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Non-Small Cell Lung Cancer, Metastatic Colorectal Cancer, Metastatic Non Small Cell Lung Cancer, Metastatic Cancers, MelanomaPhase 1NCT02457793

A Study of the Safety, Tolerability, and Effects of Cobimetinib and GDC-0994 in Patients With Locally Advanced or Metastatic Solid Tumors

A Phase 1 study testing Cobimetinib and GDC-0994 in people with Non-Small Cell Lung Cancer, Metastatic Colorectal Cancer, Metastatic Non Small Cell Lung Cancer, Metastatic Cancers, Melanoma, run by Genentech, Inc. at 5 sites in United States.

Completed

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

Official record
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Trial summary

This is a two-stage dose-escalation study to assess the safety, tolerability and effects of oral dosing of cobimetinib and GDC-0994 administered in combination in patients with histologically confirmed, locally advanced, or metastatic solid tumors for which standard therapies either do not exist or have proven… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Cobimetinib and GDC-0994
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
5 sitesUnited States
Study dates
16 Jun 2015to 5 Dec 2016
Phase
Phase 1
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

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Histologically or cytologically documented, locally advanced or metastatic solid tumors for which standard therapy either does not exist or has proven ineffective or intolerable
  • Evaluable disease or disease measurable
  • Life expectancy > or = 12 weeks
  • Adequate hematologic and end organ function
  • For female patients of childbearing potential and male patients with partners of childbearing potential, use of an effective form of contraception with continued use for study duration and up to 3 months or more following discontinuation of treatment drug
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  • Fluorodeoxyglucose positron emission tomography (FDG-PET) avid disease on baseline scan
  • For enrollment in part 2, patients must meet all of the following:
  • Measurable disease
  • No more than four prior systemic therapies for locally advanced or metastatic cancer

Who cannot join

  • History of prior significant toxicity from another MEK inhibitor or ERK inhibitor requiring discontinuation of treatment
  • Evidence of visible retinal pathology as assessed by ophthalmologic examination that is considered a risk factor for retinal vein thrombosis
  • History of glaucoma
  • Intraocular pressure > 21 mmHg as measured by tonometry
  • Predisposing factors to retinal vein occlusion (RVO)
  • History of RVO, neurosensory retinal detachment, or neovascular macular degeneration
Show all 25Show fewer
  • Allergy or hypersensitivity to components of the cobimetinib or GDC-0994 formulation
  • Palliative radiotherapy within 2 weeks prior to first dose of study-drug treatment in Cycle 1
  • Experimental therapy within 4 weeks prior to first dose of study-drug treatment in Cycle 1
  • Major surgical procedure or significant traumatic injury within 4 weeks prior to the first dose of study-drug treatment in Cycle 1, or anticipation of the need for major surgery during the course of study treatment
  • Anti-cancer therapy within 28 days prior to the first dose of study-drug treatment in Cycle 1
  • Current severe, uncontrolled systemic disease
  • History of clinically significant cardiac dysfunction
  • History of symptomatic congestive heart failure or serious cardiac arrhythmia requiring treatment
  • History of myocardial infarction within 6 months prior to the first dose of study-drug treatment in Cycle 1
  • History of congenital long QT syndrome or QTc > 470 msec
  • LVEF
  • History of malabsorption or other condition that would interfere with enteral absorption
  • Clinically significant history of liver disease, current alcohol abuse, or current known active infection with HIV, hepatitis B virus, or hepatitis C virus
  • Any condition requiring warfarin or thrombolytic anticoagulants
  • Active autoimmune disease
  • Uncontrolled ascites requiring weekly large volume paracentesis for 3 consecutive weeks prior to enrollment
  • Pregnancy, lactation, or breastfeeding
  • Known brain metastases that are untreated, symptomatic, or require therapy to control symptoms
  • No other history of or ongoing malignancy that would potentially interfere with the interpretation of the Pharmacodynamic (PD) or efficacy assays

