Description:
KIT is a receptor tyrosine kinase that binds to stem-cell factor (SCF), activating a series
of downstream effector pathways. KIT is an established therapeutic target in cancer with
activating mutations of KIT, such as gastrointestinal stromal tumors (GIST), and significant
benefit is achieved with various small molecule inhibitors of KIT such as imatinib mesylate.
Moreover, there is increasing evidence implicating KIT mutations as tractable therapeutic
targets in melanoma. Additional information is required to characterize the functional role
of low-frequency mutations in KIT and to determine whether amplification of wild type KIT is
a real driver that can be targeted therapeutically. Except GIST and melanoma, other solid
cancers were reported to have KIT mutation even in low frequency. A molecular profiling of
the tumors of patients referred to the phase I clinic at the M.D. Anderson Cancer Center
showed KIT mutation in 7 patients in total of 431 patients (2%).
Hence, the investigators planned this study to apply the molecularly targeted agent, imatinib
to various types of cancers harboring KIT mutation or amplification.
Title
- Brief Title: Patients With Refractory, Metastatic Cancer Harboring KIT Mutation or Amplification to Investigate the Clinical Efficacy and Safety of Imatinib Therapy
- Official Title: A Phase II, Open-label, Study in Patients With Refractory, Metastatic Cancer Harboring KIT Mutation or Amplification to Investigate the Clinical Efficacy and Safety of Imatinib Therapy
Clinical Trial IDs
- ORG STUDY ID:
2013-12-074
- NCT ID:
NCT02461849
Conditions
- Advanced, Refractory Cancer
Interventions
Drug | Synonyms | Arms |
---|
Imatinib | | Imatinib |
Purpose
KIT is a receptor tyrosine kinase that binds to stem-cell factor (SCF), activating a series
of downstream effector pathways. KIT is an established therapeutic target in cancer with
activating mutations of KIT, such as gastrointestinal stromal tumors (GIST), and significant
benefit is achieved with various small molecule inhibitors of KIT such as imatinib mesylate.
Moreover, there is increasing evidence implicating KIT mutations as tractable therapeutic
targets in melanoma. Additional information is required to characterize the functional role
of low-frequency mutations in KIT and to determine whether amplification of wild type KIT is
a real driver that can be targeted therapeutically. Except GIST and melanoma, other solid
cancers were reported to have KIT mutation even in low frequency. A molecular profiling of
the tumors of patients referred to the phase I clinic at the M.D. Anderson Cancer Center
showed KIT mutation in 7 patients in total of 431 patients (2%).
Hence, the investigators planned this study to apply the molecularly targeted agent, imatinib
to various types of cancers harboring KIT mutation or amplification.
Trial Arms
Name | Type | Description | Interventions |
---|
Imatinib | Experimental | Imatinib 400mg qd daily Until disease progression, patient's refusal | |
Eligibility Criteria
Inclusion Criteria:
1. age ≥ 20
2. advanced, refractory cancer patients who failed standard of care (SOC)
3. KIT aberration: defined as mutation in exons 9, 11, 13, 17 or 18, or nanostring CNV by
quantitative PCR (greater than 3 copies) or subject with specific sensitivity
(Z-score<-1) to imatinib by Avatar scan whose disease has progressed following
standard therapy or that has not responded to standard therapy or for which there is
no standard therapy
4. ECOG performance status of 0~2
5. measurable or evaluable lesion per RECIST 1.1 criteria
6. adequate marrow, hepatic, renal and cardiac functions
- Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 2.5 x
upper limit of normal (ULN), or AST and ALT ≤ 5 x ULN if liver function
abnormalities are due to underlying malignancy
- Total serum bilirubin ≤ 1.5 x ULN
- Absolute neutrophil count(ANC) ≥ 1,500/uL
- Platelets ≥ 100,0000/uL
- Hemoglobin ≥ 9.0 g/dL
7. provision of a signed written informed consent
Exclusion Criteria:
1. severe co-morbid illness and/or active infections
2. pregnant or lactating women
3. history of major surgery or radiotherapy within 4 weeks
4. active CNS metastases not controllable with radiotherapy or corticosteroids (however,
CNS metastases (except for leptomeningeal seeding) are allowed if controlled by gamma
knife surgery or surgery or radiotherapy or steroid)
5. known history of hypersensitivity to study drugs
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 20 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Response rate |
Time Frame: | expected average of 24 weeks |
Safety Issue: | |
Description: | Response will be evaluated according to RECIST(Response Evaluation Criteria In Solid Tumors) 1.1 guidelines.Tumor responses will be assessed after the 2cycle chemotherapy and after completion of treatment. They should be classified as complete remission (CR), partial remission (PR), stable disease (SD), or progressive disease (PD) according to the Revised Response Criteria for refractory, metastatic cancer harboring KIT mutation or amplification. |
Secondary Outcome Measures
Measure: | Duration of response |
Time Frame: | expected average of 24 weeks |
Safety Issue: | |
Description: | |
Measure: | Progression-free survival |
Time Frame: | expected average of 24 weeks |
Safety Issue: | |
Description: | |
Measure: | Overall survival |
Time Frame: | expected average of 3years |
Safety Issue: | |
Description: | |
Measure: | Number of subjects with Adverse Events as a measure of safety |
Time Frame: | expected average of 24 weeks |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Samsung Medical Center |
Last Updated
May 20, 2019