HRAS Gene MutationPhase 2AIM-HN/SEQ-HNNCT03719690
Safety and Efficacy of Tipifarnib in Head and Neck Cancer With HRAS Mutations and Impact of HRAS on Response to Therapy
A Phase 2 study testing Tipifarnib and HRAS Detection Assay in people with HRAS Gene Mutation and HNSCC, run by Kura Oncology, Inc. at 102 sites in 16 countries.
Trial summary
An international, multicenter, open-label, 2 cohort, non-comparative, pivotal study evaluating the efficacy of tipifarnib in HRAS mutant HNSCC (AIM-HN). The first cohort will assess the objective response rate (ORR) of tipifarnib in subjects with HNSCC with HRAS mutations. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HRAS Gene Mutation, HNSCC
- What is being tested?
- Tipifarnib and HRAS Detection Assay
- Type of treatment
- Pill or oral medicine, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 296 participants
- Where
- 102 sitesin 16 countries
- Study dates
- 15 Mar 2019to 2 May 2023
- 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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- AIM-HN
- At least 18 years of age.
- Histologically confirmed head and neck cancer (oral cavity, pharynx, larynx, sinonasal, nasopharyngeal, or unknown primary) of squamous histology not amenable to local therapy with curative intent (surgery or radiation therapy with or without chemotherapy).
- Documented treatment failure from most recent prior therapy (e.g. tumor progression, clinical deterioration, or recurrence), and from at least one prior platinum-containing regimen, in any treatment setting.
- Known tumor missense HRAS mutation.
- Measurable disease by RECIST v1.1.
Show all 14Show fewer
- ECOG performance status of 0-1.
- Acceptable liver, renal and hematological function
- Other protocol defined inclusion criteria may apply.
- At least 18 years of age.
- Histologically confirmed head and neck cancer (oral cavity, pharynx, larynx, sinonasal, nasopharyngeal, or unknown primary) of squamous histology.
- Will or has received at least one systemic anti-cancer therapy for recurrent or metastatic HNSCC.
- HRAS wildtype (i.e., have no identified tumor missense HRAS mutation).
- Other protocol defined inclusion criteria may apply
Who cannot join
- Histologically confirmed salivary gland, thyroid, (primary) cutaneous squamous or nonsquamous histologies (e.g. mucosal melanoma).
- Received treatment for unstable angina within prior year, myocardial infarction within the prior year, cerebro-vascular attack within the prior year, history of New York Heart Association grade III or greater congestive heart failure, or current serious cardiac arrhythmia requiring medication except atrial fibrillation.
- Non-tolerable Grade 2 or ≥ Grade 3 neuropathy or evidence of unstable neurological symptoms within 4 weeks of Cycle 1 Day 1.
- Active, uncontrolled bacterial, viral or fungal infections requiring systemic therapy. Known history of infection with human immunodeficiency virus or an active infection with hepatitis B or hepatitis C.
- Received treatment for non-cancer related liver disease within prior year.
- Other protocol defined exclusion criteria may apply
- 1. Histologically confirmed salivary gland, thyroid, (primary) cutaneous squamous or nonsquamous histologies (e.g. mucosal melanoma).
- 5. Other protocol defined exclusion criteria may apply
Trial locations and contacts
102 sites in 16 countries.
