Status:

TERMINATED

Study to Evaluate Safety, Pharmacokinetics, and Efficacy of Rociletinib (CO-1686) in Previously Treated Mutant Epidermal Growth Factor Receptor (EGFR) in Non-Small Cell Lung Cancer (NSCLC) Patients

Lead Sponsor:

Clovis Oncology, Inc.

Conditions:

Locally Advanced or Metastatic Non Small Cell Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

Rociletinib is a novel, potent, small molecule irreversible tyrosine kinase inhibitor (TKI) that selectively targets mutant forms of the epidermal growth factor receptor (EGFR) while sparing wild-type...

Detailed Description

Lung cancer remains the most common cancer worldwide with non-small cell lung cancer accounting for 85% of cases. Cytotoxic chemotherapy has been the mainstay of patients with NSCLC; however, survival...

Eligibility Criteria

Inclusion

  • Inclusion Criteria -
  • All patients must meet the following inclusion criteria:
  • Metastatic or unresectable locally advanced NSCLC
  • Evidence of a tumor with one or more EGFR mutations excluding exon 20 insertion
  • Biopsy of either primary or metastatic tumor tissue within 60 days of dosing
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  • Minimum age of 18 years
  • Adequate hematological and biological function
  • Written consent on an IRB/IEC-approved Informed Consent Form (ICF) prior to any study-specific evaluation
  • Phase 2 Cohorts must also meet the following inclusion criteria:
  • Disease progression confirmed by radiologic assessment while on treatment with EGFR- TKI Or
  • Disease progression confirmed by radiologic assessment while on treatment with the first single agent EGFR TKI and
  • Documented evidence of T790M mutation in EGFR following disease progression on the first single agent EGFR TKI.
  • Measureable disease according to RECIST Version 1.1
  • Exclusion Criteria -
  • Any of the following criteria will exclude patients from study participation:
  • Documented evidence of an Exon 20 insertion activating mutation in the EGFR gene
  • Active second malignancy
  • Known pre-existing interstitial lung disease
  • Patients with Leptomeningeal carcinomatosis are excluded. Other CNS metastases are only permitted if treated, asymptomatic and stable (not requiring steroids for at least 4 weeks prior to start of study treatment).
  • Treatment with prohibited medications less than or equal to 14 days prior to treatment with rociletinib
  • Patients who are currently receiving treatment with any medications that have the potential to prolong the QT interval and the treatment cannot be either discontinued or switched to a different medication before starting rociletinib
  • Prior treatment with rociletinib or other drugs that target T790M positive mutant EGFR with sparing of wild type EGFR
  • Certain cardiac abnormalities or history
  • Non-study related surgical procedures less than or equal to 7 days prior to administration of rociletinib
  • Females who are pregnant or breastfeeding
  • Refusal to use adequate contraception for fertile patients (females and males) for 12 weeks after the last dose of rociletinib
  • Presence of any serious or unstable concomitant systemic disorder incompatible with the clinical study
  • Any other reason the investigator considers the patient should not participate in the study

Exclusion

    Key Trial Info

    Start Date :

    March 27 2012

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    August 27 2018

    Estimated Enrollment :

    612 Patients enrolled

    Trial Details

    Trial ID

    NCT01526928

    Start Date

    March 27 2012

    End Date

    August 27 2018

    Last Update

    August 4 2020

    Active Locations (49)

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    Page 1 of 13 (49 locations)

    1

    City of Hope National Medical Center

    Duarte, California, United States, 91010

    2

    Compassionate Care Research Group, Inc.

    Fountain Valley, California, United States, 92708

    3

    University of Southern California, Norris Comprehensive Cancer Center

    Los Angeles, California, United States, 90033

    4

    Samuel Oschin Cancer Center

    Los Angeles, California, United States, 90048