Non-small Cell Lung CancerPhase 2KICKSTARTNCT04622007
Tomivosertib Combined With Pembrolizumab in Subjects With PD-L1 Positive NSCLC (KICKSTART)
A Phase 2 study testing Tomivosertib, Pembrolizumab and Pemetrexed in people with Non-small Cell Lung Cancer, run by Effector Therapeutics at 144 sites in 3 countries.
Trial summary
Tomivosertib combined with pembrolizumab in Subjects with PD-L1 positive NSCLC Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-small Cell Lung Cancer
- What is being tested?
- Tomivosertib, Pembrolizumab and Pemetrexed
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 68 participants
- Where
- 144 sitesin 3 countries
- Study dates
- 2 Jun 2021to 9 Dec 2024
- 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
- Inclusion Criteria for Cohort A: Subjects who meet all of the following criteria will be eligible to participate in Cohort A of the study:
- 1. Have initiated first-line therapy for NSCLC with pembrolizumab and satisfy the following:
- Have tumor PD-L1 ≥1% by 22C3 IHC;
- Are judged by the Principal Investigator as tolerating pembrolizumab monotherapy; and
- Have been on pembrolizumab for at least 3 months (measured from actual first dose date to first dose date of the current study) and the most recent scans are the first scans to objectively demonstrate Progressive Disease per RECIST 1.1
- The first scan conducted a minimum of 21 days after first dose of anti-PD-(L)1 therapy must have shown either SD, PR, or CR (ie, not Progressive Disease) per RECIST 1.1; and
Show all 22Show fewer
- The 2 most recent scans (including 1 demonstrating Progressive Disease) are available to be reviewed
- Subjects who meet the following criterion will be eligible to participate in Cohort B of the study:
- 1. Are eligible for single-agent pembrolizumab for advanced/metastatic NSCLC in accordance with the package insert and have tumor PD-L1 ≥50% by 22C3 IHC
- Must not have been treated previously with platinum-based chemotherapy in the advanced/metastatic setting. Note: Subjects may have received chemotherapy and/or anti PD (L)1 therapy in the neo/adjuvant setting, provided the last dose of therapy was >9 months prior to randomization.
- All cohorts require PD-L1 testing (TPS as determined by an FDA-approved test: subjects in Cohort B must specifically have PD-L1 testing using the PD-L1 IHC 22C3 pharmDx test kit). Subjects in Cohort B for whom PD-L1 testing was not performed with the required IHC 22C3 pharmDx test kit may be randomized if all other study criteria have been met, pending retest with the required IHC 22C3 pharmDx test kit.
- Subjects who meet the following criterion will be eligible to participate in Cohort C of the study:
- 1. Have initiated IL therapy for NSCLC and completed all planned (eg, 4 to 6 cycles) platinum-based chemotherapy with at least 2 cycles in combination with pembrolizumab; must not have had progressive disease on tumor staging imaging scans following completion of all planned platinum chemotherapy
- Are eligible for maintenance therapy with pembrolizumab ± pemetrexed in accordance with the package insert
- Have tumor PD-L1 ≥1%
- The last dose of platinum-based chemotherapy must be within 8 weeks of the first dose of the study drug in this study
- Subjects must also meet all of the following criteria to be eligible to participate in the study:
- Have histologically confirmed NSCLC that is inoperable, locally advanced or metastatic (Stage IIIb/IV)
- Have available at the site a representative formalin-fixed, paraffin-embedded tumor specimen that enabled diagnosis of NSCLC in a tissue block (preferred) or 10 unstained, serial slides, accompanied by an associated pathology report. Note: If the archival tissue is neither sufficient nor available, the subject may still be eligible, upon discussion with the Medical Monitor
- Have provided written informed consent and any authorizations required by local law
- Are ≥18 years of age
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Who cannot join
- Have NSCLC with epidermal growth factor receptor or anaplastic lymphoma kinase genomic tumor aberrations
- Have gastrointestinal (GI) disease (eg, gastric or intestinal bypass surgery, pancreatic enzyme insufficiency, malabsorption syndrome, symptomatic inflammatory bowel disease, chronic diarrheal illness, and/or bowel obstruction) that may interfere with drug absorption or with interpretation of GI AEs
- Have known symptomatic brain metastases requiring >10 mg/day of prednisone (or its equivalent). Subjects with previously diagnosed brain metastases are eligible if they have completed their treatment, have recovered from the acute effects of radiation therapy or surgery prior to randomization, fulfill the steroid requirement for these metastases, the 2 most recent serial magnetic resonance imaging (MRI) scans conducted >28 days apart show no central nervous system progression, and are neurologically stable and asymptomatic
Trial locations and contacts
144 sites in 3 countries.
