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Dacomitinib Plus PD-0325901 in Advanced KRAS Mutant NSCLC (M13DAP)

Primary Purpose

Colorectal Cancer

Status
Unknown status
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
Dacomitinib
PD-0325901
Docetaxel
Sponsored by
The Netherlands Cancer Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Histological or cytological proof of advanced non-small cell lung cancer
  • Written documentation of KRAS (exon 2, 3 or 4) mutation
  • At least 18 years of age or older
  • Able and willing to give written informed consent
  • WHO performance status of 0 or 1

Exclusion Criteria:

  • Symptomatic or untreated leptomeningeal disease
  • Symptomatic brain metastasis
  • Impairment of gastrointestinal function
  • Uncontrolled infectious disease
  • Left ventricular ejection fraction < 50%
  • Retinal degenerative disease or with history of uveitis, retinal vein occlusion or retinal detachment

Other protocol-defined inclusion/exclusion criteria may apply

Sites / Locations

  • The Netherlands Cancer InstituteRecruiting
  • Erasmus Medical Center Cancer InstituteRecruiting
  • University Medical Center UtrechtRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Dacomitinib + PD-0325901

Arm Description

Dacomitinib: oral tablets PD-0325901: oral capsules

Outcomes

Primary Outcome Measures

Incidence rate of dose-limiting toxicities
Progression free survival

Secondary Outcome Measures

Incidence and severity of adverse events
Plasma concentration
Overall response rate
Duration of response
Time to response
Overall survival

Full Information

First Posted
January 15, 2014
Last Updated
August 24, 2018
Sponsor
The Netherlands Cancer Institute
Collaborators
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT02039336
Brief Title
Dacomitinib Plus PD-0325901 in Advanced KRAS Mutant NSCLC
Acronym
M13DAP
Official Title
Phase I/II Study With the Combination of Dacomitinib and PD-0325901 in Metastatic KRAS Mutation Positive Non-small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Unknown status
Study Start Date
January 2014 (undefined)
Primary Completion Date
December 2018 (Anticipated)
Study Completion Date
December 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Netherlands Cancer Institute
Collaborators
Pfizer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase I/II multi-center open-label proof of concept study, consisting of two parts. Part A of this study is designed to identify the recommended phase 2 dose (RP2D) of the combination regimen of dacomitinib plus PD-0325901 in patients with advanced KRAS mutant (KRASm) non-small cell lung cancer (NSCLC). Part B is designed to perform a randomized comparison of the combination of dacomitinib and PD-0325901 versus standard of care therapy in patients with advanced KRASm NSCLC. It is hypothesized that with this combination strategy the progression free survival of patients with KRASm NSCLC will be doubled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
35 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dacomitinib + PD-0325901
Arm Type
Experimental
Arm Description
Dacomitinib: oral tablets PD-0325901: oral capsules
Intervention Type
Drug
Intervention Name(s)
Dacomitinib
Intervention Type
Drug
Intervention Name(s)
PD-0325901
Intervention Type
Drug
Intervention Name(s)
Docetaxel
Primary Outcome Measure Information:
Title
Incidence rate of dose-limiting toxicities
Time Frame
1.5 years
Title
Progression free survival
Time Frame
2.5 years
Secondary Outcome Measure Information:
Title
Incidence and severity of adverse events
Time Frame
2.5 years
Title
Plasma concentration
Time Frame
2.5 years
Title
Overall response rate
Time Frame
2.5 years
Title
Duration of response
Time Frame
1.5 years
Title
Time to response
Time Frame
2.5 years
Title
Overall survival
Time Frame
3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histological or cytological proof of advanced non-small cell lung cancer Written documentation of KRAS (exon 2, 3 or 4) mutation At least 18 years of age or older Able and willing to give written informed consent WHO performance status of 0 or 1 Exclusion Criteria: Symptomatic or untreated leptomeningeal disease Symptomatic brain metastasis Impairment of gastrointestinal function Uncontrolled infectious disease Left ventricular ejection fraction < 50% Retinal degenerative disease or with history of uveitis, retinal vein occlusion or retinal detachment Other protocol-defined inclusion/exclusion criteria may apply
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
F Opdam, MD, PhD
Phone
0031205122446
Email
f.opdam@nki.nl
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
f opdam, MD, PhD
Organizational Affiliation
The Netherlands Cancer Institute
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
FALM Eskens, PhD
Organizational Affiliation
Erasmus Medical Centre Cancer Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
MPJK Lolkema, PhD
Organizational Affiliation
UMC Utrecht
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Netherlands Cancer Institute
City
Amsterdam
ZIP/Postal Code
1066CX
Country
Netherlands
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
F opdam, MD, PhD
Phone
+31 20 512 2446
Email
f.opdam@nki.nl
Facility Name
Erasmus Medical Center Cancer Institute
City
Rotterdam
ZIP/Postal Code
3015CE
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
University Medical Center Utrecht
City
Utrecht
ZIP/Postal Code
3584CX
Country
Netherlands
Individual Site Status
Recruiting

12. IPD Sharing Statement

Citations:
PubMed Identifier
32147669
Citation
van Geel RMJM, van Brummelen EMJ, Eskens FALM, Huijberts SCFA, de Vos FYFL, Lolkema MPJK, Devriese LA, Opdam FL, Marchetti S, Steeghs N, Monkhorst K, Thijssen B, Rosing H, Huitema ADR, Beijnen JH, Bernards R, Schellens JHM. Phase 1 study of the pan-HER inhibitor dacomitinib plus the MEK1/2 inhibitor PD-0325901 in patients with KRAS-mutation-positive colorectal, non-small-cell lung and pancreatic cancer. Br J Cancer. 2020 Apr;122(8):1166-1174. doi: 10.1038/s41416-020-0776-z. Epub 2020 Mar 9.
Results Reference
derived

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Dacomitinib Plus PD-0325901 in Advanced KRAS Mutant NSCLC

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