AzTrials
AzTrials

Non-Small-Cell Lung CarcinomaPhase 1/2NCT00602030

Study to Evaluate Erlotinib With or Without SNDX-275 (Entinostat) in the Treatment of Patients With Advanced NSCLC

A Phase 1/2 study testing Entinostat and Erlotinib in people with Non-Small-Cell Lung Carcinoma and Carcinoma, Non-Small Cell Lung, run by Syndax Pharmaceuticals at 30 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the safety and efficacy of entinostat in combination with erlotinib in the treatment of Advanced Non-Small Cell Lung Cancer (NSCLC). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Entinostat and Erlotinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
141 participants
Where
30 sitesUnited States
Study dates
8 Jan 2008to 1 Feb 2012
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Cytologically or histologically confirmed NSCLC of stage IIIb or IV
  • Received at least 1 but no more than 2 prior chemotherapy or chemoradiotherapy regimens for advanced NSCLC (that did not include erlotinib and valproic acid) and progressed based on radiologic evidence
  • At least 1 measurable lesion by conventional or spiral computed tomography (CT) scan
  • Eastern Cooperative Oncology Group (ECOG) performance score of 0, 1, or 2 and life expectancy of at least 6 months
  • Paraffin-embedded tumor specimen available for correlative studies
  • Male or female over 18 years of age
Show all 14Show fewer
  • Hemoglobin ≥ 9.0 g/dL; platelets ≥ 100 x 10^9/L; absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L without the use of hematopoietic growth factors
  • Bilirubin and creatinine less than 2 times the upper limit of normal for the institution
  • Albumin ≥ 2.5 g/dL
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than 3 times the upper limit of normal for the institution
  • Prothrombin time less than 1.5 times the upper limit of normal for the institution
  • Potassium, magnesium and phosphorus within the normal range for the institution (supplementation is permissible)
  • Willing to use accepted and effective methods of contraception during the study (both men and women as appropriate) and for 3 months after the last dose of SNDX-275
  • Patient or legally acceptable representative has granted written informed consent before any study-specific procedure (including special screening tests) are performed

Who cannot join

  • Prior stem cell transplant
  • Clinical evidence of central nervous system (CNS) involvement
  • Prior treatment with an histone deacetylase (HDAC) inhibitor or an epidermal growth factor receptor (EGFR) inhibitor
  • Currently taking known inhibitors of CYPA4, including but not limited to atazanavir, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, troleandomycin, ≥ 10 mg prednisone, and voriconazole
  • Currently taking medication(s) on the prohibited medication list
  • Prior exposure to SNDX-275
Show all 18Show fewer
  • Systemic chemotherapy, radiotherapy, or treatment with an investigational agent without recovery to at least grade 1 or baseline before study drug administration
  • Daily treatment with ≥ 10 mg prednisone within 28 days before study drug administration
  • Local or whole brain palliative radiotherapy within 14 days before study drug administration
  • Currently active second malignancy, or any malignancy within the last 5 years other than cured basal or squamous cell skin carcinoma, cervical carcinoma in situ, carcinoma in situ of the bladder, or papillary thyroid cancer
  • Inability to swallow oral medications or a gastrointestinal malabsorption condition
  • Acute infection requiring intravenous (IV) antibiotics, antivirals, or antifungals within 14 days before study drug administration
  • Known human immunodeficiency virus (HIV) infection, or active hepatitis B or C infection
  • Another serious or uncontrolled medical condition within 90 days before study drug administration such as acute myocardial infarction, angina, ventricular arrhythmias, hypertension, diabetes mellitus, or renal or hepatic insufficiency
  • Known hypersensitivity to benzamides
  • Women who are currently pregnant or breast-feeding
  • Patient currently is enrolled in (or completed within 28 days before study drug administration) another investigational drug study
  • Patient has any kind of medical, psychiatric, or behavioral disorder that places the patient at increased risk for study participation or compromises the ability of the patient to give written informed consent and/or to comply with study procedures and requirements

