Study for Treatment of Patients With EGFR Mutant, T790M-negative NSCLC (TH-4000)
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ClinicalTrials.gov Identifier: NCT02454842 |
Recruitment Status :
Terminated
(Lack of efficacy)
First Posted : May 27, 2015
Last Update Posted : February 27, 2017
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Condition or disease | Intervention/treatment | Phase |
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Non-small Cell Lung Cancer NSCLC Non-squamous NSCLC | Drug: TH-4000 (Tarloxotinib) | Phase 2 |
A single arm open label multi-center Phase 2 study in which the pharmacokinetics, safety, tolerability and efficacy of TH-4000 (Tarloxotinib) will be assessed in patients with EGFR mutant, T790M negative advanced NSCLC. Patients must have demonstrated progression during EGFR TKI therapy.
Hypoxia PET scans will be obtained in select centers to analyze potential predictors of tumor response.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 37 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 2 Study of TH-4000 (Tarloxotinib) in Patients With EGFR-Mutant, T790M-Negative, Advanced Non-Small Cell Lung Cancer Progressing on an EGFR Tyrosine Kinase Inhibitor |
Study Start Date : | June 2015 |
Actual Primary Completion Date : | January 2017 |
Actual Study Completion Date : | January 31, 2017 |

Arm | Intervention/treatment |
---|---|
Experimental: TH-4000 (Tarloxotinib)
TH-4000 (Tarloxotinib), 150 mg/m2 will be administered by IV infusion on Days 1, 8, 15, and 22 of each 28-day cycle until progressive disease (PD) or unacceptable toxicity
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Drug: TH-4000 (Tarloxotinib)
TH-4000 (Tarloxotinib) is a hypoxia-activated prodrug |
- Number of participants with response rate as evaluated by RECIST criteria [ Time Frame: Approximately 12 months ]
- Incidence of adverse events (AEs) [ Time Frame: Up to 30 days after last dose ]
- Type of adverse events (AEs) [ Time Frame: Up to 30 days after last dose ]
- Severity of adverse events (AEs) [ Time Frame: Up to 30 days after last dose ]
- Duration of response (DOR) calculated for all patients achieving an objective response [ Time Frame: Approximately 12 months ]
- Progression-free survival (PFS) [ Time Frame: Approximately 12 months ]
- Overall Survival (OS) [ Time Frame: Approximately 12 months ]
- Time to peak plasma concentration (Tmax) [ Time Frame: Cycle 1 Day 1 predose and up to 24 hours post dose ]Time to peak plasma concentration (Tmax), maximum plasma concentration (Cmax), area under concentration-time curve (AUC)
- Maximum plasma concentration (Cmax) [ Time Frame: Cycle 1 Day 1 predose and up to 24 hours post dose ]
- Area under concentration-time curve (AUC) [ Time Frame: Cycle 1 Day 1 predose and up to 24 hours post dose ]
- QTc Interval [ Time Frame: Screening, Cycle 1 Day 1, 8, 15 & 22, Day 1 of subsequent cycles ]
- Hypoxic volume as measured by Positron Emission Tomography (PET) hypoxia imaging [ Time Frame: Baseline ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Key Eligibility Criteria:
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Confirmed recurrent Stage IV NSCLC which progressed while on treatment with EGFR TKI
- Measurable disease according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
- Documented evidence of an EGFR mutation known to be associated with an EGFR TKI sensitivity
- No T790M mutation or small cell transformation including an assessment from tumor biopsy obtained while on or subsequent to the most recent EGFR TKI therapy
- Acceptable laboratory results as indicated by protocol
- Acceptable cardiac function as indicated by protocol
Key Exclusion Criteria:
- Receiving medication that prolongs QT interval, with a risk of causing Torsades de Pointes (TdP) unless ECG meets inclusion criteria while on a stable dose of the medication
- Family history of long QTc syndrome
- Symptomatic central nervous system (CNS) lesions
- Radiation therapy within 2 weeks prior to the first dose of study medication
- Major surgery within 4 weeks or minor surgery within 2 weeks prior to the first dose of study medication
- Concurrent active malignancy requiring systemic treatment
- Any other serious uncontrolled medical disorders or psychological conditions that may interfere with study conduct including but not limited to: clinically significant active infection (e.g., tuberculosis, viral hepatitis, human immunodeficiency virus [HIV]), recent (within 6 months) myocardial infarction or unstable angina, congestive heart failure, poorly-controlled hypertension or diabetes, concurrent active malignancy, or psychiatric condition that may interfere with the patient's ability to follow study procedures
- Pregnant or breast-feeding

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): NCT02454842
United States, California | |
University of Southern California-Norris | |
Los Angeles, California, United States, 90033 | |
St. Joseph Heritage Healthcare | |
Santa Rosa, California, United States, 95403 | |
United States, Colorado | |
University of Colorado Cancer Center | |
Aurora, Colorado, United States, 80045 | |
United States, District of Columbia | |
Georgetown University Medical Center | |
Washington, District of Columbia, United States, 20007 | |
United States, Maryland | |
Walter Reed National Military Medical Center | |
Bethesda, Maryland, United States, 20889 | |
United States, North Carolina | |
University of North Carolina Lineberger Cancer Center | |
Chapel Hill, North Carolina, United States, 27514 | |
United States, Pennsylvania | |
University of Pennsylvania-Abramson Cancer Center | |
Philadelphia, Pennsylvania, United States, 19104 | |
University of Pittsburgh Medical Center | |
Pittsburgh, Pennsylvania, United States, 15232 | |
United States, Tennessee | |
Vanderbilt-Ingram Cancer Center (VICC) | |
Nashville, Tennessee, United States, 37232 | |
United States, Texas | |
UT Southwestern Medical Center | |
Dallas, Texas, United States, 75235 | |
United States, Washington | |
Swedish Cancer Institute | |
Seattle, Washington, United States, 98104 | |
Australia, Victoria | |
Peter MacCullum | |
Melbourne, Victoria, Australia, 3002 |
Principal Investigator: | Stephen Liu | Georgetown University Hospital Cancer Center |
Responsible Party: | Threshold Pharmaceuticals |
ClinicalTrials.gov Identifier: | NCT02454842 |
Other Study ID Numbers: |
TH-CR-601 |
First Posted: | May 27, 2015 Key Record Dates |
Last Update Posted: | February 27, 2017 |
Last Verified: | June 2016 |
TH-4000 low-oxygen conditions hypoxia non-small cell lung cancer |
NSCLC squamous cell carcinoma Tarloxotinib |
Lung Neoplasms Carcinoma, Non-Small-Cell Lung Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site |
Neoplasms Lung Diseases Respiratory Tract Diseases Carcinoma, Bronchogenic Bronchial Neoplasms |