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Study of XL647 in Subjects With NSCLC Who Have Progressed After Responding to Treatment With Gefitinib or Erlotinib

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT00522145
Recruitment Status : Completed
First Posted : August 29, 2007
Last Update Posted : May 13, 2022
Information provided by (Responsible Party):
Kadmon Corporation, LLC

Brief Summary:
The purpose of this study is to determine the best confirmed response rate of daily administration of the multiple receptor tyrosine kinase (RTK) inhibitor (including EGFR and VEGFR2) XL647 in subjects with NSCLC who have progressed after responding to treatment with either erlotinib or gefitinib.

Condition or disease Intervention/treatment Phase
Carcinoma, Non-Small-Cell Lung Drug: XL647 Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 41 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 2 Study of XL647 in Subjects With Non-Small Cell Lung Cancer Who Have Progressed After Responding to Treatment With Either Gefitinib or Erlotinib
Study Start Date : May 2007
Actual Primary Completion Date : October 2009
Actual Study Completion Date : February 2010

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Group 1 Drug: XL647
Daily dosing as a single oral agent at a dose of 300 mg supplied as 50-mg tablets
Other Name: KD019

Primary Outcome Measures :
  1. Determine the best confirmed response rate [ Time Frame: Inclusion until disease progression ]

Secondary Outcome Measures :
  1. Safety and tolerability of XL647 administered daily [ Time Frame: First treatment until 30 day post last treatment ]
  2. Progression-free survival, duration of response, and overall survival [ Time Frame: Incusion until disease progression ]
  3. Further characterize the pharmacokinetic (PK) parameters [ Time Frame: Every 8 weeks after Day 57 until disease progression ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologically confirmed diagnosis of unresectable Stage IIIB or Stage IV relapsed or recurrent NSCLC.
  • Subjects must have:

    1. documented (radiological or clinical) progressive disease (PD) following a prior response (including stable disease) to monotherapy with erlotinib or gefitinib that was administered for at least 12 weeks prior to progression OR
    2. a documented T790M EGFR mutation
  • Measurable disease defined according to RECIST
  • ECOG performance status of 0 or 1.
  • Sexually active subjects must use an accepted method of contraception during the course of the study.
  • Female subjects of childbearing potential must have a negative pregnancy test at enrollment.

Exclusion Criteria:

  • Received radiation to ≥25% of his or her bone marrow within 30 days of XL647 treatment.
  • Received erlotinib or gefitinib, or other anticancer therapy within 14 days of the first dose of study drug.
  • Received an investigational drug (excluding erlotinib or gefitinib) within 30 days of the first dose of study drug.
  • Receiving anticoagulation therapy with warfarin.
  • Not recovered to Grade ≤1 from adverse events (AEs) due to antineoplastic agents, investigational drugs, or other medications that were administered prior to study enrollment.
  • Corrected QT interval (QTc) of >0.45 seconds.
  • Progressive, symptomatic, or hemorrhagic brain or leptomeningeal metastases.
  • Requires steroid or anticonvulsant therapy for the treatment of brain metastases.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00522145

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United States, California
Ronald Yanagihara
Gilroy, California, United States, 95020
University of California Davis Cancer Center
Sacramento, California, United States, 95817
Oncology Division and General Clincial Research, Stanford University Medical Center
Stanford, California, United States, 94305
United States, Indiana
Cancer Care Center, Inc. P.C.
New Albany, Indiana, United States, 47150
United States, Maryland
Washington County Hospital, The Center for Clinical Research
Hagerstown, Maryland, United States, 21740
United States, Michigan
Wayne State University, Wertz Clinical Cancer Center, Karmanos Center
Detroit, Michigan, United States, 48201
United States, New York
Memorial Sloan-Kettering Cancer Center
New York, New York, United States, 10021
United States, North Carolina
New Bern Cancer Care Oncology
New Bern, North Carolina, United States, 28560
United States, Ohio
Case Western Reserve University, University Hospitals of Cleveland
Cleveland, Ohio, United States, 44106
Signal Point Clinical Research Center
Middletown, Ohio, United States, 45042
Sponsors and Collaborators
Kadmon Corporation, LLC
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Responsible Party: Kadmon Corporation, LLC
ClinicalTrials.gov Identifier: NCT00522145    
Other Study ID Numbers: XL647-203
First Posted: August 29, 2007    Key Record Dates
Last Update Posted: May 13, 2022
Last Verified: May 2022
Keywords provided by Kadmon Corporation, LLC:
Non-Small-Cell Lung Cancer
Additional relevant MeSH terms:
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Carcinoma, Non-Small-Cell Lung
Carcinoma, Bronchogenic
Bronchial Neoplasms
Lung Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Antineoplastic Agents
Protein Kinase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action