Study of XL647 in Subjects With NSCLC Who Have Progressed After Responding to Treatment With Gefitinib or Erlotinib
Study Details
Study Description
Brief Summary
The purpose of this study is to determine the best confirmed response rate of daily administration of the multiple receptor tyrosine kinase (RTK) inhibitor (including EGFR and VEGFR2) XL647 in subjects with NSCLC who have progressed after responding to treatment with either erlotinib or gefitinib.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Group 1
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Drug: XL647
Daily dosing as a single oral agent at a dose of 300 mg supplied as 50-mg tablets
Other Names:
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Outcome Measures
Primary Outcome Measures
- Determine the best confirmed response rate [Inclusion until disease progression]
Secondary Outcome Measures
- Safety and tolerability of XL647 administered daily [First treatment until 30 day post last treatment]
- Progression-free survival, duration of response, and overall survival [Incusion until disease progression]
- Further characterize the pharmacokinetic (PK) parameters [Every 8 weeks after Day 57 until disease progression]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Histologically confirmed diagnosis of unresectable Stage IIIB or Stage IV relapsed or recurrent NSCLC.
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Subjects must have:
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documented (radiological or clinical) progressive disease (PD) following a prior response (including stable disease) to monotherapy with erlotinib or gefitinib that was administered for at least 12 weeks prior to progression OR
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a documented T790M EGFR mutation
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Measurable disease defined according to RECIST
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ECOG performance status of 0 or 1.
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Sexually active subjects must use an accepted method of contraception during the course of the study.
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Female subjects of childbearing potential must have a negative pregnancy test at enrollment.
Exclusion Criteria:
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Received radiation to ≥25% of his or her bone marrow within 30 days of XL647 treatment.
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Received erlotinib or gefitinib, or other anticancer therapy within 14 days of the first dose of study drug.
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Received an investigational drug (excluding erlotinib or gefitinib) within 30 days of the first dose of study drug.
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Receiving anticoagulation therapy with warfarin.
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Not recovered to Grade ≤1 from adverse events (AEs) due to antineoplastic agents, investigational drugs, or other medications that were administered prior to study enrollment.
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Corrected QT interval (QTc) of >0.45 seconds.
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Progressive, symptomatic, or hemorrhagic brain or leptomeningeal metastases.
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Requires steroid or anticonvulsant therapy for the treatment of brain metastases.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Ronald Yanagihara | Gilroy | California | United States | 95020 |
2 | University of California Davis Cancer Center | Sacramento | California | United States | 95817 |
3 | Oncology Division and General Clincial Research, Stanford University Medical Center | Stanford | California | United States | 94305 |
4 | Cancer Care Center, Inc. P.C. | New Albany | Indiana | United States | 47150 |
5 | Washington County Hospital, The Center for Clinical Research | Hagerstown | Maryland | United States | 21740 |
6 | Wayne State University, Wertz Clinical Cancer Center, Karmanos Center | Detroit | Michigan | United States | 48201 |
7 | Memorial Sloan-Kettering Cancer Center | New York | New York | United States | 10021 |
8 | New Bern Cancer Care Oncology | New Bern | North Carolina | United States | 28560 |
9 | Case Western Reserve University, University Hospitals of Cleveland | Cleveland | Ohio | United States | 44106 |
10 | Signal Point Clinical Research Center | Middletown | Ohio | United States | 45042 |
Sponsors and Collaborators
- Kadmon Corporation, LLC
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- XL647-203