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A Home-Based Approach Study to Evaluate the Efficacy and Safety of Alectinib in Locally-Advanced or Metastatic ALK-Positive Solid Tumors (ALpha-T)

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ClinicalTrials.gov Identifier: NCT04644315
Recruitment Status : Recruiting
First Posted : November 25, 2020
Last Update Posted : November 12, 2021
Sponsor:
Information provided by (Responsible Party):
Hoffmann-La Roche

Brief Summary:
This study will evaluate the efficacy and safety of alectinib in participants with Anaplastic Lymphoma Kinase (ALK)-positive locally advanced or metastatic solid tumors other than lung cancer.

Condition or disease Intervention/treatment Phase
Neoplasms Colorectal Neoplasms Melanoma Pancreatic Neoplasms Sarcoma Ovarian Neoplasms Brain Neoplasms Thyroid Neoplasms Neuroendocrine Tumors Cholangiocarcinoma Salivary Gland Neoplasms Head and Neck Neoplasms Thyroid Cancer, Papillary Lymphoma, Large-Cell, Anaplastic Neoplasms by Site Respiratory Tract Neoplasms Thoracic Neoplasms Respiratory Tract Diseases Carcinoma, Bronchogenic Bronchial Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Central Nervous System Drug: Alectinib Phase 2

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 50 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II, Open-Label, Single Arm Decentralized Home-Based Approach Study to Evaluate the Efficacy and Safety of Alectinib in Locally-Advanced or Metastatic ALK-Positive Solid Tumors
Actual Study Start Date : May 24, 2021
Estimated Primary Completion Date : December 1, 2025
Estimated Study Completion Date : December 1, 2025


Arm Intervention/treatment
Experimental: ALK-positive Solid Tumors
Participants with locally advanced or metastatic ALK-positive tumors will receive alectinib twice daily (BID) until disease progression, unacceptable toxicity, death, or withdrawal from the study for any reason.
Drug: Alectinib
Participants will receive 600 mg oral alectinib BID until disease progression, unacceptable toxicity, withdrawal from treatment, or death.
Other Name: Alecensa




Primary Outcome Measures :
  1. Confirmed Objective Response Rate (ORR) as Determined by the Investigator per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1) [ Time Frame: From 28 days after initial response up to 5 years ]

Secondary Outcome Measures :
  1. Confirmed ORR as Determined by Blinded Independent Center Review (BICR) per RECIST v1.1 [ Time Frame: From 28 days after initial response up to 5 years ]
  2. Duration of Response (DOR) as Determined by both the Investigator and by BICR per RECIST v1.1 [ Time Frame: From first occurrence of a documented objective response to disease progression or death from any cause, whichever occurs first (up to 5 years) ]
  3. Progression-Free Survival (PFS) as Determined by both the Investigator and by BICR per RECIST v1.1 [ Time Frame: From first dose of alectinib to disease progression or death from any cause, whichever occurs first (up to 5 years) ]
  4. Central Nervous System (CNS) ORR by BICR per RECIST v1.1 [ Time Frame: Baseline up to 5 years ]
  5. CNS DOR by BICR per RECIST v1.1 [ Time Frame: From the first observation of CNS response to the first observation of CNS progression or death from any cause (up to 5 years) ]
  6. Overall Survival (OS) [ Time Frame: From the first dose of study drug to death from any cause (up to 5 years) ]
  7. Percentage of Participants with Adverse Events (AEs) [ Time Frame: Up to 5 years ]
  8. Percentage of Participants with Serious Adverse Events (SAEs) [ Time Frame: Up to 5 years ]
  9. Plasma Concentration of Alectinib [ Time Frame: At pre-defined intervals from baseline up to 5 years ]
  10. ORR in Participants with Primary CNS Tumors as Determined by both BICR and the Investigator per Response Assessment in Neuro-Oncology (RANO) Criteria [ Time Frame: Up to 5 years ]
  11. DOR in Participants with Primary CNS Tumors as Determined by both BICR and the Investigator per RANO Criteria [ Time Frame: From first occurrence of a documented objective response to disease progression or death from any cause, whichever occurs first (up to 5 years) ]
  12. PFS in Participants with Primary CNS Tumors as Determined by both BICR and the Investigator per RANO Criteria [ Time Frame: From first dose of alectinib to disease progression or death from any cause, whichever occurs first (up to 5 years) ]
  13. OS in Participants with Primary CNS Tumors [ Time Frame: From the first dose of study drug to death from any cause (up to 5 years) ]


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

Inclusion Criteria:

  • Histologically confirmed ALK-positive locally-advanced or metastatic solid tumor excluding lung cancer
  • ALK-positive tumor as per Foundation Medicine, Inc (FMI) next-generation sequencing (NGS) (NGS F1CDx, F1LCDx, or F1HEME) or per local accredited laboratory using validated NGS testing of tumor tissue or peripheral blood
  • No alternative effective standard therapy available, or standard therapy considered unsuitable or intolerable to the participant
  • Other cancer therapies are allowed, including investigational drugs, if any treatment-related toxicities (excluding alopecia) have resolved to grade </= 1 or to laboratory values as defined by the protocol
  • Measurable disease at baseline as assessed by the Investigator per RECIST v1.1 or RANO criteria (for participants with primary CNS tumors)
  • Life expectancy of at least 12 weeks
  • Eastern cooperative oncology group (ECOG) performance status of 0-2
  • Adequate hemataologic, hepatic, and renal function
  • Participants with primary central nervous system (CNS) tumors are available
  • Participants with brain or leptomeningeal metastasis are allowed in the study if asymptomatic and if they meet additional criteria as defined by the protocol
  • Willingness to comply with study procedures
  • Willingness to comply with home-base approach and visits by Mobile Nurses
  • Ability to swallow alectinib capsules intact
  • Women of childbearing potential must test negative for pregnancy at screening and prior to the first dose of study drug
  • Women of childbearing potential must agree to remain abstinent or use contraceptive methods as defined by the protocol and refrain from donating eggs during the treatment period and for at least 90 days after the last dose of alectinib
  • Men must agree to remain abstinent or use contraceptive methods as defined by the protocol and refrain from donating sperm during the treatment period and for at least 90 days after the last dose of alectinib

