Safety Study of Afatinib for Brain Cancer
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|ClinicalTrials.gov Identifier: NCT02423525|
Recruitment Status : Completed
First Posted : April 22, 2015
Last Update Posted : March 10, 2022
The purpose of this study is to try to determine the maximum safe dose of afatinib that can be administered to people with brain cancer. Other purposes of this study are to:
- find out what effects (good and bad) afatinib has;
- see how much drug gets into the body by collecting blood and cerebrospinal fluid for use in pharmacokinetic (PK) studies;
- learn more about how afatinib might affect the growth of cancer cells;
- look at biomarkers (biochemical features that can be used to measure the progress of disease or the effects of a drug).
|Condition or disease||Intervention/treatment||Phase|
|Brain Cancer||Drug: Afatinib||Phase 1|
This is an open-label, single institution, Phase I 3+3 dose escalation study to describe the safety and tolerability of afatinib in patients with brain cancer having failed prior therapy and to determine the recommended phase II dose.
Eligible patients will receive afatinib in treatment cycles of 28 days that will consist of afatinib administered orally by mouth once every four days. Patients will be assigned to the dose level open at the time of their enrollment. Patients will continue dosing of afatinib until disease progression, unacceptable toxicity, withdrawal of consent, or treating physician determines it is in their best interest to stop. Guidelines for modifying study drug doses is provided for the management of adverse treatment effects.
All patients will have regular evaluations for assessment of safety parameters as detailed in the study flow chart. Lumbar puncture and blood draw for assessing afatinib levels will occur as detailed in the study flow chart.
Neurological imaging and assessment for response will be performed approximately every eight weeks. Tumor response will be assessed according to Response Assessment in Neuro-Oncology (RANO) Working Group criteria.
An end of treatment evaluation will occur when a patient permanently discontinues study drug, as detailed in the study flow chart. Patients will then be followed every four months for survival.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||24 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||A Phase I Dose Escalation and Central Nervous System (CNS) Pharmacokinetic Study of the ErbB Family Inhibitor Afatinib in Patients With Recurrent or Progressive Brain Cancer|
|Actual Study Start Date :||December 2016|
|Actual Primary Completion Date :||August 2020|
|Actual Study Completion Date :||August 2021|
Afatinib tablets are taken by mouth. Dose Level 1: 80 mg every 4 days Dose Level 2: 120 mg every 4 days Dose Level 3: 180 mg every 4 days Dose Level 4: 280 mg every 7 days
Other Name: Gilotrif
- Rate of dose limiting toxicities of pulsatile afatinib [ Time Frame: first 28 days of treatment ]Number of side effects of study treatment that prevent an increase in dose or level of that treatment
- Maximum tolerated dose (MTD) of pulsatile afatinib [ Time Frame: first 28 days of treatment ]The highest dose evaluated that does not cause unacceptable side effects
- Treatment-emergent adverse events [ Time Frame: 7 months ]Type, number, grade and seriousness of adverse events reported after the first dose of study treatment
- Afatinib levels in cerebrospinal fluid (CSF) and blood [ Time Frame: 52 days ]Measurement of afatinib concentration in CSF and blood at defined timepoints
- Objective response rate as assessed by the RANO criteria [ Time Frame: approximately 6 months to 1 year ]Tumor response compared to baseline as assessed by the RANO criteria
- Best overall response rate [ Time Frame: approximately 6 months to 1 year ]Best tumor response compared to baseline
- Progression free survival [ Time Frame: up to 5 years ]Time between the start of treatment to disease progression
- Overall Survival [ Time Frame: up to 5 years ]Time between the start of treatment to death
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): NCT02423525
|United States, California|
|John Wayne Cancer Institute|
|Santa Monica, California, United States, 90404|
|Principal Investigator:||Santosh Kesari, MD, PhD||Saint John's Cancer Institute|