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Non-small-cell Lung CancerPhase 2NCT01124864

A Study of AUY922 in Non-small-cell Lung Cancer Patients Who Have Received Previous Two Lines of Chemotherapy.

A Phase 2 study testing AUY922 in people with Non-small-cell Lung Cancer, run by Novartis Pharmaceuticals at 22 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will assess the efficacy of AUY922, when administered weekly at 70 mg/m2, in adult patients with advanced Non-small-cell Lung Cancer (NSCLC), who have received at least two prior lines of chemotherapy. Patients will be retrospectively, and prospectively, stratified based on their molecular tumor etiology. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-small-cell Lung Cancer
What is being tested?
AUY922
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
153 participants
Where
22 sitesin 10 countries
Study dates
Oct 2010to Aug 2014
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Who may be able to join

  • Patients with histologically or cytologically confirmed advanced (stage IIIB or stage IV) NSCLC who have received at least two prior lines of treatment. Patients who, in the investigators opinion, are deemed unsuitable for the standard 2nd line chemotherapy will be eligible for protocol participation. One of the prior lines must have included a platinum agent. Prior treatment with a platinum agent is not a requirement for EGFR mutant patients and patients with EML4-ALK translocations
  • Patients enrolled to the fifth stratum, modified EGFR mutant, must have documented prior response to EGFR TKI as defined by CR, PR or SD for 6 months or greater unless patient has de novo resistance to EGFR TKI (e.g. exon 20 insertions.)
  • All patients must have at least one measurable lesion as defined by RECIST criteria. Previously irradiated lesions are not measurable unless the lesion is new or has demonstrated clear progression after radiation
  • World Health Organization (WHO) performance status ≤ 2. For patients enrolled to the fifth stratum, modified EGFR mutant, World Health Organization (WHO) performance status ≤ 1
  • Patients enrolled to the fifth stratum, modified EGFR mutant, must be willing and suitable to undergo fresh baseline biopsy prior to study treatment (unless patient had recent biopsy after EGFR TKI progression that concluded resistance to EGFR TKI.)
  • Hematologic:
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  • Absolute Neutrophil Count (ANC) ≥ 1.5 x 109/L.
  • Hemoglobin (Hgb) ≥ 9 g/dl.
  • Platelets (plt) ≥ 100 x 109/L.
  • Biochemistry:
  • Total calcium (corrected for serum albumin) within normal limits or correctable with supplements.
  • Magnesium within lower normal limits or correctable with supplements.
  • Adequate liver function defined as:
  • AST/SGOT and ALT/SGPT ≤ 3.0 x Upper limit of Normal (ULN) or ≤ 5.0 x ULN if liver metastasis are present.
  • Serum bilirubin ≤ 1.5 x ULN.
  • Serum albumin > 2.5 g/dL.
  • Serum creatinine ≤ 1.5 x ULN or 24 hour clearance ≥ 50 mL/min.

Who cannot join

  • Patients who have received more than four lines of prior treatment. Exception: Patients enrolled to the fifth stratum, modified EGFR mutant, must not have received more than two prior lines of therapy. Chemotherapy administered as adjuvant treatment more than six months prior to study enrollment is not considered a prior line of therapy for purposes of this study.
  • Patients with a history of CNS metastasis. Note: Patients without clinical signs and symptoms of CNS involvement are not required to have MRI of the brain. Exception: Patients with treated brain metastases who are asymptomatic, who has discontinued corticosteroids, and who have been clinically stable for one month will be eligible for protocol participation. This exception is not valid for patients enrolled to the fifth stratum, modified EGFR mutant. These patients must not have CNS involvement.
  • Prior anti-neoplastic treatment with any HSP90 or HDAC inhibitor compound.
  • Patients must not have received:
  • any systemic anti-cancer treatment or radiotherapy within 4 weeks prior to first dose of study treatment and should have recovered to baseline or less than Grade 1 from toxicities of such therapy prior to the first dose of study treatment
  • 2 weeks for palliative radiotherapy to bones, 6 weeks for nitrosoureas and mitomycin
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  • 4 weeks for monoclonal antibodies
  • and ≤5 half-life of the agent or active metabolites [if any] for continuous systemic anti-cancer treatment or investigational
  • Patients who do not have either an archival tumor sample available or are unwilling to have a fresh tumor sample collected at baseline.
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

22 sites in 10 countries.