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • University of Colorado

    Aurora, Colorado, 80045-2517

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Yale Cancer Center

    New Haven, Connecticut, 06520

  • Washington University School of Medicine

    St Louis, Missouri, 63110

Other trials in United States

About this study

Official title: A Phase Ib, Open-Label, Dose-Escalation Study Of The Safety, Tolerability, and Pharmacokinetics of Cobimetinib and GDC-0994 In Patients With Locally Advanced or Metastatic Solid Tumors

This is a two-stage dose-escalation study to assess the safety, tolerability and effects of oral dosing of cobimetinib and GDC-0994 administered in combination in patients with histologically confirmed, locally advanced, or metastatic solid tumors for which standard therapies either do not exist or have proven ineffective or intolerable.

Being tested
Cobimetinib, GDC-0994
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Colorectal Neoplasms, Neoplasms, Melanoma

What participants receive

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

  • CobimetinibDrug

    Cobimetinib given concurrently or intermittently with GDC-0994 for 21 consecutive days followed by 7 days off.

  • GDC-0994Drug

    GDC-0994 given for 21 consecutive days followed by 7 days off, along with concurrent or intermittent dosing of cobimetinib.

Study groups in NCT02457793
Study groupRoleWhat they receive
Not assignedExperimentalOne participant was assigned to receive intermittent cobimetinib 80 milligrams (mg) + GDC 0994 200 mg) and did receive study drug. However, the participant diary was not returned, and the site was unable to document study dose administration.
Receives: Drug: Cobimetinib; Drug: GDC-0994
COB 20 mg + GDC 200 mgExperimentalConcurrent or intermittent dosing of cobimetinib 20 mg, concurrent with GDC-0994 200 mg for 21 consecutive days, followed by 7 days off.
Receives: Drug: Cobimetinib; Drug: GDC-0994
COB 40 mg + GDC 200 mgExperimentalConcurrent or intermittent dosing of cobimetinib 40 mg, concurrent with GDC-0994 200 mg for 21 consecutive days, followed by 7 days off.
Receives: Drug: Cobimetinib; Drug: GDC-0994
COB 80 mg + GDC 200 mgExperimentalConcurrent or intermittent dosing of cobimetinib 80 mg, concurrent with GDC-0994 200 mg for 21 consecutive days, followed by 7 days off.
Receives: Drug: Cobimetinib; Drug: GDC-0994
COB 80 mg + GDC 400 mgExperimentalConcurrent or intermittent dosing of cobimetinib 80 mg, concurrent with GDC-0994 400 mg for 21 consecutive days, followed by 7 days off.
Receives: Drug: Cobimetinib; Drug: GDC-0994
COB 100 mg + GDC 200 mgExperimentalConcurrent or intermittent dosing of cobimetinib 100 mg, concurrent with GDC-0994 200 mg for 21 consecutive days, followed by 7 days off.
Receives: Drug: Cobimetinib; Drug: GDC-0994

What is being measured

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

  1. Number of Participants With Dose-Limiting Toxicities (DLTs)

    DLTs include symptoms considered by the investigator to be possibly related to study drug.

    Measured: 28 days (Cycle 1)

  2. Percentage of Participants With at Least One Adverse Event

    An adverse event is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution.

    Measured: Up to 15 months

  3. Percentage of Participants With at Least One Adverse Event of Special Interest

    AESIs were graded per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v4.0. AESIs included the following: Grade ≥ 1 retinal vein occlusion; Grade ≥ 2 visual disturbances (including events suggestive of serous retinopathy); Grade ≥ 3 rash for > 7 days; Grade ≥ 3 diarrhea for > 3 days; Grade ≥ 2 left ventricular ejection fraction (LVEF) decrease; Grade 3 hepatotoxicity; any dose-limiting toxicity (DLT); cases of potential drug-induced liver injury that include an elevated alanine aminotransferase (ALT) or aspartate aminotransferase (AST) (AST > 3 × baseline value [and above the upper limit of normal, ULN]) in combination with either an elevated bilirubin ( > 2 × ULN) or clinical jaundice; or suspected transmission of an infectious agent by either study drug.

