Non-Small Cell Lung CancerPhase 2NCT02109016
A Study to Assess the Efficacy and Safety of the VEGFR-FGFR Inhibitor, Lucitanib, Given to Patients With Advanced/Metastatic Lung Cancer and FGF, VEGF, or PDGF Related Genetic Alterations
A Phase 2 study testing Lucitanib in people with Non-Small Cell Lung Cancer and Squamous Non-Small Cell Lung Cancer, run by Clovis Oncology, Inc. at 19 sites in 5 countries.
Trial summary
The purpose of this study is to determine whether lucitanib is safe and effective in the treatment of patients with advanced/metastatic lung cancer and fibroblast growth factor (FGF), vascular endothelial growth factor receptor (VEGF), or platelet derived growth factor (PDGF) related genetic alterations. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung Cancer, NSCLC
- What is being tested?
- Lucitanib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 18 participants
- Where
- 19 sitesin 5 countries
- Study dates
- Apr 2014to Sep 2016
- Phase
- Phase 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
- Histologically or cytologically confirmed advanced/metastatic SCLC or NSCLC
- Any of the following tumor tissue based genetic alterations: FGFR1, FGFR2, FGFR3, VEGFA, or PDGFRα amplification; Any FGFR1, FGFR2, or FGFR3 gene fusion; FGFR1, FGFR2, or FGFR3 activating mutation
- Availability of tumor tissue sample suitable for the central confirmation of the genetic alteration and exploratory analyses
- Eastern Cooperative Oncology Group (ECOG) of 0 or 1
- Measurable disease per RECIST 1.1
- Documented radiographic disease progression following at least one line of therapy in the advanced/metastatic setting
Who cannot join
- Tumors that are invading a major vessel; NSCLC tumors abutting to a major vessel
- Uncontrolled hypertension, defined as SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg with optimized anti-hypertensive therapy
- Uncontrolled hypothyroidism defined as serum thyroid stimulating hormone (TSH) higher than 5 mIU/mL while receiving appropriate thyroid hormone therapy
- Symptomatic and/or untreated central nervous system metastases
- Presence of another active cancer
- Ongoing adverse events from surgery or prior anti-cancer therapies, including radiation, targeted, or cytotoxic therapies
- Pregnant or breastfeeding women
Trial locations and contacts
19 sites in 5 countries.
19 sites in 5 countries
United States7 sites
Emory University
Atlanta, Georgia, 30322
University of Colorado
Aurora, Colorado, 80045
University of California, Los Angeles
Los Angeles, California, 90095
Tennessee Oncology
Nashville, Tennessee, 37203
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232
Associates in Oncology and Hematology
Rockville, Maryland, 20850
Georgetown University
Washington D.C., District of Columbia, 20007
France4 sites
CHU Caen, Hôpital de la Côte de Nacre
Caen, 14033
CHRU Lille, Hôpital Albert Calmette
Lille, 59037
Hôpital Nord
Marseille, 13915
Institut Gustave-Roussy
Villejuif, 94805
Italy4 sites
Ospedale San Raffaele
Milan, 20132
Fondazione IRCCS Istituto Nazionale Tumori
Milan, 20133
AOU San Luigi Gonzaga
Orbassano, 10043
Ospedale S. Maria della Misericordia
Perugia, 06156
Germany3 sites
Universität Duisburg-Essen
Essen, 45147
Hospital Grosshansdorf
Großhansdorf, 22927
Pius Hospital Oldenburg
Oldenburg, 26121
About this study
Official title: A Single Arm, Open-label, Phase 2 Study to Assess the Efficacy and Safety of Lucitanib Given Orally as a Single Agent to Patients With Advanced/Metastatic Lung Cancer and FGF, VEGF, or PDGF Related Genetic Alterations
The purpose of this study is to determine whether lucitanib is safe and effective in the treatment of patients with advanced/metastatic lung cancer and fibroblast growth factor (FGF), vascular endothelial growth factor receptor (VEGF), or platelet derived growth factor (PDGF) related genetic alterations.
Read the detailed description
Lucitanib is an oral inhibitor of the tyrosine kinase activity of FGFR 1-3, VEGFR 1-3, and PDGFR α/β. Lucitanib has demonstrated potent anti-tumor and anti-angiogenic activity in vitro proliferation assays and in vivo using human tumor xenograft models, with a trend for stronger efficacy in those with genomic aberrancies of FGF or PDGF. Abnormalities in the FGF, VEGF, and PDGF-related genes are observed across lung cancer histologies.
The first in human trial of lucitanib demonstrated that daily lucitanib is clinically active in patients with advanced solid tumors. Specifically, patients with FGFR1-amplification appeared to derive particular benefit from lucitanib.
Based on these results, this study is designed to explore the safety and anti-tumor activity of daily lucitanib in lung cancer patients with FGF, VEGF, and PDGF genetic alterations.
