Description:
The purpose of this signal seeking study was to determine whether treatment with ceritinib
demonstrated sufficient efficacy in select pathway-activated solid tumors and/or hematologic
malignancies to warrant further study.
Title
- Brief Title: Ceritinib (LDK378) for Patients Whose Tumors Have Aberrations in ALK or ROS1 (SIGNATURE)
- Official Title: Modular Phase II Study to Link Targeted Therapy to Patients With Pathway Activated Tumors: Module - 7 Ceritinib (LDK378) for Patients Whose Tumors Have Aberrations in ALK or ROS1
Clinical Trial IDs
- ORG STUDY ID:
CLDK378AUS23
- NCT ID:
NCT02186821
Conditions
- Tumors With Aberrations in ALK or ROS1
Interventions
Drug | Synonyms | Arms |
---|
Ceritinib | LDK378 | Ceritinib 750 mg |
Purpose
The purpose of this signal seeking study was to determine whether treatment with ceritinib
demonstrated sufficient efficacy in select pathway-activated solid tumors and/or hematologic
malignancies to warrant further study.
Detailed Description
This was an open label study to determine the efficacy and safety of treatment with ceritinib
in patients with a diagnosis of solid tumors or hematological malignancies that had been
pre-identified (prior to study consent) to have ALK or ROS1 positive mutations,
translocations, rearrangements or amplifications and whose disease had progressed on or after
standard treatment. The study consisted of a treatment phase where all patients received
ceritinib capsules for a total dose of 750 mg daily for up to 8 cycles of 28 days. Disease
assessments for clinical benefit were performed every 8 weeks until disease progression or
end of treatment. Following discontinuation of treatment for any reason, patients were
followed for safety for 30 days. Survival information was collected every 3 months until 2
years after the last patient had enrolled into the study. Study was amended to allow for
discontinuation of survival period if primary endpoint was not met.
Study was terminated due to low enrollment.
Trial Arms
Name | Type | Description | Interventions |
---|
Ceritinib 750 mg | Experimental | Ceritinib was dosed on a flat scale of 750 mg (e.g., 5 x 150 mg capsules) orally, once daily, on a continuous dosing cycle. A complete treatment cycle was defined as 28 days with no breaks between dosing cycles. | |
Eligibility Criteria
Inclusion Criteria:
- Patient had a confirmed diagnosis of a select solid tumor (except ALK+ NSCLC) or
hematological malignancy and was in need of treatment because of radiologic
progression or relapse.
- Patient must have been pre-identified as having a tumor with an ALK or ROS1 positive
mutation, translocation, rearrangement or amplification. The qualifying alteration
must have been assessed and reported by a CLIA-certified laboratory. ALK positivity as
assessed by IHC or FISH were allowed.
- Patient must have received at least one prior treatment for recurrent, metastatic
and/or locally advanced disease and for whom no standard therapy options were
anticipated to result in a durable remission.
- Patient had progressive and measurable disease as per RECIST 1.1 or other appropriate
hematological guidelines.
- Patient had an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
Exclusion Criteria:
- Patient had received prior treatment with ceritinib.
- Patients with symptomatic CNS metastases who were neurologically unstable or required
increasing doses of steroids within the 2 weeks prior to study entry to manage CNS
symptoms.
- Patient had received chemotherapy or anticancer therapy ≤ 4 weeks (6 weeks for
nitrosourea, monoclonal antibodies or mitomycin-C) prior to starting study drug.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Percentage of Participants Overall Response Rate (ORR) and Clinical Benefit Rate (CBR) Utilizing RECIST 1.1 at Approximately 16 Weeks |
Time Frame: | Baseline up to approximately 16 weeks |
Safety Issue: | |
Description: | Solid tumors were assessed using RECIST 1.1 criteria and included responses of complete response (CR) or partial response (PR) or stable disease (SD). For hematologic tumors, other hematological response criteria applied. CR=disappearance of all target lesions. Pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10mm. PR=at least 30% decrease in sum of diameters of target lesions from baseline sum diameters. SD=neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study. Progressive disease (PD)=at least a 20% increase in sum of diameter of measured target lesions from smallest sum of diameter of all target lesions recorded at or after baseline (sum must also demonstrate an absolute increase of at least 5mm). One or more new lesions was considered PD. Overall response rate (ORR) = (CR + PR). Clinical benefit rate = (CR + PR + SD) |
Secondary Outcome Measures
Measure: | Progression-Free Survival (PFS) |
Time Frame: | Baseline up to approximately 27 months |
Safety Issue: | |
Description: | Progression-free survival (PFS) was the time from the date of start of study drug to the date of event defined as the first documented progression or death due to any cause within 30 days of the last dose. If a patient has not had an event, progression-free survival was censored at the date of last adequate tumor assessment. |
Measure: | Percentage of Participants With Progression-Free Survival (PFS) - Kaplan-Meier Estimates |
Time Frame: | Basleline up to approximately 27 months |
Safety Issue: | |
Description: | Progression-free survival (PFS) was the time from the date of start of study drug to the date of event defined as the first documented progression or death due to any cause within 30 days of the last dose. If a patient has not had an event, progression-free survival was censored at the date of last adequate tumor assessment. |
Measure: | Overall Survival (OS) - Number of Participant Deaths |
Time Frame: | Baseline up to approximately 27 months |
Safety Issue: | |
Description: | Overall survival (OS) is defined as the time from the date of first dose to the date of death due to any cause |
Measure: | Duration of Response (DOR) |
Time Frame: | baseline up to approximately 30 months |
Safety Issue: | |
Description: | Duration of response (DOR) is defined as time from the first documented response (CR or PR) to the date first documented disease progression or relapse or death due to any cause |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- hematological malignancy
- solid tumor malignancy
- mutation
- translocation
- rearrangement
- amplification
- ALK
- ROS1
- NSCLC
- B-cell lymphoma
Last Updated
April 8, 2021