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Non-Small Cell Lung CancerNCT04698681

NGS Screening Protocol to Detect Mutation of KEAP1 or NRF2/NFE2L2 Genes for the KEAPSAKE (CX-839-014) Trial

An observational study of Non-Small Cell Lung Cancer and Non-squamous Non-small-cell Lung Cancer, run by Calithera Biosciences, Inc at 63 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a multicenter screening protocol designed to identify patients with NSCLC who have tumor mutations in the KEAP1 or NRF2/NFE2L2 genes in order to determine potential eligibility for a biomarker selected clinical trial (CX-839-014, otherwise known as the KEAPSAKE trial). Read more about this study

Who is it for?
Ages 18 years and older
Type of treatment
Injection or infusion
How many people
20 participants
Where
63 sitesUnited States
Study dates
19 Jan 2021to 9 Feb 2022
Phase
Observational
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

Study population: Patients with NSCLS with Mutation of KEAP1 or NRF2/NFE2L2 Genes

Who may be able to join

  • Patients with stage IV non-squamous non-small-cell lung cancer (NSCLC) who have not been previously treated with systemic therapy for metastatic disease, and meet all of the following:
  • Signed and dated NGS Informed Consent Form (ICF) by the patient (or legally acceptable representative (LAR), if applicable).
  • Biopsy-confirmed OR clinically suspected stage IV NSCLC not previously treated with systemic therapy for metastatic disease.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Age ≥ 18 years old on the day of signing informed consent.
  • Estimated life expectancy > 3 months.
  • At least one radiographically measurable lesion per RECIST v1.1 defined as a lesion that is ≥ 10 mm in longest diameter or lymph node that is ≥ 15 mm in short axis imaged by computed tomography (CT) scan or magnetic resonance imaging (MRI).
  • Clinically eligible to receive standard-of-care combination therapy with pemetrexed + carboplatin + Pembrolizumab (PCP) for stage IV disease.

Who cannot join

  • Any contraindication to pemetrexed, carboplatin, and Pembrolizumab treatment.

Trial locations and contacts

63 sites in 1 country.

