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Non-small Cell Lung CancerPhase 1ODIN-BMNCT03463525

Open-label PET Study With [11C]Osimertinib in Patients With EGFRm NSCLC and Brain Metastases

A Phase 1 study testing Osimertinib and [11C]osimertinib in people with Non-small Cell Lung Cancer, run by AstraZeneca at 1 site in Sweden.

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 an open-label, single centre, Phase I study to determine the brain exposure of [11C]osimertinib in patients with EGFRm NSCLC with brain metastases. Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Non-small Cell Lung Cancer
What is being tested?
Osimertinib and [11C]osimertinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4 participants
Where
1 siteSweden
Study dates
24 Oct 2018to 5 Oct 2020
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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provision of signed and dated, written informed consent prior to any study specific procedures, sampling and analyses. Procedures performed for routine clinical practice up to 2 weeks before the provision of written consent are acceptable if not intentionally done for study purposes.
  • If a patient declines to participate in any voluntary exploratory research and/or genetic component of the study, there will be no penalty or loss of benefit to the patient and he/she will not be excluded from other aspects of the study.
  • Male or female aged at least 18 years.
  • Histological or cytological confirmation of diagnosis of NSCLC.
  • Confirmation that the tumour harbours an EGFR mutation known to be associated with EGFR-TKI sensitivity (including G719X, exon 19 deletion, L858R, L861Q) or T790M EGFR resistance mutation as assessed by local laboratory/or central laboratory via tissue/cytology or in plasma.
  • Mandatory provision (if available) of formalin fixed, paraffin embedded tissue and blood for central confirmation of EGFR mutation status. Please refer to the Laboratory Manual for details.
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  • In all patients enrolled, confirmed BM as having at least one non-measurable and/or measurable brain lesion at baseline as per CNS RECIST 1.1 via MRI imaging.
  • World Health Organisation (WHO) performance status 0 to 2 and a minimum life expectancy of 4 weeks.
  • Females should be using adequate contraceptive measures (up to 6 months after the last administration), should not be breastfeeding and must have a negative serum pregnancy test prior to start of dosing if of childbearing potential or must have evidence of non-childbearing potential by fulfilling 1 of the following criteria at screening:
  • Post-menopausal defined as aged more than 50 years and amenorrhoeic for at least 12 months following cessation of all exogenous hormonal treatments.
  • Women under 50 years old would be consider postmenopausal if they have been amenorrhoeic for 12 months or more following cessation of exogenous hormonal treatments and with luteinising hormone (LH) and follicle-stimulating hormone (FSH) levels in the post-menopausal range for the institution.
  • Documentation of irreversible surgical sterilisation by hysterectomy, bilateral oophorectomy or bilateral salpingectomy but not tubal ligation.
  • Male subjects should be willing to use barrier contraception
  • Have a body mass index (BMI) between 18.0 kg/m2 and 30.0 kg/m2 inclusive and weigh at least 40.0 kg and no more than 100.0 kg, inclusive
  • Able and willing to participate in all scheduled evaluations, abide by all study restrictions, and complete all required tests and procedures.