22 sites in 10 countries

United States4 sites
  • St. Luke's Hospital and Health Network St Luke's

    Bethlehem, Pennsylvania

  • Dana Farber Cancer Institute DFCI

    Boston, Massachusetts, 02215

  • University of California at Los Angeles UCLA - Santa Monica

    Los Angeles, California, 90095

  • Maryland Oncology Hematology, P.A. Dept. of Assoc. Onc/Hem

    Rockville, Maryland, 20850

Other trials in United States

South Korea4 sites
  • Novartis Investigative Site

    Seoul, Korea, 05505

  • Novartis Investigative Site

    Seoul, Korea, 06351

  • Novartis Investigative Site

    Seoul, Korea, 110 744

  • Novartis Investigative Site

    Seoul, Korea, 137-701

Other trials in South Korea

France3 sites
  • Novartis Investigative Site

    Créteil, 94000

  • Novartis Investigative Site

    Marseille, 13915

  • Novartis Investigative Site

    Villejuif, 94805

Other trials in France

Canada2 sites
  • Novartis Investigative Site

    Edmonton, Alberta, T6G 1Z2

  • Novartis Investigative Site

    Montreal, Quebec, H3T 1E2

Other trials in Canada

Germany2 sites
  • Novartis Investigative Site

    Berlin, 13125

  • Novartis Investigative Site

    Oldenburg, 26121

Other trials in Germany

Netherlands2 sites
  • Novartis Investigative Site

    Amsterdam, 1081 HV

  • Novartis Investigative Site

    Groningen, 9713 GZ

Other trials in Netherlands

Spain2 sites
  • Novartis Investigative Site

    Badalona, Catalonia, 08916

  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

Other trials in Spain

Norway1 site
  • Novartis Investigative Site

    Oslo, NO-0379

Other trials in Norway

Singapore1 site
  • Novartis Investigative Site

    Singapore, Singapore, 119228

Other trials in Singapore

Turkey (Türkiye)1 site
  • Novartis Investigative Site

    Izmir, Turkey, 35040

Other trials in Turkey (Türkiye)

About this study

Official title: A Phase II, Multi-center, Open-label Study of AUY922 Administered IV on a Once-weekly Schedule in Patients With Advanced Non-small-cell Lung Cancer Who Have Received at Least Two Lines of Prior Chemotherapy

This study will assess the efficacy of AUY922, when administered weekly at 70 mg/m2, in adult patients with advanced Non-small-cell Lung Cancer (NSCLC), who have received at least two prior lines of chemotherapy. Patients will be retrospectively, and prospectively, stratified based on their molecular tumor etiology. The following strata was assigned: Patients with Epidermal growth factor receptor (EGFR) activating mutations, Patients with Kirstin Raus sarcoma virus (KRAS) activating mutations, Patients with EML4-ALK (anaplastic lymphoma kinase) translocations and patients that were both EGFR and Kras wild type.

Being tested
AUY922
Keywords
Non-small-cell lung cancer, HSP90, 2nd to 3rd line treatment
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.

  • AUY922Drug

    AUY922 was supplied in individual 10 mL amber colored glass ampoules containing 10 mL of a 5 mg/mL active drug substance in 5% aqueous glucose solution. AUY922 was administered intravenously (i.v.) weekly at 70 mg/m2.

Study groups in NCT01124864
Study groupRoleWhat they receive
EGFR mutant patientsExperimentalPatients with EGFR activating mutation tumors (Note: These patients must have progressed on one prior EGFR TKI containing regimen unless they have documented T790M activating mutation). Patients received AUY922 at 70 mg/m^2 weekly infusions.
Receives: Drug: AUY922
Kras mutant patientsExperimentalPatients with KRAS mutant tumors. Patients received AUY922 at 70 mg/m^2 weekly infusions.
Receives: Drug: AUY922
EGFR and Kras wild type patientsExperimentalPatients exhibiting both mutations were stratified to the KRAS mutation stratum. Patients received AUY922 at 70 mg/m^2 weekly infusions.
Receives: Drug: AUY922
Patients with EML4-ALK translocationExperimentalPatients with NSCLC who have tumors with an inversion in the short arm of chromosome 2 that results in the fusion of the echinoderm microtubule-associated protein-like 4 (EML4) gene with the ALK gene leading to the production of an EML4-ALK fusion tyrosine kinase. ALK is a transmembrane protein, which has a kinase domain and is not usually expressed in the lung. EML4 mediate ligand-independent dimerization, and therefore constitutive activity of the ALK tyrosine kinase domain. Patients received AUY922 at 70 mg/m^2 weekly infusions.
Receives: Drug: AUY922
Modified EGFR mutant patientsExperimentalThe modified EGFR stratum was defined as patients less heavily pretreated who had received one or two lines of prior therapy, with a documented response to a EGFR tyrosine kinase inhibitor (TKI) (complete response (CR), partial response (PR) or stable disease (SD) for ≥ 6 months), unless the patient had de novo resistance to EGFR TKI. Patients received AUY922 at 70 mg/m^2 weekly infusions.
Receives: Drug: AUY922

