Carcinoma, Non-Small Cell-LungPhase 1/2NCT01039948
A Phase 1b/2 Study in Asian Subjects With Non-Small Cell Lung Cancer
A Phase 1/2 study testing AV-299 + gefitinib and Gefitinib in people with Carcinoma, Non-Small Cell-Lung and Lung Neoplasms, run by AVEO Pharmaceuticals, Inc. at 26 sites in 7 countries.
Trial summary
During Phase 1b portion, there will be a dose-escalation of AV-299 (formerly SCH 900105) in combination with the recommended dose of gefitinib in subjects with NSCLC or advanced solid tumor. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small Cell-Lung, Lung Neoplasms, Lung Cancer
- What is being tested?
- AV-299 + gefitinib and Gefitinib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 203 participants
- Where
- 26 sitesin 7 countries
- Study dates
- Dec 2009to Aug 2013
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
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
- Asian ethnicity.
- ECOG performance status of 0-2.
- Phase 1b (only): Diagnosis of one of the following unresectable NSCLC with or without prior therapy advanced solid tumor that progressed after standard therapy
- Phase 2 only: Histologic or cytologic confirmation of unresectable locally advanced or metastatic stage IIIB/IV lung adenocarcinoma with at least one measurable lesion, per Response Evaluation Criteria in Solid Tumors (RECIST-Version 1.1).
- Phase 2 only: Never smoker or light ex-smoker.
- Available tumor tissue for determination of EGFR mutational status and immunohistochemistry analysis
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- Adequate hematologic, hepatic, renal and coagulation function
- No active central nervous system metastases
- Prior radiotherapy is allowed if 14 days from first dose of study drug and toxicity is resolved; additionally in Phase 2 only, ≥1 target lesion not irradiated or with definitive progression after prior radiation therapy.
- Agreement to use effective contraception.
- Phase 2 only: Subjects on Gefitinib monotherapy arm must have documented CR, PR, or SD for ≥12 weeks prior to disease progression in order to cross over to combination therapy arm.
Who cannot join
- Phase 2 only: Prior chemotherapy or prior treatment with epidermal growth factor receptor (EGFR) inhibitor, including both tyrosine kinase inhibitors and monoclonal antibodies. There is no limit to the number of therapies for subject being considered for Phase 1b.
- History of neoplasm other than the entry diagnosis.
- Pregnancy or lactation.
- Myocardial infarction within 6 months prior to initiation of study treatment.
- A serious active infection.
- Known human immunodeficiency virus infection.
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- A serious underlying medical condition that would impair the ability of the subject to receive protocol treatment.
- A major surgical procedure, open biopsy, or significant traumatic injury.
- Thrombotic or embolic events.
- Known or suspected allergy/hypersensitivity to any agent given in the course of this trial.
- Any condition that impairs absorption of oral agents or the subject's ability to swallow whole pills.
- Diarrhea ≥ Grade 2 or active Inflammatory Bowel Disease.
- Severe acute or chronic medical, psychiatric, or behavioral condition or laboratory abnormality.
- Diagnosis of interstitial lung disease.
- Any medications or treatments prohibited by the protocol.
Trial locations and contacts
26 sites in 7 countries.
26 sites in 7 countries
South Korea7 sites
Investigational Site 2
Chungcheongbuk-do
Investigational Site 3
Gyeonggi-do
Investigational Site 4
Jeollanam-do
Investigational Site 5
Seoul
Investigational Site 6
Seoul
Investigational Site 7
Seoul
Investigational Site 8
Seoul
Taiwan7 sites
Investigational Site 16
Changhua
Investigational Site 17
Chiayi City
Investigational Site 18
Taichung
Investigational Site 19
Tainan
Investigational Site 20
Taipei
Investigational Site 21
Taipei
Investigational Site 22
Taoyuan
Thailand4 sites
Investigational Site 23
Bangkok
Investigational Site 24
Chiang Mai
Investigational Site 25
KhonKaen
Investigational Site 26
Songkhla
Malaysia3 sites
Investigational Site 10
Kuala Lumpur
Investigational Site 9
Kuala Lumpur
Investigational Site 11
Kuala Pahang
Philippines3 sites
Investigational Site 12
Manila
Investigational Site 13
Pasig
Investigational Site 14
Quezon City
About this study
Official title: A Phase 1b/2 Study of AV-299 (Formerly SCH 900105) in Combination With Gefitinib in Asian Subjects With Non-Small Cell Lung Cancer (P06162)
During Phase 1b portion, there will be a dose-escalation of AV-299 (formerly SCH 900105) in combination with the recommended dose of gefitinib in subjects with NSCLC or advanced solid tumor. The objective is to determine the safety, tolerability, dose limiting toxicity (DLT) and recommended Phase 2 dose (RP2D) in combination with gefitinib for the Phase 2 portion.
