Clinical Trials /

A Phase I Clinical Study With Investigational Compound LTT462 in Adult Patients With Specific Advanced Cancers.

NCT02711345

Description:

A phase I study of LTT462 in patients with advanced solid tumors that harbor MAPK pathway alterations.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Terminated

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Phase I Clinical Study With Investigational Compound LTT462 in Adult Patients With Specific Advanced Cancers.
  • Official Title: A Phase I Dose Finding Study of Oral LTT462 in Adult Patients With Advanced Solid Tumors Harboring MAPK Pathway Alterations.

Clinical Trial IDs

  • ORG STUDY ID: CLTT462X2101
  • SECONDARY ID: 2015-003614-24
  • NCT ID: NCT02711345

Conditions

  • Ovarian Neoplasms
  • Non-Small-Cell Lung Carcinoma
  • Melanoma
  • Other Solid Tumors

Interventions

DrugSynonymsArms
LTT462Escalation

Purpose

A phase I study of LTT462 in patients with advanced solid tumors that harbor MAPK pathway alterations.

Trial Arms

NameTypeDescriptionInterventions
EscalationExperimental
  • LTT462
Expansion Group 1Experimental
  • LTT462
Expansion Group 2Experimental
  • LTT462
Expansion Group 3Experimental
  • LTT462
Expansion Group 4Experimental
  • LTT462

Eligibility Criteria

        Inclusion Criteria:

          -  Patient (male or female) ≥12 years of age

          -  ECOG (Eastern Cooperative Oncology Group) performance status ≤1

          -  Must have progressed following standard therapy, or for whom, in the opinion of the
             Investigator, no effective standard therapy exists, is tolerated or appropriate.

          -  Patients must be willing and able to undergo study required biopsies.

          -  Presence of at least one measurable lesion according to RECIST v1.1.

          -  Documented MAPK pathway alteration

        Exclusion Criteria:

          -  Prior treatment with ERK inhibitors.

          -  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 (PPI) which cannot be discontinued 3 days
             prior to the start study treatment and for the duration of the study.

          -  Patients with malignant disease other than that being treated in the study.

          -  Clinically significant cardiac disease.

        Other protocol-defined exclusion criteria may apply.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:12 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame:Up to 2.8 years
Safety Issue:
Description:An adverse events is defined as the appearance of (or worsening of any pre-existing) undesirable signs, symptoms, or medical conditions that occur after participant's signed informed consent has been obtained. A SAE is described as any adverse event that leads to death, is life threatening, causes or prolongs hospitalization, results in a congenital anomaly, or any other important medical event not described above.

Secondary Outcome Measures

Measure:Percentage of Participants With Overall Response Rate (ORR)
Time Frame:Every 2 cycles after starting LTT462 treatment until end of treatment (Up to 2.8 years)
Safety Issue:
Description:Percentage of participants with overall response rate were reported.
Measure:Percentage of Participants With Disease Control Rate (DCR)
Time Frame:Every 2 cycles after starting LTT462 treatment until end of treatment (Up to 2.8 years)
Safety Issue:
Description:Percentage of participants with disease control rate were reported.
Measure:Duration of Response (DOR)
Time Frame:Every 2 cycles after starting LTT462 treatment until end of treatment (Up to 2.8 years)
Safety Issue:
Description:DOR is defined as the time between the date of the first documented response (complete response [CR] or partial response [PR]) and the date of progression.
Measure:Progression Free Survival (PFS)
Time Frame:Every 2 cycles after starting LTT462 treatment until end of treatment (Up to 2.8 years)
Safety Issue:
Description:Median time for progression free survival was reported.
Measure:Overall Survival (OS) - Only for Dose Expansion Phase
Time Frame:Every 2 cycles after starting LTT462 treatment until end of treatment (Up to 2.8 years)
Safety Issue:
Description:Median time for overall survival, only for dose expansion phase was reported.
Measure:The Maximum (Peak) Observed Plasma, Blood, Serum, or Other Body Fluid Drug Concentration (Cmax) After Single Dose Administration of LTT462
Time Frame:day 1, day 15
Safety Issue:
Description:Cmax is the maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration expressed in mass x volume-1.
Measure:Area Under the Curve From Time Zero to the Last Measurable Concentration Sampling Time (AUClast) of LTT462
Time Frame:Cycle 1 Days 1, 2, 3, 8, 15 and 16; Cycle 2 day 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1
Safety Issue:
Description:AUClast is the area under the curve from time zero to the last measurable concentration sampling time calculated by mass * time *volume^-1
Measure:The Time to Reach Maximum (Peak) Plasma, Blood, Serum, or Other Body Fluid Drug Concentration (Tmax) After Single Dose Administration of LTT462
Time Frame:day 1, day 15
Safety Issue:
Description:Tmax is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration.
Measure:Elimination Half-life (T1/2) of LTT462
Time Frame:Cycle 1 Days 1, 2, 3, 8, 15 and 16; Cycle 2 day 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1
Safety Issue:
Description:T1/2 is the Elimination half-life.
Measure:The Area Under the Curve Calculated to the End of a Dosing Interval (Tau) at Steady-state (AUCtau) of LTT462
Time Frame:Cycle 1 Days 1, 2, 3, 8, 15 and 16; Cycle 2 day 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1
Safety Issue:
Description:AUCtau is the area under the curve calculated to the end of a dosing interval (tau) at steady-state calculated by formula amount *time * volume^-1
Measure:Accumulation Ratio (Racc) of LTT462
Time Frame:Cycle 1 Days 1, 2, 3, 8, 15 and 16; Cycle 2 day 1 and 15; Cycle 3 Day 1; Cycle 5 Day 1
Safety Issue:
Description:Racc is the accumulation ratio calculated by AUCtau ratio Day 15 versus Day 1.
Measure:Changes From Baseline in Relative Quantity (RQ) of Dual Specificity Phosphatase 6 (DUSP6) in Tumor Tissue and in Blood
Time Frame:Cycle 1 Days 1, 2, 3, 15 and 16
Safety Issue:
Description:Assessment of Pharmacodynamic (PD) effects of LTT462 in tumor, pre- and post- treatment tumor biopsies were examined for expression of DUSP6. For assessment of PD effects in blood, levels of DUSP6 were measured in blood samples.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Terminated
Lead Sponsor:Novartis Pharmaceuticals

Trial Keywords

  • LTT462
  • ERK
  • MAPK
  • solid tumor

Last Updated

September 19, 2019