A Phase I Study of Oral LGX818 in Adult Patients With Advanced or Metastatic BRAF Mutant Melanoma
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Purpose
CLGX818X2101 is a first-time in-human, phase I study to establish the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of daily administered LGX818 (daily, twice daily and/or every-other-day), a RAF kinase inhibitor. Patients with locally advanced or metastatic melanoma harboring the BRAF V600 mutation (during dose escalation phase and expansion phase) and patients with metastatic colorectal cancer harboring the BRAF V600 mutation (during the expansion phase) will be enrolled. The study consists of a dose escalation part were cohorts of patients will receive escalating oral doses of LGX818, followed by a safety dose expansion part were patients will be treated with oral dose of LGX818 given at the MTD or RP2D.
| Condition | Intervention | Phase |
|---|---|---|
|
Melanoma and Metastatic Colorectal Cancer |
Drug: LGX818 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I, Multicenter, Open-label, Dose-escalation Study of Oral LGX818 in Adult Patients With Locally Advanced or Metastatic BRAF Mutant Melanoma |
- Incidence of Dose Limiting Toxicities [ Time Frame: Approximately every 8 weeks (up to 2 years) ] [ Designated as safety issue: Yes ]
- Number and nature of Adverse events and clinical activity [ Time Frame: Approximately 3 years ] [ Designated as safety issue: Yes ]
- Pharmacokinetic profile of LGX818 [ Time Frame: Approximately 2 years ] [ Designated as safety issue: No ]LGX818 Plasma concentration
- Tumor response per RECIST [ Time Frame: Approximately 3 years ] [ Designated as safety issue: No ]This includes duration of response, time to response, progression free survival and overall survival.
- Baseline molecular status [ Time Frame: Approximately 3 years ] [ Designated as safety issue: No ]Baseline molecular status (mutation/ amplification/ expression) in tumor tissue of potential predictive markers
| Estimated Enrollment: | 126 |
| Study Start Date: | September 2011 |
| Estimated Study Completion Date: | May 2014 |
| Estimated Primary Completion Date: | April 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: LGX818 - Dose escalation | Drug: LGX818 |
| Experimental: LGX818 - Dose Expansion at MTD or RP2D | Drug: LGX818 |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
For the dose escalation phase:
- Histologically confirmed diagnosis of locally advanced or metastatic melanoma (stage IIIB to IV per American Joint Committee on Cancer [AJCC]). For the dose expansion phase: (i) Histologically confirmed diagnosis of locally advanced or metastatic melanoma (stage IIIB to IV per American Joint Committee on Cancer [AJCC]), or (ii) confirmed diagnosis and non-resectable advanced metastatic colorectal cancer (mCRC) for which no further effective standard therapy exists.
- Written documentation of BRAF V600E mutation, or any other BRAF V600 mutation.
- Evidence of measurable disease
Exclusion Criteria:
- Previous therapy with a MEK inhibitor.
- Symptomatic or untreated leptomeningeal disease.
- Symptomatic or untreated brain metastasis.Patients previously treated for these conditions that are asymptomatic in the absence of corticosteroid therapy are allowed to enroll. Brain metastasis must be stable with verification by imaging.
- Known acute or chronic pancreatitis.
- Clinically significant cardiac disease
- Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral LGX818
- Previous or concurrent malignancy. Exceptions to this exclusion criteria include: adequately treated basal cell or squamous cell skin cancer; in situ carcinoma of the cervix, treated curatively and without evidence of recurrence for at least 3 years prior to study entry; or other solid tumor treated curatively, and without evidence of recurrence for at least 3 years prior to study entry.
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (> 5 mIU/mL).
- History of thromboembolic or cerebrovascular events within the last 6 months
Other protocol-defined inclusion/exclusion criteria may apply
Contacts and Locations| Contact: Novartis Pharmaceuticals | 1-888-669-6682 | |
| Contact: Novartis Pharmaceuticals |
| United States, Florida | |
| H. Lee Moffitt Cancer Center/University of South Florida Moffitt SC | Recruiting |
| Tampa, Florida, United States, 33612 | |
| Contact: LaShanna Hathorne 813-745-6202 lashanna.hathorne@moffitt.org | |
| Principal Investigator: Ragini Kudchadkar | |
| United States, Massachusetts | |
| Massachusetts General Hospital Mass General 2 | Recruiting |
| Boston, Massachusetts, United States, 02114 | |
| Contact: Janine Morissey 617-724-0865 jmorriss@bidmc.harvard.edu | |
| Principal Investigator: Keith Flaherty | |
| Australia, New South Wales | |
| Novartis Investigative Site | Not yet recruiting |
| Westmead, New South Wales, Australia, 2145 | |
| Australia, Victoria | |
| Novartis Investigative Site | Recruiting |
| Melbourne, Victoria, Australia, 3002 | |
| France | |
| Novartis Investigative Site | Recruiting |
| Toulouse Cedex 3, France, 31052 | |
| Novartis Investigative Site | Recruiting |
| Villejuif Cedex, France, 94805 | |
| Norway | |
| Novartis Investigative Site | Recruiting |
| Oslo, Norway, NO-0424 | |
| Spain | |
| Novartis Investigative Site | Recruiting |
| Barcelona, Cataluna, Spain, 08035 | |
| Novartis Investigative Site | Recruiting |
| Barcelona, Catalunya, Spain, 08036 | |
| Novartis Investigative Site | Recruiting |
| Madrid, Spain, 28050 | |
| Switzerland | |
| Novartis Investigative Site | Recruiting |
| Chur, Switzerland, 7000 | |
| Novartis Investigative Site | Recruiting |
| Zuerich, Switzerland, 8091 | |
| Study Director: | Novartis Pharmaceuticals | Novartis Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | Novartis ( Novartis Pharmaceuticals ) |
| ClinicalTrials.gov Identifier: | NCT01436656 History of Changes |
| Other Study ID Numbers: | CLGX818X2101, 2011-000556-42 |
| Study First Received: | April 14, 2011 |
| Last Updated: | May 6, 2013 |
| Health Authority: | United States: Food and Drug Administration France: ANSM Norway: NOMA Switzerland: Swiss Medic Spain: Agencia Espa?ola de Medicamentos y Productos Sanitarios |
Keywords provided by Novartis:
|
BRAF mutant, BRAF mutated, melanoma, metastatic, |
advanced, RAF kinase inhibitor BRAF V600 mutation |
Additional relevant MeSH terms:
|
Colorectal Neoplasms Melanoma Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases |
Colonic Diseases Intestinal Diseases Rectal Diseases Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type Neoplasms, Nerve Tissue Nevi and Melanomas |
ClinicalTrials.gov processed this record on May 19, 2013