Cyclin Dependent Kinase (CDK)4/6 Inhibitor, PD0332991 in Advanced Non-small Cell Lung Cancer NSCLC.

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
University of Florida Identifier:
First received: February 1, 2011
Last updated: January 11, 2016
Last verified: January 2016
The purpose of this study is to determine the efficacy and the toxicities of the study drug PD0332991 in the treatment of patients with Stage IV non-small cell lung cancer with wildtype retinoblastoma protein (RB) and inactivated cyclin dependent kinase (CDK) N2A in the tumor.

Condition Intervention Phase
Non-small Cell Lung Cancer
Drug: PD0332991
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Clinical Trail of the Cyclin Dependent Kinase (CDK)4/6 Inhibitor, PD0332991 in Previously Treated, Advanced NSCLC Patients With Wildtype Retinoblastoma Protein (RB) and Inactive Cyclin Dependent Kinase (CDK)N2a

Resource links provided by NLM:

Further study details as provided by University of Florida:

Primary Outcome Measures:
  • Tumor Response by Direct RECIST Measurement [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Response is a decrease in the sum of the longest diameters of the target lesions by more than 30% compared to the baseline.

Secondary Outcome Measures:
  • Overall Survival [ Time Frame: 14 months ] [ Designated as safety issue: No ]
    Median overall survival

  • Progression-free Survival [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Median progression-free survival.

  • Plasma Levels [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Plasma levels of p16, phosphorylated RB and cyclin d1 in blood.

  • Grade of Study Drug Toxicity [ Time Frame: 24 months ] [ Designated as safety issue: Yes ]
    The number of all toxicities and grades 3 and 4 (per CTCAE v3.0) toxicities that occured during the administration of the drug and during the follow up period.

Enrollment: 19
Study Start Date: February 2011
Estimated Study Completion Date: March 2016
Primary Completion Date: February 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: PD0332991
PD0332991 125 mg PO days 1 - 21
Drug: PD0332991
PD0332991 125 mg PO days 1 - 21
Other Name: Palbociclib

Detailed Description:
The oral drug PD0332991 is a highly selective reversible inhibitor of cyclin-dependent kinases 4 & 6 that is being studied for use in the treatment of advanced non-small cell lung cancer.

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

Inclusion Criteria:

  • Histologically or cytologically proven non small cell lung cancer
  • Stage IV (M1a or M1b) disease. Patients may also have recurrence of early-stage disease or locally advanced disease with the presence of new distant metastases.
  • Cyclin dependent kinase (CDK)N2a (p16) protein absent or expressed at a low level in tumor biopsy specimen
  • Failed or intolerant of at least one prior systemic chemotherapy regimen (there is no maximum number of prior chemotherapy regimens)
  • Eastern cooperative oncology group (ECOG) performance status 0-2
  • Age >18 years.
  • Adequate organ and bone marrow function
  • Measurable disease by standard RECIST v1.1 criteria
  • Life expectancy of greater than 3 months

Exclusion Criteria:

  • Inability to understand or sign the informed consent document
  • Inability or unwillingness to take oral medications
  • No available tissue specimen for p16 analysis
  • Chemotherapy or radiotherapy within 3 weeks prior to beginning the study drug
  • Other investigational agents within 4 weeks prior to beginning the study drug
  • All side effects from previous chemotherapy, radiotherapy or investigational agents not resolved, returned to baseline or returned to Grade 1 toxicity (exceptions are grade 2 alopecia and grade 2 peripheral neuropathy)
  • Major surgery within 4 weeks prior to beginning the study drug
  • Surgical scar from previous surgery not healed prior to beginning the study drug
  • High-dose or chronic steroid use
  • High-dose statins within 7 days
  • History of rhabdomyolysis
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, uncontrolled diabetes, stroke or myocardial infarction within 3 months, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Baseline corrected QT interval (QTc) >470ms
  • Pre-existing clinically significant cardiac, hepatic or renal dysfunction at the discretion of the treating physician
  • Untreated or uncontrolled (symptomatic or asymptomatic) brain metastases
  • Leptomeningeal carcinomatosis
  • Inability or unwillingness to use contraception during the treatment period by patients with reproductive potential.
  • Pregnant or breastfeeding women
  • HIV-positive patients on combination antiretroviral therapy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01291017

United States, Florida
UF Health Cancer Center
Gainesville, Florida, United States, 32610
H. Lee Moffitt Cancer and Research Institute
Tampa, Florida, United States, 33612
Sponsors and Collaborators
University of Florida
Principal Investigator: Priya Gopalan, MD, PhD University of Florida
  More Information

Additional Information:
No publications provided

Responsible Party: University of Florida Identifier: NCT01291017     History of Changes
Other Study ID Numbers: PD0332991 
Study First Received: February 1, 2011
Results First Received: March 12, 2015
Last Updated: January 11, 2016
Health Authority: United States: Food and Drug Administration

Keywords provided by University of Florida:
Advanced stage

Additional relevant MeSH terms:
Carcinoma, Non-Small-Cell Lung
Bronchial Neoplasms
Carcinoma, Bronchogenic
Lung Diseases
Lung Neoplasms
Neoplasms by Site
Respiratory Tract Diseases
Respiratory Tract Neoplasms
Thoracic Neoplasms processed this record on February 11, 2016