Study Of Dacomitinib In Advanced NSCLC Patients (Post Chemo Or Select First Line) To Evaluate Prophylactic Intervention On Derm And GI AEs And PRO (ARCHER 1042)
This study is currently recruiting participants.
Verified May 2013 by Pfizer
Sponsor:
Pfizer
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT01465802
First received: October 20, 2011
Last updated: May 6, 2013
Last verified: May 2013
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Purpose
To assess the impact of prophylactic treatment on the incidence of adverse events in advanced NSCLC patients (post chemotherapy) treated with dacomitinib daily as a single agent. To assess the impact of an interrupted dacomitinib dosing schedule in Cycle 1 on the incidence of adverse events in first-line advanced NSCLC patients with an EGFR mutation (HER-1 mutation, HER-2 mutation or HER-2 amplification).
| Condition | Intervention | Phase |
|---|---|---|
|
Non Small Cell Lung Cancer (NSCLC) |
Drug: Dacomitinib Plus Blinded Doxycycline or Placebo Drug: Dacomitinib Plus Probiotic Plus Topical Alclometasone cream Drug: Dacomitinib |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Archer 1042: A Phase 2 Study Of Dacomitinib In Advanced Non-Small Cell Lung Cancer (Post-Chemotherapy Or Select First Line Patients) To Evaluate Prophylactic Intervention On Dermatologic And Gastrointestinal Adverse Events And Patient Reported Outcomes |
Resource links provided by NLM:
Drug Information available for:
Doxycycline
Doxycycline monohydrate
Doxycycline Hyclate
Alclometasone dipropionate
Alclometasone
Doxycycline calcium
U.S. FDA Resources
Further study details as provided by Pfizer:
Primary Outcome Measures:
- Cohort I: Incidence of all-causality, all grade and grade ≥2 select dermatologic adverse events of interest (SDAEI) in the first 8 weeks of treatment by arm. [ Time Frame: 10 months ] [ Designated as safety issue: No ]
- Cohort II: Incidence of all-causality, all grade and grade ≥2 diarrhea adverse events in the first 8 weeks of treatment. Incidence of all-causality, all grade and grade ≥2 select dermatologic adverse events of interest (SDAEI) in [ Time Frame: 4-6 months ] [ Designated as safety issue: No ]
- the first 8 weeks of treatment by arm. [ Time Frame: 4-6 months ] [ Designated as safety issue: No ]
- Cohort I:Skindex-16 Scale scores (Total score, Symptoms score, Emotions score, Functioning score) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Cohort II: Mucositis Daily Questionaire (diarrhea questions) Skindex-16 Scale scores (Total score, Symptoms score, Emotions score, Functioning score) [ Time Frame: 10 months ] [ Designated as safety issue: No ]
- Cohort III: Pharmacokinetics of PF-00299804 and PF-05199265 metabolite Cohort 3 primary PK endpoints include: Parent and metabolite: AUC0-120, AUC0-24, Cmax, Tmax [ Time Frame: 10 months ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Overall safety profile as characterized by type, frequency, severity of adverse events as graded by NCI CTCAE.v4, timing and relationship to treatment on each arm, laboratory abnormalities observed, and left ventricular imaging observed. [ Time Frame: 14 months ] [ Designated as safety issue: Yes ]
- Concomitant medication (both prescribed and non-prescription) used for dermatologic AEs of interest, diarrhea, and mucositis. [ Time Frame: 14 months ] [ Designated as safety issue: No ]
- Trough concentrations (Ctrough) of PF-00299804 and PF-05199265, as determined from trough plasma samples. [ Time Frame: 10 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 184 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | August 2014 |
| Estimated Primary Completion Date: | August 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Cohort I
Cohort I is a dermatologic intervention cohort that will randomize to 2 separate arms (blinded doxycycline placebo; blinded doxycycline)
|
Drug: Dacomitinib Plus Blinded Doxycycline or Placebo
Dacomitinib 45 mg orally daily on a continuous schedule until disease progression, toxicity, death or withdrawal of consent PLUS doxycycline or doxycycline placebo BID for 4 weeks
|
|
Experimental: Cohort II
Cohort II is a single arm with dacomitinib 45 mg daily PLUS probiotic PLUS topical alclometasone
|
Drug: Dacomitinib Plus Probiotic Plus Topical Alclometasone cream
Dacomitinib 45 mg orally daily on a continuous schedule until disease progression, toxicity, death or withdrawal of consent PLUS Probiotic PLUS topical Alclometasone cream
|
|
Experimental: Cohort III
Cohort III is an interrupted dosing schedule of dacomitinib in the first cycle only
|
Drug: Dacomitinib
Dacomitinib 45 mg orally daily on a continuous schedule for the first 10 days in Cycle 1, followed by 4 days off treatment, followed by continuous daily dosing until disease progression, toxicity, death or withdrawal of consent
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Advanced Non-Small Cell Lung Cancer (NSCLC).
