Study to Evaluate Safety, Pharmacokinetics, and Efficacy of Rociletinib (CO-1686) in Previously Treated Mutant Epidermal Growth Factor Receptor (EGFR) in Non-Small Cell Lung Cancer (NSCLC) Patients
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ClinicalTrials.gov Identifier: NCT01526928 |
Recruitment Status :
Terminated
First Posted : February 6, 2012
Results First Posted : January 6, 2020
Last Update Posted : August 4, 2020
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Sponsor:
Clovis Oncology, Inc.
Information provided by (Responsible Party):
Clovis Oncology, Inc.
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Study Type | Interventional |
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Study Design | Allocation: Non-Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Locally Advanced or Metastatic Non Small Cell Lung Cancer |
Intervention |
Drug: Rociletinib |
Enrollment | 612 |
Participant Flow
Recruitment Details | There were 612 patients who received rociletinib-111 enrolled in Phase 1 and 501 enrolled in Phase 2. The Phase 1 component of the study was conducted at 8 study sites in the US, Australia, and France. Phase 2 was conducted at 49 study sites in the US, France, Poland, and Australia. |
Pre-assignment Details |
Arm/Group Title | Rociletinib <900 mg BID FB Capsules | Rociletinib 900 mg BID FB Capsules | Rociletinib 500 mg BID HBr Tablets | Rociletinib 625 mg BID HBr Tablets | Rociletinib 750 mg BID HBr Tablets | Rociletinib 1000 mg BID HBr Tablets |
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Rociletinib free base (FB) dose <900 mg twice a day (BID). FB doses tested ranged from 150 mg once a day (QD) up to 900 mg twice a day (BID). This arm also includes a 400 mg three times a day (TID) dose. Rociletinib FB capsules were administered in Phase 1 only (until November 2013) and were provided in 50 mg or 150 mg white capsules. Patients were instructed to take each dose with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Patients received rociletinib in 21-day treatment cycles and were treated until there was progression by RECIST v1.1, clinical tumor progression, or unacceptable toxicity, or other discontinuation criteria were met. Patients could opt to continue to receive treatment with rociletinib following radiographic progression as outlined in the National Comprehensive Cancer Network (NCCN) guidelines for treatment of NSCLC with EGFR-TKIs if the patient provided consent, and the investigator and sponsor approved. | Rociletinib free base (FB) dose 900 mg twice a day (BID). Rociletinib FB capsules were administered in Phase 1 only (until November 2013) and were provided in 50 mg or 150 mg white capsules. Patients were instructed to take each dose with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Patients received rociletinib in 21-day treatment cycles and were treated until there was progression by RECIST v1.1, clinical tumor progression, or unacceptable toxicity, or other discontinuation criteria were met. Patients could opt to continue to receive treatment with rociletinib following radiographic progression as outlined in the National Comprehensive Cancer Network (NCCN) guidelines for treatment of NSCLC with EGFR-TKIs if the patient provided consent, and the investigator and sponsor approved. | Rociletinib hydrobromide (HBr) dose 500 mg twice a day (BID). Rociletinib hydrobromide (HBr) tablets were administered in Phase 1 (starting in August 2013) and in all Phase 2 cohorts and were provided in 50 mg or 150 mg white capsules. Patients were instructed to take each dose with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Patients received rociletinib in 21-day cycles and were treated until there was progression by RECIST v1.1, clinical tumor progression, or unacceptable toxicity, or other discontinuation criteria were met. Patients could opt to continue to receive treatment with rociletinib following radiographic progression as outlined in the National Comprehensive Cancer Network (NCCN) guidelines for treatment of NSCLC with EGFR-TKIs if the patient provided consent, and the investigator and sponsor approved. | Rociletinib hydrobromide (HBr) dose 625 mg twice a day (BID). Rociletinib hydrobromide (HBr) tablets were administered in Phase 1 (starting in August 2013) and in all Phase 2 cohorts and were provided in 50 mg or 150 mg white capsules. Patients were instructed to take each dose with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Patients