Phase 2
N=122
Crizotinib in Treating Younger Patients With Relapsed or Refractory Solid Tumors or Anaplastic Large Cell Lymphoma
Recurrent Childhood Anaplastic Large Cell Lymphoma · Recurrent Malignant Solid Neoplasm · Recurrent Neuroblastoma · Refractory Anaplastic Large Cell Lymphoma · Refractory Malignant Solid Neoplasm
Bottom Line
View on ClinicalTrials.gov: NCT00939770 ↗Enrolled (actual)
122
Serious AEs
85.3%
Results posted
May 2020
Primary outcome: Primary: Maximum-tolerated Dose and Recommended Phase 2 Dose of Crizotinib — 280 mg/m²/dose BID
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Crizotinib (Drug); Laboratory Biomarker Analysis (Other); Pharmacological Study (Other); Questionnaire Administration (Other)
- Age
- Pediatric, Adult · 1+ yrs
- Sex
- All
- Sponsor
- Children's Oncology Group
- Primary completion
- Dec 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximum-tolerated Dose and Recommended Phase 2 Dose of Crizotinib |
280 | — |
| PRIMARY Number of Participants With Toxicities of Crizotinib |
6; 7; 23; 11; 38; 11 | — |
| PRIMARY Steady State C Max of Crizotinib |
294; 601; 717; 972 | — |
| PRIMARY Steady State C Average of Crizotinib |
246; 469; 582; 731 | — |
| PRIMARY Steady State AUC of Crizotinib |
2950; 5630; 6990; 8770 | — |
| PRIMARY Steady State Clearance of Crizotinib |
735; 652; 736; 731 | — |
| SECONDARY Number of Participants (Relapsed or Refractory Solid Tumors or Anaplastic Large Cell Lymphoma (ALCL))With Response to Crizotinib |
0; 0; 7; 0; 19; 1 | — |
| SECONDARY Number of Participants (Relapsed or Refractory Neuroblastoma or Anaplastic Large Cell Lymphoma (ALCL)) With Response to Crizotinib |
1; 7 | — |
| SECONDARY Number of Participants With Minimum Residual Disease (MRD) |
0; 0; 5; 0; 9; 0 | — |
Summary
This phase 1/2 trial the studies side effects and best dose of crizotinib and to see how well it works in treating young patients with solid tumors or anaplastic large cell lymphoma that has returned after a period of improvement or does not respond to treatment. Crizotinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. (Phase 1 completed 2/15/13)
Eligibility Criteria
Inclusion Criteria
- Patients receiving the formulated capsules must have a body surface area (BSA) >= 0.63 m^2 at the time of study enrollment
- Patients must have had histologic verification of malignancy at original diagnosis or relapse
- * Phase 1 (Part A1) - COMPLETE: Patients with relapsed or refractory solid tumors or anaplastic large cell lymphoma (excluding patients with primary or metastatic central nervous system [CNS] tumors or patients with primary cutaneous ALCL)
- * Phase 1 (Part A2) - COMPLETE: Patients with confirmed ALK fusion proteins, ALK mutations, ALK amplification (defined as greater than 4-fold increase in the ALK signal number as compared to reference signal number on chromosome 2q arm) or MET proto-oncogene, receptor tyrosine kinase (MET) mutation or amplification; testing to confirm the presence of ALK fusion proteins, ALK mutations, ALK amplification or evidence of MET mutation or amplification for eligibility purposes must be performed as a Clinical Laboratory Improvement Act (CLIA)-certified assay; ALK immunohistochemistry can be used as a surrogate for fluorescent in situ hybridization (FISH) for patients with inflammatory myofibroblastic tumors (IMT) or ALCL
- ** Note: Evidence for MET mutation or amplification is defined as:
- Positive for c-Met amplification by FISH; or
- Positive for known c-Met kinase domain activating mutations including V1110L, H1112L, H1112Y, H1124D, M1149T, T1191I, V1206L, L1213V, V1238I, M1268T, P1009S, T1010I, R988C, V941L, but excluding Y1248C, Y1248H, Y1248D, and Y1253D; or
- Chromosomal translocations that lead to altered transcriptional regulation of c-Met and/or hepatocyte growth factor (HGF) including metastatic alveolar soft part sarcoma, clear cell sarcoma, rhabdomyosarcoma, or translocation associated renal cell carcinoma)
- * Phase 1 (Part A3) - COMPLETE: Patients with relapsed or refractory neuroblastoma, with or without bone marrow involvement, who are not eligible for Part A1 or A2 or cannot enroll on Part A1 because of stratum suspension or lack of available slots (these patients will be enrolled at one dose level below the dose level at which patients on Part A1 are actively enrolling)
- * Phase 2 (Part B): Patients with ALK+ relapsed or refractory neuroblastoma
- * Phase 2 (Part C): Patients with ALK+ relapsed or refractory ALCL (excluding patients with primary cutaneous ALCL)
- * Phase 2 (Part A2): Patients with diagnoses other than neuroblastoma or ALCL with confirmed ALK fusion proteins, ALK mutations, ALK amplification (defined as greater than 4-fold increase in the ALK signal number as compared to reference signal number on chromosome 2q arm) or MET mutation or amplification; testing to confirm the presence of ALK fusion proteins, ALK mutations, ALK amplification or evidence of MET mutation or amplification for eligibility purposes must be performed as a CLIA-certified assay; ALK immunohistochemistry can be used as a surrogate for FISH for patients with IMT
- Disease status:
- Phase 1 (Part A): Patients must have either measurable and/or evaluable disease
- Phase 2 (Part B): Patients with neuroblastoma must have proven ALK+ disease with either measurable and/or evaluable disease as indicated below:
- Measurable tumor on magnetic resonance imaging (MRI), computed tomography (CT) scan or X-ray obtained within 2 weeks prior to study enrollment
- Evaluable tumor by meta-iodobenzyl guanidine I 123 (MIBG) scan and/or bone marrow involvement with tumor cells seen on routine morphology
- Phase 2 (Part C): Patients must have proven ALK+ disease with either measurable or evaluable disease
- Performance level: Karnofsky >= 50 for patients > 16 years of age and Lansky >= 50 for patients = = 2 weeks (wks) for local palliative radiation therapy (XRT) (small port); >= 6 weeks must have elapsed since treatment with therapeutic doses of MIBG; >= 6 months must have elapsed if prior total body irradiation (TBI), craniospinal XRT or >= 50% radiation of pelvis; >=
Data sourced from ClinicalTrials.gov (NCT00939770). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.