Clinical Trials /

Study of AZD6094 (Volitinib) in Advanced Gastric Adenocarcinoma Patients With MET Amplification as a Third-line Treatment

NCT02449551

Description:

Volitinib is a potent and selective small molecule c-Met kinase inhibitor. Volitinib was found to inhibit c-Met kinase at the enzyme and cell levels with IC50s of 4 nM for both enzyme and Met phosphorylation in the cell. Consistent with its potent enzyme and cell activity, volitinib was found to inhibit cell growth in vitro against tumors with c-Met gene amplification in the absence of HGF stimulation with IC50s generally below 10 nM. It also potently inhibited HGF-stimulated cell proliferation against tumors with c-Met overexpression or carrying a HGF/c-Met autocrine loop. This study is a single-arm, phase II study of votilinib in patients with advanced gastric adenocarcinoma harboring MET amplification as a third line treatment Volitinib 800 mg will be administered orally once a day for 21 days as one cycle. To investigate the efficacy of volitinib in patients with advanced gastric adenocarcinoma harboring MET amplification.

Related Conditions:
  • Adenocarcinoma of the Gastroesophageal Junction
  • Gastric Adenocarcinoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Study of AZD6094 (Volitinib) in Advanced Gastric Adenocarcinoma Patients With MET Amplification as a Third-line Treatment
  • Official Title:

Clinical Trial IDs

  • ORG STUDY ID: 2014-07-167
  • NCT ID: NCT02449551

Conditions

  • Advanced Gastric Adenocarcinoma

Interventions

DrugSynonymsArms
VolitinibAZD6094Volitinib

Purpose

Volitinib is a potent and selective small molecule c-Met kinase inhibitor. Volitinib was found to inhibit c-Met kinase at the enzyme and cell levels with IC50s of 4 nM for both enzyme and Met phosphorylation in the cell. Consistent with its potent enzyme and cell activity, volitinib was found to inhibit cell growth in vitro against tumors with c-Met gene amplification in the absence of HGF stimulation with IC50s generally below 10 nM. It also potently inhibited HGF-stimulated cell proliferation against tumors with c-Met overexpression or carrying a HGF/c-Met autocrine loop. This study is a single-arm, phase II study of votilinib in patients with advanced gastric adenocarcinoma harboring MET amplification as a third line treatment Volitinib 800 mg will be administered orally once a day for 21 days as one cycle. To investigate the efficacy of volitinib in patients with advanced gastric adenocarcinoma harboring MET amplification.

Detailed Description

      same as above
    

Trial Arms

NameTypeDescriptionInterventions
VolitinibExperimentalVolitinib 800 mg will be administered orally once a day for 21 days as one cycle.
  • Volitinib

Eligibility Criteria

        Inclusion Criteria:

          1. Provision of fully informed consent prior to any study specific procedures.

          2. Patients must be ≥20 years of age.

          3. Advanced gastric adenocarcinoma (including GEJ) that has progressed during or after
             second-line therapy.

               -  Both fluoropyrimidine and platinum agent need to be contained in the prior
                  chemotherapies

               -  Prior adjuvant or neoadjuvant therapy is counted as 1 regimen, provided that
                  disease progression occurs within 6 months after the completion of adjuvant or
                  neoadjuvant therapy.

          4. Have the presence of measurable disease as defined by the Response Evaluation Criteria
             in Solid Tumors (RECIST) version 1.1

          5. Patients with MET amplification.

          6. Patients are willing and able to comply with the protocol for the duration of the
             study including undergoing treatment and scheduled visits and examinations.

          7. Eastern Cooperative Oncology Group performance status 0-1.

          8. Patients must have a life expectancy ≥ 3 months from proposed first dose date.

          9. Patients must have acceptable bone marrow, liver and renal function measured within 28
             days prior to administration of study treatment as defined below:

               -  Haemoglobin ≥9.0 g/dL (transfusion allowed)

               -  Absolute neutrophil count (ANC) ≥ 1.5 x 109/L

               -  White blood cells (WBC) > 3 x 109/L

               -  Platelet count ≥100 x 109/L (transfusion allowed)

               -  Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) (does not
                  include patients with Glibert's disease)

               -  AST (SGOT)/ALT (SGPT) ≤ 2.5 x institutional upper limit of normal unless liver
                  metastases are present in which case it must be ≤ 5x ULN

               -  Serum creatinine ≤1.5 x institutional ULN

         10. At least one measurable lesion that can be accurately assessed by imaging or physical
             examination at baseline and following up visits.