Exclusion Criteria:

  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 3 months after the final dose of alectinib
  • Lung Cancer
  • Patients with one of the following ALK point mutations: I1171X, G1202R, V1180L
  • Prior therapy with an ALK inhibitor
  • Liver disease as described in the protocol
  • Known HIV, hepatitis B, or hepatitis C (HCV) infection
  • Patients with symptomatic bradycardia
  • Patients with symptomatic or unstable brain metastasis; patients with primary CNS tumors are allowed
  • Malabsorption syndrome or any other condition that would interfere with enteral absorption
  • Incomplete recovery from any surgery prior to treatment
  • Any other malignancies within 5 years prior to enrollment, except for those described in the protocol
  • Any serious medical condition or abnormality in clinical laboratory tests that, in the Investigator's judgment, precludes the patient's safe participation in and completion of the study
  • History of hypersensitivity to any of the ingredients in the alectinib drug formulation

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): NCT04644315


Contacts
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Contact: Reference Study ID Number: BO41929 https://forpatients.roche.com/ 888-662-6728 global-roche-genentech-trials@gene.com

Locations
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United States, California
Science 37, Inc Active, not recruiting
Culver City, California, United States, 90230
Science 37, Inc Completed
Culver City, California, United States, 90230
Science 37, Inc Recruiting
Culver City, California, United States, 90230
Homebased Telemedicine Recruiting
Los Angeles, California, United States, 90013
Homebased Telemedicine Recruiting
Sacramento, California, United States, 95814
Homebased Telemedicine Recruiting
San Diego, California, United States, 92101
Homebased Telemedicine Recruiting
San Francisco, California, United States, 94104
Homebased Telemedicine Recruiting
San Jose, California, United States, 95110
United States, Florida
Homebased Telemedicine Recruiting
Jacksonville, Florida, United States, 32202
Homebased Telemedicine Recruiting
Miami, Florida, United States, 33132
Homebased Telemedicine Recruiting
Orlando, Florida, United States, 32801
Homebased Telemedicine Recruiting
Tampa, Florida, United States, 33601
United States, Indiana
Homebased Telemedicine Recruiting
Fort Wayne, Indiana, United States, 46802
Homebased Telemedicine Recruiting
Indianapolis, Indiana, United States, 46202
United States, Minnesota
Homebased Telemedicine Recruiting
Minneapolis, Minnesota, United States, 55401
Homebased Telemedicine Recruiting
Saint Paul, Minnesota, United States, 55155
United States, Missouri
Homebased Telemedicine Recruiting
Saint Louis, Missouri, United States, 63103
United States, New York
Homebased Telemedicine Recruiting
Buffalo, New York, United States, 14202
Homebased Telemedicine Recruiting
New York, New York, United States, 10038
United States, Pennsylvania
Homebased Telemedicine Recruiting
Philadelphia, Pennsylvania, United States, 19103
Homebased Telemedicine Recruiting
Pittsburgh, Pennsylvania, United States, 15282
United States, Texas
Homebased Telemedicine Recruiting
Austin, Texas, United States, 78701
Homebased Telemedicine Recruiting
Dallas, Texas, United States, 75202
Homebased Telemedicine Recruiting
Houston, Texas, United States, 77002
United States, Virginia
Homebased Telemedicine Recruiting
Richmond, Virginia, United States, 23220
Homebased Telemedicine Recruiting
Virginia Beach, Virginia, United States, 23451
Sponsors and Collaborators
Hoffmann-La Roche
Investigators
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Study Director: Clinical Trials Hoffmann-La Roche
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Responsible Party: Hoffmann-La Roche
ClinicalTrials.gov Identifier: NCT04644315    
Other Study ID Numbers: BO41929
First Posted: November 25, 2020    Key Record Dates
Last Update Posted: November 12, 2021
Last Verified: November 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Hoffmann-La Roche:
agnostic
ALK+
Alk-positive
ALK positive
ALK mutation
GI
breast
sarcoma
neuroendocrine
female reproductive
ALK
ALK fusions
ALK gene rearrangements
colorectal cancer
entrectinib
basket study
salivary gland cancers
primary brain tumors
melanoma
sarcomas
papillary thyroid cancer
renal cell cancer
pancreatic cancer
breast cancer
cholangiocarcinoma
head & neck cancers
ovarian cancer
anaplastic lymphoma kinase positive
solid tumors
ALK+ solid tumors
Additional relevant MeSH terms:
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Neoplasms
Melanoma
Sarcoma
Thyroid Neoplasms
Neuroendocrine Tumors
Cholangiocarcinoma
Colorectal Neoplasms
Pancreatic Neoplasms
Head and Neck Neoplasms
Ovarian Neoplasms
Brain Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Thoracic Neoplasms
Intestinal Neoplasms
Respiratory Tract Neoplasms
Bronchial Neoplasms
Carcinoma, Bronchogenic
Lymphoma, Large-Cell, Anaplastic
Thyroid Cancer, Papillary
Salivary Gland Neoplasms
Gastrointestinal Diseases
Digestive System Diseases
Colonic Diseases
Intestinal Diseases
Respiratory Tract Diseases
Thyroid Diseases
Lymphoma
Neoplasms by Histologic Type