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Study of Oral cMET Inhibitor INC280 in Chinese Patients With EGFR Wild-type Advanced Non-small Cell Lung Cancer (NSCLC)

Primary Purpose

Carcinoma, Non-Small-Cell Lung Cancer

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
INC280
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carcinoma focused on measuring Non Small Cell Lung Cancer, NSCLC, INC280, EGFR wild-type (wt), advanced non-small cell lung cancer, advanced/metastatic disease, Non-small cell lung carcinoma (NSCLC), treatment of lung cancer after first metastasis, lung cancer, lung adenocarcinoma, Non small cell lung carcinoma, Non-small cell lung cancer, MET exon 14 deletion, MET exon 14 skipping, MET exon 14 mutation, MET mutation, MET amplification, MET inhibitor, MET dysregulation, MET activation, MET signaling, MET pathway, MET, cMET

Eligibility Criteria

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

Inclusion Criteria:

  • Stage IIIB or IV NSCLC (any histology) at the time of study entry
  • Histologically or cytologically confirmed diagnosis of NSCLC that is:

    1. EGFR wt as per patient standard of care by a validated test
    2. AND ALK-negative rearrangement as part of the patient standard of care by a validated test
    3. AND (by central assessment) either:

      • Cohort 1: Pre-treated patients with cMET GCN ≥ 6 or
      • Cohort 2: Pre-treated patients with cMET GCN ≥4 and < 6, or
      • Cohort 3: Pre-treated patients with cMET mutations regardless of cMET GCN, or
  • Patients must have failed one or two prior lines of systemic therapy for advanced/metastatic disease
  • At least one measurable lesion as defined by RECIST 1.1
  • Patients must have recovered from all toxicities related to prior anticancer therapies to grade ≤ 1 (CTCAE v 4.03). Patients with any grade of alopecia are allowed to enter the study.
  • Patients must have adequate organ function
  • ECOG performance status (PS) of 0 or 1

Details and other protocol-defined inclusion criteria may apply

Exclusion Criteria:

  • Prior treatment with crizotinib, or any other cMET or HGF inhibitor
  • Patients with characterized EGFR mutations that predict sensitivity to EGFR therapy, including, but not limited to exon 19 deletions and exon 21 mutations
  • Patients with characterized ALK-positive rearrangement
  • Clinically significant, uncontrolled heart diseases.
  • Patients receiving treatment with medications that cannot be discontinued at least 1 week prior to first INC280 treatment and for the duration of the study:

    • Strong and moderate inhibitors of CYP3A4
    • Strong inducers of CYP3A4
  • Impairment of GI function or GI disease that may significantly alter the absorption of INC280
  • Patients receiving treatment with any enzyme-inducing anticonvulsant
  • Previous anti-cancer and investigational agents within 4 weeks or ≤ 5 x half-life of the agent (whichever is longer) before first dose
  • Pregnant or nursing women
  • Women of child-bearing potential, unless they are using highly effective methods of contraception
  • Sexually active males unless they use a condom during intercourse

Other protocol-defined exclusion criteria may apply

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    cMET GCN ≥ 6

    cMET GCN ≥ 4 and < 6

    cMET mutations

    Arm Description

    Pre-treated patients with cMET GCN ≥ 6 treated with INC280 at 400mg BID

    Pre-treated patients with cMET GCN ≥ 4 and < 6 treated with INC280 at 400 mgBID

    Pre-treated patients with cMET mutations regardless of cMET GCN treated with INC280 at 400mg BID

    Outcomes

    Primary Outcome Measures

    ORR based on Central Radiology review/assessment (BIRC)
    Proportion of patients with a best overall response defined as complete response (CR) or partial response (PR) by Blinded Independent Review Committee (BIRC) assessment per RECIST 1.1