144 sites in 3 countries
United States131 sites
Texas Oncology - West Texas (Antilley Rd)
Abilene, Texas, 79606-5208
Virginia Cancer Specialists, PC (Kenmore Ave)
Alexandria, Virginia, 22304
University of California, Los Angeles (UCLA) - Alhambra
Alhambra, California, 91801
Luminus Health Research Institute, Inc.
Annapolis, Maryland, 21401
Virginia Cancer Specialists, PC (N George Mason Dr)
Arlington, Virginia, 22205
Messino Cancer Center
Asheville, North Carolina, 28806
Rocky Mountain Cancer Centers (South Potomac St)
Aurora, Colorado, 80012
Texas Oncology-Austin Midtown (W. 38th St)
Austin, Texas, 78705
Texas Oncology-Austin Central (Balcones Dr.)
Austin, Texas, 78731
Texas Oncology - South Austin
Austin, Texas, 78745
Comprehensive Blood And Cancer Center
Bakersfield, California, 93309
Texas Oncology Gulf Coast - Beaumont (College St)
Beaumont, Texas, 77701
Texas Oncology Gulf Coast - Beaumont Mamie McFaddin Ward Cancer Center
Beaumont, Texas, 77702
Texas Oncology - Bedford
Bedford, Texas, 76022
Maryland Oncology Hematology, P.A. (Rockledge Dr)
Bethesda, Maryland, 20817
St. Vincent Frontier Cancer Center
Billings, Montana, 59102
Broome Oncology
Binghamton, New York, 13905
Tufts Medical Center
Boston, Massachusetts, 02111
Rocky Mountain Cancer Centers (Arapahoe Ave)
Boulder, Colorado, 80303
Maryland Oncology Hematology, P.A. (Matapeake Business Dr)
Brandywine, Maryland, 20613
ASCLEPES Research Centers
Brooksville, Florida, 34613
Mercy Hematology and Oncology Associates
Canton, Ohio, 44708
Gabrail Cancer Center
Canton, Ohio, 44718
Texas Oncology-Carrollton (N Josey Lane)
Carlton, Texas, 75010
Rocky Mountain Cancer Centers (E Arapahoe Rd)
Centennial, Colorado, 80112
TOI Clincal Research
Cerritos, California, 90703
Maryland Oncology Hematology, P.A. (Woodyard Rd)
Clinton, Maryland, 20735
Rocky Mountain Cancer Centers
Colorado Springs, Colorado, 80907
Rocky Mountain Cancer Centers, Colorado Springs CO (Peregrine)
Colorado Springs, Colorado, 80923
Maryland Oncology Hematology, P.A
Columbia, Maryland, 21044
John B. Amos Cancer Center
Columbus, Georgia, 31904
Texas Oncology - Dallas Presbyterian Hospital
Dallas, Texas, 75231
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Southern Cancer Center
Daphne, Alabama, 36526
VA Medical Center- Dayton
Dayton, Ohio, 45428
Texas Oncology - Denton
Denton, Texas, 76201
Rocky Mountain Cancer Centers (Williams St)
Denver, Colorado, 80218
Rocky Mountain Cancer Centers (E. Hale Parkway)
Denver, Colorado, 80220
Henry Ford Hospital
Detroit, Michigan, 48202
Tri-County Hematology & Oncology Associates
Dover, Ohio, 44622
Texas Oncology - West Texas (Grandview Ave)
El Paso, Texas, 79902
Texas Oncology - West Texas
El Paso, Texas, 79902
Texas Oncology - West Texas (Gateway Blvd E)
El Paso, Texas, 79915
