Clinical Trials /

Study of Oral RXDX-101 in Adult Patients With Locally Advanced or Metastatic Cancer Targeting NTRK1, NTRK2, NTRK3, ROS1, or ALK Molecular Alterations.

NCT02097810

Description:

Entrectinib (RXDX-101) is an orally available inhibitor of the tyrosine kinases TrkA (coded by the gene NTRK1), TrkB (coded by the gene NTRK2), TrkC (coded by the gene NTRK3), ROS1 (coded by the gene ROS1), and ALK (coded by the gene ALK). Molecular alterations to one or more of these targets are present in several different tumor types, including non-small cell lung cancer (NSCLC), colorectal cancer (CRC), prostate cancer, papillary thyroid cancer, pancreatic cancer, and neuroblastoma. Patients with locally advanced or metastatic cancer with a detectable molecular alteration in targets of interest may be eligible for enrollment. Phase 1 will assess safety and tolerability of entrectinib via standard dose escalation scheme and determine the recommended Phase 2 dose. Safety and efficacy will be assessed in the dose expansion portion of the study.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of Oral RXDX-101 in Adult Patients With Locally Advanced or Metastatic Cancer Targeting NTRK1, NTRK2, NTRK3, ROS1, or ALK Molecular Alterations.
  • Official Title: A Phase 1, Multicenter, Open-Label Study of Oral Entrectinib (RXDX-101) in Adult Patients With Locally Advanced or Metastatic Cancer Confirmed to be Positive for NTRK1, NTRK2, NTRK3, ROS1, or ALK Molecular Alterations

Clinical Trial IDs

  • ORG STUDY ID: RXDX-101-01
  • SECONDARY ID: GO40784
  • NCT ID: NCT02097810

Conditions

  • Locally Advanced Solid Tumors
  • Metastatic Solid Tumors

Interventions

DrugSynonymsArms
EntrectinibTrkA/TrkB/TrkC/ROS1/ALK inhibitorEntrectinib (RXDX-101)

Purpose

Entrectinib (RXDX-101) is an orally available inhibitor of the tyrosine kinases TrkA (coded by the gene NTRK1), TrkB (coded by the gene NTRK2), TrkC (coded by the gene NTRK3), ROS1 (coded by the gene ROS1), and ALK (coded by the gene ALK). Molecular alterations to one or more of these targets are present in several different tumor types, including non-small cell lung cancer (NSCLC), colorectal cancer (CRC), prostate cancer, papillary thyroid cancer, pancreatic cancer, and neuroblastoma. Patients with locally advanced or metastatic cancer with a detectable molecular alteration in targets of interest may be eligible for enrollment. Phase 1 will assess safety and tolerability of entrectinib via standard dose escalation scheme and determine the recommended Phase 2 dose. Safety and efficacy will be assessed in the dose expansion portion of the study.

Trial Arms

NameTypeDescriptionInterventions
Entrectinib (RXDX-101)ExperimentalOral entrectinib (RXDX-101)
  • Entrectinib

Eligibility Criteria

        Key Inclusion Criteria:

          -  Histologically or cytologically confirmed diagnosis of locally advanced or metastatic
             solid tumors that have a NTRK1, NTRK2, NTRK3, ROS1, or ALK molecular alteration.

          -  Measurable disease according to RECIST version 1.1.

          -  Prior cancer therapy is allowed, including crizotinib, ceritinib, and investigational
             drugs.

          -  Prior radiotherapy is allowed

          -  Patients with controlled asymptomatic central nervous system involvement are allowed.

          -  Resolution of all acute toxic effects (excluding alopecia) of any prior anti-cancer
             therapy to National Cancer Institute Common Terminology Criteria for Adverse Events
             (NCI CTCAE) Version 4.03 Grade less than or equal to 1.

          -  Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤ 2.

          -  Adult patients age 18 years or older.

          -  Life expectancy of at least 3 months.

        Key Exclusion Criteria:

          -  Current participation in another therapeutic clinical trial.

          -  Prior treatment with entrectinib.

          -  History of prolonged QTc interval (e.g., repeated demonstration of a QTc interval >
             450 milliseconds).

          -  History of additional risk factors for torsade de pointes (e.g., family history of
             long QT syndrome).

          -  Known active infections (bacterial, fungal, viral including HIV positivity).

          -  Gastrointestinal disease (e.g., Crohn's disease, ulcerative colitis, or short gut
             syndrome) or other malabsorption syndromes that would impact on drug absorption.

          -  Known interstitial lung disease, interstitial fibrosis, or history of tyrosine kinase
             inhibitor-induced pneumonitis.

          -  Peripheral neuropathy ≥ Grade 2.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Dose-Limiting Toxicity (DLT)
Time Frame:28 days following first dose of entrectinib
Safety Issue:
Description:Determine dose-limiting toxicities of entrectinib.

Secondary Outcome Measures

Measure:Plasma Concentrations of Entrectinib
Time Frame:Cycle 1 Days 1, 7, 14, 28
Safety Issue:
Description:
Measure:Disease Control
Time Frame:Approx. 2 years
Safety Issue:
Description:Per RECIST v1.1 as assessed by Investigator.
Measure:Duration of Response
Time Frame:Approx. 2 years
Safety Issue:
Description:Per RECIST v1.1 as assessed by Investigator.
Measure:Overall Survival (OS)
Time Frame:Approx. 2 years
Safety Issue:
Description:
Measure:Progression-Free Survival (PFS)
Time Frame:Approx. 2 years
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Hoffmann-La Roche

Last Updated

June 9, 2021