    Secondary Outcome Measures

    Duration of Response (DOR) by BIRC - Key Secondary
    Calculated as the time from the date of the first documented CR or PR by Blinded Independent Review Committee (BIRC) per RECIST 1.1 to the first documented progression or death due to any cause for patients with PR or CR.
    ORR by Investigator
    ORR (complete response (CR)+ partial response (PR)) per RECIST 1.1 by investigator assessment
    Duration of Response (DOR) by investigator
    DOR per RECIST 1.1 by investigator assessment
    Time to Response (TTR) by BIRC
    TTR per RECIST 1.1 by BIRC assessment
    Time to Response (TTR) by investigator
    TTR per RECIST 1.1 by investigator assessment
    Disease Control Rate (DCR) by BIRC
    DCR per RECIST 1.1 by BIRC assessment
    Disease Control Rate (DCR) by investigator
    DCR per RECIST 1.1 by investigator assessment
    Progression-free Survival (PFS) by BIRC
    PFS per RECIST 1.1 by BIRC assessment
    Progression-free Survival (PFS) by investigator
    PFS per RECIST 1.1 by investigator assessment
    Overall Survival (OS)
    OS, defined as time from first dose of INC280 to death due to any cause
    Cmax profile of INC280
    Pharmacokinetics of INC280
    Cmax profile of INC280 metabolite CMN288
    Pharmacokinetics of INC280 metabolite CMN288
    Cmin profile of INC280
    Pharmacokinetics of INC280
    Cmin profile of INC280 metabolite CMN288
    Pharmacokinetics of INC280 metabolite CMN288
    Plasma concentration-time profiles of INC280
    Pharmacokinetics of INC280
    Plasma concentration-time profiles of INC280 metabolite CMN288
    Pharmacokinetics of INC280 metabolite CMN288

    Full Information

    First Posted
    July 26, 2017
    Last Updated
    July 24, 2018
    Sponsor
    Novartis Pharmaceuticals
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03240393
    Brief Title
    Study of Oral cMET Inhibitor INC280 in Chinese Patients With EGFR Wild-type Advanced Non-small Cell Lung Cancer (NSCLC)
    Official Title
    Phase II Multicenter 3-cohort Study of Oral cMET Inhibitor INC280 in Chinese Patients With EGFR Wild-type Advanced Non-small Cell Lung Cancer (NSCLC) Who Have Received 1 or 2 Prior Lines of Systemic Therapy for Advanced/Metastatic Disease
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2018
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Company Decision
    Study Start Date
    July 31, 2018 (Anticipated)
    Primary Completion Date
    October 26, 2021 (Anticipated)
    Study Completion Date
    October 26, 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Novartis Pharmaceuticals

    4. Oversight

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

    5. Study Description

    Brief Summary
    A phase II study to evaluate antitumor activity of oral cMET inhibitor INC280 in adult Chinese patients with EGFR wild-type, advanced non-small cell lung cancer (NSCLC) who have received one or two prior lines of systemic therapy for advanced/metastatic disease as measured by overall response rate (ORR). The study will also evaluate safety and pharmacokinetics of INC280.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Carcinoma, Non-Small-Cell Lung Cancer
    Keywords
    Non Small Cell Lung Cancer, NSCLC, INC280, EGFR wild-type (wt), advanced non-small cell lung cancer, advanced/metastatic disease, Non-small cell lung carcinoma (NSCLC), treatment of lung cancer after first metastasis, lung cancer, lung adenocarcinoma, Non small cell lung carcinoma, Non-small cell lung cancer, MET exon 14 deletion, MET exon 14 skipping, MET exon 14 mutation, MET mutation, MET amplification, MET inhibitor, MET dysregulation, MET activation, MET signaling, MET pathway, MET, cMET