102 sites in 16 countries
United States29 sites
Winship Cancer Institute
Atlanta, Georgia, 30322
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Marlene and Stewart Greenebaum Cancer Center
Baltimore, Maryland, 21287
Dana Farber Cancer Institute
Boston, Massachusetts, 02115
Levine Cancer Institute
Charlotte, North Carolina, 28204
University of Chicago
Chicago, Illinois, 60637
The Ohio State University
Columbus, Ohio, 43210
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201
San Antonio Military Medical Center
Fort Sam Houston, Texas, 78234
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
University of Kentucky Markey Cancer Center
Lexington, Kentucky, 40536
University of Southern California Norris Comprehensive Cancer Center
Los Angeles, California, 90033
UCLA - Jonsson Comprehensive Cancer Center
Los Angeles, California, 90095
Norton Cancer Institute
Louisville, Kentucky, 40202
University of Wisconsin
Madison, Wisconsin, 53705
Miami Cancer Institute
Miami, Florida, 33176
Vanderbilt University Medical Center-Vanderbilt Ingram Cancer Center
Nashville, Tennessee, 37232
New York University Langone Medical Center
New York, New York, 10016
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Mayo Clinic
Rochester, Minnesota, 55905
University of Texas Health San Antonio - Mays Cancer Center
San Antonio, Texas, 78229
UCSF - Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94158
Seattle Cancer Care Alliance
Seattle, Washington, 98109
Siteman Cancer Center - Washington University Medical Campus
St Louis, Missouri, 63129
University of South Florida H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, 33612
University Of Kansas Medical Center
Westwood, Kansas, 66205
The Oncology Institute of Hope and Innovation - Anaheim
Whittier, California, 90603
Spain15 sites
Hospital del Mar - Parc de Salut Mar
Barcelona, 08003
Hospital de la Santa Creu i de Sant Pau
Barcelona, 08025
Hospital Universitari Vall d'Hebrón
Barcelona, 08035
Hospital Clinic i Provincial de Barcelona
Barcelona, 08036
Hospital Duran i Reynals
Barcelona, 08908
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
HM Centro Integral Oncológico Clara Campal
Madrid, 28050
Hospital Universitario Virgen de la Victoria
Málaga, 29010
Hospital Costa Del Sol
Marbella, 29603
Complejo Hospitalario de Navarra
Pamplona, 31008
Hospital Clínico Universitario de Santiago de Compostela
Santiago de Compostela, 15707
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
Hospital Universitario Miguel Servet
Zaragoza, 50009
Taiwan9 sites
Changhua Christian Hospital
Changhua, 500
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301
Chang Gung Medical Foundation Keelung Chang Gung Memorial Hospital
Keelung, 20442
China Medical University Hospital
Taichung, 40447
Taichung Veterans General Hospital
Taichung, 407
National Cheng Kung University Hospital
Tainan, 70403
Mackay Memorial Hospital
Taipei, 10099
National Taiwan University Hospital
Taipei, 100
Chang Gung Memorial Hospital
Taoyuan, 33305
South Korea8 sites
National Cancer Center
Goyang-si, 10408
Chonbuk National University Hospital
Jeonju, 54907
Korea University Anam Hospital
Seoul, 02841
Yonsei University Health System Severance Hospital
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
The Catholic University of Korea - Seoul St. Mary's Hospital
Seoul, 06591
The Catholic University of Korea St. Vincent's Hospital
Suwon, 16247
Italy7 sites
Azienda Ospedaliero Universitaria di Bologna Policlinico Sant'Orsola-Malpighi
Bologna, 40138
Azienda Ospedaliera S. Croce e Carle Cuneo
Cuneo, 12100
Ospedale Mater Salutis di Legnago
Legnago, 37045
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, 47014
Fondazione IRCCS - Istituto Nazionale dei Tumori - Milano
Milan, 20133
Istituto Nazionale Tumori IRCCS Fondazione Pascale
Naples, 80131
Azienda Ospedaliera Universitaria Senese-L'ospedale Santa Maria alle Scotte
Siena, 53100
United Kingdom6 sites
NHS Greater Glasgow and Clyde
Glasgow, G12 0XH
Guy's and Saint Thomas' NHS Foundation Trust
London, England, SE1 9RT
University College London Hospitals NHS Foundation Trust
London, NW1 2BU
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
The Christie NHS Foundation Trust
Manchester, M20 4BX
The Royal Marsden NHS Foundation Trust
Sutton, SM2 5PT
Belgium5 sites
Ziekenhuis Netwerk Antwerpen Middelheim
Antwerp, 2020
Cliniques Universitaires Saint-Luc
Brussels, 1200
Universitair Ziekenhuis Antwerpen
Edegem, 2650
Universitair Ziekenhuis Leuven
Leuven, 3000
Centre Hospitalier Universitaire Universite Catholique de Louvain Site Godinne
Yvoir, Namur, 5530
Germany4 sites
Charité Universitätsmedizin Berlin
