Clinical Trials /

Lucitanib (E3810) in Patients With Advanced Cancer and FGFR, VEGFR, or PDGFR Pathway Aberrations

NCT02747797

Description:

Lucitanib is an oral multi kinase inhibitor designed to block the action of certain molecules called "angiogenic factors" that may cause tumors to grow. These factors are called vascular endothelial growth factor (VEGF), platelet derived growth factor receptor (PDGFR) and fibroblast growth factor (FGF). Lucitanib is experimental and not approved by the FDA for the treatment of cancer. The purpose of this study is to look at the effects of lucitanib in cancer patients whose cancers harbor aberrations in FGFR, VEGFR, PDGFR or other markers predicted to be sensitive to lucitanib. This study will also look for biomarkers in samples of blood and tumor tissue to identify patients most likely to respond to lucitanib. Biomarkers are substances such as genetic material (DNA and RNA) and proteins found in blood and tumor tissue that might show if a cancer patient will respond or not respond to a drug.

Related Conditions:
  • Cancer
Recruiting Status:

Withdrawn

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Lucitanib (E3810) in Patients With Advanced Cancer and FGFR, VEGFR, or PDGFR Pathway Aberrations
  • Official Title: Histology-Independent Study of the Multikinase Inhibitor Lucitanib (E3810) in Patients With Advanced Cancer and Fibroblast Growth Factor Receptor (FGFR), Vascular Endothelial Growth Factor Receptors (VEGFR), or Platelet Derived Growth Factor Receptor (PDGFR) Pathway Aberrations

Clinical Trial IDs

  • ORG STUDY ID: 141506
  • NCT ID: NCT02747797

Conditions

  • Advanced Cancer

Interventions

DrugSynonymsArms
LucitanibE3810Advanced cancer with lucitanib-targeting biomarker(s)

Purpose

Lucitanib is an oral multi kinase inhibitor designed to block the action of certain molecules called "angiogenic factors" that may cause tumors to grow. These factors are called vascular endothelial growth factor (VEGF), platelet derived growth factor receptor (PDGFR) and fibroblast growth factor (FGF). Lucitanib is experimental and not approved by the FDA for the treatment of cancer. The purpose of this study is to look at the effects of lucitanib in cancer patients whose cancers harbor aberrations in FGFR, VEGFR, PDGFR or other markers predicted to be sensitive to lucitanib. This study will also look for biomarkers in samples of blood and tumor tissue to identify patients most likely to respond to lucitanib. Biomarkers are substances such as genetic material (DNA and RNA) and proteins found in blood and tumor tissue that might show if a cancer patient will respond or not respond to a drug.

Detailed Description

      Lucitanib is an oral multi kinase inhibitor designed to block the action of certain molecules
      called "angiogenic factors" that may cause tumors to grow. These factors are called vascular
      endothelial growth factor (called VEGF), platelet derived growth factor receptor (PDGFR) and
      fibroblast growth factor (called FGF). Lucitanib is experimental and not approved by the FDA
      for the treatment of cancer.

      The purpose of this clinical trial is to study the following in cancer patients whose cancers
      harbor aberrations in FGFR, VEGFR, PDGFR, or other biomarkers predicted to be sensitive to
      lucitanib:

        -  To look at the effects of lucitanib on their disease at 10 mg once daily.

        -  To look for biomarkers in samples of blood and tumor tissue to identify patients most
           likely to respond to lucitanib.

        -  To look at the safety of lucitanib in these patients

      This is a two-center, open-label, non-randomized Phase II study of lucitanib in adult
      subjects with advanced cancers. Treatment will consist of daily oral administration of 10mg
      of lucitanib in 28-day cycles.

      All patients providing informed consent will be screened for eligibility. Baseline
      assessments will include vital signs, physical exam, blood hematology and chemistries, ECG,
      and ECHO. If not done within the prior 4 weeks, a PET/CT scan, MRI, and/or CT scan will be
      performed for radiological evaluation of disease.

      Clinical evaluations include physical exam, vitals, ECG (obtained once every month throughout
      treatment); blood hematology and chemistries (obtained every two weeks for the first three
      months and then once every month throughout treatment); radiologic evaluations (PET/CT, CT
      and/or MRI, +/- bone imaging as clinically appropriate) will be performed every 8 weeks.

      This study may last up to approximately 4 years or longer, depending on whether or not the
      study doctor feels that continuing lucitanib dosing is in the patient's best interest. Once a
      patient finishes study treatment with lucitanib, patients will need to complete an End of
      Study visit. Each of the study visits can last from approximately 2 to 8 hours.
    

Trial Arms

NameTypeDescriptionInterventions
Advanced cancer with lucitanib-targeting biomarker(s)ExperimentalLucitanib 10 mg orally daily
  • Lucitanib

Eligibility Criteria

        Inclusion Criteria:

          -  Pathologically confirmed advanced or metastatic malignancy characterized by one or
             more of the following:

               -  Subject is intolerant of standard therapy

               -  Malignancy is refractory to standard therapy

               -  Malignancy relapsed after standard therapy

               -  Malignancy for which there is no standard therapy that improves survival by at
                  least 3 months.