Who cannot join

  • Participation in another clinical study with an IP during the previous 14 days (or longer, depending on characteristics of agents used).
  • Treatment with any of the following: EGFR-TKI (e.g. erlotinib, gefitinib or afatinib) within 10 days or at least 5x the half-life, whichever is the longer; any cytotoxic chemotherapy, investigational agents or other anticancer drugs within 14 days of start of IP; osimertinib in the present or other studies; major surgery (excluding placement of vascular access) within 4 weeks of start of IP; radiotherapy (including brain) with a limited field of radiation within 1 week of start of IP, except in patients receiving radiation to more than 30% of the bone marrow or with a wide field of radiation which must be completed within 4 weeks of the first administration of the IP; current receipt (or inability to stop at least 3 weeks before study start) medications or herbal supplements known to be potent inducers of CYP3A4.
  • Any unresolved toxicities from prior therapy greater than CTCAE grade 1 at the time of starting the IP with the exception of alopecia and grade 2, prior platinum therapy-related neuropathy.
  • History of brain surgery or major brain trauma in the last year (if the surgery is in the same hemisphere as the brain metastasis).
  • Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses or active infection including hepatitis B, hepatitis C and HIV.
  • Any of the following cardiac criteria:
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  • Mean resting corrected QT interval (QTc) >470 msec obtained from 3 ECGs, using the screening clinic ECG machine derived QTc value.
  • Any clinically important abnormalities in rhythm, conduction or morphology of resting ECG (eg, complete left bundle branch block, third degree heart block, second degree heart block).
  • Patient with any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as electrolyte abnormalities including:
  • Serum/plasma potassium <lower limit of normal (LLN)
  • Serum/plasma magnesium <lower limit normal (LLN)
  • Serum/plasma calcium <lower limit normal (LLN)
  • Heart failure, congenital long QT syndrome, family history of long QT syndrome, or unexplained sudden death under 40 years of age in first-degree relatives or any concomitant medication known to prolong the QT interval and cause Torsades de Pointes.
  • Past medical history of ILD, drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD.
  • Inadequate bone marrow reserve or organ function as demonstrated by any of the following laboratory values:
  • ANC <1.5 × 109/L; Platelets <100 × 109/L; Haemoglobin <90 g/L;
  • Alanine aminotransferase (ALT) >2.5x ULN or >5x ULN in the presence of liver metastases;
  • Aspartate aminotransferase (AST) >2.5x ULN or >5x ULN in the presence of liver metastases;
  • Total bilirubin >1.5x ULN or >3x ULN in the presence of liver metastases or Gilbert's Syndrome;
  • Creatinine >1.5xl ULN concurrent with creatinine clearance <50 mL/min (using Cockcroft-Gault formula).
  • Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the tablet or previous significant bowel resection that would preclude adequate absorption of osimertinib.
  • History of hypersensitivity to active or inactive excipients of osimertinib or drugs with a similar chemical structure or class to osimertinib.
  • In addition, the following is considered a criterion for exclusion from the exploratory genetic research:
  • Previous allogenic bone marrow transplant
  • Non-leukocyte depleted whole blood transfusion within 120 days of the date of the genetic sample collection
  • Patients on anticoagulant treatment.
  • Absence of collateral flow between ulnar and radial artery as assessed by the Allen´s test".
  • Suffering from claustrophobia and/or having implanted metal devices or implants such as pacemaker, vascular or heart valves or metal deposits such as bullets, shells, metal grains in the eyes.
  • Previous participation in a research PET or PET/CT study.
  • The following are exclusion criteria for contrast enhanced MRIs:
  • Glomerular filtration rate <30 ml/min
  • History of renal insufficiency
  • Pregnancy
  • Women who are breast-feeding.

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • Research Site

    Stockholm, SE 11 282

Other trials in Sweden

About this study

Official title: An Open-label PET Study to Determine Brain Exposure of Osimertinib After IV Microdose Administration of [11C]Osimertinib and Therapeutic Oral Doses of Osimertinib to Patients With EGFR Mutated NSCLC With Brain Metastases

This is an open-label, single centre, Phase I study to determine the brain exposure of [11C]osimertinib in patients with EGFRm NSCLC with brain metastases.

Read the detailed description

A Single-centre, Open-label, PET imaging and Pharmacokinetic Study of IV Administered [11C]osimertinib in EGFRm Non-small cell lung cancer patients with brain metastases. The study will consist of 2 phases, an imaging phase and a continuous access phase.

Being tested
Osimertinib, [11C]osimertinib
Keywords
Carcinoma, Non-Small-Cell Lung
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • OsimertinibDrug

    Also called Tagrisso, AZD9291

    Osimertinib 80 mg once daily p.o. will be taken continuously by the patient from the day of the second PET exam.

  • [11C]osimertinibDrug

    Also called [11C]AZD9291

    Patients will receive 3 single IV microdose administrations of [11C]osimertinib and PET exams on: Day 1, Day 2 (or up to Day 8) and Day 29.