- Conditions
- Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung Cancer, NSCLC, Small Cell Lung Cancer, SCLC, Lung Cancer
- Being tested
- Lucitanib
- Keywords
- FGFR1 amplification, FGF alteration, VEGF alteration, PDGF alteration, Tyrosine kinase inhibitor, VEGFR inhibitor, FGFR inhibitor, PDGFR inhibitor, VEGFR-FGFR inhibitor
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Small Cell Lung Carcinoma, Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LucitanibDrug
Lucitanib given orally to all patients, once daily (q.d.), on a continuous schedule over 28-day cycles, in fasting conditions (at least 2 hours prior to and 2 hours after any meal), until progressive disease or unacceptable toxicity.
Starting dose is 10 mg/day and can be reduced in 2.5 mg decrements to 5 mg/day based on individual tolerability.
| Study group | Role | What they receive |
|---|---|---|
| Lucitanib | Experimental | Lucitanib given orally once daily on a continuous schedule. Starting dose is 10 mg/day. Receives: Drug: Lucitanib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate (ORR)
Proportion of patients in whom a confirmed Complete Response (CR) or a confirmed Partial Response (PR), as best overall response according to RECIST criteria, is observed.
Measured: Screening, every 8 weeks; up to 2 years
Secondary outcomes (10)
Clinical Benefit Rate (CBR)
Proportion of patients in whom a confirmed CR or confirmed PR or a prolonged Stable Disease (SD) (≥ 6 months), as best overall response according to RECIST, is observed
Measured: Screening, every 8 weeks; up to 2 years
Progression-Free Survival (PFS)
Time from the date of first drug intake until the date of progression or death for any cause
Measured: Screening, every 8 weeks; up to 2 years
Duration of response (DOR)
For responders (i.e. patients with best overall response CR or PR), the interval from the time of first documentation of response to the date of progression or death for any cause
Measured: Screening, every 8 weeks; up to 2 years
Duration of clinical benefit
For responders and patients with SD as best overall response, time from the first drug intake until the date of progression or death for any cause
Measured: Screening, every 8 weeks; up to 2 years
Overall Survival (OS)
From the date of first drug intake to the date of death for any cause
Measured: Continuously; up to 2 years
Tumor growth kinetics
Will be evaluated using the following criteria: tumor size; tumor volume; tumor growth
Measured: Screening, every 8 weeks; up to 2 years
Incidence of adverse events (AEs), clinical laboratory abnormalities, and dose modifications
Measured: Continuously; up to 2 years
PK parameters of lucitanib
Measured: Cycle 1 Day 14 and 28, Cycle 2 Day 28, Cycle 3 Day 28
Pharmacogenomic analysis of inter-patients variation in gene encoding ADME involved proteins
Measured: Cycle 1 Day 1
Pharmacodynamic (PD) evaluation of lucitanib profile
Soluble growth factors and other biomarkers, including circulating tumor DNA
Measured: Cycle 1 Day 1 and 14, End of Study
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Apr 2014 (estimated)
- Study startApr 2014
- Primary completion1 Apr 2016
- Study completionSep 2016
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 Non-Small Cell Lung CancerStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 18 participants (actual)
Sponsor and investigators
- Lead sponsor
- Clovis Oncology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02109016
- Sponsor's protocol ID
- E-3810-II-02
- Status last verified
- Jul 2019
- First submitted
- 7 Apr 2014
- Last updated
- 29 Jul 2019
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Liao M, Zhou J, Wride K, Lepley D, Cameron T, Sale M, Xiao J. Population Pharmacokinetic Modeling of Lucitanib in Patients with Advanced Cancer. Eur J Drug Metab Pharmacokinet. 2022 Sep;47(5):711-723. doi: 10.1007/s13318-022-00773-w. Epub 2022 Jul 18.
PubMed 35844029
Study at a glance
From the registry record, last updated by the sponsor on 29 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single Arm, Open-label, Phase 2 Study to Assess the Efficacy and Safety of Lucitanib Given Orally as a Single Agent to Patients With Advanced/Metastatic Lung Cancer and FGF, VEGF, or PDGF Related Genetic Alterations
- ClinicalTrials.gov ID
- NCT02109016
- Acronym / sponsor ID
- E-3810-II-02
- Conditions
- Non-Small Cell Lung Cancer, Squamous Non-Small Cell Lung Cancer, NSCLC, Small Cell Lung Cancer, SCLC, Lung Cancer
- Keywords
- FGFR1 amplification, FGF alteration, VEGF alteration, PDGF alteration, Tyrosine kinase inhibitor, VEGFR inhibitor, FGFR inhibitor, PDGFR inhibitor
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 18 participants (actual)
- Lead sponsor
- Clovis Oncology, Inc.Industry (pharma, biotech, devices)
- Study start
- Apr 2014
- Primary completion
- 1 Apr 2016 (actual)
- Study completion
- Sep 2016 (actual)
- First posted
- 9 Apr 2014 (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.
