Description:
This is an open-label phase I/II multi-center study consisting of two parts. Part A of this
study is designed to identify the recommended phase 2 dose (RP2D) of lapatinib combined with
trametinib in patients with metastatic KRASm and PIK3CA wild-type (PIK3CAwt) non-small cell
lung cancer (NSCLC). Part B is designed to perform a randomized comparison of the
lapatinib-trametinib combination versus standard of care therapy in patients with metastatic
KRASm/PIK3CAwt NSCLC.
Title
- Brief Title: Lapatinib Plus Trametinib in KRAS Mutant NSCLC
- Official Title: Phase I/II Study With Lapatinib Plus Trametinib in Patients With Metastatic KRAS Mutant Non-small Cell Lung Cancer
Clinical Trial IDs
- ORG STUDY ID:
NL49551.031.14
- NCT ID:
NCT02230553
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Lapatinib | | lapatinib + trametinib |
trametinib | | lapatinib + trametinib |
Purpose
This is an open-label phase I/II multi-center study consisting of two parts. Part A of this
study is designed to identify the recommended phase 2 dose (RP2D) of lapatinib combined with
trametinib in patients with metastatic KRASm and PIK3CA wild-type (PIK3CAwt) non-small cell
lung cancer (NSCLC). Part B is designed to perform a randomized comparison of the
lapatinib-trametinib combination versus standard of care therapy in patients with metastatic
KRASm/PIK3CAwt NSCLC.
Trial Arms
Name | Type | Description | Interventions |
---|
lapatinib + trametinib | Experimental | lapatinib: oral tablets, once daily trametinib: oral tablets, once daily | |
Eligibility Criteria
Inclusion Criteria:
- Histological or cytological proof of metastatic NSCLC; for PART B: treated with first
line therapy for metastatic disease only.
- Written documentation of a known pathogenic KRAS (exon 2, 3 or 4) mutation and PIK3CA
wild-type (exon 9 and 20)
- Age ≥ 18 years
- Able and willing to give written informed consent
- WHO performance status of 0 or 1 (part A and B)
Exclusion Criteria:
- Any treatment with investigational drugs within 30 days prior to receiving the first
dose of investigational treatment.
- History of another primary malignancy
- Symptomatic or untreated leptomeningeal disease
- Symptomatic brain metastasis
- History of interstitial lung disease or pneumonitis
- Uncontrolled infectious disease or known Human Immunodeficiency Virus HIV-1 or HIV-2
type patients
- Retinal degenerative disease (hereditary retinal degeneration or age-related macular
degeneration), or a history of uveitis, retinal vein occlusion, central serous
retinopathy, or retinal detachment
- Patients with left ventricular ejection fraction (LVEF) < 50%
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence rate of dose-limiting toxicities |
Time Frame: | 1.5 years |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Incidence and severity of adveres events |
Time Frame: | 2.5 years |
Safety Issue: | |
Description: | |
Measure: | Plasma concentration |
Time Frame: | 2.5 years |
Safety Issue: | |
Description: | |
Measure: | Duration of response |
Time Frame: | 2.5 years |
Safety Issue: | |
Description: | |
Measure: | Time to response |
Time Frame: | 2.5 years |
Safety Issue: | |
Description: | |
Measure: | Overall survival |
Time Frame: | 3 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Unknown status |
Lead Sponsor: | The Netherlands Cancer Institute |
Last Updated
August 31, 2018