Berlin, 12203
Universitätsklinikum Leipzig
Leipzig, 04103
Universitätsmedizin Mannheim
Mannheim, 68167
Universitätsklinikum Würzburg
Würzburg, 97080
Greece3 sites
University General Hospital of Athens Attikon
Chaïdári, 12462
University General Hospital of Larissa
Larissa, 41110
Bioclinic - Thessaloniki
Thessaloniki, 54622
Netherlands3 sites
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
Maastricht University Medical Centre
Maastricht, 6229 HX
Universitair Medisch Centrum Utrecht
Utrecht, 3584 CX
Thailand3 sites
King Chulalongkorn Memorial Hospital
Bangkok, 10330
Maharaj Nakorn Chiang Mai Hospital
Chiang Mai, 50200
Songklanagarind Hospital
Hat Yai, 90110
Australia2 sites
Peter MacCallum Cancer Centre
Melbourne, 3000
Royal North Shore Hospital
Saint Leonards, 2065
Austria2 sites
Allgemeines Krankenhaus der Stadt Wien
Vienna, 1090
Hanusch Krankenhaus Wiener Gebietskrankenkasse
Vienna, 1140
Malaysia2 sites
University Malaya Medical Centre
Kuala Lumpur, 59100
Institut Kanser Negara
Putrajaya, 62250
Norway2 sites
Haukeland Universitetssjukehus
Bergen, 1521
Radiumhospitalet
Oslo, 0379
About this study
Official title: A 2 Cohort, Non-comparative, Pivotal Study Evaluating the Efficacy of Tipifarnib in Patients With Head and Neck Squamous Cell Carcinoma (HNSCC) With HRAS Mutations (AIM-HN) and the Impact of HRAS Mutations on Response to First Line Systemic Therapies for HNSCC (SEQ-HN)
An international, multicenter, open-label, 2 cohort, non-comparative, pivotal study evaluating the efficacy of tipifarnib in HRAS mutant HNSCC (AIM-HN). The first cohort will assess the objective response rate (ORR) of tipifarnib in subjects with HNSCC with HRAS mutations. The second study cohort, SEQ-HN, is an observational sub-study including HNSCC patients in whom HRAS mutations were not identified (wild type HRAS HNSCC) and who consent to provide first line outcome data and additional follow up.
Read the detailed description
KO-TIP-007 is an international, multicenter, open-label, 2 cohort, non-comparative, pivotal study evaluating the efficacy of tipifarnib in HRAS mutant HNSCC (AIM-HN) and the impact of HRAS mutations on response to first line systemic therapies for HNSCC (SEQ-HN). KO-TIP-007 has 2 study cohorts. The first study cohort, named AIM-HN, includes HNSCC subjects with HRAS mutations. AIM-HN subjects will receive treatment with tipifarnib and the outcome of this cohort will be evaluated for ORR by an independent review facility.
The second study cohort, SEQ-HN, is an observational sub-study including HNSCC patients in whom HRAS mutations were not identified (wild type HRAS HNSCC) and who consent to provide first line outcome data and additional follow up.
HNSCC patients in whom HRAS mutations are identified and who meet eligibility criteria will be offered participation in AIM-HN. HNSCC patients in whom HRAS mutations are not identified may participate in SEQ-HN only. These patients will be followed and the comparison of outcomes of HRAS mutant and HRAS wild type HNSCC will address the exploratory objective to determine the effect of HRAS mutation on the ORR of first line systemic therapy in patients with recurrent/metastatic HNSCC. Outcome data from subsequent lines of therapy will be collected.
- Conditions
- HRAS Gene Mutation, HNSCC
- Being tested
- Tipifarnib, HRAS Detection Assay
- Keywords
- TIPIFARNIB, HEAD AND NECK CANCER
- Medical subject headings
- Squamous Cell Carcinoma of Head and Neck, Head and Neck Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TipifarnibDrug
Tablet for oral administration
HRAS Detection AssayDevice
In Vitro Assay to detect HRAS mutations
| Study group | Role | What they receive |
|---|---|---|
| AIM-HN | Experimental | Tipifarnib, Oral Tablet. Dose Level 1 orally, bid on days 1-7 and 15-21 of 28-day treatment cycles Receives: Drug: Tipifarnib; Device: HRAS Detection Assay |
| SEQ-HN | No intervention | HNSCC patients in whom HRAS mutations were not identified (wild type HRAS HNSCC) and who consent to provide first line outcome data and additional follow up. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate (ORR) in High Variable Allele Frequency (VAF) Population, as Assessed by Independent Review Facility (IRF)
ORR was defined as the percentage of participants who experienced a best overall response (BOR) of complete response (CR; disappearance of all target lesions) or partial response (PR; at least a 30% decrease in the sum of diameters of target lesions) and was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by IRF. 95% confidence interval (CI) was calculated by the exact binomial (Clopper-Pearson) method.