- For Cohort I and Cohort II, advanced NSCLC patients must have received at least one prior regimen of systemic therapy which includes at least one standard chemotherapy for advanced NSCLC and who have failed (ie, progressed or intolerant due to toxicity which precludes further treatment) standard therapy for advanced or metastatic disease. To be considered intolerant to treatment, a patient must have received at least two cycles to be considered previously treated.
- For Cohort III, advanced NSCLC patients must not have received prior systemic treatment for their advanced disease and require a known EGFR (HER-1) mutation, HER-2 mutation or HER-2 amplification. Cohort III patients could have received prior adjuvant chemotherapy for Stage I-III disease or combined modality chemotherapy-radiation for Stage IIIA disease is allowed if treatment completed>12 months prior to enrollment.
- All cohorts, patients must have evidence of disease; however, measurable disease is not required to enroll.
- Eastern Cooperative Oncology Group (ECOG) Performance status 0-2
- Estimated creatinine clearance ≥15 mL/min.
Exclusion Criteria:
- Prior treatment with an EGFR-targeted or HER-targeted agent (all cohorts).
- Chemotherapy, radiotherapy, biological or investigational agents within 2 weeks of baseline disease assessments (all cohorts).
- Patients with known diffuse interstitial lung disease (all cohorts).
- Investigational therapy as only treatment for advanced NSCLC without administration of an approved chemotherapy for advanced NSCLC (for Cohort I and Cohort II)
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01465802
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Contacts
| Contact: Pfizer CT.gov Call Center | 1-800-718-1021 | |
| Contact: Pfizer Oncology Clinical Trial Information Service | 1-877-369-9753 | PfizerCancerTrials@emergingmed.com |
Hide Study LocationsLocations
| United States, California | |
| Pfizer Investigational Site | Recruiting |
| Duarte, California, United States, 91010 | |
| Pfizer Investigational Site | Recruiting |
| Fullerton, California, United States, 92835 | |
| Pfizer Investigational Site | Not yet recruiting |
| La Jolla, California, United States, 92093-0698 | |
| Pfizer Investigational Site | Not yet recruiting |
| La Jolla, California, United States, 92037 | |
| Pfizer Investigational Site | Not yet recruiting |
| Los Angeles, California, United States, 90095 | |
| Pfizer Investigational Site | Not yet recruiting |
| Rancho Cucamonga, California, United States, 91730 | |
| Pfizer Investigational Site | Not yet recruiting |
| San Diego, California, United States, 92037 | |
| Pfizer Investigational Site | Recruiting |
| San Luis Obispo, California, United States, 93401 | |
| Pfizer Investigational Site | Not yet recruiting |
| Santa Barbara, California, United States, 93105 | |
| Pfizer Investigational Site | Recruiting |
| Santa Maria, California, United States, 93454 | |
| Pfizer Investigational Site | Not yet recruiting |
| Santa Monica, California, United States, 90404 | |
| Pfizer Investigational Site | Recruiting |
| South Pasadena, California, United States, 91030 | |
| Pfizer Investigational Site | Not yet recruiting |
| Sovang, California, United States, 93463 | |
| Pfizer Investigational Site | Not yet recruiting |
| West Covina, California, United States, 91790 | |
| United States, Colorado | |
| Pfizer Investigational Site | Recruiting |
| Denver, Colorado, United States, 80205 | |
| Pfizer Investigational Site | Not yet recruiting |
| Grand Junction, Colorado, United States, 81501 | |
| Pfizer Investigational Site | Recruiting |
| Lafayette, Colorado, United States, 80026 | |
| United States, Florida | |
| Pfizer Investigational Site | Recruiting |
| Fort Lauderdale, Florida, United States, 33308 | |
| Pfizer Investigational Site | Recruiting |
| Hollywood, Florida, United States, 33021 | |
| Pfizer Investigational Site | Recruiting |
| Lake City, Florida, United States, 32024 | |
| Pfizer Investigational Site | Recruiting |
| Pembroke Pines, Florida, United States, 33028 | |
| United States, Georgia | |
| Pfizer Investigational Site | Recruiting |
| Athens, Georgia, United States, 30607 | |
| Pfizer Investigational Site | Recruiting |
| Savannah, Georgia, United States, 31405 | |
| United States, Illinois | |
| Pfizer Investigational Site | Recruiting |
| Chicago, Illinois, United States, 60637 | |
| Pfizer Investigational Site | Recruiting |
| Chicago, Illinois, United States, 60612 | |
| Pfizer Investigational Site | Recruiting |
| Ottawa, Illinois, United States, 61350 | |
| Pfizer Investigational Site | Recruiting |
| Peoria, Illinois, United States, 61615 | |
| United States, Iowa | |
| Pfizer Investigational Site | Not yet recruiting |
| Sioux City, Iowa, United States, 51101 | |
| United States, Kansas | |
| Pfizer Investigational Site | Recruiting |
