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Non-small Cell Lung CancerPhase 2NCT01610336

A Safety and Efficacy Study of INC280 and Gefitinib in Patients With EGFR Mutated, c-MET-amplified NSCLC Who Have Progressed After EGFRi Treatment

A Phase 2 study testing INC280 and Gefitinib in people with Non-small Cell Lung Cancer, run by Novartis Pharmaceuticals at 31 sites in 14 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 assessed the safety and efficacy of escalating doses INC280 when added to gefitinib in patients with lung cancer that were known to have dysregulation of the c-MET pathway and who had failed after benefiting on a prior treatment with either gefitinib or erlotinib. 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?
INC280 and Gefitinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
161 participants
Where
31 sitesin 14 countries
Study dates
5 Apr 2012to 27 May 2020
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

  • Documented EGFR mutation
  • Documented c-MET dysregulation
  • Prior clinical benefit on EGFR inhibitors and then subsequent progression
  • -≥ 18 year old
  • Life expectancy of ≥ 3 months
  • ECOG performance status ≤ 2

Who cannot join

  • Unable to swallow tables once or twice daily
  • Previous treatment with c-MET inhibitor
  • Any unresolved toxicity from previous anticancer therapy greater than grade 1
  • History of cystic fibrosis
  • History of acute or chronic pancreatitis
  • Unable to undergo MRI or CT scans
Show all 10Show fewer
  • Known history of HIV
  • Undergone a bone marrow or solid organ transplant
  • Clinically significant wound or lung tumor lesions with increased likelihood of bleeding
  • Pregnant or nursing

Trial locations and contacts

31 sites in 14 countries.

31 sites in 14 countries

South Korea5 sites
  • Novartis Investigative Site

    Gyeonggi-do, Korea, 10408

  • Novartis Investigative Site

    Seoul, Korea, 05505

  • Novartis Investigative Site

    Seoul, Seocho Gu, 06591

  • Novartis Investigative Site

    Seoul, 03080

  • Novartis Investigative Site

    Seoul, 06351

Other trials in South Korea

China4 sites
  • Novartis Investigative Site

    Beijing, 100039

  • Novartis Investigative Site

    Guangzhou, Guangdong, 51000

  • Novartis Investigative Site

    Guangzhou, 510060

  • Novartis Investigative Site

    Shanghai, Shanghai Municipality, 200433

Other trials in China

Australia3 sites
  • Novartis Investigative Site

    Auckland

  • Novartis Investigative Site

    East Bentleigh, Victoria, 3165

  • Novartis Investigative Site

    Woolloongabba, Queensland, 4102

Other trials in Australia

Italy3 sites
  • Novartis Investigative Site

    Milan, MI, 20133

  • Novartis Investigative Site

    Milan, MI, 20141

  • Novartis Investigative Site

    Modena, MO, 41124

Other trials in Italy

Netherlands3 sites
  • Novartis Investigative Site

    Amsterdam, 1066 CX

  • Novartis Investigative Site

    Maastricht, AZ, 5800

  • Novartis Investigative Site

    Rotterdam, 3015 GD

Other trials in Netherlands

France2 sites
  • Novartis Investigative Site

    Strasbourg, 67091

  • Novartis Investigative Site

    Toulouse, 31059

Other trials in France

Germany2 sites
  • Novartis Investigative Site

    Frankfurt, 60590

  • Novartis Investigative Site

    Freiburg im Breisgau, 79106

Other trials in Germany

Spain2 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Madrid, 28034

Other trials in Spain

Taiwan2 sites
  • Novartis Investigative Site

    Tainan, 70403

  • Novartis Investigative Site

    Taipei, 10002

Other trials in Taiwan

Belgium1 site
  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Israel1 site
  • Novartis Investigative Site