          -  Subjects must have evaluable tumor(s) with documented alteration(s) in potential
             lucitanib related biomarker(s) VEGFR, FGFR, PDGFR.

          -  Laboratory function within specified parameters:

               -  Adequate bone marrow function: absolute neutrophil count ≥ 1,500/mL; hemoglobin ≥
                  8.5 g/dL, platelets ≥ 75,000/mL.

               -  Adequate liver function: transaminases (AST/ALT) and alkaline phosphatase ≤ 3 (≤
                  5 X ULN in the setting of liver metastasis) x ULN; bilirubin ≤ 1.5 x ULN.

               -  Adequate renal function: creatinine clearance ≥ 40 mL/min (Cockcroft Gault).

               -  Adequate blood coagulation: international normalized ratio (INR) ≤ 2.3.

               -  Serum amylase and lipase ≤ 1.5 x ULN.

          -  Adequately controlled blood pressure (BP): BP ≤ 150/90 mm Hg. Use of > 2
             antihypertensive agents at enrollment is not allowed.

          -  Adequate performance status: Eastern Cooperative Oncology Group (ECOG) 0-2

          -  Subjects must be off other anti-tumor agents for at least 5 half lives of the agent or
             4 weeks from the last day of treatment, whichever is shorter. Endocrine therapies
             (e.g., for breast or prostate cancer) and anti-Her2 therapies (for example,
             trastuzumab, pertuzumab, or lapatinib) are allowed to continue while on this study.
             Bisphosphonates or denosumab are allowed for subjects with bone metastasis.

          -  Subjects may not be receiving any other experimental agents or agents that are not FDA
             approved.

        Exclusion Criteria:

          -  Pregnant or lactating women.

          -  Uncontrolled hypertension (defined as SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg with
             optimized antihypertensive therapy)

          -  Subjects who have not recovered from toxicities as a result of prior anticancer
             therapy, except alopecia and infertility. Recovery is defined as < Grade 2 severity
             per Common Terminology Criteria for Adverse Events Version 4.3.

          -  Significant cardiovascular impairment: history of CHF greater than New York Heart
             Association (NYHA) Class II, unstable angina, MI or stroke within 6 months of the
             first dose of study drug, or cardiac arrhythmia requiring medical treatment.

          -  Uncontrolled hypothyroidism defined as serum TSH higher than 5 mIU/mL while receiving
             appropriate thyroid hormone therapy.

          -  Bleeding or thrombotic disorders or use of anticoagulants requiring therapeutic INR
             monitoring, e.g., warfarin or similar agents. Treatment with LMWH and factor X
             inhibitors that do not require INR monitoring is permitted. Anti-platelet agents are
             prohibited throughout the study.

          -  Current treatment with any prohibited medications associated with prolongation of QT
             interval.

          -  Received strong inhibitors of CYP2C8 or CYP3A4 or strong inducers of CYP3A4 ≤ 7 days
             prior to first dose of lucitanib or have on-going requirements for these medications.

          -  Received bevacizumab < 3 months prior to first dose of lucitanib.

          -  Major surgery (not including placement of central lines) within 3 weeks prior to study
             or planned surgery during the course of this study.

          -  Subjects with breast or lung cancer who are eligible for other clinical trials of
             lucitanib open at their institution are not eligible for this trial.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Response rates to lucitanib in subjects with advanced cancers harboring aberrations targeted by lucitanib.
Time Frame:28-day cycle
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Clinical Benefit rates (complete response (CR), partial response (PR), or stable disease (SD) ≥ 6 months) in the study population.
Time Frame:through study completion, up tp 3 years
Safety Issue:
Description:Clinical Benefit will be defined as SD ≥ 6 cycles and PR/CR of any duration.
Measure:Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Time Frame:28-day cycle
Safety Issue:
Description:Toxicities will be described according to the NCI-CTCAE Version 4.3. Unacceptable toxicity is defined as any clinically significant Grade 3 or 4 toxicity including expected toxicities definitely, probably, or possibly related to the study medication that are not amenable to dose reduction
Measure:Correlation between response rates and specific molecular tumor profile (type of FGF/FGFR or other aberration) in a descriptive fashion
Time Frame:28-day cycle
Safety Issue:
Description:

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Withdrawn
Lead Sponsor:Teresa Helsten, MD

Trial Keywords

  • Advanced Cancer
  • Lucitanib (E3810)
  • Fibroblast Growth Factor Receptor
  • FGFR
  • Vascular Endothelial Growth Factor Receptor
  • VEGFR
  • Platelet Derived Growth Factor Receptor
  • PDGFR
  • metastatic malignancy

Last Updated

August 2, 2018