received rociletinib in 21-day cycles and were treated until there was progression by RECIST v1.1, clinical tumor progression, or unacceptable toxicity, or other discontinuation criteria were met. Patients could opt to continue to receive treatment with rociletinib following radiographic progression as outlined in the National Comprehensive Cancer Network (NCCN) guidelines for treatment of NSCLC with EGFR-TKIs if the patient provided consent, and the investigator and sponsor approved. | Rociletinib hydrobromide (HBr) dose 750 mg twice a day (BID). Rociletinib hydrobromide (HBr) tablets were administered in Phase 1 (starting in August 2013) and in all Phase 2 cohorts and were provided in 50 mg or 150 mg white capsules. Patients were instructed to take each dose with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Patients received rociletinib in 21-day cycles and were treated until there was progression by RECIST v1.1, clinical tumor progression, or unacceptable toxicity, or other discontinuation criteria were met. Patients could opt to continue to receive treatment with rociletinib following radiographic progression as outlined in the National Comprehensive Cancer Network (NCCN) guidelines for treatment of NSCLC with EGFR-TKIs if the patient provided consent, and the investigator and sponsor approved. | Rociletinib hydrobromide (HBr) dose 1000 mg twice a day (BID). Rociletinib hydrobromide (HBr) tablets were administered in Phase 1 (starting in August 2013) and in all Phase 2 cohorts and were provided in 50 mg or 150 mg white capsules. Patients were instructed to take each dose with 8 oz (240 mL) of water and with a meal or within 30 minutes after a meal. Patients received rociletinib in 21-day cycles and were treated until there was progression by RECIST v1.1, clinical tumor progression, or unacceptable toxicity, or other discontinuation criteria were met. Patients could opt to continue to receive treatment with rociletinib following radiographic progression as outlined in the National Comprehensive Cancer Network (NCCN) guidelines for treatment of NSCLC with EGFR-TKIs if the patient provided consent, and the investigator and sponsor approved. |
Period Title: Overall Study | ||||||
Started [1] | 38 | 19 | 209 | 245 | 95 | 6 |
Started Phase 1 [2] | 38 | 19 | 18 | 17 | 13 | 6 |
Started Phase 2 | 0 | 0 | 191 | 228 | 82 | 0 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 |
Not Completed | 38 | 19 | 209 | 245 | 95 | 6 |
Reason Not Completed | ||||||
Progressive Disease | 35 | 17 | 150 | 182 | 76 | 4 |
Adverse Event | 2 | 1 | 29 | 40 | 13 | 2 |
Death | 0 | 0 | 3 | 0 | 0 | 0 |
Withdrawal by Subject | 1 | 0 | 13 | 11 | 3 | 0 |
Physician Decision | 0 | 0 | 2 | 5 | 0 | 0 |
Other Reason | 0 | 1 | 11 | 4 | 1 | 0 |
Lost to Follow-up | 0 | 0 | 0 | 1 | 0 | 0 |
Protocol Deviation | 0 | 0 | 0 | 2 | 0 | 0 |
Missing | 0 | 0 | 1 | 0 | 2 | 0 |
[1]
Total
[2]
Upon completion of Cycle 1, Phase 1 pts could participate in an optional Treatment-extension Period
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Baseline Characteristics
Arm/Group Title | Rociletinib <900 mg BID FB Capsules | Rociletinib 900 mg BID FB Capsules | Rociletinib 500 mg BID HBr Tablets | Rociletinib 625 mg BID HBr Tablets | Rociletinib 750 mg BID HBr Tablets | Rociletinib 1000 mg BID HBr Tablets | Total | |
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Rociletinib free base (FB) dose <900 mg twice a day (BID). | Rociletinib free base (FB) dose 900 mg twice a day (BID). | Rociletinib hydrobromide (HBr) dose 500 mg twice a day (BID). | Rociletinib hydrobromide (HBr) dose 625 mg twice a day (BID). | Rociletinib hydrobromide (HBr) dose 750 mg twice a day (BID). | Rociletinib hydrobromide (HBr) dose 1000 mg twice a day (BID). | Total of all reporting groups | |
Overall Number of Baseline Participants | 38 | 19 | 209 | 245 | 95 | 6 | 612 | |
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[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
||||||||
Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants | |
60.1 (11.54) | 58.9 (8.37) | 63.6 (11.45) | 62.5 (11.14) | 61.5 (11.82) | 65.2 (5.53) | 62.5 (11.29) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants | |
Female |
31 81.6%
|
15 78.9%
|
155 74.2%
|
155 63.3%
|
63 66.3%
|
5 83.3%
|
424 69.3%
|
|
Male |
7 18.4%
|
4 21.1%
|
54 25.8%
|
90 36.7%
|
32 33.7%
|
1 16.7%
|
188 30.7%
|
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants | |
Hispanic or Latino |
