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Phase III, Open-label Study of Nilotinib Versus Imatinib in GIST Patients (ENESTg1)
This study is currently recruiting participants.
Verified by Novartis, January 2010
First Received: November 4, 2008   Last Updated: January 4, 2010   History of Changes
Sponsor: Novartis Pharmaceuticals
Information provided by: Novartis
ClinicalTrials.gov Identifier: NCT00785785
  Purpose

This study will evaluate efficacy and safety of nilotinib versus imatinib in adult patients with unresectable or metastatic gastrointestinal stromal tumors (GIST).


Condition Intervention Phase
Gastrointestinal Stromal Tumor (GIST)
Drug: Nilotinib (AMN107)
Drug: imatinib (STI571)
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Randomized, Open Label, Multi-center Phase III Study to Evaluate the Efficacy and Safety of Nilotinib Versus Imatinib in Adult Patients With Unresectable or Metastatic Gastrointestinal Stromal Tumors (GIST)

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • To compare Progression Free Survival (PFS) of nilotinib and imatinib when used as initial therapy in patents with unresectable and/ or metastatic GIST. [ Time Frame: throughout the study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To compare disease control rate (DCR) of nilotinib and imatinib [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • To compare time to treatment failure (TTF) of nilotinib and imatinib [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • To compare overall survival (OS) of nilotinib and imatinib [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • To compare time to progression (TTP), response rate (RR), time to tumor response and assess duration of response of nilotinib and imatinib [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • To compare safety and tolerability of nilotinib and imatinib [ Time Frame: at month 1 and then every 3 months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 736
Study Start Date: March 2009
Estimated Primary Completion Date: May 2021 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Nilotinib: Experimental Drug: Nilotinib (AMN107)
Imatinib: Active Comparator Drug: imatinib (STI571)

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Histologically confirmed diagnosis of GIST which is unresectable and/or metastatic and either:

    • have not received any prior anti-neoplastic therapy other than adjuvant imatinib. Note: newly diagnosed patients may have received up to 14 days of treatment with imatinib for disease management while awaiting entry to the study or
    • recurrent GIST after stopping adjuvant treatment with imatinib and no subsequent treatment with any other therapies.
  2. At least one measurable site of disease on CT/MRI scan
  3. Performance status ≤ 2 (capable of self-care but unable to carry out any work)
  4. Normal organ, electrolyte and marrow function

Exclusion Criteria:

  1. Any prior anti-neoplastic therapy with the exception of patients who have received adjuvant imatinib or patients with newly diagnosed metastatic/ unresectable GIST whose disease requires therapy while awaiting entry to the study.
  2. Disease progression during adjuvant therapy with imatinib
  3. History of active malignancy (other than GIST) within 10 years prior to study entry with the exception of previous or concomitant basal cell skin cancer, previous cervical carcinoma in situ.
  4. Impaired cardiac function

Other protocol-defined inclusion/exclusion criteria may apply

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00785785

Contacts
Contact: Novartis Pharmaceuticals +1-800-340-6843

  Show 92 Study Locations
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
  More Information

Additional Information:
No publications provided

Responsible Party: Novartis Pharmaceuticals ( External Affairs )
Study ID Numbers: CAMN107G2301
Study First Received: November 4, 2008
Last Updated: January 4, 2010
ClinicalTrials.gov Identifier: NCT00785785     History of Changes
Health Authority: United States: Food and Drug Administration;   Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica;   Austria: Federal Office for Safety in Health Care;   Brazil: National Health Surveillance Agency;   France: Afssaps - French Health Products Safety Agency;   Canada: Health Canada;   China: State Food and Drug Administration;   Colombia: INVIMA Instituto Nacional de Vigilancia de Medicamentos y Alimentos;   Romania: State Institute for Drug Control;   Denmark: Danish Medicines Agency;   Egypt: Ministry of Health and Population;   Finland: Finnish Medicines Agency;   Germany: Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM);   Greece: National Organization of Medicines;   Hong Kong: Department of Health;   Hungary: National Institute of Pharmacy;   Israel: Ministry of Health;   Italy: National Institute of Health;   Japan: Pharmaceuticals and Medical Devices Agency;   Korea: Food and Drug Administration;   Mexico: Federal Commission for Protection Against Health Risks;   Netherlands: Ministry of Health, Welfare and Sport;   Norway: Norwegian Medicines Agency;   Poland: Ministry of Health;   Russia: Ministry of Health and Social Development of the Russian Federation;   Singapore: Health Sciences Authority;   Slovakia: State Institute for Drug Control;   South Africa: Department of Health;   Spain: Spanish Agency of Medicines;   Sweden: Medical Products Agency;   Taiwan: Department of Health;   Thailand: local IRB;   Turkey: Ministry of Health;   United Kingdom: Medicines and Healthcare Products Regulatory Agency;   Venezuela:Instituto Nacional de Higiene "Rafael Rangel"

Keywords provided by Novartis:
Unresectable GIST
metastatic GIST
nilotinib
AMN107
imatinib
STI571

Additional relevant MeSH terms:
Digestive System Neoplasms
Molecular Mechanisms of Pharmacological Action
Gastrointestinal Diseases
Antineoplastic Agents
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions
Imatinib
Neoplasms
Neoplasms by Site
Digestive System Diseases
Therapeutic Uses
Gastrointestinal Neoplasms
Gastrointestinal Stromal Tumors

ClinicalTrials.gov processed this record on February 08, 2010