Texas Oncology - West Texas (Joe Battle Dr)
El Paso, Texas, 79938
California Cancer Associates for Research & Excellence (San Diego Pacific Oncology and Hematology Associates) - Encinitas
Encinitas, California, 92024
Willamette Valley Cancer Institute and Research Ctr
Eugene, Oregon, 97401
Providence Regional Cancer Partnership
Everett, Washington, 98201
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Texas Oncology - Flower Mound - Carrollton
Flower Mound, Texas, 75028
Fort Wayne Medical Oncology and Hematology
Fort Wayne, Indiana, 46804
Texas Oncology - Fort Worth Cancer Center
Fort Worth, Texas, 76104
Maryland Oncology Hematology, P.A. (Thomas Johnson Dr)
Frederick, Maryland, 21702
Virginia Cancer Specialists, PC (Lake Manassas Dr)
Gainesville, Virginia, 20155
Arizona Oncology Associates, PC - HAL (W Bell Rd)
Glendale, Arizona, 85308
Arizona Oncology Associates, PC - NAHOA (W. McDowell)
Goodyear, Arizona, 85395
Texas Oncology-Grapevine
Grapevine, Texas, 76051
Prisma Health Cancer Institute
Greenville, South Carolina, 29615
Valley Cancer Associates
Harlingen, Texas, 78550
Memorial Healthcare System
Hollywood, Florida, 33021
Texas Oncology - Memorial City
Houston, Texas, 77024
Oncology Consultants
Houston, Texas, 77030
Texas Oncology Gulf Coast (Willowbrook)
Houston, Texas, 77070
Broome Oncology, LLC (Harrison St)
Johnson City, New York, 13790
Mercy Cancer Center
Joplin, Missouri, 64804
Kettering Medical Center
Kettering, Ohio, 45429
Rocky Mountain Cancer Centers (West 2nd Place)
Lakewood, Colorado, 80228
Maryland Oncology Hematology, P.A. (Good Luck Rd)
Lanham, Maryland, 20706
Virginia Cancer Specialists, PC (Riverside Pkwy)
Leesburg, Virginia, 20176
Baptist Health - Lexington
Lexington, Kentucky, 40503
Rocky Mountain Cancer Centers (W Dry Creek Circle)
Littleton, Colorado, 80120-4413
Rocky Mountain Cancer Centers (Ridge Gate Parkway)
Lone Tree, Colorado, 80124
City of Hope - Long Beach Elm
Long Beach, California, 90813
Rocky Mountain Cancer Centers (E. Ken Pratt Blvd)
Longmont, Colorado, 80504
Texas Oncology - Longview Cancer Center
Longview, Texas, 75601
Cancer and Blood Specialty Clinic
Los Alamitos, California, 90720
University of California, Los Angeles (UCLA)
Los Angeles, California, 90025
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Baptist Health - Louisville
Louisville, Kentucky, 40207
Tri-County Hematology & Oncology Associates - Massillon
Massillon, Ohio, 44646
Cancer Care Centers of Brevard (Melbourne)
Melbourne, Florida, 32935
Mercy Cancer Center
Merced, California, 95340
Mercy UC Davis Center Center
Merced, California, 95340
Southern Cancer Center, PC (Mobile Infirmary Circle)
Mobile, Alabama, 36607
Southern Cancer Center, PC (Airport Blvd)
Mobile, Alabama, 36608
Southern Cancer Center, PC (Dauphin St)
