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Non-small Cell Lung Carcinoma (NSCLC)Phase 2NCT04460729

A Phase II, Open-Label, Multicenter Study of Capmatinib in Subjects With MET Exon 14 Skipping Mutation Positive, Advanced, NSCLC With Brain Metastases

A Phase 2 study testing Capmatinib in people with Non-small Cell Lung Carcinoma (NSCLC), run by Novartis Pharmaceuticals.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The purpose of this study is to establish the intracranial efficacy of single agent capmatinib in the population of treatment-naïve or pretreated with one or two prior lines of systemic therapies for advanced stage Non Small-Cell Lung Cancer (NSCLC) with MET exon 14 mutation that has metastasized to the brain. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-small Cell Lung Carcinoma (NSCLC)
What is being tested?
Capmatinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
11 Nov 2020to 17 Nov 2023
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 confirmed stage IV (according to Version 8 of the American Joint Committee on Cancer (AJCC)) NSCLC that is EGFR wt, ALK rearrangement negative as assessed by a validated test as part of the participant's standard of care and has MET∆ex14 mutation per Novartis-designated central laboratory or (US only) locally with FoundationOne Companion Diagnostic (F1CDx) .
  • Treatment naïve or up to two prior lines of systemic therapy for stage IIIb-IV NSCLC
  • Measurable intracranial lesions:
  • Cohort 1 and Cohort 2 (without leptomeningeal carcinoma): At least 1 measurable intracranial lesion per RANO-BM criteria, documented by a radiologist/neuroradiologist (treated or untreated).
  • Cohort 2 (with leptomeningeal carcinoma): participants with leptomeningeal carcinoma may not have measurable lesions. In this circumstance, the participant's disease will be considered to have non-target lesions only at baseline and their response based on descriptive clinical criteria by physician assessment.
  • Capable of undergoing magnetic resonance imaging (MRI)
  • ECOG performance status of 0 or 1

Who cannot join

  • Only for Cohort 1: any neurological symptoms related to brain metastases
  • For participants in Cohort 2 with prior brain therapy: Treatment with stereotactic radiosurgery within 14 days prior to the start of study treatment or treatment with WBRT within 14 days prior to the start of study treatment
  • Prior treatment with any MET targeting therapy or HGF inhibitor
  • Participants with other known druggable molecular alterations (such as ROS1 translocation or BRAF mutation) who might be candidates to alternative targeted therapies as applicable per local regulations and treatment guidelines
  • Presence or history of ILD or interstitial pneumonitis, including clinically significant radiation pneumonitis (i.e., affecting activities of daily living or requiring therapeutic intervention)
  • Clinically significant, uncontrolled heart diseases including History of familial long QT syndrome, sudden death or congenital long QT syndrome
  • Other protocol-defined inclusion/exclusion criteria may apply

About this study

Official title: A Phase II, Open-Label, Multicenter Study of Capmatinib in Subjects With MET Exon 14 Skipping Mutation Positive, Advanced, Non Small-Cell Lung Cancer That Has Metastasized to the Brain

The purpose of this study is to establish the intracranial efficacy of single agent capmatinib in the population of treatment-naïve or pretreated with one or two prior lines of systemic therapies for advanced stage Non Small-Cell Lung Cancer (NSCLC) with MET exon 14 mutation that has metastasized to the brain.

Cohort 1 (asymptomatic brain metastases (BM) without prior brain therapy) has been selected to identify patients who are most likely to benefit from capmatinib therapy in this setting and to establish a clinically relevant response outcome.

Cohort 2 is a heterogeneous group of patients (symptomatic with and without prior brain therapy, asymptomatic with prior brain therapy, or with leptomeningeal disease.), and the outcomes will be descriptive only

Read the detailed description

This is a prospectively designed, multicenter, open-label, two-cohort, phase II study to evaluate the intracranial efficacy of single agent capmatinib in participants with MET exon 14 mutated NSCLC and BM. Participants can be treatment naïve or pretreated with one or two prior lines of systemic therapies for advanced stage (stage IIIb - IV) NSCLC.

Approximately 60 participants will be enrolled globally and allocated to one of two cohorts:

Cohort 1 will enroll approximately 40 participants who are asymptomatic and without prior brain therapy.

Cohort 2 will enroll approximately 20 participants who are symptomatic with or without prior brain therapy or asymptomatic with prior brain therapy or with leptomeningeal disease.

All participants will be pre-screened for MET mutation and presence of BM will be documented at baseline by a radiologist/neuroradiologist.