    Ramat Gan, 52621

Other trials in Israel

Japan1 site
  • Novartis Investigative Site

    Koto Ku, Tokyo, 135 8550

Other trials in Japan

Singapore1 site
  • Novartis Investigative Site

    Singapore, 169610

Other trials in Singapore

Thailand1 site
  • Novartis Investigative Site

    Bangkok, 10400

Other trials in Thailand

About this study

Official title: A Phase IB/II, Open Label, Multicenter Study of INC280 Administered Orally in Combination With Gefitinib in Adult Patients With EGFR Mutated, c-MET-amplified Non-small Cell Lung Cancer Who Have Progressed After EGFR Inhibitor Treatment

This study assessed the safety and efficacy of escalating doses INC280 when added to gefitinib in patients with lung cancer that were known to have dysregulation of the c-MET pathway and who had failed after benefiting on a prior treatment with either gefitinib or erlotinib.

Read the detailed description

The Phase Ib dose escalation part was aimed at the determination of the MTD/RP2D of capmatinib in combination with 250 mg gefitinib in patients with NSCLC patients with epidermal growth factor receptor (EGFR) mutation and cMET dysregulation and showing disease progression following EGFR tyrosine-kinase inhibitor (EGFR TKI) therapy. Dose escalation started with a dose of 100 mg/day to a maximum of 1200 mg/day, as capsule or tablet formulation. Successive cohorts of patients were to receive increasing doses of capmatinib in combination with a 250 mg once daily (qd) dose of gefitinib until the MTD/RP2D of capmatinib had been determined. The Phase II dose expansion part consisted of 400 mg capmatinib twice daily (bid), as either capsules or tablets, in combination with 250 mg gefitinib.

Being tested
INC280, Gefitinib
Keywords
EGFR, c-MET, Lung cancer, Gefitinib, Erlotinib, Non-small cell lung cancer (NSCLC), lung adenocarcinoma, large-cell lung carcinoma
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Adenocarcinoma of Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • INC280Drug

    Also called Capmatinib

    During Phase Ib, INC280 was taken at escalating doses. During Phase II part, INC280 was taken at recommended Phase II dose.

  • GefitinibDrug

    Gefitinib 250 mg taken once daily

Study groups in NCT01610336
Study groupRoleWhat they receive
INC280 100 mg Cap QD Phase IbExperimentalcap=capsule; QD=once daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 200 mg Cap QD Phase IbExperimentalcap=capsule; QD=once daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 400 mg Cap QD Phase IbExperimentalcap=capsule; QD=once daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 800 mg Cap QD Phase IbExperimentalcap=capsule; QD=once daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 200 mg Cap BID Phase IbExperimentalcap=capsule; BID=twice daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 400 mg Cap BID Phase IbExperimentalcap=capsule; BID=twice daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 600 mg Cap BID Phase IbExperimentalcap=capsule; BID=twice daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 200 mg Tab BID Phase IbExperimentaltab=tablet; BID=twice daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 400 mg Tab BID Phase IbExperimentaltab=tablet; BID=twice daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 400 mg Cap BID Phase IIExperimentalcap=capsule; BID=twice daily
Receives: Drug: INC280; Drug: Gefitinib
INC280 400 mg Tab BID Phase IIExperimentaltab=tablet; BID=twice daily
Receives: Drug: INC280; Drug: Gefitinib

What is being measured

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

  1. Phase Ib: Frequency of Dose Limiting Toxicities (DLTs)

    A dose-limiting toxicity (DLT) was defined as an adverse event or abnormal laboratory value assessed as unrelated to disease progression, inter-current illness, or concomitant medications that met certain criteria as defined in the protocol.

    Measured: Up to 215 weeks

  2. Phase II : Overall Response Rate (ORR)

    Overall response rate is defined as the proportion of patients with best overall response (BOR) of complete response (CR) or partial response (PR), as per RECIST 1.1 (Overall Response (OR) = CR + PR).