What is being measured

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

  1. Response Assessment by Study Stratum - Per Investigator Assessment

    The primary endpoint of the study was the investigator assessment of efficacy at 18 weeks in terms of response complete response (CR)/partial response (PR), stable disease (SD), or non clinical benefit (NCB) as assessed by response evaluation criteriain solid tumors (RECIST) version 1.0. ORR = patients with confirmed complete or partial response. Stable disease at 18 weeks = patients without response and with no assessment of progressive disease up to 18 weeks, but with an assessment of stable disease or better either within 2 weeks prior to the 18 week time point, or at the next non-missing assessment after the 18 week time point. No clinical benefit = all other patients.

    Measured: 18 weeks

Secondary outcomes (5)
  1. Overall Survival Rate Using Kaplan Meier Estimates - Per Investigator Radiological Review

    Overall survival (OS) is defined as the time from date of randomization/start of treatment to date of death due to any cause. If a patient is not known to have died, survival was censored at the date of last contact.

    Measured: Week 12, Week 18

  2. Progression Free Survival (PFS) Rate as Per Investigator Using Kaplan Meier Estimates - Per Investigator Radiological Review

    Progression-free survival (PFS) is the time from date of randomization/start of treatment to the date of event defined as the first documented progression or death due to any cause. If a patient did not have an event, progression-free survival was censored at the date of last adequate tumor assessment. A Novartis modified response evaluation criteria in solid tumors RECIST 1.1 criteria was applied to CT/MRI imaging data when assessing any responses to AUY922 treatment. All images were evaluated locally by the investigator. All complete or partial responses were confirmed by a second assessment at least 4 weeks later.

    Measured: Week 12, Week 18

  3. Pharmacokinetics (PK) of Plasma Concentration of AUY922 and Its Metabolite BJP762: AUCinf

    Summary of PK parameters for all patients one hour post 70 mg/m2 AUY922 infusion for area under the curve infinity. There are discrepancies between sample numbers and study population because PK samples were not collected from all study subjects and thus were not analyzed.

    Measured: 1 hour after infusion

  4. Pharmacokinetics (PK) of Plasma Concentration of AUY922 and Its Metabolite BJP762: AUClast

    Summary of PK parameters for all patients one hour post 70 mg/m2 AUY922 infusion for area under the curve last. There are discrepancies between sample numbers and study population because PK samples were not collected from all study subjects and thus were not analyzed.

    Measured: 1 hour after infusion

  5. Pharmacokinetics (PK) of Plasma Concentration of AUY922 and Its Metabolite BJP762: Cmax

    Summary of PK parameters for all patients one hour post 70 mg/m2 AUY922 infusion for concentration max. There are discrepancies between sample numbers and study population because PK samples were not collected from all study subjects and thus were not analyzed.

    Measured: 1 hour after infusion

Timeline

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

  1. First posted17 May 2010 (estimated)
  2. Study startOct 2010
  3. Primary completionAug 2014
  4. Study completionAug 2014

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
153 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01124864
Sponsor's protocol ID
CAUY922A2206
Other IDs
2010-020116-11
Status last verified
Feb 2016
First submitted
14 May 2010
Last updated
2 Mar 2016
Data monitoring committee
No

Publications

  • Felip E, Barlesi F, Besse B, Chu Q, Gandhi L, Kim SW, Carcereny E, Sequist LV, Brunsvig P, Chouaid C, Smit EF, Groen HJM, Kim DW, Park K, Avsar E, Szpakowski S, Akimov M, Garon EB. Phase 2 Study of the HSP-90 Inhibitor AUY922 in Previously Treated and Molecularly Defined Patients with Advanced Non-Small Cell Lung Cancer. J Thorac Oncol. 2018 Apr;13(4):576-584. doi: 10.1016/j.jtho.2017.11.131. Epub 2017 Dec 13.

    PubMed 29247830

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AUY922 in people with Non-small-cell Lung Cancer, run by Novartis Pharmaceuticals at 22 sites in 10 countries.

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 17 inclusion and 10 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: finished, as of the sponsor's last update on 2 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, South Korea, France, Canada, Germany and 5 more countries. 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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Mar 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Response Assessment by Study Stratum - Per Investigator Assessment (time frame: 18 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01124864, which also lists 1 linked publication.

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 2 Mar 2016.

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