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    cMET GCN ≥ 6
    Arm Type
    Experimental
    Arm Description
    Pre-treated patients with cMET GCN ≥ 6 treated with INC280 at 400mg BID
    Arm Title
    cMET GCN ≥ 4 and < 6
    Arm Type
    Experimental
    Arm Description
    Pre-treated patients with cMET GCN ≥ 4 and < 6 treated with INC280 at 400 mgBID
    Arm Title
    cMET mutations
    Arm Type
    Experimental
    Arm Description
    Pre-treated patients with cMET mutations regardless of cMET GCN treated with INC280 at 400mg BID
    Intervention Type
    Drug
    Intervention Name(s)
    INC280
    Other Intervention Name(s)
    capmatinib
    Intervention Description
    cMET GCN ≥ 6 cMET GCN ≥ 4 and < 6 cMET mutations
    Primary Outcome Measure Information:
    Title
    ORR based on Central Radiology review/assessment (BIRC)
    Description
    Proportion of patients with a best overall response defined as complete response (CR) or partial response (PR) by Blinded Independent Review Committee (BIRC) assessment per RECIST 1.1
    Time Frame
    at least 18 weeks
    Secondary Outcome Measure Information:
    Title
    Duration of Response (DOR) by BIRC - Key Secondary
    Description
    Calculated as the time from the date of the first documented CR or PR by Blinded Independent Review Committee (BIRC) per RECIST 1.1 to the first documented progression or death due to any cause for patients with PR or CR.
    Time Frame
    at least 18 weeks
    Title
    ORR by Investigator
    Description
    ORR (complete response (CR)+ partial response (PR)) per RECIST 1.1 by investigator assessment
    Time Frame
    at least 18 weeks
    Title
    Duration of Response (DOR) by investigator
    Description
    DOR per RECIST 1.1 by investigator assessment
    Time Frame
    at least 18 weeks
    Title
    Time to Response (TTR) by BIRC
    Description
    TTR per RECIST 1.1 by BIRC assessment
    Time Frame
    at least 18 weeks
    Title
    Time to Response (TTR) by investigator
    Description
    TTR per RECIST 1.1 by investigator assessment
    Time Frame
    at least 18 weeks
    Title
    Disease Control Rate (DCR) by BIRC
    Description
    DCR per RECIST 1.1 by BIRC assessment
    Time Frame
    at least 18 weeks
    Title
    Disease Control Rate (DCR) by investigator
    Description
    DCR per RECIST 1.1 by investigator assessment
    Time Frame
    at least 18 weeks
    Title
    Progression-free Survival (PFS) by BIRC
    Description
    PFS per RECIST 1.1 by BIRC assessment
    Time Frame
    at least 18 weeks
    Title
    Progression-free Survival (PFS) by investigator
    Description
    PFS per RECIST 1.1 by investigator assessment
    Time Frame
    at least 18 weeks
    Title
    Overall Survival (OS)
    Description
    OS, defined as time from first dose of INC280 to death due to any cause
    Time Frame
    at least 18 weeks
    Title
    Cmax profile of INC280
    Description
    Pharmacokinetics of INC280
    Time Frame
    6 weeks
    Title
    Cmax profile of INC280 metabolite CMN288
    Description
    Pharmacokinetics of INC280 metabolite CMN288
    Time Frame
    6 weeks
    Title
    Cmin profile of INC280
    Description
    Pharmacokinetics of INC280
    Time Frame
    6 weeks
    Title
    Cmin profile of INC280 metabolite CMN288
    Description
    Pharmacokinetics of INC280 metabolite CMN288
    Time Frame
    6 weeks
    Title
    Plasma concentration-time profiles of INC280
    Description
    Pharmacokinetics of INC280
    Time Frame
    6 weeks
    Title
    Plasma concentration-time profiles of INC280 metabolite CMN288
    Description
    Pharmacokinetics of INC280 metabolite CMN288
    Time Frame
    6 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Stage IIIB or IV NSCLC (any histology) at the time of study entry Histologically or cytologically confirmed diagnosis of NSCLC that is: EGFR wt as per patient standard of care by a validated test AND ALK-negative rearrangement as part of the patient standard of care by a validated test AND (by central assessment) either: Cohort 1: Pre-treated patients with cMET GCN ≥ 6 or Cohort 2: Pre-treated patients with cMET GCN ≥4 and < 6, or Cohort 3: Pre-treated patients with cMET mutations regardless of cMET GCN, or Patients must have failed one or two prior lines of systemic therapy for advanced/metastatic disease At least one measurable lesion as defined by RECIST 1.1 Patients must have recovered from all toxicities related to prior anticancer therapies to grade ≤ 1 (CTCAE v 4.03). Patients with any grade of alopecia are allowed to enter the study. Patients must have adequate organ function ECOG performance status (PS) of 0 or 1 Details and other protocol-defined inclusion criteria may apply Exclusion Criteria: Prior treatment with crizotinib, or any other cMET or HGF inhibitor Patients with characterized EGFR mutations that predict sensitivity to EGFR therapy, including, but not limited to exon 19 deletions and exon 21 mutations Patients with characterized ALK-positive rearrangement Clinically significant, uncontrolled heart diseases. Patients receiving treatment with medications that cannot be discontinued at least 1 week prior to first INC280 treatment and for the duration of the study: Strong and moderate inhibitors of CYP3A4 Strong inducers of CYP3A4 Impairment of GI function or GI disease that may significantly alter the absorption of INC280 Patients receiving treatment with any enzyme-inducing anticonvulsant Previous anti-cancer and investigational agents within 4 weeks or ≤ 5 x half-life of the agent (whichever is longer) before first dose Pregnant or nursing women Women of child-bearing potential, unless they are using highly effective methods of contraception Sexually active males unless they use a condom during intercourse Other protocol-defined exclusion criteria may apply
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Novartis Pharmaceuticals
    Organizational Affiliation
    Novartis Pharmaceuticals
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided
    IPD Sharing Plan Description
    Planned Shared Data Description: Copy and paste this Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

    Learn more about this trial

    Study of Oral cMET Inhibitor INC280 in Chinese Patients With EGFR Wild-type Advanced Non-small Cell Lung Cancer (NSCLC)

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