The Phase 2 is an open-label, 2-arm, randomized study designed to compare the combination of AV-299 (formerly SCH900105) and gefitinib versus gefitinib alone in clinically selected Asian subjects with previously untreated lung adenocarcinoma who have a high likelihood of harboring activating EGFR mutations. Subjects who progress after initial disease control in the gefitinib alone arm may crossover to the combination arm.
- Being tested
- AV-299 + gefitinib, Gefitinib
- Keywords
- Neoplasms, Carcinoma, Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Respiratory Tract Neoplasms, Neoplasms, Glandular and Epithelial, Neoplasms by Histological Type, Thoracic Neoplasms, Neoplasms by Site, Lung Diseases, Respiratory Tract Diseases, Gefitinib, Antineoplastic Agents, Therapeutic Uses, Pharmacologic Actions, Protein Kinase Inhibitors, Enzyme Inhibitors, Molecular Mechanisms of Pharmacological Action
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Respiratory Tract Neoplasms, Neoplasms, Carcinoma, Neoplasms, Glandular and Epithelial, Neoplasms by Histologic Type, Thoracic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AV-299 + gefitinibBiological
Also called Other name: ficlatuzumab, Formerly SCH 900105
AV-299 is a humanized anti-HGF IgG1 monoclonal antibody directed against free HGF, ligand for c-Met tyrosine kinase receptor.
GefitinibDrug
Also called Iressa®
Gefitinib is a small molecule (drug) which selectively inhibits epidermal growth factor receptor's (EGFR) tyrosine kinase domain.
| Study group | Role | What they receive |
|---|---|---|
| Phase 2: AV-299 + gefitinib | Experimental | Phase 2: AV-299 (formerly SCH 900105) administered IV at RP2D (as determined by Phase 1b portion) in combination with gefitinib 250 mg/day orally. Receives: Biological: AV-299 + gefitinib |
| Phase 2: Gefitinib | Active comparator | Phase 2: Gefitinib 250 mg/day, orally. Receives: Drug: Gefitinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase Ib: Dose Limiting Toxicity and Recommended Phase II Dose
Measured: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereaftert
Phase 2: Objective Response Rate
Measured: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter
Secondary outcomes (2)
Phase 1b: Cmax, Tmax, AUC, t1/2, clearance, and Vd
Measured: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter
Phase 2: Progression Free Survival, Overall Survival, Safety
Measured: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Dec 2009 (estimated)
- Study startDec 2009
- Primary completionAug 2013
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Non-Small Cell-LungStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 203 participants (actual)
Sponsor and investigators
- Lead sponsor
- AVEO Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Philip Komarnitsky, MD, Study director, AVEO Pharmaceuticals, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01039948
- Sponsor's protocol ID
- P06162
- Status last verified
- Apr 2015
- First submitted
- 23 Dec 2009
- Last updated
- 8 Apr 2015
- Results posted
- No
- Data monitoring committee
- No
Publications
Tan EH, Lim WT, Ahn MJ, Ng QS, Ahn JS, Shao-Weng Tan D, Sun JM, Han M, Payumo FC, McKee K, Yin W, Credi M, Agarwal S, Jac J, Park K. Phase 1b Trial of Ficlatuzumab, a Humanized Hepatocyte Growth Factor Inhibitory Monoclonal Antibody, in Combination With Gefitinib in Asian Patients With NSCLC. Clin Pharmacol Drug Dev. 2018 Jun;7(5):532-542. doi: 10.1002/cpdd.427. Epub 2018 Jan 18.
PubMed 29346833
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1b/2 Study of AV-299 (Formerly SCH 900105) in Combination With Gefitinib in Asian Subjects With Non-Small Cell Lung Cancer (P06162)
- ClinicalTrials.gov ID
- NCT01039948
- Acronym / sponsor ID
- P06162
- Keywords
- Neoplasms, Carcinoma, Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Respiratory Tract Neoplasms, Neoplasms, Glandular and Epithelial, Neoplasms by Histological Type, Thoracic Neoplasms
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 203 participants (actual)
- Lead sponsor
- AVEO Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- Dec 2009
- Primary completion
- Aug 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 25 Dec 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
During Phase 1b portion, there will be a dose-escalation of AV-299 (formerly SCH 900105) in combination with the recommended dose of gefitinib in subjects with NSCLC or advanced solid tumor. The objective is to determine the safety, tolerability, dose limiting toxicity (DLT) and recommended Phase 2 dose (RP2D) in combination with gefitinib for the Phase 2 portion.
