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A Phase 1b/2 Study in Asian Subjects With Non-Small Cell Lung Cancer

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01039948
First Posted: December 25, 2009
Last Update Posted: April 8, 2015
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.
Information provided by (Responsible Party):
AVEO Pharmaceuticals, Inc.
December 23, 2009
December 25, 2009
April 8, 2015
December 2009
August 2013   (Final data collection date for primary outcome measure)
  • Phase Ib: Dose Limiting Toxicity and Recommended Phase II Dose [ Time Frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereaftert ]
  • Phase 2: Objective Response Rate [ Time Frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter ]
  • Phase Ib: DLT and RPTD [ Time Frame: Every 4 weeks throughout the treatment ]
  • Phase 2: Objective Response Rate [ Time Frame: Every 4 weeks throughout the treatment ]
Complete list of historical versions of study NCT01039948 on ClinicalTrials.gov Archive Site
  • Phase 1b: Cmax, Tmax, AUC, t1/2, clearance, and Vd [ Time Frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter ]
  • Phase 2: Progression Free Survival, Overall Survival, Safety [ Time Frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter ]
  • Phase 1b/2: Cmax, Tmax, AUC, t1/2, clearance, and Vd [ Time Frame: Every 4 weeks throughout the treatment ]
  • Phase 2: Progression free survival, Overall survival [ Time Frame: Every 4 weeks throughout the treatment ]
Not Provided
Not Provided
 
A Phase 1b/2 Study in Asian Subjects With Non-Small Cell Lung Cancer
A Phase 1b/2 Study of AV-299 (Formerly SCH 900105) in Combination With Gefitinib in Asian Subjects With Non-Small Cell Lung Cancer (P06162)

During Phase 1b portion, there will be a dose-escalation of AV-299 (formerly SCH 900105) in combination with the recommended dose of gefitinib in subjects with NSCLC or advanced solid tumor. The objective is to determine the safety, tolerability, dose limiting toxicity (DLT) and recommended Phase 2 dose (RP2D) in combination with gefitinib for the Phase 2 portion.

The Phase 2 is an open-label, 2-arm, randomized study designed to compare the combination of AV-299 (formerly SCH900105) and gefitinib versus gefitinib alone in clinically selected Asian subjects with previously untreated lung adenocarcinoma who have a high likelihood of harboring activating EGFR mutations. Subjects who progress after initial disease control in the gefitinib alone arm may crossover to the combination arm.

Not Provided
Interventional
Phase 1
Phase 2
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
  • Carcinoma, Non-Small Cell-Lung
  • Lung Neoplasms
  • Lung Cancer
  • Respiratory Tract Neoplasms
  • Biological: AV-299 + gefitinib
    AV-299 is a humanized anti-HGF IgG1 monoclonal antibody directed against free HGF, ligand for c-Met tyrosine kinase receptor.
    Other Name: Other name: ficlatuzumab, Formerly SCH 900105
  • Drug: Gefitinib
    Gefitinib is a small molecule (drug) which selectively inhibits epidermal growth factor receptor's (EGFR) tyrosine kinase domain.
    Other Name: Iressa®
  • Experimental: Phase 2: AV-299 + gefitinib
    Phase 2: AV-299 (formerly SCH 900105) administered IV at RP2D (as determined by Phase 1b portion) in combination with gefitinib 250 mg/day orally.
    Intervention: Biological: AV-299 + gefitinib
  • Active Comparator: Phase 2: Gefitinib
    Phase 2: Gefitinib 250 mg/day, orally.
    Intervention: Drug: Gefitinib
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
203
August 2013
August 2013   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Asian ethnicity.
  • ECOG performance status of 0-2.
  • Phase 1b (only): Diagnosis of one of the following unresectable NSCLC with or without prior therapy advanced solid tumor that progressed after standard therapy
  • Phase 2 only: Histologic or cytologic confirmation of unresectable locally advanced or metastatic stage IIIB/IV lung adenocarcinoma with at least one measurable lesion, per Response Evaluation Criteria in Solid Tumors (RECIST-Version 1.1).
  • Phase 2 only: Never smoker or light ex-smoker.
  • Available tumor tissue for determination of EGFR mutational status and immunohistochemistry analysis
  • Adequate hematologic, hepatic, renal and coagulation function
  • No active central nervous system metastases
  • Prior radiotherapy is allowed if 14 days from first dose of study drug and toxicity is resolved; additionally in Phase 2 only, ≥1 target lesion not irradiated or with definitive progression after prior radiation therapy.
  • Agreement to use effective contraception.
  • Phase 2 only: Subjects on Gefitinib monotherapy arm must have documented CR, PR, or SD for ≥12 weeks prior to disease progression in order to cross over to combination therapy arm.

Exclusion Criteria:

  • Phase 2 only: Prior chemotherapy or prior treatment with epidermal growth factor receptor (EGFR) inhibitor, including both tyrosine kinase inhibitors and monoclonal antibodies. There is no limit to the number of therapies for subject being considered for Phase 1b.
  • History of neoplasm other than the entry diagnosis.
  • Pregnancy or lactation.
  • Myocardial infarction within 6 months prior to initiation of study treatment.
  • A serious active infection.
  • Known human immunodeficiency virus infection.
  • A serious underlying medical condition that would impair the ability of the subject to receive protocol treatment.
  • A major surgical procedure, open biopsy, or significant traumatic injury.
  • Thrombotic or embolic events.
  • Known or suspected allergy/hypersensitivity to any agent given in the course of this trial.
  • Any condition that impairs absorption of oral agents or the subject's ability to swallow whole pills.
  • Diarrhea ≥ Grade 2 or active Inflammatory Bowel Disease.
  • Severe acute or chronic medical, psychiatric, or behavioral condition or laboratory abnormality.
  • Diagnosis of interstitial lung disease.
  • Any medications or treatments prohibited by the protocol.
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
No
Contact information is only displayed when the study is recruiting subjects
Hong Kong,   Korea, Republic of,   Malaysia,   Philippines,   Singapore,   Taiwan,   Thailand
 
 
NCT01039948
P06162
No
Not Provided
Not Provided
AVEO Pharmaceuticals, Inc.
AVEO Pharmaceuticals, Inc.
Not Provided
Study Director: Philip Komarnitsky, MD AVEO Pharmaceuticals, Inc.
AVEO Pharmaceuticals, Inc.
April 2015

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP