Solid Tumors and Advanced Endometrial CancerPhase 2NCT01379534
A Phase II Study to Evaluate the Efficacy of TKI258 for the Treatment of Patients With FGFR2 Mutated or Wild-type Advanced and/or Metastatic Endometrial Cancer
A Phase 2 study testing TKI258 in people with Solid Tumors and Advanced Endometrial Cancer and Endometrial Cancer, run by Novartis Pharmaceuticals at 45 sites in 7 countries.
Trial summary
This is a prospective, multi-center, open-label, single-arm, non-randomized, Phase II study to evaluate the efficacy and safety of TKI258 as second-line therapy in patients with either FGFR2 mutated or wild-type advanced and/or metastatic endometrial cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Solid Tumors and Advanced Endometrial Cancer, Endometrial Cancer, Second-line Treatment
- What is being tested?
- TKI258
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 53 participants
- Where
- 45 sitesin 7 countries
- Study dates
- Nov 2011to Mar 2014
- Phase
- Phase 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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with histologically confirmed diagnosis of advanced and/or metastatic endometrial cancer with available tissue specimen (either archival tissue or fixed fresh biopsy)
- Female patients ≥ 18 years old
- Documented radiologically confirmed progression of disease after prior first-line treatment evidence of progressive disease
- ECOG (Eastern Cooperative Oncology Group) performance status ≤ 2
- At least one measurable lesion as per RECIST
Who cannot join
- Previous treatment with an FGFR inhibitor
- More than one line of treatment for advanced or metastatic disease
- Patients with uterine sarcomas, adenosarcoma, and malignant Mullerian tumors
- Patients with isolated recurrences (vaginal, pelvic, or para-aortic) potentially curative with radiation therapy or surgery
- Known central nervous system (CNS) metastases
- Malignancy within 3 years of study enrollment Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
45 sites in 7 countries.
45 sites in 7 countries
United States21 sites
Virginia Oncology Associates VOA - Lake Wright
*see Various Departments*, Virginia
Hope A Woman's Cancer Center
Asheville, North Carolina, 28806
Texas Oncology, P.A. Austin
Bedford, Texas, 76022
Texas Oncology, P.A. Tex Onc (3)
Bedford, Texas, 76022
Dana Farber Cancer Institute SC
Boston, Massachusetts, 02115
Community Oncology Research Network
Chattanooga, Tennessee, 37403
Duke University Medical Center Duke3
Durham, North Carolina, 27710
Texas Oncology, P.A. SC
Fort Worth, Texas, 76104
St. Jude Heritage Medical Group St Jude
Fullerton, California, 92835
Rocky Mountain Cancer Centers Dept. of Rocky Mountain Cancer
Greenwood Village, Colorado
Indiana University Health Goshen Center for Cancer IU Simon Cancer
Indianapolis, Indiana, 46202
University of Iowa Hospitals & Clinics SC
Iowa City, Iowa, 52242
Southeast Nebraska Oncology Cancer Center
Lincoln, Nebraska, 68510
USC/Kenneth Norris Comprehensive Cancer Center USC 2
Los Angeles, California, 90033
Cedars Sinai Medical Center TKI258A2211 (SC)
Los Angeles, California, 90048
University of California at Los Angeles UCLA 3
Los Angeles, California, 90095
The West Clinic SC
Memphis, Tennessee, 38120
University of South Alabama / Mitchell Cancer Institute Univ South Alabama
Mobile, Alabama, 36688
Florida Hospital Cancer Institute FL Hosp
Orlando, Florida, 32804
South Texas Oncology and Hematology, PA South Tex Onc
San Antonio, Texas, 78258
Cancer Care Northwest SC
Spokane, Washington, 99202
Italy7 sites
Novartis Investigative Site
Candiolo, TO, 10060
Novartis Investigative Site
Genova, GE, 16132
Novartis Investigative Site
Milan, MI, 20133
Novartis Investigative Site
Milan, MI, 20141
Novartis Investigative Site
Monza, MB, 20900
Novartis Investigative Site
Pisa, PI, 56126
Novartis Investigative Site
Roma, RM, 00168
Spain7 sites
Novartis Investigative Site
Barcelona, Catalonia, 08035
Novartis Investigative Site
Córdoba, Andalusia, 14004
Novartis Investigative Site
Majadahonda, Madrid, 28222
Novartis Investigative Site
Málaga, Andalusia, 29010
Novartis Investigative Site
Murcia, Murcia, 30008
Novartis Investigative Site
Oviedo, Principality of Asturias, 33006
Novartis Investigative Site
Sabadell, Barcelona, 08208
United Kingdom4 sites
Novartis Investigative Site
Glasgow, G12 0YN
Novartis Investigative Site
Leeds, LS9 7TF
Novartis Investigative Site
London, NW1 2BU
Novartis Investigative Site
Nottingham, NG5 1PB
Brazil3 sites
Novartis Investigative Site
Belo Horizonte, Minas Gerais, 30150-270
Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90610-000
Novartis Investigative Site
Ribeirão Preto, São Paulo, 14048-900
South Korea2 sites
Novartis Investigative Site
Seoul, Korea, 135-710
Novartis Investigative Site
Seoul, 738-736
About this study
Official title: A Phase II, Open-label, Single-arm, Non-randomized, Multi-center Study to Evaluate the Efficacy of Oral TKI258 as Second-line Therapy in Patients With Either FGFR2 Mutated or Wild-type Advanced and/or Metastatic Endometrial Cancer
This is a prospective, multi-center, open-label, single-arm, non-randomized, Phase II study to evaluate the efficacy and safety of TKI258 as second-line therapy in patients with either FGFR2 mutated or wild-type advanced and/or metastatic endometrial cancer.
- Conditions
- Solid Tumors and Advanced Endometrial Cancer, Endometrial Cancer, Second-line Treatment, VEGF
- Being tested
- TKI258
- Keywords
- Solid tumors,, advanced endometrial cancer,, Endometrial Cancer,, Second-line treatment,, VEGF,, Neoplasms,, Endometrial Neoplasms,, Uterine Neoplasms,, Female Genital Neoplasms,, Cancer,, Carcinoma,, Uterine Diseases,, Female Genital Diseases,, Tumors,, Oral Administration,, Capsules,, Tablets,, CHIR258,, CHIR-258,, CHIR 258,
- Medical subject headings
- Endometrial Neoplasms, Neoplasms, Uterine Neoplasms, Genital Neoplasms, Female, Carcinoma, Uterine Diseases, Genital Diseases, Female
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TKI258Drug
Also called dovitinib
| Study group | Role | What they receive |
|---|---|---|
| TKI258 | Experimental | 1 treatment arm (single agent TKI258), with patients classified into 2 groups based on their FGFR2 mutation status Receives: Drug: TKI258 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) Rate
The 18-week PFS was defined as the percentage of participants who did not have a progression event at week 18. Participants who progressed, died, had response assessment of unknown (UNK) or discontinued before 18 weeks of observation without progression were counted as "failure". Progressive disease was assessed as per investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Measured: up to 18 weeks
Secondary outcomes (6)
Overall Response Rate (ORR)
ORR is defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR).
Measured: Baseline and every 6 weeks until disease progression, up to 18 weeks
Disease Control Rate (DCR)
DCR was defined as the percentage of participants with a best overall response of CR or PR or stable disease (SD).
Measured: Baseline and every 6 weeks until disease progression, up to 18 weeks
Duration of Response (DR)
Duration of response was defined for participants with a CR or PR as the time from the date of the first documented response (CR or PR) to the date of the first documented progression or death due to disease. If a participants did not have a progression event, duration of response was censored at the date of the last adequate tumor assessment before the data analysis cut-off date or the antineoplastic therapy start date or the death date.
Measured: up to 18 weeks
Overall Survival (OS)
OS was defined as the time from date of treatment to the date of death from any cause. If a participant was not known to have died at the date of analysis cut-off, the OS was censored at the last date of contact.
Measured: up to 18 weeks
Progression Free Survival (PFS)
PFS was defined as the time from the date of start of treatment to the date of the first documented progression or death due to any cause. If a participant did not have an event, PFS was censored at the date of last adequate response assessment before the data analysis cut-off date or the start date of new antineoplastic therapy after study drug discontinuation.
Measured: up to 18 weeks
Number of Participants With Adverse Events, Serious Adverse Events and Deaths
Adverse event monitoring was conducted throughout the study.
Measured: up to 30 days after the last dose of study drug, up to 18 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jun 2011 (estimated)
- Study startNov 2011
- Primary completionMar 2014
- Study completionMar 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Solid Tumors and Advanced Endometrial CancerStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 53 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01379534
- Sponsor's protocol ID
- CTKI258A2211
- Other IDs
- 2011-000266-35
- Status last verified
- May 2015
- First submitted
- 6 Jun 2011
- Last updated
- 20 May 2015
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Konecny GE, Finkler N, Garcia AA, Lorusso D, Lee PS, Rocconi RP, Fong PC, Squires M, Mishra K, Upalawanna A, Wang Y, Kristeleit R. Second-line dovitinib (TKI258) in patients with FGFR2-mutated or FGFR2-non-mutated advanced or metastatic endometrial cancer: a non-randomised, open-label, two-group, two-stage, phase 2 study. Lancet Oncol. 2015 Jun;16(6):686-94. doi: 10.1016/S1470-2045(15)70159-2. Epub 2015 May 13.