         11. Negative urine or serum pregnancy test within 28 days of study treatment, confirmed
             prior to treatment on day 1. for women of childbearing potential.

         12. Provision of consent for mandatory biopsy at progression (fresh frozen will be
             mandatory if clinically feasible)

         13. Provision of archival or fresh tissue sample at baseline (fresh frozen will be
             mandatory if clinically feasible)

        Exclusion Criteria:

          1. Are currently enrolled in, or discontinued within the last 21 days from, a clinical
             trial involving an investigational product or non-approved use of a drug or device, or
             concurrently enrolled in any other type of medical research judged not to be
             scientifically or medically compatible with this study.

          2. Any previous treatment with MET inhibitors

          3. Patients with second primary cancer, except: adequately treated non-melanoma skin
             cancer, curatively treated in-situ cancer of the cervix, or other solid tumours
             curatively treated with no evidence of disease for ≤5 years.

          4. HER2 positive patients (defined by HER2 3+ by immunohistochemistry or HER2 SISH +)

          5. Patients unable to swallow orally administered medication.

          6. Treatment with any investigational product during the last 21 days before the
             enrollment (or a longer period depending on the defined characteristics of the agents
             used).

          7. Patients receiving any systemic chemotherapy, radiotherapy (except for palliative
             reasons), within 3 weeks from the last dose prior to study treatment (or a longer
             period depending on the defined characteristics of the agents used). The patient can
             receive a stable dose of bisphosphonates or denusomab for bone metastases, before and
             during the study as long as these were started at least 4 weeks prior to treatment.

          8. With the exception of alopecia, any ongoing toxicities (>Common Toxicity Criteria for
             Adverse Effects grade 1) caused by previous cancer therapy.

          9. Intestinal obstruction or Common Toxicity Criteria for Adverse Effects grade 3 or
             grade 4 upper GI bleeding within 4 weeks before the enrollment.

         10. Resting ECG with measurable QTcB > 480 msec on 2 or more time points within a 24 hour
             period or family history of long QT syndrome.

         11. Patients with cardiac problem as follows: uncontrolled hypertension (BP ≥150/95 mmHg
             despite medical therapy) Baseline Left ventricular ejection fraction below the LLN of
             <55% measured by echocardiography or institution's LLN for MUGA, Atrial fibrillation
             with a ventricular rate >100 bpm on ECG at rest , Symptomatic heart failure (NYHA
             grade II-IV), Prior or current cardiomyopathy, Severe valvular heart disease,
             Uncontrolled angina (Canadian Cardiovascular Society grade II-IV despite medical
             therapy), Acute coronary syndrome within 6 months prior to starting treatment

         12. Female patients who are breast-feeding or child-bearing and Male or female patients of
             reproductive potential who are not employing an effective method of contraception

         13. Any evidence of severe or uncontrolled systemic disease, active infection, active
             bleeding diatheses or renal transplant, including any patient known to have hepatitis
             B, hepatitis C or human immunodeficiency virus (HIV)

         14. Patients currently receiving (or unable to stop use at least 2 weeks) prior to
             receiving the first dose of AZD6094, medications known to be potent inhibitors of
             CYP1A2 or CYP3A4, potent inducers of CYP3A4 or CYP3A4 substrates with a narrow
             therapeutic range.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:20 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Progression-free survival (PFS)
Time Frame:8 weeks
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Objective response rate (ORR)
Time Frame:8 weeks
Safety Issue:
Description:
Measure:Duration of response
Time Frame:8 weeks
Safety Issue:
Description:
Measure:Disease control rate
Time Frame:8 weeks
Safety Issue:
Description:
Measure:Overall survival (OS)
Time Frame:8 weeks
Safety Issue:
Description:
Measure:Number of subjects with Adverse Events as a measure of safety and tolerability
Time Frame:8 weeks
Safety Issue:
Description:

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Samsung Medical Center

Last Updated

February 10, 2017