Intracranial disease will be assessed and response to treatment will be evaluated using the Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) criteria every 8 weeks. Extracranial and whole body disease will be assessed and response to treatment will be evaluated using RECIST 1.1 every 8 weeks.

Participants will receive capmatinib 400 mg b.i.d. until they experience any of the following: documented disease progression by RANO-BM criteria and/or RECIST 1.1 (as assessed by the investigator and confirmed by BIRC), withdrawal of consent, pregnancy, lost to follow-up, or death.

For all participants, treatment with capmatinib may be continued beyond initial progression disease (PD) as per RANO-BM criteria and/or RECIST 1.1 (as assessed by the investigator and confirmed by BIRC) if, in the judgment of the investigator, there is evidence of clinical benefit, and the participant wishes to continue on the study treatment.

After treatment discontinuation, all participants will be followed for safety evaluations during the safety follow-up period, and the participant's status will be collected every 12 weeks as part of the survival follow-up.

Being tested
Capmatinib
Keywords
Non-small cell lung carcinoma, Non-small cell lung cancer, NSCLC, Treatment of lung cancer after first metastasi, Lung cancer, Lung adenocarcinoma, Squamous cell lung carcinoma, Large-cell lung carcinoma, Large-cell lung cancer
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Adenocarcinoma of Lung

What participants receive

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

  • CapmatinibDrug

    400 mg administered orally twice daily

Study groups in NCT04460729
Study groupRoleWhat they receive
Cohort 1ExperimentalParticipants who are asymptomatic and without prior brain therapy
Receives: Drug: Capmatinib
Cohort 2ExperimentalParticipants who are symptomatic with or without prior brain therapy or asymptomatic with prior brain therapy or with leptomeningeal disease
Receives: Drug: Capmatinib

What is being measured

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

  1. Overall Intracranial Response Rate (OIRR) in Cohort 1 by Blinded Independent Review Committee (BIRC) review

    Overall Intracranial Response Rate (OIRR) in Cohort 1, defined as the proportion of participants with a confirmed best intracranial overall response of Complete Response (CR) or Partial Response (PR) per RANO-BM criteria as assessed by BIRC review

    Measured: Up to 36 months

Secondary outcomes (23)
  1. Overall Intracranial Response Rate (OIRR) in Cohort 1 by investigator review

    Overall Intracranial Response Rate (OIRR) in Cohort 1, defined as the proportion of participants with a confirmed best intracranial overall response of Complete Response (CR) or Partial Response (PR) per RANO-BM criteria as assessed by investigator review

    Measured: Up to 36 months

  2. Intracranial Disease Control Rate (IDCR) by investigator and BIRC review

    Intracranial Disease Control Rate (IDCR) per RANO-BM criteria as assessed by investigator review and by BIRC review

    Measured: Up to 36 months

  3. Time to intracranial tumor Response (TTIR) by investigator and BIRC review

    Time to intracranial tumor Response (TTIR) per RANO-BM criteria as assessed by investigator review and by BIRC review

    Measured: Up to 36 months

  4. Duration of Intracranial Response (DOIR) by investigator and BIRC review

    Duration of Intracranial Response (DOIR) per RANO-BM as assessed by investigator review and by BIRC review

    Measured: Up to 36 months

  5. Overall Intracranial Response Rate (OIRR) in Cohort 2 by investigator and BIRC review

    Overall Intracranial Response Rate (OIRR) per RANO-BM criteria in Cohort 2 by investigator review and by BIRC review

    Measured: Up to 36 months

  6. Overall Extracranial Response Rate (OERR) by investigator and BIRC review

    Overall Extracranial Response Rate (OERR) per RECIST 1.1 by investigator review and by BIRC review

    Measured: Up to 36 months

  7. Extracranial Disease Control Rate (EDCR) by investigator and BIRC review

    Extracranial Disease Control Rate (EDCR) per RECIST 1.1 by investigator and BIRC review

    Measured: Up to 36 months

  8. Time to Extracranial Response (TTER) by investigator and BIRC review

    Time to Extracranial Response (TTER) per RECIST 1.1 by investigator review and by BIRC review

    Measured: Up to 36 months

  9. Duration of Extracranial Response (DOER) by investigator and BIRC review

    Duration of Extracranial Response (DOER) per RECIST 1.1 by investigator review and by BIRC review

    Measured: Up to 36 months

  10. Overall Response Rate (ORR) per RECIST 1.1 by investigator and BIRC review

    Overall Response Rate (ORR) in the whole body per RECIST 1.1 by investigator review and by BIRC review

    Measured: Up to 36 months

  11. Time to response (TTR) by investigator and BIRC review

    Time to response (TTR) in the whole body per RECIST 1.1 by investigator review and by BIRC review

    Measured: Up to 36 months

  12. Duration of response (DOR) by investigator and BIRC review

    Duration of response (DOR) in the whole body per RECIST 1.1 by investigator review and by BIRC review

    Measured: Up to 36 months

  13. Progression free survival (PFS) by investigator and BIRC review

    Progression free survival (PFS) in the whole body per RECIST 1.1 by investigator review and by BIRC review

    Measured: Up to 36 months

  14. Overall survival (OS)

    Overall survival (OS) is defined as the time from the date of start of treatment to the date of death due to any cause.