Mobile, Alabama, 36608
West Virginia University Cancer Institute
Morgantown, West Virginia, 26506
Columbia University Medical Center
New York, New York, 10032
Columbia University
New York, New York, 10032
Keck Medicine of USC Norris Oncology/Hematology
Newport Beach, California, 92663
Texas Oncology - West Texas (Odessa)
Odessa, Texas, 79761
University of California - Irvine Medical Center
Orange, California, 92868
University of Florida (UF) Health Cancer Center - Orlando Health
Orlando, Florida, 32806
Texas Oncology - Palestine
Palestine, Texas, 75801
Cancer Care Centers of Brevard
Palm Bay, Florida, 32901
Texas Oncology - Paris
Paris, Texas, 75460
Memorial Cancer Institute at Memorial West Hospital
Pembroke Pines, Florida, 33028
Woodlands Medical Specialists, PA
Pensacola, Florida, 32503
Arizona Oncology Associates, PC - HAL
Phoenix, Arizona, 85016
Texas Oncology - Plano East
Plano, Texas, 75075
University of California, Los Angeles (UCLA) - Porter Ranch
Porter Ranch, California, 91326
Providence Portland Medical Center
Portland, Oregon, 97213
Arizona Oncology Associates, PC-NAHOA (N. Windsong)
Prescott Valley, Arizona, 86314
Rocky Mountain Cancer Centers (Ridge Gate Parkway)
Pueblo, Colorado, 81008
Maryland Oncology Hematology, P.A. (Medical Center Drive)
Rockville, Maryland, 20850
Metro Minnesota CCOP
Saint Louis Park, Minnesota, 55416
St. Mary's Medical Center - San Francisco
San Francisco, California, 94117
Dignity Health- SLO Oncology and Hematology
San Luis Obispo, California, 93401
University of California, Los Angeles (UCLA) - San Luis Obispo
San Luis Obispo, California, 93401
California Cancer Associates for Research & Excellence (San Diego Pacific Oncology and Hematology Associates) - San Marcos Cancer Center
San Marcos, California, 92069
Mission Hope Cancer Center
Santa Maria, California, 93454
Arizona Oncology Associates (N. Pima Rd)
Scottsdale, Arizona, 85258
Arizona Oncology Associates, PC - HAL
Scottsdale, Arizona, 85258
Maryland Oncology Hematology, P.A. (Healing Way)
Silver Spring, Maryland, 20904
MultiCare Regional Cancer Center
Spokane, Washington, 99204
Washington University School of Medicine
St Louis, Missouri, 63110
Dignity Health St. Joseph's Medical Center Stockton
Stockton, California, 95204
Stockton Hematology Oncology Medical Group (Stockton)
Stockton, California, 95204
Arizona Oncology Associates, PC - HAL
Tempe, Arizona, 85284
Rocky Mountain Cancer Centers (Huron St)
Thornton, Colorado, 80260
University of Toledo
Toledo, Ohio, 43614
Arizona Oncology Associates, PC - HOPE (W. Orange Grove)
Tucson, Arizona, 85704
Arizona Oncology Associates, PC - HOPE (W. Rudasill Rd)
Tucson, Arizona, 85704
Arizona Oncology Associates, PC - HOPE
Tucson, Arizona, 85711
Arizona Oncology Associates, PC - HOPE (West St.)