Measured: Up to approximately 28 months
Secondary outcomes (16)
ORR in All VAF Population, as Assessed by IRF
ORR was defined as the percentage of participants who experienced a BOR of CR or PR and was assessed using RECIST v1.1 by IRF. 95% CI was calculated by the exact binomial (Clopper-Pearson) method.
Measured: Up to approximately 28 months
Duration of Response (DoR) in High VAF Population, as Assessed by IRF
DoR was defined as the time from the date of first response (CR or PR [whichever occurred first]) to the date of progression of disease or death of any cause, whichever occurred first, in participants with a confirmed CR or PR and was assessed using RECIST v1.1 by IRF. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
Measured: Up to approximately 28 months
DoR in All VAF Population, as Assessed by IRF
DoR was defined as the time from the date of first response (CR or PR [whichever occurred first]) to the date of progression of disease or death of any cause, whichever occurred first, in participants with a confirmed CR or PR and was assessed using RECIST v1.1 by IRF. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
Measured: Up to approximately 28 months
Progression Free Survival (PFS) in High VAF Population, as Assessed by IRF
PFS was defined as months from the first dose of the study drug to the first documented progressive disease (PD, appearance of one or more new lesions or at least a 20% increase in the sum of the diameters of target lesions) or death, whichever came first and was assessed using RECIST v1.1 by IRF. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
Measured: Up to approximately 28 months
PFS in All VAF Population, as Assessed by IRF
PFS was defined as months from the first dose of the study drug to the first documented PD or death, whichever came first and was assessed using RECIST v1.1 by IRF. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
Measured: Up to 28 approximately months
PFS Rate in High VAF Population, as Assessed by IRF
PFS rate was defined as the percentage of participants who had not experienced documented PD or death, whichever came first and was assessed using RECIST v1.1 by IRF at 6 and 9 month timepoints. Percentage of participants was calculated using the Kaplan-Meier method. 95% CI was calculated using normal approximation to the log transformed cumulative hazard rate
Measured: 6 months and 9 months
PFS Rate in All VAF Population, as Assessed by IRF
PFS rate was defined as the percentage of participants who had not experienced documented PD or death, whichever came first and was assessed using RECIST v1.1 by IRF at 6 and 9 month timepoints. Percentage of participants was calculated using the Kaplan-Meier method. 95% CI was calculated using normal approximation to the log transformed cumulative hazard rate.
Measured: 6 months and 9 months
Overall Survival (OS) in High VAF Population
OS was defined as months from first dose date until death from any cause. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
Measured: Up to approximately 28 months
OS in All VAF Population
OS was defined as months from first dose date until death from any cause. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
Measured: Up to approximately 28 months
OS Rate at 12 Months in High VAF Population
OS rate was defined as the percentage of participants who had not experienced or death and was assessed at 12 months. Percentage of participants was calculated using the Kaplan-Meier method. 95% CI was calculated using normal approximation to the log transformed cumulative hazard rate.
Measured: 12 months
OS Rate at 12 Months in All VAF Population
OS rate was defined as the percentage of participants who had not experienced or death and was assessed at 12 months. Percentage of participants was calculated using the Kaplan-Meier method. 95% CI was calculated using normal approximation to the log transformed cumulative hazard rate.
Measured: 12 months
Time to Response (TTR) in High VAF Population, as Assessed by IRF
TTR was defined as months from treatment start to first CR or PR (whichever was first recorded) in participants with confirmed CR or PR and was assessed using RECIST v1.1 by IRF. TTR was summarized descriptively by summary statistics.
Measured: Up to approximately 28 months
TTR in All VAF Population, as Assessed by IRF
TTR was defined as months from treatment start to first CR or PR (whichever was first recorded) in participants with confirmed CR or PR and was assessed using RECIST v1.1 by IRF. TTR was summarized descriptively by summary statistics.
Measured: Up to approximately 28 months
Number of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs)
TEAEs were defined as adverse events (AEs) that started on or after the first dose of the study drug and within 30 days of the last administration of the study drug. Common Terminology Criteria for Adverse Events (CTCAE) v5.0 was used for toxicity grading (Grade 3: severe or disabling; Grade 4: life-threatening; Grade 5: death related to AE). Clinically significant changes in laboratory tests, vital signs, and electrocardiogram results were reported as AEs.
