Clinical Trials /

Study Of Entrectinib (Rxdx-101) in Children and Adolescents With Locally Advanced Or Metastatic Solid Or Primary CNS Tumors And/Or Who Have No Satisfactory Treatment Options

NCT02650401

Description:

This is an open-label, Phase 1/2 multicenter dose escalation study in pediatric patients with relapsed or refractory extracranial solid tumors (Phase 1), with additional expansion cohorts (Phase 2) in patients with primary brain tumors harboring NTRK1/2/3 or ROS1 gene fusions, and extracranial solid tumors harboring NTRK1/2/3 or ROS1 gene fusions.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Study Of Entrectinib (Rxdx-101) in Children and Adolescents With Locally Advanced Or Metastatic Solid Or Primary CNS Tumors And/Or Who Have No Satisfactory Treatment Options
  • Official Title: A Phase 1/2, Open-Label, Dose-Escalation And Expansion Study Of Entrectinib (Rxdx-101) In Pediatrics With Locally Advanced Or Metastatic Solid Or Primary CNS Tumors And/Or Who Have No Satisfactory Treatment Options

Clinical Trial IDs

  • ORG STUDY ID: RXDX-101-03
  • SECONDARY ID: CO40778
  • NCT ID: NCT02650401

Conditions

  • Solid Tumors
  • CNS Tumors

Interventions

DrugSynonymsArms
EntrectinibRXDX-101Any participant unable to swallow capsules

Purpose

This is an open-label, Phase 1/2 multicenter dose escalation study in pediatric patients with relapsed or refractory extracranial solid tumors (Phase 1), with additional expansion cohorts (Phase 2) in patients with primary brain tumors harboring NTRK1/2/3 or ROS1 gene fusions, and extracranial solid tumors harboring NTRK1/2/3 or ROS1 gene fusions.

Trial Arms

NameTypeDescriptionInterventions
Extracranial solid tumors harboring NTRK1/2/3,Active ComparatorArm closed for further enrollment ROS1, ALK non-gene fusion molecular alterations Oral entrectinib (RXDX-101)
  • Entrectinib
CNS tumors harboring- NTRK1/2/3, ROS1, ALKActive ComparatorArm closed for further enrollment molecular alterations, including gene fusions Oral entrectinib (RXDX-101)
  • Entrectinib
NeuroblastomaActive ComparatorArm closed for further enrollment Oral entrectinib (RXDX-101)
  • Entrectinib
Non-neuroblastoma, extracranial solid tumorsActive ComparatorArm closed for further enrollment harboring - NTRK1/2/3, ROS1, ALK gene fusions Oral entrectinib (RXDX-101)
  • Entrectinib
Any participant unable to swallow capsulesActive ComparatorArm closed for further enrollment Any participant who otherwise meet all other eligibility criteria Oral entrectinib (RXDX-101)
  • Entrectinib
Expansion: CNS tumors harboring NTRK1/2/3, ROS1Active Comparatorgene fusions Oral entrectinib (RXDX-101)
  • Entrectinib
Expansion: Extracranial solid tumors harboring NTRK1/2/3, ROS1Active ComparatorNTRK 1,2,3 and ROS1 fusions Oral entrectinib (RXDX-101)
  • Entrectinib

Eligibility Criteria

        Inclusion Criteria:

          1. Disease status:

               -  Phase 1 portion (closed): Participants must have measurable or evaluable disease,
                  as defined by RECIST v1.1

               -  Phase 2 portion:

                    -  Part B: Participants must have measurable or evaluable disease, as defined
                       by RANO

                    -  Part C (closed): Participants must have measurable or evaluable disease, as
                       defined by RECIST v1.1 ± Curie Scale

                    -  Part D: Participants must have measurable or evaluable disease, as defined
                       by RECIST v1.1

                    -  Part E (closed): Participants must have measurable or evaluable disease, as
                       defined by RECIST v1.1 ± Curie Scale or RANO

          2. Tumor type:

               -  Phase 1 portion:

                  * Part A: Relapsed or refractory extracranial solid tumors

               -  Phase 2 portion

                    -  Part B: Primary brain tumors with NTRK1/2/3 or ROS1 gene fusions; gene
                       fusions are defined as those predicted to translate into a fusion protein
                       with a functional TRKA/B/C or ROS1 kinase domain, without a concomitant
                       second oncodriver as determined by a nucleic acid-based diagnostic testing
                       method

                    -  Part D: Extracranial solid tumors (including NB) with NTRK1/2/3 or ROS1 gene
                       fusions; gene fusions are defined as those predicted to translate into a
                       fusion protein with a functional TRKA/B/C or ROS1 kinase domain, without a
                       concomitant second oncodriver as determined by a nucleic acid-based
                       diagnostic testing method

          3. Histologic/molecular diagnosis of malignancy at diagnosis or the time of relapse

          4. Archival tumor tissue from diagnosis or, preferably, at relapse

          5. Performance status: Lansky or Karnofsky score ≥ 60% and minimum life expectancy of at
             least 4 weeks

          6. Prior therapy: Participants must have a disease that is locally advanced, metastatic,
             or where surgical resection is likely to result in severe morbidity, and who have no
             satisfactory treatment options for solid tumors and primary CNS tumors that are
             neurotrophic tyrosine receptor kinase (NTRK) or ROS1 fusion-positive

          7. Participants must have recovered from the acute toxic effects of all prior
             chemotherapy, immunotherapy, or radiotherapy prior to enrollment

          8. Adequate organ and neurologic function

          9. Females of childbearing potential must have a negative serum pregnancy test during
             screening and be neither breastfeeding nor intending to become pregnant during study
             participation. Agreement to remain abstinent or use use combined contraceptive methods
             prior to study entry, for the duration of study participation and in the following 90
             days after discontinuation of study treatment.