Tucson, Arizona, 85745
Texas Oncology - Tyler
Tyler, Texas, 75702
Santa Clarita - UCLA
Valencia, California, 91355
Ventura - UCLA
Ventura, California, 93003
Texas Oncology - Waco
Waco, Texas, 76712
Prairie Lakes Cancer Center
Watertown, South Dakota, 57201
Texas Oncology Golf Coast - Deke Slayton Cancer Center
Webster, Texas, 77598
PIH Health Hospital - Whittier
Whittier, California, 90602
Georgia10 sites
High Technology Hospital MedCenter Ltd
Batumi, Adjara, 6000
JSC Vian - Kutaisi Referral Hospital
Kutaisi, 4600
TIM - Tbilisi Institute of Medicine LLC
Tbilisi, Tbilisa, 0160
Israel-Georgia Medical Research Clinic Healthycore LLC
Tbilisi, 0112
Todua Clinic LLC
Tbilisi, 0112
Tbilisi State Medical University and Ingorokva High Medical Technology University Clinic LLC
Tbilisi, 0144
Oncology Scientific Research Center LLC
Tbilisi, 0177
Multiprofile Clinic Consilium Medulla LLC
Tbilisi, 0186
JSC Viani
Tbilisi, 159
Caucasus Medical Centre LLC
Tbilisi, 186
Australia3 sites
Ballarat Regional Integrated Cancer Center
Ballarat, Victoria, 3350
Flinders Medical Centre
Bedford Park, South Australia, 5042
Gold Coast Cancer Care - Pindara
Benowa, Queensland, 4217
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Trial of Tomivosertib in Combination With Anti-PD-(L)1 Therapy in Subjects With NSCLC as First Line Therapy or When Progressing on Single-Agent First-Line Anti PD (L)1 Therapy
Tomivosertib combined with pembrolizumab in Subjects with PD-L1 positive NSCLC
Read the detailed description
A Randomized, Double-Blind, Placebo-Controlled Trial of Tomivosertib in Combination With Anti-PD-(L)1 Therapy in Subjects With Non-Small Cell Lung Cancer as First Line Therapy or When Progressing on Single-Agent First-Line Anti PD (L)1 Therapy
- Conditions
- Non-small Cell Lung Cancer
- Being tested
- Tomivosertib, Pembrolizumab, Pemetrexed
- 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.
TomivosertibDrug
Also called eFT508
Tomivosertib (eFT508) will be taken at 100 mg twice daily (bid) with meals
PembrolizumabBiological
Also called Keytruda®
Subjects will initiate or continue to receive pembrolizumab at either 200 mg intravenously (IV) at a frequency of every 3 weeks or 400 mg IV at a frequency of every 6 weeks.
PemetrexedDrug
Also called Alimta®
Subjects will initiate pemetrexed at 500 mg/m2 intravenously (IV) at a frequency of every 3 weeks.
| Study group | Role | What they receive |
|---|---|---|
| A1 Tomi + Current Pembro | Experimental | Subjects who have initiated pembrolizumab as a single agent and in accordance with the package insert will receive tomivosertib in addition to pembrolizumab. Receives: Drug: Tomivosertib; Biological: Pembrolizumab |
| Pbo + Current Pembro | Placebo comparator | Subjects who have initiated pembrolizumab as a single agent and in accordance with the package insert, will receive matching placebo in addition to pembrolizumab. Receives: Biological: Pembrolizumab |
| B1 Tomi + Pembro | Experimental | Subjects will initiate pembrolizumab as first-line therapy and receive tomivosertib. Receives: Drug: Tomivosertib; Biological: Pembrolizumab |
| Pbo + Pembro | Placebo comparator | Subjects will initiate pembrolizumab as first-line therapy and receive matching placebo. Receives: Biological: Pembrolizumab |
| C1 Tomi + Pembro + Pemetrexed (Non-sqamous) or Tomi + Pembro (Squamous) | Experimental | Subjects who have completed 4 to 6 cycles of platinum-based chemotherapy doublet will receive tomi plus pembrolizumab and pemetrexed (non-squamous NSCLC) or tomi plus pembro as a single agent (squamous) in accordance with the package insert. Receives: Drug: Tomivosertib; Biological: Pembrolizumab; Drug: Pemetrexed |
| Pbo + Pembro + Pemetrexed (Non-sqamous) or Pbo + Pembro (Squamous) | Placebo comparator | Subjects who have completed 4 to 6 cycles of platinum-based chemotherapy doublet will receive placebo plus pembrolizumab and pemetrexed (non-squamous NSCLC) or placebo plus pembro as a single agent (squamous) in accordance with the package insert. Receives: Biological: Pembrolizumab; Drug: Pemetrexed |
What is being measured
The primary outcome is the main question the study is designed to answer.