Measured: Up to approximately 28 months
Change From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Module 35 (EORTC QLQ-H&N35) Subscales
Change from Baseline score in pain, swallowing, speech problems, and senses problems subscales of EORTC QLQ-H\&N35 are summarized individually. Raw scores for each subscale were linear transformations and standardized to range (0 - 100), with higher scores representing worse levels of symptoms. Change from Baseline was calculated as End of Treatment Observed - Baseline with a negative change representing a reduction in symptoms.
Measured: Baseline and End of Treatment Visit (up to approximately 28 months)
Change From Baseline in the EuroQol-Visual Analog Scale (EQ-VAS) Score
The EQ-VAS forms part of the EQ-5D-5L and collects the self-rating health status from 0 (the worst imaginable health) to 100 (the best imaginable health). Change from Baseline was calculated as End of Treatment Observed - Baseline with a negative change representing an increase in symptoms.
Measured: Baseline and End of Treatment Visit (up to approximately 28 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Oct 2018
- Study start15 Mar 2019
- Primary completion2 May 2023
- Study completion2 May 2023
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.
- Other trials for HRAS Gene MutationStudies 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
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 296 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kura Oncology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03719690
- Sponsor's protocol ID
- KO-TIP-007
- Acronym
- AIM-HN/SEQ-HN
- Status last verified
- May 2024
- First submitted
- 16 Oct 2018
- Last updated
- 21 Jun 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 2 Cohort, Non-comparative, Pivotal Study Evaluating the Efficacy of Tipifarnib in Patients With Head and Neck Squamous Cell Carcinoma (HNSCC) With HRAS Mutations (AIM-HN) and the Impact of HRAS Mutations on Response to First Line Systemic Therapies for HNSCC (SEQ-HN)
- ClinicalTrials.gov ID
- NCT03719690
- Acronym / sponsor ID
- AIM-HN/SEQ-HN / KO-TIP-007
- Conditions
- HRAS Gene Mutation, HNSCC
- Keywords
- TIPIFARNIB, HEAD AND NECK CANCER
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 296 participants (actual)
- Lead sponsor
- Kura Oncology, Inc.Industry (pharma, biotech, devices)
- Study start
- 15 Mar 2019 (actual)
- Primary completion
- 2 May 2023 (actual)
- Study completion
- 2 May 2023 (actual)
- First posted
- 25 Oct 2018 (actual)
- Results
- Posted 21 Jun 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
An international, multicenter, open-label, 2 cohort, non-comparative, pivotal study evaluating the efficacy of tipifarnib in HRAS mutant HNSCC (AIM-HN). The first cohort will assess the objective response rate (ORR) of tipifarnib in subjects with HNSCC with HRAS mutations. The second study cohort, SEQ-HN, is an observational sub-study including HNSCC patients in whom HRAS mutations were not identified (wild type HRAS HNSCC) and who consent to provide first line outcome data and additional follow up.
Detailed description
KO-TIP-007 is an international, multicenter, open-label, 2 cohort, non-comparative, pivotal study evaluating the efficacy of tipifarnib in HRAS mutant HNSCC (AIM-HN) and the impact of HRAS mutations on response to first line systemic therapies for HNSCC (SEQ-HN). KO-TIP-007 has 2 study cohorts. The first study cohort, named AIM-HN, includes HNSCC subjects with HRAS mutations. AIM-HN subjects will receive treatment with tipifarnib and the outcome of this cohort will be evaluated for ORR by an independent review facility.
The second study cohort, SEQ-HN, is an observational sub-study including HNSCC patients in whom HRAS mutations were not identified (wild type HRAS HNSCC) and who consent to provide first line outcome data and additional follow up.
HNSCC patients in whom HRAS mutations are identified and who meet eligibility criteria will be offered participation in AIM-HN. HNSCC patients in whom HRAS mutations are not identified may participate in SEQ-HN only. These patients will be followed and the comparison of outcomes of HRAS mutant and HRAS wild type HNSCC will address the exploratory objective to determine the effect of HRAS mutation on the ORR of first line systemic therapy in patients with recurrent/metastatic HNSCC. Outcome data from subsequent lines of therapy will be collected.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| AIM-HN | Experimental | Drug: Tipifarnib, Device: HRAS Detection AssayTipifarnib, Oral Tablet. Dose Level 1 orally, bid on days 1-7 and 15-21 of 28-day treatment cycles |
| SEQ-HN | No intervention | –HNSCC patients in whom HRAS mutations were not identified (wild type HRAS HNSCC) and who consent to provide first line outcome data and additional follow up. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- AIM-HN
- At least 18 years of age.