| Wichita, Kansas, United States, 67214 | |
| Pfizer Investigational Site | Recruiting |
| Wichita, Kansas, United States, 67208 | |
| United States, Michigan | |
| Pfizer Investigational Site | Recruiting |
| Brownstown, Michigan, United States, 48183 | |
| Pfizer Investigational Site | Recruiting |
| Dearborn, Michigan, United States, 48126 | |
| Pfizer Investigational Site | Recruiting |
| Detroit, Michigan, United States, 48202 | |
| Pfizer Investigational Site | Recruiting |
| Novi, Michigan, United States, 48377 | |
| Pfizer Investigational Site | Recruiting |
| West Bloomfield, Michigan, United States, 48322 | |
| United States, Minnesota | |
| Pfizer Investigational Site | Not yet recruiting |
| Rochester, Minnesota, United States, 55905 | |
| United States, Missouri | |
| Pfizer Investigational Site | Recruiting |
| Branson, Missouri, United States, 65616 | |
| Pfizer Investigational Site | Recruiting |
| Springfield, Missouri, United States, 65804 | |
| United States, Nevada | |
| Pfizer Investigational Site | Recruiting |
| Las Vegas, Nevada, United States, 89128 | |
| Pfizer Investigational Site | Recruiting |
| Las Vegas, Nevada, United States, 86169 | |
| United States, New Jersey | |
| Pfizer Investigational Site | Not yet recruiting |
| Livingston, New Jersey, United States, 07039 | |
| United States, New York | |
| Pfizer Investigational Site | Recruiting |
| Bronx, New York, United States, 10467 | |
| Pfizer Investigational Site | Recruiting |
| Bronx, New York, United States, 10461 | |
| Pfizer Investigational Site | Recruiting |
| New York, New York, United States, 10011 | |
| Pfizer Investigational Site | Recruiting |
| New York, New York, United States, 10032 | |
| Pfizer Investigational Site | Recruiting |
| New York,, New York, United States, 10003 | |
| Pfizer Investigational Site | Not yet recruiting |
| Stony Brook, New York, United States, 11794 | |
| United States, North Carolina | |
| Pfizer Investigational Site | Recruiting |
| Hickory, North Carolina, United States, 28602 | |
| Pfizer Investigational Site | Recruiting |
| Lenoir, North Carolina, United States, 28645 | |
| Pfizer Investigational Site | Recruiting |
| Winston-Salem, North Carolina, United States, 27157 | |
| United States, North Dakota | |
| Pfizer Investigational Site | Recruiting |
| Bismarck, North Dakota, United States, 58501 | |
| United States, South Carolina | |
| Pfizer Investigational Site | Recruiting |
| Charleston, South Carolina, United States, 29414 | |
| United States, Tennessee | |
| Pfizer Investigational Site | Recruiting |
| Memphis, Tennessee, United States, 38120 | |
| United States, Texas | |
| Pfizer Investigational Site | Recruiting |
| Fort Worth, Texas, United States, 76177 | |
| Pfizer Investigational Site | Not yet recruiting |
| Fort Worth, Texas, United States, 76177 | |
| United States, Vermont | |
| Pfizer Investigational Site | Recruiting |
| Burlington, Vermont, United States, 05401 | |
| United States, Virginia | |
| Pfizer Investigational Site | Recruiting |
| Fairfax, Virginia, United States, 22031 | |
| United States, Washington | |
| Pfizer Investigational Site | Recruiting |
| Issaquah, Washington, United States, 98029 | |
| Pfizer Investigational Site | Recruiting |
| Seattle, Washington, United States, 98122 | |
| Pfizer Investigational Site | Recruiting |
| Seattle, Washington, United States, 98104 | |
| United States, Wisconsin | |
| Pfizer Investigational Site | Not yet recruiting |
| Mequon, Wisconsin, United States, 53097 | |
| Pfizer Investigational Site | Not yet recruiting |
| Milwaukee, Wisconsin, United States, 53211 | |
| Korea, Republic of | |
| Pfizer Investigational Site | Recruiting |
| Seoul, Korea, Republic of, 120-752 | |
| Pfizer Investigational Site | Recruiting |
| Seoul, Korea, Republic of, 110-744 | |
| Puerto Rico | |
| Pfizer Investigational Site | Not yet recruiting |
| San Juan, Puerto Rico, 00918 | |
Sponsors and Collaborators
Pfizer
Investigators
| Study Director: | Pfizer CT.gov Call Center | Pfizer |
More Information
Additional Information:
No publications provided
| Responsible Party: | Pfizer |
| ClinicalTrials.gov Identifier: | NCT01465802 History of Changes |
| Other Study ID Numbers: | A7471042 |
| Study First Received: | October 20, 2011 |
| Last Updated: | May 6, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Pfizer:
|
non-small cell lung cancer advanced previously treated |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases Doxycycline Doxycycline hyclate Alclometasone dipropionate Methylprednisolone Anti-Bacterial Agents |
Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antimalarials Antiprotozoal Agents Antiparasitic Agents Glucocorticoids Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Anti-Inflammatory Agents Antiemetics Autonomic Agents Peripheral Nervous System Agents Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 16, 2013