PubMed 25981814
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Open-label, Single-arm, Non-randomized, Multi-center Study to Evaluate the Efficacy of Oral TKI258 as Second-line Therapy in Patients With Either FGFR2 Mutated or Wild-type Advanced and/or Metastatic Endometrial Cancer
- ClinicalTrials.gov ID
- NCT01379534
- Acronym / sponsor ID
- CTKI258A2211
- Conditions
- Solid Tumors and Advanced Endometrial Cancer, Endometrial Cancer, Second-line Treatment, VEGF
- Keywords
- Solid tumors,, advanced endometrial cancer,, Endometrial Cancer,, Second-line treatment,, VEGF,, Neoplasms,, Endometrial Neoplasms,, Uterine Neoplasms,
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 53 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Nov 2011
- Primary completion
- Mar 2014 (actual)
- Study completion
- Mar 2014 (actual)
- First posted
- 23 Jun 2011 (estimated)
- Results
- Posted 31 Mar 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, multi-center, open-label, single-arm, non-randomized, Phase II study to evaluate the efficacy and safety of TKI258 as second-line therapy in patients with either FGFR2 mutated or wild-type advanced and/or metastatic endometrial cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| TKI258 | Experimental | Drug: TKI2581 treatment arm (single agent TKI258), with patients classified into 2 groups based on their FGFR2 mutation status |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients with histologically confirmed diagnosis of advanced and/or metastatic endometrial cancer with available tissue specimen (either archival tissue or fixed fresh biopsy)
- Female patients ≥ 18 years old
- Documented radiologically confirmed progression of disease after prior first-line treatment evidence of progressive disease
- ECOG (Eastern Cooperative Oncology Group) performance status ≤ 2
- At least one measurable lesion as per RECIST
Key exclusion criteria (6 listed)
- Previous treatment with an FGFR inhibitor
- More than one line of treatment for advanced or metastatic disease
- Patients with uterine sarcomas, adenosarcoma, and malignant Mullerian tumors
- Patients with isolated recurrences (vaginal, pelvic, or para-aortic) potentially curative with radiation therapy or surgery
- Known central nervous system (CNS) metastases
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 |
|---|---|---|
| TKI258Also: dovitinib | Drug | TKI258 |
Primary outcome
Progression Free Survival (PFS) Rate
Time frame: up to 18 weeks
The 18-week PFS was defined as the percentage of participants who did not have a progression event at week 18. Participants who progressed, died, had response assessment of unknown (UNK) or discontinued before 18 weeks of observation without progression were counted as "failure". Progressive disease was assessed as per investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
6 secondary outcomes
Overall Response Rate (ORR)
Time frame: Baseline and every 6 weeks until disease progression, up to 18 weeks
Disease Control Rate (DCR)
Time frame: Baseline and every 6 weeks until disease progression, up to 18 weeks
Duration of Response (DR)
Time frame: up to 18 weeks
Overall Survival (OS)
Time frame: up to 18 weeks
Progression Free Survival (PFS)
Time frame: up to 18 weeks
Number of Participants With Adverse Events, Serious Adverse Events and Deaths
Time frame: up to 30 days after the last dose of study drug, up to 18 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 May 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 25981814Konecny GE, Finkler N, Garcia AA, Lorusso D, Lee PS, Rocconi RP, Fong PC, Squires M, Mishra K, Upalawanna A, Wang Y, Kristeleit R. Second-line dovitinib (TKI258) in patients with FGFR2-mutated or FGFR2-non-mutated advanced or metastatic endometrial cancer: a non-randomised, open-label, two-group, two-stage, phase 2 study. Lancet Oncol. 2015 Jun;16(6):686-94. doi: 10.1016/S1470-2045(15)70159-2. Epub 2015 May 13.
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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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
45 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing TKI258 in people with Solid Tumors and Advanced Endometrial Cancer and Endometrial Cancer, run by Novartis Pharmaceuticals at 45 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 5 inclusion and 6 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 20 May 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 45 sites in United States, Italy, Spain, United Kingdom, Brazil 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 phase mean?
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 31 Mar 2015). 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?
Progression Free Survival (PFS) Rate (time frame: up to 18 weeks). 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 NCT01379534, 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 20 May 2015.