    Measured: Up to 15 months

  4. Percentage of Participants With at Least One Serious Adverse Event (SAE)

    A SAE is any experience that: results in death, is life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is medically significant.

    Measured: Up to 15 months

  5. Percentage of Participants With Laboratory Abnormalities

    Laboratory abnormalities were graded per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v4.0.

    SGPT/ALT - serum glutamic-pyruvic transaminase/alanine aminotransferase; SGOT/AST - serum glutamic oxaloacetic transaminase/aspartate aminotransferase

    Measured: Up to 15 months

  6. Mean Change From Baseline in Diastolic Blood Pressure

    Measured: Baseline, up to 15 months

  7. Mean Change From Baseline in Lean Body Mass

    Measured: Baseline, Day 15

  8. Mean Change From Baseline in Pulse Rate

    Measured: Baseline, up to 15 months

  9. Mean Change From Baseline in Respiratory Rate

    Measured: Baseline, up to 15 months

  10. Mean Change From Baseline in Systolic Blood Pressure

    Measured: Baseline, up to 15 months

  11. Mean Change From Baseline in Temperature

    Measured: Baseline, up to 15 months

  12. Mean Change From Baseline in Weight

    Measured: Baseline, up to 15 months

Secondary outcomes (10)
  1. Maximum Serum Concentration (Cmax) for GDC-0994

    Measured: Up to Day 22

  2. Median Time to Maximum Serum Concentration (Tmax) for GDC-0994

    Measured: Up to Day 22

  3. Maximum Serum Concentration (Cmax) for Cobimetinib

    Measured: Up to Day 22

  4. Median Time to Maximum Serum Concentration (Tmax) for Cobimetinib

    Measured: Up to Day 22

  5. Total Exposure (AUC From Time 0 to 24 Hour After Dose) for GDC-0994

    Data are reported for evaluable participants.

    Measured: 0 to 24 hours post-dose (Up to Day 22)

  6. Total Exposure (AUC From Time 0 to 24 Hour After Dose) for Cobimetinib

    Measured: 0 to 24 hours post-dose (Up to Day 22)

  7. Mean Accumulation Ratio

    Measured: Pre-dose Day 1 Cycle 1, 2, 3, Day 18, 21 Cycle 1; post-dose 0.5, 1, 2, 3, 4, 6 hours Day 1, 18, 21 Cycle 1; Day 2, 15, 19, 22, Cycle 1

  8. Mean Terminal Half-life (t1/2)

    Measured: Up to day 22 of study

  9. Change From Baseline in Fluorodeoxyglucose Positron Emission Tomography (FDG-PET)

    Measured: Baseline, Day 15

  10. Change From Baseline in Tumor Tissue Biomarkers

    Measured: Up to 15 months

Timeline

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

  1. First posted29 May 2015 (estimated)
  2. Study start16 Jun 2015
  3. Primary completion5 Dec 2016
  4. Study completion5 Dec 2016

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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02457793
Sponsor's protocol ID
GO29653
Other IDs
2015-000092-27, 2015
Status last verified
Nov 2018
First submitted
27 May 2015
Last updated
20 Nov 2018

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Cobimetinib and GDC-0994 in people with Non-Small Cell Lung Cancer, Metastatic Colorectal Cancer, Metastatic Non Small Cell Lung Cancer, Metastatic Cancers, Melanoma, run by Genentech, Inc. at 5 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 10 inclusion and 25 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 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 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. 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 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.

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 24 Aug 2018). 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?

Number of Participants With Dose-Limiting Toxicities (DLTs) (time frame: 28 days (Cycle 1)). The study lists 12 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 20 Nov 2018.

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