The purpose of this study is to determine whether lucitanib is safe and effective in the treatment of patients with advanced/metastatic lung cancer and fibroblast growth factor (FGF), vascular endothelial growth factor receptor (VEGF), or platelet derived growth factor (PDGF) related genetic alterations.
Detailed description
Lucitanib is an oral inhibitor of the tyrosine kinase activity of FGFR 1-3, VEGFR 1-3, and PDGFR α/β. Lucitanib has demonstrated potent anti-tumor and anti-angiogenic activity in vitro proliferation assays and in vivo using human tumor xenograft models, with a trend for stronger efficacy in those with genomic aberrancies of FGF or PDGF. Abnormalities in the FGF, VEGF, and PDGF-related genes are observed across lung cancer histologies.
The first in human trial of lucitanib demonstrated that daily lucitanib is clinically active in patients with advanced solid tumors. Specifically, patients with FGFR1-amplification appeared to derive particular benefit from lucitanib.
Based on these results, this study is designed to explore the safety and anti-tumor activity of daily lucitanib in lung cancer patients with FGF, VEGF, and PDGF genetic alterations.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Lucitanib | Experimental | Drug: LucitanibLucitanib given orally once daily on a continuous schedule. Starting dose is 10 mg/day. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Histologically or cytologically confirmed advanced/metastatic SCLC or NSCLC
- Any of the following tumor tissue based genetic alterations: FGFR1, FGFR2, FGFR3, VEGFA, or PDGFRα amplification; Any FGFR1, FGFR2, or FGFR3 gene fusion; FGFR1, FGFR2, or FGFR3 activating mutation
- Availability of tumor tissue sample suitable for the central confirmation of the genetic alteration and exploratory analyses
- Eastern Cooperative Oncology Group (ECOG) of 0 or 1
- Measurable disease per RECIST 1.1
Key exclusion criteria (7 listed)
- Tumors that are invading a major vessel; NSCLC tumors abutting to a major vessel
- Uncontrolled hypertension, defined as SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg with optimized anti-hypertensive therapy
- Uncontrolled hypothyroidism defined as serum thyroid stimulating hormone (TSH) higher than 5 mIU/mL while receiving appropriate thyroid hormone therapy
- Symptomatic and/or untreated central nervous system metastases
- Presence of another active cancer
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 |
|---|---|---|
| LucitanibLucitanib given orally to all patients, once daily (q.d.), on a continuous schedule over 28-day cycles, in fasting conditions (at least 2 hours prior to and 2 hours after any meal), until progressive disease or unacceptable toxicity. Starting dose is 10 mg/day and can be reduced in 2.5 mg decrements to 5 mg/day based on individual tolerability. | Drug | Lucitanib |
Primary outcome
Objective Response Rate (ORR)
Time frame: Screening, every 8 weeks; up to 2 years
Proportion of patients in whom a confirmed Complete Response (CR) or a confirmed Partial Response (PR), as best overall response according to RECIST criteria, is observed.
10 secondary outcomes
Clinical Benefit Rate (CBR)
Time frame: Screening, every 8 weeks; up to 2 years
Progression-Free Survival (PFS)
Time frame: Screening, every 8 weeks; up to 2 years
Duration of response (DOR)
Time frame: Screening, every 8 weeks; up to 2 years
Duration of clinical benefit
Time frame: Screening, every 8 weeks; up to 2 years
Overall Survival (OS)
Time frame: Continuously; up to 2 years
Tumor growth kinetics
Time frame: Screening, every 8 weeks; up to 2 years
Incidence of adverse events (AEs), clinical laboratory abnormalities, and dose modifications
Time frame: Continuously; up to 2 years
PK parameters of lucitanib
Time frame: Cycle 1 Day 14 and 28, Cycle 2 Day 28, Cycle 3 Day 28
Pharmacogenomic analysis of inter-patients variation in gene encoding ADME involved proteins
Time frame: Cycle 1 Day 1
Pharmacodynamic (PD) evaluation of lucitanib profile
Time frame: Cycle 1 Day 1 and 14, End of Study
Results and safety
The study was stopped early. Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jul 2019.
- Derived from this study: PubMed 35844029Liao M, Zhou J, Wride K, Lepley D, Cameron T, Sale M, Xiao J. Population Pharmacokinetic Modeling of Lucitanib in Patients with Advanced Cancer. Eur J Drug Metab Pharmacokinet. 2022 Sep;47(5):711-723. doi: 10.1007/s13318-022-00773-w. Epub 2022 Jul 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.
The record lists no contact. Use the official record to reach the sponsor.
19 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Lucitanib in people with Non-Small Cell Lung Cancer and Squamous Non-Small Cell Lung Cancer, run by Clovis Oncology, Inc. at 19 sites in 5 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 6 inclusion and 7 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: stopped early, as of the sponsor's last update on 29 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in United States, France, Italy, Germany, Spain. 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?
The study was stopped early. Results are not available in the source record.
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?
Objective Response Rate (ORR) (time frame: Screening, every 8 weeks; up to 2 years). 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 NCT02109016, 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 29 Jul 2019.