The Phase 2 is an open-label, 2-arm, randomized study designed to compare the combination of AV-299 (formerly SCH900105) and gefitinib versus gefitinib alone in clinically selected Asian subjects with previously untreated lung adenocarcinoma who have a high likelihood of harboring activating EGFR mutations. Subjects who progress after initial disease control in the gefitinib alone arm may crossover to the combination arm.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Phase 2: AV-299 + gefitinib | Experimental | Biological: AV-299 + gefitinibPhase 2: AV-299 (formerly SCH 900105) administered IV at RP2D (as determined by Phase 1b portion) in combination with gefitinib 250 mg/day orally. |
| Phase 2: Gefitinib | Active comparator | Drug: GefitinibPhase 2: Gefitinib 250 mg/day, orally. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Asian ethnicity.
- ECOG performance status of 0-2.
- Phase 1b (only): Diagnosis of one of the following unresectable NSCLC with or without prior therapy advanced solid tumor that progressed after standard therapy
- Phase 2 only: Histologic or cytologic confirmation of unresectable locally advanced or metastatic stage IIIB/IV lung adenocarcinoma with at least one measurable lesion, per Response Evaluation Criteria in Solid Tumors (RECIST-Version 1.1).
- Phase 2 only: Never smoker or light ex-smoker.
Key exclusion criteria (15 listed)
- Phase 2 only: Prior chemotherapy or prior treatment with epidermal growth factor receptor (EGFR) inhibitor, including both tyrosine kinase inhibitors and monoclonal antibodies. There is no limit to the number of therapies for subject being considered for Phase 1b.
- History of neoplasm other than the entry diagnosis.
- Pregnancy or lactation.
- Myocardial infarction within 6 months prior to initiation of study treatment.
- A serious active infection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AV-299 + gefitinibAlso: Other name: ficlatuzumab, Formerly SCH 900105AV-299 is a humanized anti-HGF IgG1 monoclonal antibody directed against free HGF, ligand for c-Met tyrosine kinase receptor. | Biological | Phase 2: AV-299 + gefitinib |
| GefitinibAlso: Iressa®Gefitinib is a small molecule (drug) which selectively inhibits epidermal growth factor receptor's (EGFR) tyrosine kinase domain. | Drug | Phase 2: Gefitinib |
Primary outcome
Phase Ib: Dose Limiting Toxicity and Recommended Phase II Dose
Time frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereaftert
Phase 2: Objective Response Rate
Time frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter
2 secondary outcomes
Phase 1b: Cmax, Tmax, AUC, t1/2, clearance, and Vd
Time frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter
Phase 2: Progression Free Survival, Overall Survival, Safety
Time frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereafter
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2015.
- Derived from this study: PubMed 29346833Tan EH, Lim WT, Ahn MJ, Ng QS, Ahn JS, Shao-Weng Tan D, Sun JM, Han M, Payumo FC, McKee K, Yin W, Credi M, Agarwal S, Jac J, Park K. Phase 1b Trial of Ficlatuzumab, a Humanized Hepatocyte Growth Factor Inhibitory Monoclonal Antibody, in Combination With Gefitinib in Asian Patients With NSCLC. Clin Pharmacol Drug Dev. 2018 Jun;7(5):532-542. doi: 10.1002/cpdd.427. Epub 2018 Jan 18.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Philip Komarnitsky, MD study director
AVEO Pharmaceuticals, Inc.
26 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing AV-299 + gefitinib and Gefitinib in people with Carcinoma, Non-Small Cell-Lung and Lung Neoplasms, run by AVEO Pharmaceuticals, Inc. at 26 sites in 7 countries.
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 11 inclusion and 15 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 8 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 26 sites in South Korea, Taiwan, Thailand, Malaysia, Philippines and 2 more countries. 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. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Phase Ib: Dose Limiting Toxicity and Recommended Phase II Dose (time frame: Every 4 weeks for the first 4 months of treatment period, every 8 weeks thereaftert). 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?
On the ClinicalTrials.gov record for NCT01039948, which also lists 1 linked publication.
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 8 Apr 2015.