Description:
The purpose of this study is to determine the safety, tolerability and overall response rate
of trametinib when given in combination with erlotinib in patients with Stage IV or recurrent
lung adenocarcinoma that cannot be treated with curative intent.
Title
- Brief Title: A Phase 1/2 Trial of Trametinib and Erlotinib in Patients With EGFR-Mutant Lung Adenocarcinomas and Acquired Resistance to Erlotinib
- Official Title: A Phase 1/2 Trial of Trametinib and Erlotinib in Patients With EGFR-Mutant Lung Adenocarcinomas and Acquired Resistance to Erlotinib
Clinical Trial IDs
- ORG STUDY ID:
15-098
- NCT ID:
NCT03076164
Conditions
- Lung Adenocarcinoma
- Lung Cancer
- Lung Cancer Metastatic
- Lung Cancer Stage IV
- Recurrent Lung Adenocarcinoma
- Recurrent Lung Cancer
Interventions
Drug | Synonyms | Arms |
---|
Trametinib | | Trametinib 1.5mg + Erlotinib 75mg |
Erlotinib | | Trametinib 1.5mg + Erlotinib 75mg |
Purpose
The purpose of this study is to determine the safety, tolerability and overall response rate
of trametinib when given in combination with erlotinib in patients with Stage IV or recurrent
lung adenocarcinoma that cannot be treated with curative intent.
Trial Arms
Name | Type | Description | Interventions |
---|
Trametinib 1.5mg + Erlotinib 75mg | Experimental | Phase 1: Accrue 6 patients on Trametinib 1.5mg + Erlotinib 75mg by mouth once daily Phase 2: Accrue 24 patients (including 6 patients treated during Phase 1) on Trametinib 1.5mg + Erlotinib 75mg by mouth once daily or Trametinib 1.0mg + Erlotinib 100mg by mouth once daily. | |
Eligibility Criteria
Inclusion Criteria:
- Pathologic evidence of advanced stage IV or recurrent lung adenocarcinoma reviewed at
MSKCC
- Somatic activating mutation in EGFR Radiographic progression during treatment with
erlotinib.
- Any number of prior chemotherapy regimens is permitted.
- Measurable (RECIST 1.1) indicator lesion not previously irradiated
- KPS >/= 70%
- Age >18 years old
- Must have undergone biopsy after development of acquired resistance to erlotinib with
available archived tissue (equivalent of > 10 unstained slides)
- Left ventricular Ejection Fraction >/= the lower limit of normal by ECHO or MUGA
- Adequate organ function:
- AST, ALT </= 2.5 x ULN
- Total bilirubin </= 1.5 x ULN
- Albumin>/=2.6g/dL - Creatinine < 1.5 x ULN OR calculated creatinine clearance
>/=50mL/min
- Absolute neutrophil count (ANC) >/= 1,200 cells/mm3
- Hemoglobin>/=9.0 g/dL
- Platelets >/=100,000/mm3
Exclusion Criteria:
- Patients with symptomatic brain metastasis requiring escalating doses of steroids
- Patients with grade 2 or greater diarrhea prior to study initiation despite maximal
medical management due to medications or a medical condition such as Crohn's disease
or malabsorption
- Pregnant or lactating women
- Any type of systemic therapy (chemotherapy or experimental drugs) within 2 weeks of
starting treatment on protocol except for a EGFR TKI
- Patients who have received prior treatment with a MEK inhibitor
- Any major surgery or extensive radiotherapy within 21 days of starting treatment on
protocol.
- A history of clinically significant interstitial lung disease or pneumonitis
- Clinically significant cardiac disease including unstable angina, acute myocardial
infarction within 6 months from Day 1 of study administration, New York Heart
Association Class III or IV congestive heart failure, or symptomatic uncontrolled
Arrythmias, prolonged corrected QT interval >480msec, treatment refractory
hypertension, presence of a cardiac defibrillator
- History of central serous retinopathy or retinal vein occlusion
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Overall Response Rate |
Time Frame: | 2 years |
Safety Issue: | |
Description: | Response and progression of disease will be evaluated in this study using interval imaging every 8 weeks with CT scan of the chest and imaging of any other target lesion with response evaluated by RECIST 1.1. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Memorial Sloan Kettering Cancer Center |
Trial Keywords
- erlotinib
- trametinib
- 15-098
Last Updated
December 22, 2020