2 5.3%
|
2 10.5%
|
5 2.4%
|
14 5.7%
|
2 2.1%
|
0 0.0%
|
25 4.1%
|
|
Not Hispanic or Latino |
30 78.9%
|
15 78.9%
|
170 81.3%
|
184 75.1%
|
90 94.7%
|
6 100.0%
|
495 80.9%
|
|
Unknown or Not Reported |
6 15.8%
|
2 10.5%
|
34 16.3%
|
47 19.2%
|
3 3.2%
|
0 0.0%
|
92 15.0%
|
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.4%
|
0 0.0%
|
0 0.0%
|
1 0.2%
|
|
Asian |
5 13.2%
|
4 21.1%
|
41 19.6%
|
49 20.0%
|
24 25.3%
|
1 16.7%
|
124 20.3%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
4 1.9%
|
3 1.2%
|
0 0.0%
|
0 0.0%
|
7 1.1%
|
|
Black or African American |
0 0.0%
|
0 0.0%
|
7 3.3%
|
8 3.3%
|
2 2.1%
|
0 0.0%
|
17 2.8%
|
|
White |
27 71.1%
|
13 68.4%
|
122 58.4%
|
137 55.9%
|
64 67.4%
|
5 83.3%
|
368 60.1%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.4%
|
0 0.0%
|
0 0.0%
|
1 0.2%
|
|
Unknown or Not Reported |
6 15.8%
|
2 10.5%
|
35 16.7%
|
46 18.8%
|
5 5.3%
|
0 0.0%
|
94 15.4%
|
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
White | Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants |
27 71.1%
|
13 68.4%
|
122 58.4%
|
137 55.9%
|
64 67.4%
|
5 83.3%
|
368 60.1%
|
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Black or African American | Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants |
0 0.0%
|
0 0.0%
|
7 3.3%
|
8 3.3%
|
2 2.1%
|
0 0.0%
|
17 2.8%
|
||
Asian | Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants |
5 13.2%
|
4 21.1%
|
41 19.6%
|
49 20.0%
|
24 25.3%
|
1 16.7%
|
124 20.3%
|
||
Other | Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants |
6 15.8%
|
2 10.5%
|
39 18.7%
|
51 20.8%
|
5 5.3%
|
0 0.0%
|
103 16.8%
|
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Time Since Diagnosis of NSCLC (months)
[1] Mean (Standard Deviation) Unit of measure: Months |
||||||||
Number Analyzed | 38 participants | 19 participants | 208 participants | 245 participants | 95 participants | 6 participants | 611 participants | |
40.4 (29.2) | 45.4 (31.94) | 36.7 (25.81) | 36.7 (31.41) | 37.6 (29.97) | 47.4 (27.03) | 37.4 (29.17) | ||
[1]
Measure Analysis Population Description: Data not available for one participant in the 500 mg BID Hbr treatment group.
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T790M Status ( Determined by Central Lab)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants | |
Negative |
5 13.2%
|
4 21.1%
|
6 2.9%
|
25 10.2%
|
9 9.5%
|
0 0.0%
|
49 8.0%
|
|
Positive |
23 60.5%
|
9 47.4%
|
188 90.0%
|
176 71.8%
|
80 84.2%
|
4 66.7%
|
480 78.4%
|
|
Unknown |
10 26.3%
|
6 31.6%
|
4 1.9%
|
1 0.4%
|
1 1.1%
|
2 33.3%
|
24 3.9%
|
|
Missing |
0 0.0%
|
0 0.0%
|
11 5.3%
|
43 17.6%
|
5 5.3%
|
0 0.0%
|
59 9.6%
|
|
History of CNS Metastases
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants | |
20 52.6%
|
7 36.8%
|
86 41.1%
|
107 43.7%
|
44 46.3%
|
3 50.0%
|
267 43.6%
|
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Number of Previous Therapies
Mean (Standard Deviation) Unit of measure: Therapies |
||||||||
Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants | |
3.8 (1.65) | 3.7 (1.66) | 2.6 (1.74) | 2.8 (1.91) | 2.9 (2.11) | 3.8 (2.04) | 2.9 (1.88) | ||
Number of Previous TKI Therapies
Mean (Standard Deviation) Unit of measure: Therapies |
||||||||
Number Analyzed | 38 participants | 19 participants | 209 participants | 245 participants | 95 participants | 6 participants | 612 participants | |
1.7 (0.77) | 2.3 (1.48) | 1.5 (0.87) | 1.6 (0.77) | 1.6 (0.86) | 1.8 (0.75) | 1.6 (0.86) |
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
All parties agree to submit all manuscripts or abstracts to all other parties 30 days prior to submission. This will enable all parties to protect proprietary information and to provide comments based on information that may not yet be available to other parties. The sponsor may request a delay in publication if there are important intellectual property concerns relating to publication, but does not have the right to suppress publication of the study results indefinitely.
Results Point of Contact
Name/Title: | Medical Information Department |
Organization: | Clovis Oncology |
Phone: | +1 415 409 7220 |
EMail: | medinfo@clovisoncology.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Clovis Oncology, Inc. |
ClinicalTrials.gov Identifier: | NCT01526928 |
Other Study ID Numbers: |
CO-1686-008 |
First Submitted: | January 31, 2012 |
First Posted: | February 6, 2012 |
Results First Submitted: | June 11, 2019 |
Results First Posted: | January 6, 2020 |
Last Update Posted: | August 4, 2020 |