Study of Oral Mifepristone as Salvage Therapy in Patients With Advanced or Metastatic Non-Small Cell Lung Cancer

Tracking Information
First Submitted Date ICMJE	December 11, 2015
First Posted Date ICMJE	December 30, 2015
Last Update Posted Date	August 29, 2017
Study Start Date ICMJE	December 2015
Estimated Primary Completion Date	December 2018 (Final data collection date for primary outcome measure)
Current Primary Outcome Measures ICMJE; (submitted: December 28, 2015)	Overall Survival [ Time Frame: through study completion, an average of 16 months ]; Improvement in Quality of Life (QoL) [ Time Frame: every 8 weeks from date of enrollment until end of study or the date of death from any cause, assessed using QoL questionnaire,assessed up to 56 months. ]Participants complete QoL questionnaire every 8 weeks
Original Primary Outcome Measures ICMJE	Same as current
Change History	Complete list of historical versions of study NCT02642939 on ClinicalTrials.gov Archive Site
Current Secondary Outcome Measures ICMJE; (submitted: December 28, 2015)	Progression free survival [ Time Frame: median of 15 weeks from study enrollment until end of study or the date of first documented progression, assessed every 12 weeks by radiologic examination,assessed up to 56 months. ]; Overall response rate [ Time Frame: assessed every 4 weeks, from date of enrollment until end of study or the date of death from any cause, assessed up to 56 months. ]; Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 [ Time Frame: assessed every week for 1 month and then every 4 weeks, from date of enrollment until end of study or the date of death from any cause, assessed up to 56 months. ]
Original Secondary Outcome Measures ICMJE	Same as current
Current Other Outcome Measures ICMJE	Not Provided
Original Other Outcome Measures ICMJE	Not Provided
Descriptive Information
Brief Title ICMJE	Study of Oral Mifepristone as Salvage Therapy in Patients With Advanced or Metastatic Non-Small Cell Lung Cancer
Official Title ICMJE	A Phase II Study of Treatment With Oral Mifepristone as Salvage Therapy in Patients With Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Failed Two or More Previous Chemotherapy Regimens
Brief Summary	This is a non-randomized, multicenter, single-stage phase II study of mifepristone in patients with advanced or metastatic NSCLC who have failed two or more previous chemotherapy regimens. The Investigator plans to enroll 18 evaluable patients in Stage 1, and additionally up to 22 evaluable patients in Stage 2 for a total of 40 evaluable patients. Participants will be followed for overall survival. Current salvage therapy in advanced NSCLC achieves a median progression free survival time of 10 weeks and overall survival of 10 months. The Investigator would like to provide evidence that mifepristone will increase the median progression-free survival time to 15 weeks and overall survival time of 16 months.
Detailed Description	Not Provided
Study Type ICMJE	Interventional
Study Phase	Phase 2
Study Design ICMJE	Intervention Model: Single Group Assignment; Masking: None (Open Label); Primary Purpose: Treatment
Condition ICMJE	Non-Small Cell Lung Cancer (NSCLC)
Intervention ICMJE	Drug: Mifepristone; Mifepristone is an antagonist of the GR-II (glucocorticoid) receptor, yet has little affinity for the GR-I (mineralocorticoid) receptor. Mifepristone is also a potent antagonist at the progesterone receptor, and may block the androgen receptor to a limited degree.; Other Name: KORLYM®, C1073, CORLUXIN™ and CORLUX™.
Study Arms	Experimental: mifepristone; mifepristone 300 mg capsule per day, orally in 28-day cycles; Intervention: Drug: Mifepristone
Publications *	Not Provided
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
Recruitment Information
Recruitment Status ICMJE	Recruiting
Estimated Enrollment ICMJE; (submitted: December 28, 2015)	40
Original Estimated Enrollment ICMJE	Same as current
Estimated Study Completion Date	October 2019
Estimated Primary Completion Date	December 2018 (Final data collection date for primary outcome measure)
Eligibility Criteria ICMJE	Inclusion Criteria: Each patient must meet the following criteria to be enrolled in the study; Must understand and voluntarily sign an informed consent; Age ≥ 18 years at the time of signing the informed consent; Histological or cytological documented diagnosis of locally advanced, recurrent or metastatic (Stage IIIB or Stage IV) NSCLC; Patients must have evidence of disease, measurable or evaluable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST v1.1).; Patients shall provide results of tumor testing for epidermal growth factor receptor (EGFR) mutation or anaplastic lymphoma kinase (ALK) rearrangement, and if positive for EGFR mutation or ALK rearrangement shall have received appropriate targeted therapy prior to enrollment. If not previously tested, EGFR and ALK testing must be performed prior to study entry.; Patients shall have progressed after two or more previous chemotherapy regimens for metastatic or locally advanced disease; Patients must have recovered from any toxic effects and at least 3-4 weeks must have elapsed from the last dose of previous therapy, prior to registration; Eastern Cooperative Oncology Group (ECOG) performance status 0 - 3; Life expectancy of at least 12 weeks; Patients must have