    Measured: Up to 36 months

  15. Percentage of patients with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Safety profile of capmatinib. Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) including any clinically significant lab, vital signs, ECG abnormalities that are captured as an AE

    Measured: Up to 36 months

  16. Number of participants with dose interruptions

    Tolerability measured by the number of subjects who have interruptions of study treatment

    Measured: Up to 29 months

  17. Number of participants with dose reductions

    Tolerability measured by the number of subjects who have reductions of study treatment

    Measured: Up to 29 months

  18. Dose intensity

    Tolerability measured by the dose intensity of study drug computed as the ratio of actual cumulative dose received and actual duration of exposure

    Measured: Up to 29 months

  19. Time to deterioration in Functional Assessment of Cancer Therapy (FACT)-Brain Symptom Index (FBrSI) scores in Cohort 1

    Time to deterioration in symptoms of brain metastases in Cohort 1 with the Functional Assessment of Cancer Therapy (FACT)-Brain Symptom Index (FBrSI) (a standardized questionnaire developed to assess the quality of life of cancer patients)

    Measured: Day 1 and 15 of Cycle 1, Day 1 of cycles 2 to 11 and then every other cycle until end of treatment (up to 29 months). Cycle=28 days

  20. Change from baseline in score as per FACT-Brain Symptom Index (FBrSI) in Cohort 2

    Change from baseline in symptoms of brain metastases in Cohort 2 with the FACT-Brain Symptom Index (FBrSI) (a standardized questionnaire developed to assess the quality of life of cancer patients)

    Measured: Day 1 and 15 of Cycle 1, Day 1 of cycles 2 to 11 and then every other cycle until end of treatment (up to 29 months). Cycle=28 days

  21. Change from baseline in score as per European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-C30

    Change from baseline in lung cancer related symptoms, functioning and other domains of HRQoL in both cohorts with the EORTC QLQ-C30 (a 30-item questionnaire developed to assess the quality of life of cancer patients)

    Measured: Day 1 of cycle 1 to 11 and then every other cycle until end of treatment (up to 29 months). Cycle=28 days

  22. Change from baseline in score as per European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Lung Cancer Module (QLQ-LC13)

    Change from baseline in lung cancer related symptoms, functioning and other domains of HRQoL in both cohorts with the QLQ-LC13 (a 13-item questionnaire developed to assess the quality of life of cancer patients)

    Measured: Day 1 of cycle 1 to 11 and then every other cycle until end of treatment (up to 29 months). Cycle=28 days

  23. Change from baseline in score as per European Quality of Life 5-Dimension 5-Level (EQ-5D-5L) questionnaire

    Change from baseline in lung cancer related symptoms, functioning and other domains of HRQoL in both cohorts with the EQ-5D-5L (a standardized questionnaire developed to assess the quality of life of cancer patients)

    Measured: Day 1 of cycle 1 to 11 and then every other cycle until end of treatment (up to 29 months). Cycle=28 days

Timeline

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

  1. First posted8 Jul 2020
  2. Study start11 Nov 2020 (estimated)
  3. Primary completion17 Nov 2023 (estimated)
  4. Study completion17 Nov 2023 (estimated)

Why it stopped: company decision

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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Approximately 60 participants will be enrolled globally and allocated to one of two cohorts based on whether their metastatic brain disease is symptomatic or asymptomatic and with or without prior brain therapy or if they have been diagnosed with leptomeningeal disease
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04460729
Sponsor's protocol ID
CINC280A2203
Status last verified
Nov 2020
First submitted
2 Jul 2020
Last updated
3 Dec 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Capmatinib in people with Non-small Cell Lung Carcinoma (NSCLC), run by Novartis Pharmaceuticals.

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 7 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: withdrawn, as of the sponsor's last update on 3 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

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 withdrawn before enrolling participants, so there are no results.

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?

Overall Intracranial Response Rate (OIRR) in Cohort 1 by Blinded Independent Review Committee (BIRC) review (time frame: Up to 36 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 3 Dec 2020.

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