To characterize the progression-free survival (PFS) of tomivosertib when added to pembrolizumab as a first-line treatment; and
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.
Measured: 2 years
To characterize the PFS of tomivosertib when added to pembrolizumab as first line therapy.
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.
Measured: 2 years
To characterize the PFS of tomivosertib when added to pembrolizumab and pemetrexed in non-squamous NSCLC, and pembrolizumab in squamous NSCLC as first line maintenance therapy.
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.
Measured: 2 years
Secondary outcomes (4)
To characterize the PFS of tomivosertib when added to pembrolizumab in Cohorts A, B, and B C individually and combined
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.
Measured: 2 years
To characterize the PFS of tomivosertib when added to pembrolizumab as a first-line treatment in subjects with NSCLC
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier. Objective response per RECIST 1.1, as assessed by the BIRC.
Measured: 2 years
To characterize the PFS of tomivosertib when added to pembrolizumab and pemetrexed in non-squamous NSCLC, and pembrolizumab in squamous NSCLC as a first-line maintenance treatment in subjects with NSCLC.
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier. Objective response per RECIST 1.1, as assessed by the BIRC.
Measured: 2 years
To characterize the PFS of tomivosertib when added to pembrolizumab after first radiographic progression on pembrolizumab monotherapy
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier. Objective response per RECIST 1.1, as assessed by the BIRC
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2020
- Study start2 Jun 2021
- Primary completion14 Oct 2024 (estimated)
- Study completion9 Dec 2024 (estimated)
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
- Randomised
- Intervention model
- Parallel groups
- Model description
- In each Cohort approximately 60 eligible Subjects were targeted to be randomized to receive tomivosertib or matching placebo in combination with pembrolizumab (and pemetrexed, Cohort C). Cohorts A and C were closed to enrollment early due to recruitment challenges. In Cohort B, 54 subjects received blinded IP (tomivosertib or matching placebo) in combination with pembrolizumab as first line therapy.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 68 participants (actual)
Sponsor and investigators
- Lead sponsor
- Effector Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Medpace, Inc., ICON plc
- Responsible party
- Sponsor
- Investigators
- Douglas Warner, MD, Study director, EFFECTOR Therapeutics, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04622007
- Sponsor's protocol ID
- eFT508-0011
- Acronym
- KICKSTART
- Status last verified
- Apr 2024
- First submitted
- 3 Nov 2020
- Last updated
- 30 Apr 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Luo H, Huang S. Inhibition of MNK pathway sensitizes nasopharyngeal carcinoma to radiotherapy. Anticancer Drugs. 2024 Feb 1;35(2):155-162. doi: 10.1097/CAD.0000000000001542. Epub 2023 Sep 11.
PubMed 37694854
Study at a glance
From the registry record, last updated by the sponsor on 30 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Trial of Tomivosertib in Combination With Anti-PD-(L)1 Therapy in Subjects With NSCLC as First Line Therapy or When Progressing on Single-Agent First-Line Anti PD (L)1 Therapy
- ClinicalTrials.gov ID
- NCT04622007
- Acronym / sponsor ID
- KICKSTART / eFT508-0011
- Conditions
- Non-small Cell Lung Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 68 participants (actual)
- Lead sponsor
- Effector TherapeuticsIndustry (pharma, biotech, devices)
- Collaborators
- Medpace, Inc., ICON plc
- Study start
- 2 Jun 2021 (actual)
- Primary completion
- 14 Oct 2024 (estimated)
- Study completion
- 9 Dec 2024 (estimated)
- First posted
- 9 Nov 2020 (actual)
- 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.
