Clinical Trial: NCT01829217 - My Cancer Genome

NCT01829217

Description:

This research study is a Phase II clinical trial, which tests the safety and effectiveness of an investigational drug to learn whether the drug works in treating a specific cancer. "Investigational" means that the drug is being studied. It also means that the FDA has not yet approved sunitinib for your type of cancer. Sunitinib has been approved by the FDA for treatment of gastrointestinal stromal tumors, advanced renal cell carcinoma and advanced pancreatic neuroendocrine tumors. While most chemotherapies work by interfering with cancer cell replication, sunitinib works by blocking certain protein signals within the cell. Because sunitinib works differently from standard intravenous chemotherapies, we call it a "targeted therapy." This drug has also been used in other research studies and information from those other research studies suggests that this agent may help to slow the growth of some NSCLC tumors. In this research study, we are looking to see if sunitinib may stop certain NSCLC tumors from growing. The study focuses on a type of NSCLC, adenocarcinoma, which has previously been found to be more sensitive to other kinds of oral targeted therapies. This study will focus specifically on (1) adenocarcinoma tumors that do not carry a mutation in a known cancer gene (EGFR, KRAS, or ALK) and occur in patients that never smoked (less than 100 cigarettes in their lifetime) or (2) adenocarcinoma tumors that have a mutation in the RET gene.

Related Conditions:

Non-Small Cell Lung Carcinoma

Recruiting Status:

Completed

Phase:

Phase 2

URL:

https://clinicaltrials.gov/show/NCT01829217

Trial Eligibility

Document

Title

Brief Title: Sunitinib in Never-Smokers With Lung Adenocarcinoma
Official Title: A Phase II Trial of Sunitinib in Never-smokers With Lung Adenocarcinoma: Identification of Oncogenic Alterations Underlying Sunitinib Sensitivity

Clinical Trial IDs

ORG STUDY ID: 13-086
NCT ID: NCT01829217

Conditions

Lung Cancer

Interventions

Drug	Synonyms	Arms
Sunitinib		Sunitinib

Purpose

Detailed Description

      Primary Objectives

      - To evaluate the objective response rate (ORR) to sunitinib in never-smokers with lung
      cancers that are wild-type for EGFR, KRAS, and ALK in a single-arm phase II trial

      Secondary Objectives

        -  To identify oncogenic alterations underlying sensitivity to sunitinib through performing
           nextgeneration sequencing (NGS) of lung cancers treated with sunitinib

        -  To explore the activity of sunitinib in lung cancers known to harbor a RET
           rearrangements and other genomic alterations in targets of sunitinib (e.g. cKIT, PDGFRa,
           PDGFRb).

Trial Arms

Name	Type	Description	Interventions
Sunitinib	Experimental	42 day cycle, taken orally every day for the first 28 days followed by 14 days off	Sunitinib

Eligibility Criteria

        Inclusion Criteria:

          -  Histologically or cytologically confirmed advanced (stage IV or recurrent) non-small
             cell lung cancer

          -  Adenocarcinoma histology of any variant, including adenosquamous histology

          -  Wild-type for mutations in EGFR, KRAS and ALK

          -  Must have < 100 cigarettes smoked lifetime OR known to harbor a RET rearrangement OR
             another potentially targetable genomic alteration as defined per protocol

          -  Disease must be measureable per RECIST 1.1

          -  At least one prior systemic therapy (adjuvant or palliative)

          -  18 years or older

          -  Life expectancy of greater than 4 weeks

          -  Adequate ECOG performance status 0 or 1

          -  Adequate organ function as defined in the protocol

          -  Adequate tumor tissue for the correlative analyses on study, or must undergo a biopsy
             to obtain adequate tissue

        Exclusion Criteria:

          -  Pregnant or breastfeeding

          -  Chemotherapy within 4 weeks of entering study, or lack of recover from adverse events
             to grade 1 or less due to systemic agents administered more than 4 weeks earlier

          -  Radiation therapy within 2 weeks prior to entering study

          -  Major surgery within 4 weeks prior to entering the study

          -  Receiving any other investigational agents

          -  Known untreated, symptomatic or progressive brain metastases; presence of
             carcinomatous meningitis; history of intracranial hemorrhage or brain metastases
             requiring chronic steroids

          -  History of allergic reactions attributed to compounds of similar chemical or biologic
             composition to sunitinib

          -  Use of certain inhibitors and inducers of CYP3A4

          -  Grade 3 or 4 hemoptysis or hemorrhage within 4 weeks prior to study entry

          -  History of significant bleeding disorder unrelated to cancer

          -  Poorly controlled hypertension

          -  Severe cardiovascular disease

          -  Prolongation of corrected QT interval

          -  History of a different malignancy except: cervical cancer in situ, basal or squamous
             cell carcinoma of the skin, low risk centralized prostate cancer

          -  HIV positive on combination antiretroviral therapy

Maximum Eligible Age:	N/A
Minimum Eligible Age:	18 Years
Eligible Gender:	All
Healthy Volunteers:	No

Primary Outcome Measures

Measure:	Objective Response Rate (ORR)
Time Frame:	ORR was assessed at 6 weeks post-registration and every 6 weeks until date of documented disease progression or death, up to January 23, 2017 (approximately 44 months).
Safety Issue:
Description:	Percentage of patients with evidence of complete or partial response per RECIST1.1 criteria.

Details

Phase:	Phase 2
Primary Purpose:	Interventional
Overall Status:	Completed
Lead Sponsor:	Dana-Farber Cancer Institute

Last Updated

October 31, 2018

Clinical Trials /

Sunitinib in Never-Smokers With Lung Adenocarcinoma