Description:
The study will evaluate the clinical activity of nivolumab in combination with 3 separate
investigational agents, glesatinib, sitravatinib, or mocetinostat.
Title
- Brief Title: Phase 2 Study of Glesatinib, Sitravatinib or Mocetinostat in Combination With Nivolumab in Non-Small Cell Lung Cancer
- Official Title: A Parallel Phase 2 Study of Glesatinib, Sitravatinib or Mocetinostat in Combination With Nivolumab in Advanced or Metastatic Non-Small Cell Lung Cancer
Clinical Trial IDs
- ORG STUDY ID:
MRTX-500
- NCT ID:
NCT02954991
Conditions
- Carcinoma, Non-Small-Cell Lung
Interventions
Drug | Synonyms | Arms |
---|
Glesatinib | MGCD265 | Glesatinib and Nivolumab |
Sitravatinib | MGCD516 | Sitravatinib and Nivolumab |
Mocetinostat | MGCD01013 | Mocetinostat and Nivolumab |
Nivolumab | Opdivo | Glesatinib and Nivolumab |
Purpose
The study will evaluate the clinical activity of nivolumab in combination with 3 separate
investigational agents, glesatinib, sitravatinib, or mocetinostat.
Detailed Description
Glesatinib is an orally administered multi-targeted tyrosine kinase inhibitor (TKI) that
primarily targets the Axl and Mesenchymal-Epithelial Transition (MET) receptors. Sitravatinib
is an orally-available, potent small molecule inhibitor of a closely related spectrum of
receptor tyrosine kinases (RTKs) including MET, Axl, MERTK, VEGFR family, PDGFR family, KIT,
FLT3, Trk family, RET, DDR2 and selected Eph family members. Mocetinostat is an orally
administered histone deacetylase (HDAC) inhibitor. Nivolumab is a human IgG monoclonal
antibody that binds to the programmed cell death-1(PD-1) receptor and blocks its interaction
with programmed cell death ligand-1 (PD-L1) and PD-L2, releasing PD-1 pathway-mediated
inhibition of the immune response including anti-tumor immune response. Combining an
immunotherapeutic PD-L1 checkpoint inhibitor with an agent that has both immune modulatory
and antitumor properties could enhance the antitumor efficacy observed with either agent
alone.
The study will begin with a lead-in dose escalation evaluation of two dose levels of each
investigational agent in combination with nivolumab. Following completion of the lead-in dose
escalation, enrollment into the Phase 2 study will proceed.
Trial Arms
Name | Type | Description | Interventions |
---|
Glesatinib and Nivolumab | Experimental | Glesatinib oral tablet administered twice daily in combination with Nivolumab administered as 240 mg IV every 2 weeks | |
Sitravatinib and Nivolumab | Experimental | Sitravatinib oral capsule administered daily in combination with nivolumab administered as 240 mg IV every 2 weeks | |
Mocetinostat and Nivolumab | Experimental | Mocetinostat oral capsule administered three times weekly in combination with nivolumab administered as 240 mg IV every 2 weeks | |
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of non-small cell lung cancer.
- Prior treatment with a checkpoint inhibitor (as appropriate per cohort)
- Adequate bone marrow and organ function
Exclusion Criteria:
- Uncontrolled tumor in the brain
- Unacceptable toxicity with prior checkpoint inhibitor
- Impaired heart function
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of patients experiencing tumor size reduction |
Time Frame: | Approximately 8 months |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Number of patients experiencing adverse events |
Time Frame: | up to 12 months |
Safety Issue: | |
Description: | |
Measure: | Blood plasma concentration of the investigational agent |
Time Frame: | Up to 20 weeks |
Safety Issue: | |
Description: | |
Measure: | Overall Survival |
Time Frame: | Up to 24 months |
Safety Issue: | |
Description: | |
Measure: | Progression free survival |
Time Frame: | Up to 12 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Mirati Therapeutics Inc. |
Last Updated
August 24, 2021