Tomivosertib combined with pembrolizumab in Subjects with PD-L1 positive NSCLC
Detailed description
A Randomized, Double-Blind, Placebo-Controlled Trial of Tomivosertib in Combination With Anti-PD-(L)1 Therapy in Subjects With Non-Small Cell Lung Cancer as First Line Therapy or When Progressing on Single-Agent First-Line Anti PD (L)1 Therapy
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
- Model description
- In each Cohort approximately 60 eligible Subjects were targeted to be randomized to receive tomivosertib or matching placebo in combination with pembrolizumab (and pemetrexed, Cohort C). Cohorts A and C were closed to enrollment early due to recruitment challenges. In Cohort B, 54 subjects received blinded IP (tomivosertib or matching placebo) in combination with pembrolizumab as first line therapy.
| Arm | Type | Receives |
|---|---|---|
| A1 Tomi + Current Pembro | Experimental | Drug: Tomivosertib, Biological: PembrolizumabSubjects who have initiated pembrolizumab as a single agent and in accordance with the package insert will receive tomivosertib in addition to pembrolizumab. |
| Pbo + Current Pembro | Placebo comparator | Biological: PembrolizumabSubjects who have initiated pembrolizumab as a single agent and in accordance with the package insert, will receive matching placebo in addition to pembrolizumab. |
| B1 Tomi + Pembro | Experimental | Drug: Tomivosertib, Biological: PembrolizumabSubjects will initiate pembrolizumab as first-line therapy and receive tomivosertib. |
| Pbo + Pembro | Placebo comparator | Biological: PembrolizumabSubjects will initiate pembrolizumab as first-line therapy and receive matching placebo. |
| C1 Tomi + Pembro + Pemetrexed (Non-sqamous) or Tomi + Pembro (Squamous) | Experimental | Drug: Tomivosertib, Biological: Pembrolizumab, Drug: PemetrexedSubjects who have completed 4 to 6 cycles of platinum-based chemotherapy doublet will receive tomi plus pembrolizumab and pemetrexed (non-squamous NSCLC) or tomi plus pembro as a single agent (squamous) in accordance with the package insert. |
| Pbo + Pembro + Pemetrexed (Non-sqamous) or Pbo + Pembro (Squamous) | Placebo comparator | Biological: Pembrolizumab, Drug: PemetrexedSubjects who have completed 4 to 6 cycles of platinum-based chemotherapy doublet will receive placebo plus pembrolizumab and pemetrexed (non-squamous NSCLC) or placebo plus pembro as a single agent (squamous) in accordance with the package insert. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (22 listed)
- Inclusion Criteria for Cohort A: Subjects who meet all of the following criteria will be eligible to participate in Cohort A of the study:
- 1. Have initiated first-line therapy for NSCLC with pembrolizumab and satisfy the following:
- Have tumor PD-L1 ≥1% by 22C3 IHC;
- Are judged by the Principal Investigator as tolerating pembrolizumab monotherapy; and
- Have been on pembrolizumab for at least 3 months (measured from actual first dose date to first dose date of the current study) and the most recent scans are the first scans to objectively demonstrate Progressive Disease per RECIST 1.1
Key exclusion criteria (3 listed)
- Have NSCLC with epidermal growth factor receptor or anaplastic lymphoma kinase genomic tumor aberrations
- Have gastrointestinal (GI) disease (eg, gastric or intestinal bypass surgery, pancreatic enzyme insufficiency, malabsorption syndrome, symptomatic inflammatory bowel disease, chronic diarrheal illness, and/or bowel obstruction) that may interfere with drug absorption or with interpretation of GI AEs
- Have known symptomatic brain metastases requiring >10 mg/day of prednisone (or its equivalent). Subjects with previously diagnosed brain metastases are eligible if they have completed their treatment, have recovered from the acute effects of radiation therapy or surgery prior to randomization, fulfill the steroid requirement for these metastases, the 2 most recent serial magnetic resonance imaging (MRI) scans conducted >28 days apart show no central nervous system progression, and are neurologically stable and asymptomatic
