Description:
Phase Ib dose escalation in advanced solid tumors to identify dose for Phase II dose
expansion in advanced or metastatic pancreatic cancer and KRAS-mutant colorectal cancer.
Open-label, nonrandomized.
Title
- Brief Title: Study of Safety and Efficacy of Ribociclib and Trametinib in Patients With Metastatic or Advanced Solid Tumors
- Official Title: A Phase I/II Study of Safety and Efficacy of Ribociclib (LEE011) in Combination With Trametinib (TMT212) in Patients With Metastatic or Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
CTMT212X2106
- SECONDARY ID:
2015-005019-34
- NCT ID:
NCT02703571
Conditions
- Solid Tumors for Phase Ib
- Pancreatic Cancer for Phase II
- Colorectal Cancer for Phase II
Interventions
Drug | Synonyms | Arms |
---|
ribociclib | LEE011 | Advanced or metastatic solid tumors |
Trametinib | TMT212 | Advanced or metastatic solid tumors |
Purpose
Phase Ib dose escalation in advanced solid tumors to identify dose for Phase II dose
expansion in advanced or metastatic pancreatic cancer and KRAS-mutant colorectal cancer.
Open-label, nonrandomized.
Detailed Description
Upon careful review of all available efficacy and safety data from the study phase Ib part,
Novartis decided to not start the study phase II part.
This decision was in no means triggered by an unfavorable safety profile of the combination.
The observed safety profile of the combination represents contributions of the individual
safety profile of trametinib and ribociclib.
No new safety signals were observed.
The study was closed early in line with protocol Section 4.4.
Trial Arms
Name | Type | Description | Interventions |
---|
Advanced or metastatic solid tumors | Experimental | Patients in the Phase I portion of the study who have advanced or metastatic solid tumors | |
Eligibility Criteria
Inclusion Criteria (All):
- Written informed consent must
- Patient has histologically and/or cytologically confirmed malignancies:
Phase I:
• Patients with advanced or metastatic solid tumors who have failed at least one prior line
of systemic antineoplastic therapy in the advanced setting without a standard of care
treatment option available;
Phase II:
- Advanced or metastatic pancreatic adenocarcinoma who have failed at least one prior
systemic antineoplastic therapies in the advanced setting
- Advanced or metastatic KRAS-mutant CRC who have failed at least two prior systemic
antineoplastic therapies in the advanced setting without a standard of care treatment
option available. Testing for KRAS mutation in patients with CRC using locally
approved diagnostic kit will be used for eligibility.
- Phase II only: patient must have measurable disease
- Patient has an ECOG performance status 0 or 1.
- Patient has adequate bone marrow and organ function
- Patient must have specified laboratory values within normal limits or corrected to
within normal limits with supplements before the first dose of study medication on
Cycle 1 Day 1:
- Standard 12-lead ECG values defined
Exclusion Criteria:
Phase II only:
• Patient has received prior treatment with a MEK inhibitor or a CDK4/6 inhibitor.
Phase I and Phase II:
- Patient with a known hypersensitivity to the study drugs or any of the excipients of
ribociclib or trametinib.
- Patient is concurrently using other anti-cancer therapy.
- Patient has received radiotherapy ≤ 4 weeks or limited field radiation for palliation
≤ 2 weeks prior to Cycle 1 Day 1
- Patient has received local therapy to liver ≤ 3 months of C1D1
- History of liver disease as follow:
- Cirrhosis
- Autoimmune hepatitis
- Active viral hepatitis
- Portal hypertension
- Drug induced liver steatosis
- Prior systemic anti-cancer treatment within 28 days prior to Cycle 1 Day 1
- Prior therapy with anthracyclines at cumulative doses of 450 mg/ m2 or more for
doxorubicin or 900 mg/m2 or more for epirubicin.
- Patient is currently receiving warfarin or other coumadin derived anti-coagulant
- Patient has a history of deep venin thrombosis or pulmonary embolism within 6 months
of screening.
- Patient has a concurrent malignancy or malignancy within 3 years prior to Cycle 1 Day
1, with the exception of adequately treated basal or squamous cell carcinoma or
curatively resected cervical cancer.
- Patients with central nervous system (CNS) involvement
- Patient has impairment of GI function or GI disease that may significantly alter the
absorption of the study drugs
- History of interstitial lung disease or pneumonitis.
- Clinically significant, uncontrolled heart disease and/or cardiac repolarization
abnormality
- Patient is currently receiving any strong inducers or inhibitors of CYP3A4/5 and/or
Substances that have a narrow therapeutic window and are predominantly metabolized
through CYP3A4/5 and cannot be discontinued 7 days prior to Cycle 1 Day 1:
- Patient is currently receiving or has received systemic corticosteroids ≤ 2 weeks
prior to starting study drug, or who have not fully recovered from side effects of
such treatment.
- History of retinal vein occlusion (RVO)
Other protocol-defined inclusion/exclusion criteria may apply.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of dose limiting toxicities (DLTs) |
Time Frame: | 21-day cycle one of treatment |
Safety Issue: | |
Description: | Phase Ib part:
The primary variable is the incidence of DLTs during the first 21 days of therapy. Estimation of the MTD of the combination treatment will be based upon the estimation of the probability of DLT during the first 21 days of therapy for patients in the DDS. |
Secondary Outcome Measures
Measure: | Duration of response (DOR) |
Time Frame: | Until progression of disease up to 1 year |
Safety Issue: | |
Description: | Phase II part:
Among patients with a confirmed response (PR or CR) per RECIST 1.1, DOR is defined as the time from first documented response (PR or CR) to the date of first documented disease progression or death due to any cause. The distribution function of DOR will be estimated using the Kaplan-Meier method. The median DOR along with 95% CI will be presented by treatment arm. |
Measure: | Time to response |
Time Frame: | Until progression of disease up to 1 year |
Safety Issue: | |
Description: | Phase II part:
Time to overall response of CR or PR (TTR) is defined as the time from start of study drug to first documented response (CR or PR, which must be confirmed subsequently) for patients with a confirmed CR or PR. TTR will be summarized by treatment arm, using descriptive statistics. |
Measure: | Disease control rate |
Time Frame: | Until progression of disease up to 1 year |
Safety Issue: | |
Description: | Phase II part:
Disease control rate (DCR) is defined as the proportion of patients with best overall response of CR, PR, or SD per RECIST 1.1. DCR will be estimated and the binomial exact 95% CI will be provided by arm. |
Measure: | Progression disease rate |
Time Frame: | Until progression of disease up to 1 year |
Safety Issue: | |
Description: | Phase Ib part:
Progression disease rate defined as the proportion of patients with a progression disease as assessed per RECIST 1.1 by investigator assessment. |
Measure: | Progression free survival |
Time Frame: | Until progression of disease up to 1 year |
Safety Issue: | |
Description: | Phase Ib and phase II parts:
Progression-free survival (PFS) is defined as the time from the date of the first dose of study drug to the date of first documented disease progression per RECIST 1.1 or death due to any cause. |
Measure: | overall survival |
Time Frame: | Until death up to 1 year |
Safety Issue: | |
Description: | Phase Ib and phase II parts:
Overall survival (OS) is defined as the time from the date of first dose of study drug to the date of death due to any cause. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- Trametinib
- Ribociclib
- LEE011
- TMT212
- advanced solid tumors
- pancreatic cancer
- KRAS-mutant colorectal cancer
- colorectal cancer
- advanced pancreatic cancer
- metastatic pancreatic cancer
Last Updated
December 21, 2020