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

United States30 sites
  • Texas Oncology

    Amarillo, Texas

  • Texas Oncology

    Austin, Texas

  • Texas Oncology

    Bedford, Texas

  • Mahonig Valley Hematology Oncology Associates

    Boardman, Ohio

  • Highline Medical Oncology

    Burien, Washington

  • Hematology Oncology Associates of Illinois

    Chicago, Illinois

  • Texas Oncology, Sammons Cancer Center

    Dallas, Texas

  • Texas Oncology

    Dallas, Texas

  • Rocky Mountain Cancer Center

    Denver, Colorado

  • Oncology Associates of Oregon

    Eugene, Oregon

  • Fairfax Northern Virginia Hematology-Oncology

    Fairfax, Virginia

  • Texas Oncology

    Fort Worth, Texas

  • Texas Oncology

    Garland, Texas

  • Central Indiana Cancer Centers

    Indianapolis, Indiana

  • Dayton Oncology & Hematology

    Kettering, Ohio

  • Texas Oncology

    Longview, Texas

  • Advanced Medical Specialties

    Miami, Florida

  • Texas Oncology

    Midland, Texas

  • Virginia Oncology Associates

    Norfolk, Virginia

  • Ocala Oncology Center

    Ocala, Florida

  • Cancer Centers of Florida

    Ocoee, Florida

  • Texas Oncology

    Odessa, Texas

  • Kansas City Cancer Centers

    Overland Park, Kansas

  • St Joseph Oncology

    Saint Joseph, Missouri

  • Cancer Care Northwest

    Spokane, Washington

  • The Center for Cancer Care & Research

    St Louis, Missouri

  • HOPE (Hematology Oncology Physicians & Extenders)

    Tucson, Arizona

  • Texas Oncology

    Tyler, Texas

  • Alliance Hematology Oncology

    Westminster, Maryland

  • Yakima Valley Memorial Hospital/North Star Lodge

    Yakima, Washington

Other trials in United States

About this study

Official title: A Randomized, Placebo-controlled, Double-blind, Multicenter Phase 2 Study With a Lead in Phase of Erlotinib With or Without SNDX-275 in Patients With NSCLC After Failure In Up to Two Prior Chemotherapeutic Regimens for Advanced Disease

The purpose of this study is to evaluate the safety and efficacy of entinostat in combination with erlotinib in the treatment of Advanced Non-Small Cell Lung Cancer (NSCLC).

Being tested
Entinostat, Placebo, Erlotinib
Keywords
lung cancer, NSCLC, lung neoplasms, respiratory
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EntinostatDrug

    Also called SNDX-275

    Entinostat tablets on Days 1 and 15 of a 28-day cycle.

  • PlaceboDrug

    Placebo-matching entinostat tablets on Days 1 and 15 of a 28-day cycle.

  • ErlotinibDrug

    Also called Tarceva

    Erlotinib 150 mg tablets once daily.

Study groups in NCT00602030
Study groupRoleWhat they receive
Lead-in Phase: Erlotinib + Entinostat 5 mgExperimentalErlotinib 150 mg, tablets, orally, daily plus entinostat 5 mg, tablets, orally, on Days 1 and 15 of each 28-day cycle until disease progression or intolerable toxicities for up to 6 cycles in the Lead-in Phase.
Receives: Drug: Entinostat; Drug: Erlotinib
Lead-in Phase: Erlotinib + Entinostat 10 mgExperimentalErlotinib 150 mg tablets, orally, daily plus entinostat 10 mg, tablets, orally, on Days 1 and 15 of each 28-day cycle until disease progression or intolerable toxicities for up to 6 cycles in the Lead-in Phase.
Receives: Drug: Entinostat; Drug: Erlotinib
Double-blind Phase: Erlotinib + Entinostat 10 mgExperimentalErlotinib 150 mg, tablets, orally, daily plus entinostat 10 mg, tablets, orally, on Day 1 and 15 of a 28-day cycle until disease progression or intolerable toxicities for up to 6 cycles in the Double-blind Phase.
Receives: Drug: Entinostat; Drug: Erlotinib
Double-blind Phase: Erlotinib + PlaceboPlacebo comparatorErlotinib 150 mg, tablets, orally, daily plus placebo matching entinostat, tablets, orally, on Days 1 and 15 of each 28-day cycle until disease progression or intolerable toxicities for up to 6 cycles in the Double-blind Phase.
Receives: Drug: Placebo; Drug: Erlotinib
Crossover Phase: Erlotinib + Entinostat 10 mgExperimentalParticipants in the Double-blind Phase Erlotinib + Placebo arm who experienced disease progression crossed over to receive open-label erlotinib 150 mg, tablets, orally, daily plus entinostat 10 mg, tablets, orally, on Days 1 and 15 of each 28-day cycle until disease progression or intolerable toxicities.
Receives: Drug: Entinostat; Drug: Erlotinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Identification of Safe-dose for the Phase 2 Double-blind Phase in the Lead-in Phase

