Phase 2
N=103
LDK378 in Adult Chinese Patients With ALK-rearranged (ALK-positive) Advanced Non-small Cell Lung Cancer (NSCLC) Previously Treated With Crizotinib
Non-Small Cell Lung Cancer
Bottom Line
View on ClinicalTrials.gov: NCT02040870 ↗Enrolled (actual)
103
Serious AEs
34.9%
Results posted
Jan 2019
Primary outcome: Primary: Primary Pharmacokinetics (PK) Parameters of of LDK378 After Daily Oral Dose: AUClast, AUC0-24h, AUCinf — 10100; 3940; 11100 ng*hr/mL
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- LDK378 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Jul 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Primary Pharmacokinetics (PK) Parameters of of LDK378 After Daily Oral Dose: AUClast, AUC0-24h, AUCinf |
10100; 3940; 11100 | — |
| PRIMARY Primary Pharmacokinetics (PK) Parameter of of LDK378 After Daily Oral Dose: AUC0-24h |
22000 | — |
| PRIMARY Primary Pharmacokinetics (PK) Parameter of LDK378 After Daily Oral Dose: Cmax |
233; 1080 | — |
| PRIMARY Primary Pharmacokinetics (PK) Parameter of LDK378 After Daily Oral Dose: Tmax |
5.94; 5.88 | — |
| PRIMARY Overall Summary of Adverse Events (AEs) - Per Occurence |
65; 23; 103; 100; 36; 7 | — |
| SECONDARY Overall Response Rate (ORR) Per RECIST 1.1 Per Investigator Assessment |
41.7 | — |
| SECONDARY ORR Per RECIST 1.1 Per Blind Independent Review Committee (BIRC) Assessment |
32.0 | — |
| SECONDARY Duration of Response (DOR) Per Investigator Assessment |
7.5 | — |
| SECONDARY Disease Control Rate (DCR) Per Investigator Assessment |
77.7 | — |
| SECONDARY Time to Response (TTR) Per Investigator Assessment |
1.90 | — |
| SECONDARY Overall Intracranial Response Rate (OIRR) Per Investigator Assessment |
39.1 | — |
| SECONDARY Overall Intracranial Response Rate (OIRR) Per BIRC Assessment |
— | — |
| SECONDARY Progression Free Survival (PFS) Per Investigator Assessment |
7.2 | — |
| SECONDARY Overall Survival (OS) |
17.5 | — |
| SECONDARY Duration of Response (DOR) Per BIRC Assessment |
9.2 | — |
| SECONDARY Disease Control Rate (DCR) Per BIRC Assessment |
67.0 | — |
| SECONDARY Time to Response (TTR) Per BIRC Assessment |
1.80 | — |
| SECONDARY Progression Free Survival (PFS) Per BIRC Assessment |
3.8 | — |
Summary
A single-Arm, open-label, multi-center, phase I/II study in which the pharmacokinetics, safety, tolerability and efficacy of LDK378 will be assessed in adult Chinese patients with locally advanced or metastatic NSCLC harboring a confirmed ALK rearrangement. Patients must have demonstrated progression during or after crizotinib treatment whether or not previously treated with cytotoxic chemotherapy. Approximately 100 patients will be enrolled. For the first 15 patients enrolled in this study, patients will have an additional 5-day PK run-in period before treatment period. The pharmacokinetics profile of LDK378 in Chinese adult patients with ALK-rearranged NSCLC will be evaluated.
Eligibility Criteria
Inclusion criteria
- Histologically or cytologically confirmed diagnosis of NSCLC that carries an ALK rearrangement defined as positive using the FDA approved Vysis ALK Break Apart FISH Probe Kit (Abbott Molecular Inc.) test and scoring algorithm (including positivity criteria) or positive as assessed by the CFDA approved immunohistochemistry (IHC) test (Ventana Medical Systems, Inc)
- Age 18 years or older at the time of informed consent.
- Patients must have stage IIIB or IV NSCLC at the time of study entry and have had progressive disease during or after crizotinib treatment whether or not previously treated with cytotoxic chemotherapy. If treated with chemotherapy, maximum 2 lines are allowed.
Exclusion Criteria
- Patients with known hypersensitivity to any of the excipients of LDK378
- Patients with symptomatic central nervous system (CNS) metastases who are neurologically unstable or have required increasing doses of steroids within the 2 weeks prior to study entry to manage CNS symptoms
- History of carcinomatous meningitis
- Presence or history of a malignant disease other than NSCLC that has been diagnosed and/or required therapy within the past 3 years.
- clinically significant, uncontrolled heart disease.
Data sourced from ClinicalTrials.gov (NCT02040870). 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.