adequate bone marrow and renal/hepatic function at the screening visit, defined as: Absolute neutrophil count ≥ 1,500/mm3 without granulocyte colony-stimulating factor (G-CSF) support within 7 days preceding the lab assessment Platelet count ≥ 100,000/mm3, without transfusion within 7 days preceding the lab assessment Hemoglobin ≥ 9 g/dL, without transfusion support within 7 days preceding the lab assessment Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≤ 3 × upper limit of normal (ULN) Total serum bilirubin ≤ 1.5 times ULN Serum creatinine ≤ ULN Potassium and magnesium levels within normal limits. Patients with potassium or magnesium below the lower limit of normal must have levels corrected to normal by supplementation prior to starting study drug; Disease-free period of > 3 years from any other previous malignancies, excluding curatively treated basal cell carcinoma, squamous cell carcinoma of the skin, or carcinoma in situ of the cervix; Female patient of childbearing potential must have a negative serum pregnancy test. Sexually active female patient f childbearing potential must be willing to use non-hormonal contraception, including condom use by male partner, and barrier method by the female partner (diaphragm or cervical cap both with spermicide) during the treatment period and for at least 3 months after the last dose of the study drug. Females considered not of childbearing potential include those who have been in menopause at least 2 years, or are surgically sterile (status post tubal ligation or hysterectomy).; Patients must be able and willing to comply with the study visit schedule and study procedures; Able to take oral medications. Exclusion Criteria: Patients who meet any of the following criteria will not be permitted entry to the study: Pregnant or breast-feeding; Women with a history of unexplained vaginal bleeding.; Women with uterine hyperplasia - in pre-menopausal women hyperplasia >18mm and in post-menopausal women hyperplasia of >10mm Prior therapy with mifepristone; Prior therapy with mifepristone; Patients who have had recent systemic cytotoxic therapies or radiotherapy within 14 days prior to day 1 of cycle 1; Use of cytotoxic chemotherapeutic agents, erythropoiesis-stimulating agents (ESA), or experimental agents (agents that are not commercially available) within 30 days of the first day of study drug treatment.; Patients who have had any major surgery within 4 weeks prior to day 1 of cycle 1, or minor surgery within 2 weeks prior to day 1 of cycle 1; For two weeks prior to first day of study drug treatment, administration of any of the following cytochrome P450 3A (CYP3A) inducers: phenytoin, phenobarbital, carbamazepine, rifampin, rifabutin, St. John's Wort; or CYP3A inhibitors: ketoconazole, itraconazole, nefazodone, ritonavir, nelfinavir, indinavir, atazanavir amprenavir, fosamprenavir, boceprevir, clarithromycin, conivaptan, lopinavir, posaconazole, saquinavir, telaprevir, telithromycin, or voriconazole; Patients who are taking simvastatin or lovastatin. Patients should be switched to alternative therapies a minimum of 2 weeks before starting study drug; Patients who have been treated with an investigational agent within 21 days prior to day 1 of cycle 1.; Concomitant use of biological agents including growth factors; Patients who require treatment with systemic corticosteroids for serious medical conditions or illnesses (e.g. immunosuppression after organ transplantation); Chronic liver disease as indicated by Child-Pugh score A (6) or greater; History of significant cardiac disease. Significant cardiac diseases includes second/third degree heart block; significant ischemic heart disease; mean QTc interval > 480 msec on at least two separate electrocardiograms (ECGs) prior to study start; poorly controlled hypertension; congestive heart failure of New York Heart Association (NYHA) Class II or worse (slight limitation of physical activity; comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea); Any other significant co-morbid conditions that in the opinion of the investigator would impair study participation or cooperation; Concomitant use of progestational agents; Known history of human immunodeficiency virus (HIV) positivity; In the opinion of the Investigator, any serious medical condition or psychiatric illness that will prevent the patient from signing the informed consent or will place the patient at unacceptable risk if he/she participates in the study.
Sex/Gender	Sexes Eligible for Study: All
Ages	18 Years and older (Adult, Senior)
Accepts Healthy Volunteers	No
Contacts ICMJE	Contact: Diane L Check, BSMT 215-635-6621 dlk0626@yahoo.com
Listed Location Countries ICMJE	United States
Removed Location Countries
Administrative Information
NCT Number ICMJE	NCT02642939
Other Study ID Numbers ICMJE	MIF-01-2014
Has Data Monitoring Committee	No
U.S. FDA-regulated Product	Not Provided
IPD Sharing Statement	Plan to Share IPD: Undecided
Responsible Party	Check, Jerome H., M.D., Ph.D.
Study Sponsor ICMJE	Check, Jerome H., M.D., Ph.D.
Collaborators ICMJE	Corcept Therapeutics
Investigators ICMJE	Principal Investigator: Jerome H Check, MD,PhD Cooper Institute for Reproductive Hormonal Disorders
PRS Account	Check, Jerome H., M.D., Ph.D.
Verification Date	December 2016
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP