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AZD6244 in Cancers With BRAF Mutations
This study is currently recruiting participants.
Verified by Massachusetts General Hospital, October 2009
First Received: April 23, 2009   Last Updated: October 16, 2009   History of Changes
Sponsor: Massachusetts General Hospital
Collaborators: Dana-Farber Cancer Institute
Beth Israel Deaconess Medical Center
Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
AstraZeneca
Information provided by: Massachusetts General Hospital
ClinicalTrials.gov Identifier: NCT00888134
  Purpose

The purpose of this research study is to determine if AZD6244 is safe and effective in treating patients with cancers with a mutated BRAF gene. AZD6244 is an investigational drug that works by blocking a protein called MEK, which is known to play a role in the growth of cancer cells lines and tumors that have a mutated BRAF gene. There are multiple types of cancers that have mutations in the BRAF gene and depend on the activity of this gene for their growth and survival.


Condition Intervention Phase
BRAF Mutation Cancer
Drug: AZD6244
Phase II

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: Phase II Clinical Trial of the MEK 1/2 Inhibitor AZD6244 in Cancers With BRAF Mutations Identified by Prospective Genotypic Analysis

Resource links provided by NLM:


Further study details as provided by Massachusetts General Hospital:

Primary Outcome Measures:
  • To evaluate the objective response rate to AZD6244 in patients with cancers other than melanoma in which BRAF mutations have been identified prospectively. [ Time Frame: 3 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To evaluate progression-free survival in subjects treated with AZD6244. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
  • To obtain a preliminary estimate of the objective response rate in non-small cell lung cancers and colon cancers with BRAF mutations. [ Time Frame: 3 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 66
Study Start Date: April 2009
Estimated Study Completion Date: April 2012
Estimated Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: AZD6244
    3 capsules taken orally twice daily
Detailed Description:
  • Each treatment cycle lasts three weeks. AZD6244 comes in the form of capsules. Participants will take 3 capsules by mouth twice a day.
  • Participants will come into the clinic every three weeks. The following tests and procedures will be performed: review of current medications and any side effects the participant is experiencing; performance status evaluation; physical examination; vital signs and blood tests.
  • A CT or PET/CT scan of the participants chest, abdomen, and pelvis will be performed every 6 weeks. An echocardiogram or MUGA will be performed a the 2-month mark only for participants who have taken a type of chemotherapy drug called anthracyclines.
  Eligibility

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

Inclusion Criteria:

  • 18 years of age or older
  • Histologically confirmed metastatic or unresectable solid tumor
  • Glutamic acid-for-valine substitution at amino acid position 600 in the BRAF gene or other activating BRAF mutation, as determined by high-throughput genotyping
  • Patients may have received any number of prior systemic treatments for their cancer
  • At least one measurable site of disease by CT, according to standard RECIST criteria
  • ECOG Performance Status 0-1
  • Estimated life expectancy > 12 weeks
  • Absolute neutrophil count > 1500 per cubic mm
  • Platelet Count > 100,000 per cubic mm
  • Hemoglobin > 9 g/dl
  • Serum bilirubin < 1.5 x upper limit of normal
  • Serum AST and ALT < 2.5 x upper limit of normal
  • Serum Creatinine < 1.5 x upper limit of normal
  • For women of childbearing potential, negative serum pregnancy test and use of physician-approved method of birth control throughout the study

Exclusion Criteria:

  • Patients with melanoma
  • Have received chemotherapy or radiotherapy within 4 weeks prior to entering the study (6 weeks for nitrosoureas or mitomycin C), or a targeted therapy within 2 weeks prior to entering the study
  • Have not recovered from adverse events due to agents previously administered (CTCAE v. 3.0 grade 1 or baseline)
  • Currently receiving other investigational agents
  • Known brain metastases, unless treated and stable off of corticosteroids for at least four weeks
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to AZD6244
  • Prior treatment with a selective inhibitor of RAF or MEK (Prior sorafenib is allowed)
  • Uncontrolled intercurrent illness, including but not limited to, clinically significant active infection; symptomatic congestive heart failure, unstable angina pectoris, and/or cardiac arrhythmia other than atrial fibrillation; psychiatric illness/social situations that would limit compliance with study requirements
  • Refractory nausea or vomiting, swallowing disorder, or malabsorption syndrome that would interfere with swallowing or absorbing the study medication
  • Pregnant or breast feeding women
  • Previous or concurrent malignancy, except for the following circumstances: disease-free for at least three years and deemed by investigator to be a low risk for recurrence of that malignancy; individuals with the following cancers are eligible if diagnosed and treated within the past 5 years: cervical cancer in situ, and basal cell or squamous cell carcinoma of the skin
  • History of solid organ transplantation or other condition requiring teh use of immunosuppressive medications
  • Uncontrolled hypertension
  • A mean left ventricular ejection fraction (LVEF) less than 45%
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00888134

Contacts
Contact: Donald P. Lawrence, MD 617-643-3614

Locations
United States, Massachusetts
Massachusetts General Hospital Recruiting
Boston, Massachusetts, United States, 02144
Principal Investigator: Donald P. Lawrence, MD            
Dana-Farber Cancer Institute Recruiting
Boston, Massachusetts, United States, 02115
Principal Investigator: Geoffrey Shapiro, MD, PhD            
Beth Israel Deaconess Medical Center Recruiting
Boston, Massachusetts, United States, 02115
Principal Investigator: Bruce Dezube, MD            
United States, New York
Memorial Sloan-Kettering Cancer Center Not yet recruiting
New York, New York, United States, 10065
Principal Investigator: Gregory J. Riely, MD, PhD            
Sponsors and Collaborators
Massachusetts General Hospital
Dana-Farber Cancer Institute
Beth Israel Deaconess Medical Center
Memorial Sloan-Kettering Cancer Center
AstraZeneca
Investigators
Principal Investigator: Donald P. Lawrence, MD Massachusetts General Hospital
  More Information

No publications provided

Responsible Party: Massachusetts General Hospital ( Donald P. Lawrence, MD )
Study ID Numbers: 09-005
Study First Received: April 23, 2009
Last Updated: October 16, 2009
ClinicalTrials.gov Identifier: NCT00888134     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Massachusetts General Hospital:
AZD6244

ClinicalTrials.gov processed this record on February 08, 2010