         10. For male participants with a female partner of childbearing potential or a pregnant
             female partner: Agreement to remain abstinent or use a condom during the treatment
             period and for at least 3 months after the last dose of study drug

        Exclusion Criteria:

          1. Receiving other experimental therapy

          2. Known congenital long QT syndrome

          3. History of recent (3 months) symptomatic congestive heart failure or ejection fraction
             ≤50% at screening

          4. Known active infections

          5. Familial or personal history of congenital bone disorders, bone metabolism alterations
             or osteopenia

          6. Receiving Enzyme Inducing Antiepileptic Drugs (EIAEDs) within 14 days of first dose.

          7. Prior treatment with approved or investigational TRK or ROS1 inhibitors

          8. Known hypersensitivity to entrectinib or any of the other excipients of the
             investigational medicinal product

          9. Patients with NB with bone marrow space-only disease

         10. Incomplete recovery from acute effects of any surgery prior to treatment.

         11. Active gastrointestinal disease or other malabsorption syndromes that would impact
             drug absorption.

         12. Other severe acute or chronic medical or psychiatric condition or lab abnormality that
             may increase the risk associated with study participation, drug administration or may
             interfere with the interpretation of study results.
      
Maximum Eligible Age:18 Years
Minimum Eligible Age:N/A
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Maximum Tolerated Dose (MTD)
Time Frame:Approximately 6 months
Safety Issue:
Description:Assessed by National Cancer Institute Common Terminology for Adverse Events Criteria (NCI CTCAE v4.03)

Secondary Outcome Measures

Measure:Safety and Tolerability - AE, ECG and Labs assessed by NCI CTCAE v4.03
Time Frame:Approximately 24 months
Safety Issue:
Description:AE, ECG and Labs assessed by NCI CTCAE v4.03
Measure:Maximum observed plasma drug concentration (Cmax) using F1 Formulation
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Maximum observed plasma drug concentration (Cmax) using F06 Formulation given intact
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Maximum observed plasma drug concentration (Cmax) using F06 Formulation administered via feeding tube
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Maximum observed plasma drug concentration (Cmax) using minitablets/F15
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Time to Cmax, by inspection (Tmax) using F1 Formulation
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Time to Cmax, by inspection (Tmax) using F06 Formulation given intact
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Time to Cmax, by inspection (Tmax) using F06 Formulation administered via feeding tube
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Time to Cmax, by inspection (Tmax) using minitablets/F15
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:AUC at steady state (AUCss) using F1 Formulation
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:AUC at steady state (AUCss) using F06 Formulation given intact
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:AUC at steady state (AUCss) using F06 Formulation administered via feeding tube
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:AUC at steady state (AUCss) using minitablets/F15
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Terminal half life (t½) using F1 Formulation
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Terminal half life (t½) using F06 Formulation given intact
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Terminal half life (t½) using F06 Formulation administered via feeding tube
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Terminal half life (t½) using minitablets/F15
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Area under the drug concentration by time curve (AUC) using F1 Formulation
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Area under the drug concentration by time curve (AUC) using F06 Formulation given intact
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Area under the drug concentration by time curve (AUC) using F06 Formulation administered via feeding tube
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Area under the drug concentration by time curve (AUC) using minitablets/F15
Time Frame:Approximately 24 months
Safety Issue:
Description:Assessed by plasma concentrations obtained on Days 1, 2, 8, 15, 22 (Cycle 1), Days 1, 2 (Cycle 2) and on Day 1 of every cycle thereafter
Measure:Progression-free Survival (PFS)
Time Frame:Approximately 6 months
Safety Issue:
Description:Defined as time from the date of study enrollment to the first occurrence of objective disease progression or date of death due to any cause, whichever occurs first
Measure:Overall Survival (OS)
Time Frame:Approximately 6 months
Safety Issue:
Description:Assessed by RECIST v1.1
Measure:Duration of Response (DOR)
Time Frame:Approximately 6 months
Safety Issue:
Description:Assessed by RECIST v1.1
Measure:Time to response (TTR)
Time Frame:Approximately 6 months
Safety Issue:
Description:Assessed by RECIST v1.1
Measure:Clinical Benefit Rate (CBR)
Time Frame:Approximately 6 months
Safety Issue:
Description:Assessed by RECIST v1.1

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Hoffmann-La Roche

Trial Keywords

  • TRK
  • Tyrosine kinase
  • NTRK
  • NTRK1
  • NTRK2
  • NTRK3
  • ROS1
  • ALK
  • Pediatric
  • Relapsed
  • Refractory
  • Solid Tumor
  • Metastatic Cancer
  • Gene rearrangement
  • Neuroblastoma
  • Infantile fibrosarcoma
  • Secretory breast cancer
  • Congenital mesoblastic nephroma
  • Pontine glioma
  • Brain tumors
  • CNS tumors
  • Sarcoma
  • Ewing sarcoma
  • Glial tumors
  • Salivary Gland Cancer (MASC)
  • Papillary thyroid cancer
  • Medulloblastoma
  • Wilms tumor (anaplastic)

Last Updated

August 17, 2021