- Histologically confirmed head and neck cancer (oral cavity, pharynx, larynx, sinonasal, nasopharyngeal, or unknown primary) of squamous histology not amenable to local therapy with curative intent (surgery or radiation therapy with or without chemotherapy).
- Documented treatment failure from most recent prior therapy (e.g. tumor progression, clinical deterioration, or recurrence), and from at least one prior platinum-containing regimen, in any treatment setting.
- Known tumor missense HRAS mutation.
Key exclusion criteria (8 listed)
- Histologically confirmed salivary gland, thyroid, (primary) cutaneous squamous or nonsquamous histologies (e.g. mucosal melanoma).
- Received treatment for unstable angina within prior year, myocardial infarction within the prior year, cerebro-vascular attack within the prior year, history of New York Heart Association grade III or greater congestive heart failure, or current serious cardiac arrhythmia requiring medication except atrial fibrillation.
- Non-tolerable Grade 2 or ≥ Grade 3 neuropathy or evidence of unstable neurological symptoms within 4 weeks of Cycle 1 Day 1.
- Active, uncontrolled bacterial, viral or fungal infections requiring systemic therapy. Known history of infection with human immunodeficiency virus or an active infection with hepatitis B or hepatitis C.
- Received treatment for non-cancer related liver disease within prior year.
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 |
|---|---|---|
| TipifarnibTablet for oral administration | Drug | AIM-HN |
| HRAS Detection AssayIn Vitro Assay to detect HRAS mutations | Device | AIM-HN |
Primary outcome
Objective Response Rate (ORR) in High Variable Allele Frequency (VAF) Population, as Assessed by Independent Review Facility (IRF)
Time frame: Up to approximately 28 months
ORR was defined as the percentage of participants who experienced a best overall response (BOR) of complete response (CR; disappearance of all target lesions) or partial response (PR; at least a 30% decrease in the sum of diameters of target lesions) and was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by IRF. 95% confidence interval (CI) was calculated by the exact binomial (Clopper-Pearson) method.
16 secondary outcomes
ORR in All VAF Population, as Assessed by IRF
Time frame: Up to approximately 28 months
Duration of Response (DoR) in High VAF Population, as Assessed by IRF
Time frame: Up to approximately 28 months
DoR in All VAF Population, as Assessed by IRF
Time frame: Up to approximately 28 months
Progression Free Survival (PFS) in High VAF Population, as Assessed by IRF
Time frame: Up to approximately 28 months
PFS in All VAF Population, as Assessed by IRF
Time frame: Up to 28 approximately months
PFS Rate in High VAF Population, as Assessed by IRF
Time frame: 6 months and 9 months
PFS Rate in All VAF Population, as Assessed by IRF
Time frame: 6 months and 9 months
Overall Survival (OS) in High VAF Population
Time frame: Up to approximately 28 months
OS in All VAF Population
Time frame: Up to approximately 28 months
OS Rate at 12 Months in High VAF Population
Time frame: 12 months
OS Rate at 12 Months in All VAF Population
Time frame: 12 months
Time to Response (TTR) in High VAF Population, as Assessed by IRF
Time frame: Up to approximately 28 months
TTR in All VAF Population, as Assessed by IRF
Time frame: Up to approximately 28 months
Number of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs)
Time frame: Up to approximately 28 months
Change From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Module 35 (EORTC QLQ-H&N35) Subscales
Time frame: Baseline and End of Treatment Visit (up to approximately 28 months)
Change From Baseline in the EuroQol-Visual Analog Scale (EQ-VAS) Score
Time frame: Baseline and End of Treatment Visit (up to approximately 28 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
102 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tipifarnib and HRAS Detection Assay in people with HRAS Gene Mutation and HNSCC, run by Kura Oncology, Inc. at 102 sites in 16 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 14 inclusion and 8 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 21 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 102 sites in United States, Spain, Taiwan, South Korea, Italy and 11 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 21 Jun 2024). 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?
Objective Response Rate (ORR) in High Variable Allele Frequency (VAF) Population, as Assessed by Independent Review Facility (IRF) (time frame: Up to approximately 28 months). 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 21 Jun 2024.