption syndromes
- Known interstitial lung disease, interstitial fibrosis, or history of tyrosine kinase inhibitor-induced pneumonitis
- Other protocol specified criteria
Sites / Locations
- Dignity Health St Joseph's Hospital and Medical Center
- Mayo Clinic
- City of Hope Cancer Center; Division of Medical Oncology & Experimental Therapeutics
- Scripps Clinic
- University of California San Diego Moores Cancer Center; Dept of Lung Cancer
- University of Southern California Medical Center
- Univ Of California Irvine College Of Medicine; 300194620
- Southern California Kaiser Permanente
- UCSF Mount Zion Medical Ctr
- Sarcoma Oncology Center
- University of Colorado Cancer Center
- Yale University
- Georgetown University Medical Center Lombardi Cancer Center
- Florida Cancer Specialists - Sarasota
- H. Lee Moffitt Cancer Center and Research Inst.
- University Cancer & Blood Center, LLC; Research
- Winship Cancer Institute
- Southeastern Regional Medical Center, Inc.
- Northwestern University
- Advocate Medical Group - Park Ridge, Luther Lane - Oncology
- Midwestern Regional Medical Center
- Weinberg Cancer Institution at Franklin Square
- Massachusetts General Hospital
- Beth Israel Deaconess Medical Center
- Dana Farber Cancer Institute
- University of Michigan Comprehensive Cancer Center; Clinical Trials Office
- Karmanos Cancer Center
- Henry Ford Hospital
- Regents of the University of Minnesota
- Washington University
- Comprehensive Cancer Centers of Nevada (CCCN) - Central Valley
- North Shore Hem Onc Associates
- Memorial Sloan Kettering Cancer Center
- Levine Cancer Institute
- Duke Cancer Institute
- OSU, James Cancer Hospital
- Cancer Treatment Centers of America; Tulsa
- Oregon Health & Science Univ
- Cancer Treatment Centers of America - Eastern Regional Medical Center
- Mary Crowley Medical Research Center
- University of Texas MD Anderson Cancer Center
- Baylor Scott & White Health
- University of Utah Hospitals & Clinics
- Virginia Cancer Specialists, PC
- Virginia Oncology Associates - Hampton
- University of Washington Seattle Cancer Care Alliance
- Liverpool Hospital
- Newcastle Private Hospital
- Flinders Medical Centre
- Austin Health
- Antwerp University Hospital
- Beijing Cancer Hospital
- Sichuan Provincial Cancer Hospital
- Cancer Center of Guangzhou Medical University
- Harbin Medical University Cancer Hospital
- Fudan University Shanghai Cancer Center
- Shanghai chest hospital
- Shenzhen People's Hospital
- Tianjin Cancer Hospital
- Union Hospital Tongji Medical College Huazhong University of Science and Technology
- Zhejiang Cancer Hospital
- Institut de Cancerologie de l Ouest
- Institut Bergonie; Oncologie
- Centre Leon Berard; Departement Oncologie Medicale
- Hôpital de la Timone; Oncologie Médicale Hématologie & Soins Palliatifs
- Hôpital Nord - AP-HM Marseille#; Service d'Oncologie Multidisciplinaire
- Institut de Recherche en Cancérologie de Montpellier
- Institut Curie; Oncologie Medicale
- Institut De Cancerologie De L'ouest - Rene Gauducheau - Biology
- Institut Claudius Regaud; Departement Oncologie Medicale
- Institut Gustave Roussy; Pathologie Thoracique
- Evang. Lungenklinik Berlin Klinik für Pneumologie
- Universitaetsklinikum Carl Gustav Carus TU Dresden
- Universitaetsmedizin Goettingen; Abteilung Haematologie und Onkologie