63 sites in 1 country

United States63 sites
  • Texas Oncology - West Texas Amarillo

    Amarillo, Texas, 79106

  • Rocky Mountain Cancer Centers - Aurora

    Aurora, Colorado, 80012

  • Texas Oncology - Beaumont

    Beaumont, Texas, 77701

  • Texas Oncology - Beaumont Mamie McFaddin Ward Cancer Center

    Beaumont, Texas, 77702-1449

  • Maryland Oncology Hematology - Bethesda

    Bethesda, Maryland, 20817

  • Rocky Mountain Cancer Centers - Boulder

    Boulder, Colorado, 80303

  • Maryland Oncology Hematology - Brandywine

    Brandywine, Maryland, 20613

  • Consultants in Medical Oncology and Hematology

    Broomall, Pennsylvania, 19008

  • Texas Oncology - Carrollton

    Carrollton, Texas, 75010

  • Rocky Mountain Cancer Centers - Centennial

    Centennial, Colorado, 80112

  • Virginia Oncology Associaties

    Chesapeake, Virginia, 23320

  • Oncology Hematology Care - Mercy Health Blvd

    Cincinnati, Ohio, 45211

  • Oncology Hematology Care - Malsbary Rd

    Cincinnati, Ohio, 45242

  • Oncology Hematology Care - Ivy Gateway

    Cincinnati, Ohio, 45245

  • Maryland Oncology Hematology - Clinton

    Clinton, Maryland, 20735

  • Rocky Mountain Cancer Centers - Colorado Springs

    Colorado Springs, Colorado, 80907

  • Maryland Oncology Hematology

    Columbia, Maryland, 21044

  • Southern Cancer Center

    Daphne, Alabama, 36526

  • Texas Oncology - Denton

    Denton, Texas, 76201

  • Rocky Mountain Cancer Centers - Williams Street

    Denver, Colorado, 80218

  • Rocky Mountain Cancer Centers - E. Hale Parkway

    Denver, Colorado, 80220

  • Rocky Mountain Cancer Centers - Englewood

    Englewood, Colorado, 80113

  • Oncology Hematology Care - Fairfield

    Fairfield, Ohio, 45014

  • Texas Oncology - Flower Mound

    Flower Mound, Texas, 75028

  • Maryland Hematology Oncology - Frederick

    Frederick, Maryland, 21702

  • Arizona Oncology Associates - Glendale

    Glendale, Arizona, 85308

  • Virginia Oncology Associates

    Hampton, Virginia, 23666

  • Texas Oncology Cancer Care and Research

    Harlingen, Texas, 78550

  • Consultants in Medical Oncology and Hematology

    Horsham, Pennsylvania, 19044

  • Rocky Mountain Cancer Centers - Lakewood

    Lakewood, Colorado, 80228

  • Maryland Oncology Hematology - Lanham

    Lanham, Maryland, 20706

  • Rocky Mountain Cancer Centers - Littleton

    Littleton, Colorado, 80120-4413

  • Rocky Mountain Cancer Centers - Lone Tree

    Lone Tree, Colorado, 80124

  • Rocky Mountain Cancer Centers - Longmont

    Longmont, Colorado, 80501

  • Texas Oncology - Longview Cancer Center

    Longview, Texas, 75601

  • Texas Oncology - McAllen

    McAllen, Texas, 78503

  • Texas Oncology - West Texas Midland

    Midland, Texas, 79701

  • Southern Cancer Center - 3 Mobile Infirmary Circle

    Mobile, Alabama, 36607

  • Southern Cancer Center - Dauphin St

    Mobile, Alabama, 36608

  • Southern Cancer Center - Providence Hospital

    Mobile, Alabama, 36608

  • Medical Oncology Hematology Consultants

    Newark, Delaware, 19713

  • Virginia Oncology Associates

    Newport News, Virginia, 23606

  • Virginia Cancer Specialists

    Norfolk, Virginia, 23502

  • Texas Oncology - West Texas Odessa

    Odessa, Texas, 79761

  • Woodlands Medical Specialists

    Pensacola, Florida, 32503

  • Arizona Oncology Associates - E. Highland Ave.

    Phoenix, Arizona, 85016

  • Arizona Oncology Associates - N. 27th Ave.

    Phoenix, Arizona, 85027

  • Northwest Cancer Specialists - NE Hoyt St

    Portland, Oregon, 97213-2982

  • Northwest Cancer Specialists - N. Broadway

    Portland, Oregon, 97227

  • Rocky Mountain Cancer Centers - Pueblo

    Pueblo, Colorado, 81008

  • Maryland Hematology Oncology - Rockville

    Rockville, Maryland, 20850

  • Arizona Oncology Associates

    Scottsdale, Arizona, 85258

  • Texas Oncology - Sherman

    Sherman, Texas, 75090

  • Maryland Hematology Oncology - Silver Spring

    Silver Spring, Maryland, 20904

  • Arizona Oncology Associates - Tempe

    Tempe, Arizona, 85284

  • Rocky Mountain Cancer Centers - Thornton

    Thornton, Colorado, 80260

  • Northwest Cancer Specialists

    Tigard, Oregon, 97223

  • Texas Oncology - Tyler

    Tyler, Texas, 75702

  • Northwest Cancer Specialists

    Vancouver, Washington, 98684

  • Virginia Oncology Associates

    Virginia Beach, Virginia, 23456

  • Texas Oncology - Weslaco

    Weslaco, Texas, 78596

  • Texas Oncology - West Texas Wichita Falls

    Wichita Falls, Texas, 76310

  • Consultants in Medical Oncology and Hematology

    Wynnewood, Pennsylvania, 19096

Other trials in United States

About this study

Official title: Screening Protocol to Detect Mutation of KEAP1 or NRF2/NFE2L2 Genes in Patients With Stage IV, 1L Non-Small Cell Lung Cancer to Determine Eligibility for the KEAPSAKE Clinical Trial (NCT04265534)

This is a multicenter screening protocol designed to identify patients with NSCLC who have tumor mutations in the KEAP1 or NRF2/NFE2L2 genes in order to determine potential eligibility for a biomarker selected clinical trial (CX-839-014, otherwise known as the KEAPSAKE trial). Circulating tumor DNA (ctDNA) present in blood samples collected from eligible patients will be analyzed by next generation sequencing (NGS) for selected biomarkers. A commercial liquid biopsy NGS test will be provided to study participants free of charge.

Keywords
NSCLC, KEAP1, NRF2, NFE2L2, LKB1, STK11, Next Generation Sequencing, NGS, Mutation, Gene, Pembrolizumab, Pemetrexed, Carboplatin, Placebo, Randomized, Chemotherapy, Immunotherapy, Targeted Therapy, Telaglenastat, Glutamine
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.

Study groups in NCT04698681
Study groupRoleWhat they receive
Biomarker ScreeningPatients with stage IV nonsquamous NSCLC not previously treated with systemic therapy for metastatic disease and who meet all of study inclusion criteria and none of the exclusion criteria.

What is being measured

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

  1. Positive KEAP1 or NRF2/NFE2L2 mutational status, assessed by NGS of blood ctDNA

    The percentage of patients with nonsquamous NSCLC containing pathogenic NRF2/NFE2L2 and/or KEAP1 mutations

    Measured: Up to 16 months

Timeline

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

  1. First posted7 Jan 2021
  2. Study start19 Jan 2021
  3. Primary completion5 Nov 2021
  4. Study completion9 Feb 2022

Why it stopped: Lack of Clinical Benefit

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04698681
Sponsor's protocol ID
CX-839-016
Status last verified
Mar 2023
First submitted
5 Jan 2021
Last updated
13 Mar 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Non-Small Cell Lung Cancer and Non-squamous Non-small-cell Lung Cancer, run by Calithera Biosciences, Inc at 63 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 1 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: stopped early, as of the sponsor's last update on 13 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Lack of Clinical Benefit). 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?

Positive KEAP1 or NRF2/NFE2L2 mutational status, assessed by NGS of blood ctDNA (time frame: Up to 16 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 13 Mar 2023.

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