Clinical Trials /

Tomivosertib With Anti-PD-(L)1 in Subjects With NSCLC. 1st Line Therapy or Progressing on 1st Line Anti-PD-(L)1 Therapy

NCT04622007

Description:

A Phase 2, double-blind, placebo-controlled study will evaluate the efficacy and safety of tomivosertib in subjects with NSCLC.

Related Conditions:
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Tomivosertib With Anti-PD-(L)1 in Subjects With NSCLC. 1st Line Therapy or Progressing on 1st Line Anti-PD-(L)1 Therapy
  • Official Title: A Randomized, Double-Blind, Placebo-Controlled Trial of Tomivosertib in Combination With Anti-PD-(L)1 Therapy in Subjects With NSCLC as First Line Therapy or When Progressing on Single-Agent First-Line Anti PD (L)1 Therapy

Clinical Trial IDs

  • ORG STUDY ID: eFT508-0011
  • NCT ID: NCT04622007

Conditions

  • Non-small Cell Lung Cancer

Interventions

DrugSynonymsArms
TomivosertibeFT508B1 Tomi + Pembro
PembrolizumabKeytruda®B1 Tomi + Pembro

Purpose

A Phase 2, double-blind, placebo-controlled study will evaluate the efficacy and safety of tomivosertib in subjects with NSCLC.

Detailed Description

      A Randomized, Double-Blind, Placebo-Controlled Trial of Tomivosertib in Combination With
      Anti-PD-(L)1 Therapy in Subjects With Non-Small Cell Lung Cancer as First Line Therapy or
      When Progressing on Single-Agent First-Line Anti PD (L)1 Therapy
    

Trial Arms

NameTypeDescriptionInterventions
Tomi + Current PembroExperimentalSubjects who have initiated pembrolizumab as a single agent and in accordance with the package insert will receive tomivosertib in addition to pembrolizumab.
  • Tomivosertib
  • Pembrolizumab
Pbo + Current PembroPlacebo ComparatorSubjects who have initiated pembrolizumab as a single agent and in accordance with the package insert, will receive matching placebo in addition to pembrolizumab.
  • Pembrolizumab
B1 Tomi + PembroExperimentalSubjects will initiate pembrolizumab as first-line therapy and receive tomivosertib.
  • Tomivosertib
  • Pembrolizumab
Pbo + PembroPlacebo ComparatorSubjects will initiate pembrolizumab as first-line therapy and receive matching placebo.
  • Pembrolizumab

Eligibility Criteria

        Inclusion Criteria:

          -  Inclusion Criteria for Cohort A: Subjects who meet all of the following criteria will
             be eligible to participate in Cohort A of the study:

             1. Have initiated first-line therapy for NSCLC with pembrolizumab and satisfy the
             following:

               -  Have tumor PD-L1 ≥50% by 22C3 IHC;

               -  Are judged by the Principal Investigator as tolerating pembrolizumab monotherapy;
                  and

               -  Have been on pembrolizumab for at least 3 months (measured from actual first dose
                  date to first dose date of the current study) and the most recent scans are the
                  first scans to objectively demonstrate Progressive Disease per RECIST 1.1.

          -  The first scan conducted a minimum of 21 days after first dose of anti-PD-(L)1 therapy
             must have shown either SD, PR, or CR (ie, not Progressive Disease) per RECIST 1.1; and

          -  The 2 most recent scans (including 1 demonstrating Progressive Disease) are available
             to be reviewed.

          -  Inclusion Criterion for Cohort B

        Subjects who meet the following criterion will be eligible to participate in Cohort B of
        the study:

        1. Are eligible for single-agent pembrolizumab for advanced/metastatic NSCLC in accordance
        with the package insert and have tumor PD-L1 ≥50% by 22C3 IHC.

          -  Inclusion Criteria for Both Cohorts

          -  Subjects must also meet all of the following criteria to be eligible to participate in
             the study:

               1. Have histologically confirmed NSCLC that is inoperable, locally advanced or
                  metastatic (Stage IIIb/IV), and was not treated with chemotherapy in the
                  advanced/metastatic setting; Note: Subjects may have received chemotherapy and/or
                  anti-PD-(L)1 therapy in the neo/adjuvant setting, provided the last dose of
                  therapy was >9 months prior to randomization.

               2. Have available at the site a representative formalin-fixed, paraffin-embedded
                  tumor specimen that enabled diagnosis of NSCLC in a tissue block (preferred) or
                  10 unstained, serial slides, accompanied by an associated pathology report.
                  Cytological or fine-needle aspiration samples are not acceptable; Note: If the
                  archival tissue is neither sufficient nor available, the subject may still be
                  eligible, upon discussion with the Medical Monitor, assuming the subject can
                  provide ≥5 unstained, serial slides. Cytological or fine-needle aspiration
                  samples are not acceptable.

               3. Have provided written informed consent and any authorizations required by local
                  law;

               4. Are ≥18 years of age;

               5. Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;

        Exclusion Criteria:

          1. Have received platinum-based chemotherapy or initiated anti-PD-(L)1 therapy with
             chemotherapy for locally advanced or metastatic NSCLC; Note: Subjects may have
             received chemotherapy and/or anti-PD-(L)1 therapy in the neo/adjuvant setting,
             provided the last dose of therapy was >9 months prior to randomization.

          2. Have NSCLC with epidermal growth factor receptor or anaplastic lymphoma kinase genomic
             tumor aberrations;

          3. Have gastrointestinal (GI) disease (eg, gastric or intestinal bypass surgery,
             pancreatic enzyme insufficiency, malabsorption syndrome, symptomatic inflammatory
             bowel disease, chronic diarrheal illness, and/or bowel obstruction) that may interfere
             with drug absorption or with interpretation of GI AEs;

          4. Have known symptomatic brain metastases requiring >10 mg/day of prednisone (or its
             equivalent). Subjects with previously diagnosed brain metastases are eligible if they
             have completed their treatment, have recovered from the acute effects of radiation
             therapy or surgery prior to randomization, fulfill the steroid requirement for these
             metastases, the 2 most recent serial magnetic resonance imaging (MRI) scans conducted
             >28 days apart show no central nervous system progression, and are neurologically
             stable and asymptomatic;
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:To characterize the progression-free survival (PFS) of tomivosertib when added to pembrolizumab as a first-line treatment; and
Time Frame:2 years
Safety Issue:
Description:Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.

Secondary Outcome Measures

Measure:To characterize the PFS of tomivosertib when added to pembrolizumab in Cohorts A and B combined;
Time Frame:2 years
Safety Issue:
Description:Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.
Measure:To characterize the PFS of tomivosertib when added to pembrolizumab as a first-line treatment in subjects with NSCLC;
Time Frame:2 years
Safety Issue:
Description:Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier. Objective response per RECIST 1.1, as assessed by the BIRC.
Measure:To characterize the PFS of tomivosertib when added to pembrolizumab after first radiographic progression on pembrolizumab monotherapy;
Time Frame:2 years
Safety Issue:
Description:Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier. Objective response per RECIST 1.1, as assessed by the BIRC

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Effector Therapeutics

Last Updated

May 6, 2021