- NCT Uniklinikum Heidelberg; Medizinische Onkologie
- Universitaetsklinikum Koeln; Innere Medizin I, Haematologie
- Princess Margaret Hospital
- The University of Hong Kong
- Queen Elizabeth Hospital
- The Chinese University of Hong Kong
- Seconda Università degli Studi di Napoli; Servizio Epato-Gastroenterologia
- Università Campus Bio-Medico di Roma; Oncologia Medica
- Fondazione IRCCS Istituto Nazionale dei Tumori
- Azienda Socio Sanitaria Territoriale Niguarda (Ospedale Niguarda Ca' Granda); Oncologico -Onc.Falck
- Azienda Ospedaliero Universitaria Pisana; Uff. Sperim. Clin. U.O. Farmaceutica
- Azienda Ospedaliera di Perugia Ospedale S. Maria della Misericordia ; S.C. Oncologia Medica
- IOV - Istituto Oncologico Veneto - IRCCS; Oncologia Medica II
- Aichi Cancer Center Hospital; Respiratory Medicine
- NHO Shikoku Cancer Center; Dept of Respiratory Medicine
- NHO Kyushu Cancer Center
- Hyogo Cancer Center, Dept of Respiratory Medicine
- National Cancer Center Hospital; Dept of Respiratory Medicine
- Miyagi Cancer Center; Respiratory Medicine
- Niigata Cancer Center Hospital; Internal Medicine
- OSAKA CITY GENERAL HOSPITAL;Medical Oncology
- Kindai University Hospital; Medical Oncology
- Shizuoka Cancer Center; Respiratory Internal Medicine
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- Samsung Medical Center
- Asan Medical Center.
- NKI The Netherlands Cancer Institute
- Leids Universitair Medisch Centrum
- Uniwersyteckie Centrum Kliniczne; Klinika Onkologii i Radioterapii
- Centrum Onkologii-Instytut im.M.Sklodowskiej Curie; Dept of Nuclear Med. and Endocrine Oncology
- Szpital Kliniczny Przemienienia Panskiego Uni. Medycznego im. Karola Marcinkowskiego; Chemotherapy
- Centrum Onkologii Instytut im. M. Sklodowskiej-Curie, Klinika Nowotworow Ukladu Chlonnego
- National University Hospital; Haematology/Oncology
- National Cancer Centre
- Centro Nacional de Investigaciones Oncológicas(CNIO); Gastrointestinal Cancer Clinical Research Unit
- Vall d?Hebron Institute of Oncology (VHIO), Barcelona
- Hospital Universitario Ramon y Cajal; Servicio de Farmacia
- Hospital Universitario Clínico San Carlos; Servicio de Oncologia
- Hospital Universitario 12 de Octubre; Servicio de Oncologia
- Hospital Universitario La Paz; Servicio de Oncologia
- Hospital Clinico Universitario Virgen de la Victoria; Servicio de Oncologia
- Hospital Universitario Virgen del Rocio; Servicio de Oncologia
- National Cheng Kung University Hospital
- Taipei Veterans General Hospital
- National Taiwan University Hospital
- Addenbrookes Hospital
- Sarah Cannon Research Institute
- Christie Hospital Nhs Trust; Medical Oncology
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
NTRK1/2/3-rearranged NSCLC
ROS1-rearranged NSCLC
ALK- or ROS1-rearranged NSCLC
NTRK/1/2/3-rearranged mCRC
ROS1-rearranged mCRC
ALK-rearranged mCRC
NTRK1/2/3-rearranged other solid tumor
ROS1-rearranged other solid tumor
ALK-rearranged other solid tumor
Oral entrectinib (RXDX-101)
Oral entrectinib (RXDX-101)
with CNS-only progression previously treated with crizotinib (NOTE: The ALK-rearranged portion of this arm is now closed to enrollment.) Oral entrectinib (RXDX-101)
Oral entrectinib (RXDX-101)
Oral entrectinib (RXDX-101)
Oral entrectinib (RXDX-101)
Oral entrectinib (RXDX-101)
Oral entrectinib (RXDX-101)
Oral entrectinib (RXDX-101)