    Safe recommended Phase 2 dose was determined based on dose-limiting toxicities (DLT) in Cycle 1. A DLT was defined as any of the following occurring in Cycle 1: Grade 3 or greater nonhematologic toxicity that was considered related to either entinostat or erlotinib or a Grade 4 hematologic toxicity lasting more than 7 days and/or resulting in a dose delay. Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale was used where Grade 1=mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=life-threatening and 5=death. The dose that was found to be safe is reported.

    Measured: Cycle 1 of Lead-in Phase

  2. 4-Month Progression-free Survival (PFS) Rate in the Double-blind Phase

    PFS rate at 4 months was defined as the percentage of participants who are progression-free at 4 months.

    Measured: Month 4

Secondary outcomes (14)
  1. Objective Response Rate (ORR) in the Double-blind Phase

    ORR was defined as the percentage of participants who had confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) as assessed by the investigator. CR=disappearance of all target lesions; disappearance of non-target lesions and normalization of tumor marker level. PR=At least a 30% decrease in the sum of the longest diameter of target lesions, taking at reference the baseline sum longest diameter.

    Measured: Month 6

  2. 6-Month PFS Rate in the Double-blind Phase

    PFS rate at 6 months is defined as the percentage of participants who are progression-free at 6 months.

    Measured: Month 6

  3. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) by Severity in the Double-blind Phase

    An AE is defined as any untoward medical occurrence in a patient or clinical investigation patient administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Worsening of a pre-existing medical condition was considered an AE if there was either an increase in severity, frequency, or duration of the condition or an association with significantly worse outcomes. A TEAE is an AE that starts after the administration of study drug.

    A SAE is any AE that is fatal, life threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth effect or other significant medical hazard.

    TEAE severity was graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale where Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=Life-threatening and 5=Death.

    Measured: First dose of study drug to within 30 days past last dose (Up to 7 months)

  4. Number of Participants With Grade 3 or 4 Laboratory Variables in the Double-blind Phase

    Laboratory tests included tests of Hematology and Chemistry. The individual laboratory values were graded by the investigator using the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale where Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=Life-threatening and 5=Death.

    Measured: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)

  5. Vital Sign Values: Systolic Blood Pressure in the Double-blind Phase

    Measured: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)

  6. Vital Sign Values: Diastolic Blood Pressure in the Double-blind Phase

    Measured: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)

  7. Vital Sign Values: Heart Rate in the Double-blind Phase

    Measured: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)

  8. Vital Sign Values: Respiration Rate in the Double-blind Phase

    Measured: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)

  9. Vital Sign Values: Temperature in the Double-blind Phase

    Measured: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)

  10. Vital Sign Values: Weight in the Double-blind Phase

    Measured: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)

  11. Cmax: Maximum Plasma Concentration of Entinostat in the Lead-in Phase

    Measured: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose

  12. Tmax: Time to Cmax of Entinostat in the Lead-in Phase

    Measured: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose

  13. AUC(0-24): Area Under the Concentration-time Curve From Time 0 to 24 Hours in the Lead-in Phase

    Measured: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose

  14. AUC(0-last): Area Under the Concentration-time Curve From Time 0 to Last Quantifiable Concentration in the Lead-in Phase

    Measured: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jan 2008 (estimated)
  2. Study start8 Jan 2008
  3. Primary completion4 Feb 2010
  4. Study completion1 Feb 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
141 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00602030
Sponsor's protocol ID
SNDX-275-0401
Status last verified
Aug 2022
First submitted
25 Jan 2008
Last updated
22 Aug 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Entinostat and Erlotinib in people with Non-Small-Cell Lung Carcinoma and Carcinoma, Non-Small Cell Lung, run by Syndax Pharmaceuticals at 30 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Jun 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Identification of Safe-dose for the Phase 2 Double-blind Phase in the Lead-in Phase (time frame: Cycle 1 of Lead-in Phase). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Aug 2022.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in