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 |
|---|---|---|
| TomivosertibAlso: eFT508Tomivosertib (eFT508) will be taken at 100 mg twice daily (bid) with meals | Drug | A1 Tomi + Current Pembro, B1 Tomi + Pembro, C1 Tomi + Pembro + Pemetrexed (Non-sqamous) or Tomi + Pembro (Squamous) |
| PembrolizumabAlso: Keytruda®Subjects will initiate or continue to receive pembrolizumab at either 200 mg intravenously (IV) at a frequency of every 3 weeks or 400 mg IV at a frequency of every 6 weeks. | Biological | A1 Tomi + Current Pembro, B1 Tomi + Pembro, C1 Tomi + Pembro + Pemetrexed (Non-sqamous) or Tomi + Pembro (Squamous), Pbo + Current Pembro, Pbo + Pembro, Pbo + Pembro + Pemetrexed (Non-sqamous) or Pbo + Pembro (Squamous) |
| PemetrexedAlso: Alimta®Subjects will initiate pemetrexed at 500 mg/m2 intravenously (IV) at a frequency of every 3 weeks. | Drug | C1 Tomi + Pembro + Pemetrexed (Non-sqamous) or Tomi + Pembro (Squamous), Pbo + Pembro + Pemetrexed (Non-sqamous) or Pbo + Pembro (Squamous) |
Primary outcome
To characterize the progression-free survival (PFS) of tomivosertib when added to pembrolizumab as a first-line treatment; and
Time frame: 2 years
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.
To characterize the PFS of tomivosertib when added to pembrolizumab as first line therapy.
Time frame: 2 years
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.
To characterize the PFS of tomivosertib when added to pembrolizumab and pemetrexed in non-squamous NSCLC, and pembrolizumab in squamous NSCLC as first line maintenance therapy.
Time frame: 2 years
Defined as the time from randomization to the first occurrence of disease progression as assessed by the Investigator using RECIST 1.1 or death from any cause, whichever occurs earlier.
4 secondary outcomes
To characterize the PFS of tomivosertib when added to pembrolizumab in Cohorts A, B, and B C individually and combined
Time frame: 2 years
To characterize the PFS of tomivosertib when added to pembrolizumab as a first-line treatment in subjects with NSCLC
Time frame: 2 years
To characterize the PFS of tomivosertib when added to pembrolizumab and pemetrexed in non-squamous NSCLC, and pembrolizumab in squamous NSCLC as a first-line maintenance treatment in subjects with NSCLC.
Time frame: 2 years
To characterize the PFS of tomivosertib when added to pembrolizumab after first radiographic progression on pembrolizumab monotherapy
Time frame: 2 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Apr 2024.
- Derived from this study: PubMed 37694854Luo H, Huang S. Inhibition of MNK pathway sensitizes nasopharyngeal carcinoma to radiotherapy. Anticancer Drugs. 2024 Feb 1;35(2):155-162. doi: 10.1097/CAD.0000000000001542. Epub 2023 Sep 11.
- Individual participant dataSharing planned: No
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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.
Douglas Warner, MD study director
EFFECTOR Therapeutics, Inc.
144 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tomivosertib, Pembrolizumab and Pemetrexed in people with Non-small Cell Lung Cancer, run by Effector Therapeutics at 144 sites in 3 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 22 inclusion and 3 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: status not confirmed, as of the sponsor's last update on 30 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 144 sites in United States, Georgia, Australia. 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. Some participants in this study may receive a placebo. 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?
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?
To characterize the progression-free survival (PFS) of tomivosertib when added to pembrolizumab as a first-line treatment; and (time frame: 2 years). The study lists 3 primary outcomes in all. 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 NCT04622007, 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 30 Apr 2024.