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:
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT01465802
First received: October 20, 2011
Last updated: May 6, 2013
Last verified: May 2013
  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:


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

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 Locations
Locations
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