NCT00965731

Brief Summary

This is a Phase 1/2 study comparing the safety and anti-tumor activity of erlotinib alone versus erlotinib in combination with PF-02341066 in patients with advanced non-small cell lung cancer.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
27

participants targeted

Target at P25-P50 for phase_1 nonsmall-cell-lung-cancer

Timeline
Completed

Started Jan 2010

Typical duration for phase_1 nonsmall-cell-lung-cancer

Geographic Reach
1 country

16 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 24, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 26, 2009

Completed
4 months until next milestone

Study Start

First participant enrolled

January 1, 2010

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2011

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

January 14, 2013

Completed
12 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2014

Completed
Last Updated

October 28, 2015

Status Verified

October 1, 2015

Enrollment Period

1.9 years

First QC Date

August 24, 2009

Results QC Date

December 7, 2012

Last Update Submit

October 6, 2015

Conditions

Keywords

Lung NeoplasmsCrizotinib

Outcome Measures

Primary Outcomes (2)

  • Number of Participants With Dose-Limiting Toxicities (DLT) (Phase 1)

    Phase 1, first cycle DLT includes Grade (Gr) ≥4 hematologic possible drug-related toxicities and Gr ≥3 possible drug-related febrile neutropenia. Gr ≥3 non-hematological possible drug-related toxicities (except asymptomatic lab value elevation). Gr 3/4 nausea, vomiting or diarrhea. Gr 3 hypertension considered DLT if event unmanageable by approved pharmacologic agents or symptomatic sequelae despite medical intervention. Diagnosis of interstitial lung disease. Inability to deliver at least 80 percent (%) of planned dose during cycle 1 due to possible drug-related adverse events (AEs).

    Baseline up to Day 28

  • Progression-Free Survival (Phase 2)

    Time in weeks from phase 2 study randomization to first documentation of objective disease progression or death due to any cause. Progression-Free Survival was calculated as (first event date minus randomization date plus 1) divided by 7.02. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]), or from AE data (where the outcome was "Death"; date of death reported in notice of death was used).

    Baseline, every 42 days up to 20 months, disease progression, or unacceptable toxicity

Secondary Outcomes (27)

  • PF-02341066 (Crizotinib) Area Under the Concentration-Time Curve During Dosing Interval (AUCtau) (Phase 1)

    Cycle 1 (C1) Day 1 (D1) i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib

  • PF-02341066 (Crizotinib) Maximum Observed Plasma Concentration (Cmax) (Phase 1)

    C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib

  • PF-02341066 (Crizotinib) Apparent Oral Clearance (CL/F) (Phase 1)

    C1D15 i.e., 15 days of giving crizotinib and erlotinib

  • PF-06260182 Area Under the Concentration-Time Curve During Dosing Interval (AUCtau) (Phase 1)

    C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib

  • PF-06260182 Maximum Observed Plasma Concentration (Cmax) (Phase 1)

    C1D1 i.e., 1 day of giving crizotinib and erlotinib; and C1D15, i.e., 15 days of giving crizotinib and erlotinib

  • +22 more secondary outcomes

Other Outcomes (2)

  • Maximum Tolerated Dose (MTD) of PF-02341066 When Administered in Combination With Erlotinib (Phase 1)

    Baseline up to 28 days (Cycle 1)

  • Recommended Phase 2 Dose (RP2D) of PF-02341066 When Administered in Combination With Erlotinib (Phase 1)

    Baseline up to 28 days (Cycle 1)

Study Arms (2)

Erlotinib

ACTIVE COMPARATOR
Drug: Erlotinib

Erlotinib + PF-02341066

EXPERIMENTAL
Drug: ErlotinibDrug: PF-02341066

Interventions

Erlotinib, 150 mg, QD will be administered orally on a continuous schedule (Phase 2 only)

Erlotinib

For Phase 1 - escalating doses of PF-02341066 will be administered orally on a continuous schedule. The planned doses to be evaluated are 200 and 250 mg BID. The dose determined in Phase 1 will be used in Phase 2

Erlotinib + PF-02341066

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • histologically proven diagnosis of Non-Small Cell Lung Cancer (NSCLC) that is locally advanced or metastatic and of the adenocarcinoma subtype (including mixed adenosquamous histology)
  • evident disease progression by Response Evaluation Criterion in Solid Tumors (RECIST) after at least one but no more than 2 chemotherapy regimens for advanced disease
  • tumors must have measurable disease as per RECIST

You may not qualify if:

  • known interstitial lung disease
  • prior treatment with an agent that is known or proposed to be active by action on EGFR tyrosine kinase or c-Met/HGF (Phase 2 Portion)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (16)

University of Alabama at Birmingham

Birmingham, Alabama, 35233, United States

Location

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

University of California, Irvine Medical Center Pharmacy

Orange, California, 92868-3298, United States

Location

University of California, Irving - Medical Center

Orange, California, 92868-3298, United States

Location

University of California Irvin

Orange, California, 92868, United States

Location

Holy Cross Hospital

Fort Lauderdale, Florida, 33308, United States

Location

Siteman Cancer Center

City of Saint Peters, Missouri, 63376, United States

Location

Siteman Cancer Center -West County

Creve Coeur, Missouri, 63141, United States

Location

Barnes-Jewish Hospital

St Louis, Missouri, 63110-1094, United States

Location

Washington University, School of Medicine

St Louis, Missouri, 63110, United States

Location

OSU East

Columbus, Ohio, 43205, United States

Location

The Ohio State University James Cancer Hospital

Columbus, Ohio, 43210, United States

Location

James Care in Kenny

Columbus, Ohio, 43221, United States

Location

Cancer Therapy & Research Center @ UTHSCSA

San Antonio, Texas, 78229, United States

Location

Seattle Cancer Care Alliance

Seattle, Washington, 98109, United States

Location

University of Washington Medical Center

Seattle, Washington, 98195, United States

Location

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungLung Neoplasms

Interventions

Erlotinib HydrochlorideCrizotinib

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

QuinazolinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsPiperidinesHeterocyclic Compounds, 1-RingAminopyridinesPyridines

Limitations and Caveats

The sponsor terminated phase 2 of this study; no data was collected during phase 2, leading to phase 2 outcomes not analyzed. The decision was based on strategic considerations regarding the clinical program only; there were no safety concerns.

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer, Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 24, 2009

First Posted

August 26, 2009

Study Start

January 1, 2010

Primary Completion

December 1, 2011

Study Completion

January 1, 2014

Last Updated

October 28, 2015

Results First Posted

January 14, 2013

Record last verified: 2015-10

Locations