Description:
A Phase I Study of LXH254 in Patients With Advanced Solid Tumors That Harbor MAPK Pathway
Alterations.
Title
- Brief Title: Phase I Study of LXH254 in Patients With Advanced Solid Tumors Haboring MAPK Pathway Alterations
- Official Title: A Phase I Dose Finding Study of Oral LXH254 in Adult Patients With Advanced Solid Tumors Harboring MAPK Pathway Alterations
Clinical Trial IDs
- ORG STUDY ID:
CLXH254X2101
- SECONDARY ID:
2015-003421-33
- NCT ID:
NCT02607813
Conditions
- NSCLC
- Ovarian Cancer
- Melanoma
- Other Solid Tumors
Interventions
Drug | Synonyms | Arms |
---|
LXH254 | | Dose escalation LXH254 |
PDR001 | | Dose escalation LXH254 + PDR001 |
Purpose
A Phase I Study of LXH254 in Patients With Advanced Solid Tumors That Harbor MAPK Pathway
Alterations.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose escalation LXH254 | Experimental | | |
Dose expansion LXH254: Group 1 | Experimental | | |
Dose expansion LXH254: Group 2 | Experimental | | |
Dose expansion LXH254: Group 3 | Experimental | | |
Dose expansion: LXH254 + PDR001 | Experimental | | |
Dose escalation LXH254 + PDR001 | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- All patients participating in this clinical trial must have progressed following
standard therapy, or for whom, in the opinion of the Investigator, no effective
standard therapy exists, is tolerated or appropriate.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
- Presence of at least one measurable lesion according to RECIST v1.1.
- Documented MAPK alteration
Additional inclusion criteria for the Dose Expansion part: LXH254 in combination with
PDR001:
- Patients with confirmed KRAS-mutated NSCLC
- Patients with confirmed NRAS-mutated melanoma (cutaneous melanoma only)
Exclusion Criteria:
- Prior treatment with a BRAFi, MEKi and/or pan-RAF inihibitors for patients to be enrolled
in the dose expansion part.
Exceptions may be made after documented agreement between Novartis and Investigator.
- History or current evidence of retinal vein occlusion (RVO) or current risk factors
for RVO.
- Any medical condition that would, in the investigator's judgment, prevent the
patient's participation in the clinical study due to safety concerns or compliance
with clinical study procedures.
- Patients receiving proton pump inhibitors which cannot be discontinued 3 days prior to
the start study treatment and for the duration of the study.
- Pregnant or nursing (lactating) women
Additional exclusion criteria for LXH254 in combination with PDR001
- History of severe hypersensitivity reactions, which in the opinion of the investigator
may cause in increased risk of serious infusion reaction.
- Known human immunodeficiency virus (HIV).
- Any positive test for hepatitis B virus or hepatitis C virus indicating acute or
chronic infection.
- Active, known or suspected autoimmune disease.
- Active infection requiring systemic antibiotic therapy
- Patients requiring systemic steroid therapy or any immunosuppressive therapy
(≥10mg/day prednisone or equivalent) which cannot be discontinued at least 7 days
prior to first dose of study treatment.
- Use of any live vaccines against infectious diseases within 4 weeks of initiation of
study treatment.
Other inclusion/exclusion criteria as per protocol may apply.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety and tolerability as assessed by incidence and severity of adverse events (AEs), dose interruptions, reductions, and dose intensity. |
Time Frame: | From Cycle 1 Day 1 until 30 days for LXH254 single agent and 150 days for LXH254 in combination with PDR001 post study treatment (expected duration approximately 12 months) |
Safety Issue: | |
Description: | cycle = 28 days |
Secondary Outcome Measures
Measure: | Overall response rate (ORR) |
Time Frame: | Every 2 cycles after starting study treatment until end of treatment; expected duration approximately 12 months |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Disease control rate (DCR) |
Time Frame: | Every 2 cycles after starting study treatment until end of treatment; expected duration approximately 12 months |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Duration of response (DoR) |
Time Frame: | Every 2 cycles after starting study treatment until end of treatment; expected duration approximately 12 months |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Progression-free survival (PFS) |
Time Frame: | Every 2 cycles after starting study treatment until disease progression; expected duration approximately 12 months |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Overall survival (OS) - only for dose expansion |
Time Frame: | From time of start treatment until the date of death; expected duration approximately 12 months |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Plasma concentrations of LXH254 |
Time Frame: | Cycle 1 days 1, 2, 3, 8, 15, and 16; Cycle 2 days 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Derived PK parameters of LXH254: Area Under the Curve (AUC) |
Time Frame: | Cycle 1 days 1, 2, 3, 8, 15, and 16; Cycle 2 days 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Derived PK parameters of LXH254: Peak Plasma Concentration (Cmax) |
Time Frame: | Cycle 1 days 1, 2, 3, 8, 15, and 16; Cycle 2 days 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Derived PK parameters of LXH254: Time to Peak Plasma Concentration (Tmax) |
Time Frame: | Cycle 1 days 1, 2, 3, 8, 15, and 16; Cycle 2 days 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Derived PK parameters of LXH254: half-life (T1/2) |
Time Frame: | Cycle 1 days 1, 2, 3, 8, 15, and 16; Cycle 2 days 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Changes from baseline of pharmacodynamics (PD) marker DUSP6 in tumor tissue and in blood |
Time Frame: | Cycle 1 day 1, 2, 3, 15, and 16; upon disease progression (expected duration approximately 12 months) |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Plasma concentrations of PDR001 |
Time Frame: | Cycle 1 days 1, 2, 8, and 15; Cycle 2 days 1; Cycle 3 Day 1, 2 and 8; Cycle 4 Day 1; Cycle 5 Day 1; Cycle 6 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Derived PK parameters of PDR001: Area Under the Curve (AUC) |
Time Frame: | Cycle 1 days 1, 2, 8, and 15; Cycle 2 days 1; Cycle 3 Day 1, 2 and 8; Cycle 4 Day 1; Cycle 5 Day 1; Cycle 6 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Derived PK parameters of PDR001: Peak Plasma Concentration (Cmax) |
Time Frame: | Cycle 1 days 1, 2, 8, and 15; Cycle 2 days 1; Cycle 3 Day 1, 2 and 8; Cycle 4 Day 1; Cycle 5 Day 1; Cycle 6 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Derived PK parameters of PDR001: Time to Peak Plasma Concentration (Tmax) |
Time Frame: | Cycle 1 days 1, 2, 8, and 15; Cycle 2 days 1; Cycle 3 Day 1, 2 and 8; Cycle 4 Day 1; Cycle 5 Day 1; Cycle 6 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Measure: | Derived PK parameters of PDR001: half-life (T1/2) |
Time Frame: | Cycle 1 days 1, 2, 8, and 15; Cycle 2 days 1; Cycle 3 Day 1, 2 and 8; Cycle 4 Day 1; Cycle 5 Day 1; Cycle 6 Day 1 |
Safety Issue: | |
Description: | cycle = 28 days |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- LXH254, CRAF, MAPK, solid tumor, PDR001
Last Updated
September 1, 2021