Study groups in NCT03463525
Study groupRoleWhat they receive
[11C]osimertinib + oral osimertinibExperimentalIV microdose administrations of [11C]osimertinib co-administered with 80 mg daily oral osimertinib.
Receives: Drug: Osimertinib; Drug: [11C]osimertinib

What is being measured

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

  1. Maximum Concentration of Percent of Injected Dose in the Whole Brain (Cmax, %ID Brain) of [11C]Osimertinib

    During the PET examination time, a series of arterial blood samples were taken to measure Cmax, %ID brain of [11C]osimertinib.

    Measured: Day 1, Day 2 (or up to Day 8) and Day 25

  2. Maximum Concentration of Brain Standardized Uptake Value (Cmax, SUV Brain) of [11C]Osimertinib

    During the PET examination time, a series of arterial blood samples were taken to measure Cmax, SUV brain of [11C]osimertinib.

    Measured: Day 1, Day 2 (or up to Day 8) and Day 25

  3. Time of Maximum Radioactivity Concentration in the Brain (Tmax, Brain) of [11C]Osimertinib

    The Tmax, brain was determined directly from the observed concentration versus time data.

    Measured: Day 1, Day 2 (or up to Day 8) and Day 25

  4. Brain to Plasma Partition Coefficient (Kp) of [11C]Osimertinib

    The Kp was defined as ratio of radiolabeled drug in brain to that in plasma calculated as area under the brain radioactivity concentration-time curve between 0 and 90 minutes/area under the plasma radioactivity concentration-time curve between 0 and 90 minutes.

    Measured: Day 1, Day 2 (or up to Day 8) and Day 25

Secondary outcomes (5)
  1. Maximum Concentration at Steady State (Css,Max) of Osimertinib and Metabolite AZ5104

    Venous blood samples were collected to determine Css,max of osimertinib and metabolite AZ5104.

    Measured: Pre-dose and 2, 4 and 7.5 hours postdose on Day 25

  2. Time of Maximum Drug Concentration at Steady State (Tss,Max) of Osimertinib and Metabolite AZ5104

    Venous blood samples were collected to determine tss,max of osimertinib and metabolite AZ5104.

    Measured: Pre-dose and 2, 4 and 7.5 hours postdose on Day 25

  3. Area Under the Concentration-Time Curve at Steady State (AUCss) of Osimertinib and Metabolite AZ5104

    Venous blood samples were collected to determine AUCss of osimertinib and metabolite AZ5104.

    Measured: Pre-dose and 2, 4 and 7.5 hours postdose on Day 25

  4. Metabolite to Parent Ratio of AUCss

    Venous blood samples were collected to determine AUCss of osimertinib and metabolite AZ5104.

    Measured: Pre-dose and 2, 4 and 7.5 hours postdose on Day 25

  5. Metabolite to Parent Ratio of Css,Max

    Venous blood samples were collected to determine Css,max of osimertinib and metabolite AZ5104.

    Measured: Pre-dose and 2, 4 and 7.5 hours postdose on Day 25

Timeline

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

  1. First posted13 Mar 2018
  2. Study start24 Oct 2018
  3. Primary completion19 Mar 2020
  4. Study completion5 Oct 2020

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
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
4 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03463525
Sponsor's protocol ID
D5160C00043
Acronym
ODIN-BM
Status last verified
Apr 2022
First submitted
20 Feb 2018
Last updated
27 Jan 2023
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Osimertinib and [11C]osimertinib in people with Non-small Cell Lung Cancer, run by AstraZeneca at 1 site in Sweden.

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 15 inclusion and 34 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 27 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. 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 27 Jan 2023). 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?

Maximum Concentration of Percent of Injected Dose in the Whole Brain (Cmax, %ID Brain) of [11C]Osimertinib (time frame: Day 1, Day 2 (or up to Day 8) and Day 25). The study lists 4 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 27 Jan 2023.

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