    Complete Response (CR): Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm Partial Response (PR): At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

    Measured: Until disease progression, up to 60.8 weeks

Secondary outcomes (12)
  1. Phase Ib and II: Number of Participants With Adverse Events (AEs)

    Adverse events were assessed according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0

    Measured: Up to 421 weeks

  2. Phase Ib and II: Number of Participants With Serious Adverse Events (SAEs)

    Serious adverse events were assessed according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0

    Measured: Up to 421 weeks

  3. Phase Ib and II: Number of Patients With Dose Reductions of INC280 by Dose Level

    Number of patients with dose reductions of INC280 by dose level as a measure of tolerability.

    Measured: Up to 417 weeks

  4. Phase Ib and II: Number of Patients With Dose Interruptions of Gefitinib by Dose Level

    Number of patients with dose interruptions of gefitinib by dose level as a measure of tolerability

    Measured: Up to 417 weeks

  5. Phase II: Overall Survival (OS)

    Overall survival is defined as the time from the start of treatment date to the date of death, due to any cause

    Measured: From date of treatment until death due to any cause, up to 70.2 months

  6. Phase II: Progression Free Survival (PFS)

    Progression-free survivalis 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.

    Measured: Up to 60.8 months

  7. Phase II: Duration of Response (DoR)

    Duration of overall response (DOR) is defined as the time between the date of first documented response (CR or PR) and the date of first documented disease progression or death due to underlying cancer.

    Measured: Up to 23.2 months

  8. Phase I: PK Parameters AUCtau of INC280 and Gefitinib

    PK parameters were estimated from each individual plasma concentration-time profile using non-compartmental analysis.

    Area under the plasma concentration-time curve (AUC) from time zero to the end of dosing interval at steady state (tau), where tau=24 hours for once daily dosing and tau=12 hours for twice daily dosing

    Measured: Cycle 1 day 15 (pre-dose, 0.5, 1, 2, 4, 6, 8 and 24 hours post dose) (Cycle=28 days)

  9. Phase I: PK Parameters Cmax of INC280 and Gefitinib

    PK parameters were estimated from each individual plasma concentration-time profile using non-compartmental analysis.

    Cmax is the maximum observed plasma concentration of INC280 and gefitinib

    Measured: Cycle 1 day 15 (pre-dose, 0.5, 1, 2, 4, 6, 8 and 24 hours post dose) (Cycle=28 days)

  10. Phase I: PK Parameters Tmax of INC280 and Gefitinib

    PK parameters were estimated from each individual plasma concentration-time profile using non-compartmental analysis.

    Tmax is the time to reach maximum plasma concentration of INC280 and gefitinib

    Measured: Cycle 1 day 15 (pre-dose, 0.5, 1, 2, 4, 6, 8 and 24 hours post dose) (Cycle=28 days)

  11. Phase I: PK Parameters Apparent Systemic Plasma Clearance Rate of INC280 and Gefitinib

    PK parameters were estimated from each individual plasma concentration-time profile using non-compartmental analysis.

    Apparent systemic plasma clearance rate of INC280 and gefitinib

    Measured: Cycle 1 day 15 (pre-dose, 0.5, 1, 2, 4, 6, 8 and 24 hours post dose) (Cycle=28 days)

  12. Phase I: PK Parameters Half-life of INC280 and Gefitinib

    PK parameters were estimated from each individual plasma concentration-time profile using non-compartmental analysis.

    The elimination half-life of INC280 and gefitinib associated with the terminal slope (Lamda_z) of a semi-logarithmic plasma concentration-time curve

    Measured: Cycle 1 day 15 (pre-dose, 0.5, 1, 2, 4, 6, 8 and 24 hours post dose)(Cycle=28 days)

Timeline

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

  1. First posted4 Jun 2012 (estimated)
  2. Study start5 Apr 2012
  3. Primary completion10 Jun 2016
  4. Study completion27 May 2020

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
161 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01610336
Sponsor's protocol ID
CINC280X2202
Other IDs
2011-002569-39
Status last verified
Mar 2021
First submitted
3 Apr 2012
Last updated
8 Apr 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Publications

  • Wu YL, Zhang L, Kim DW, Liu X, Lee DH, Yang JC, Ahn MJ, Vansteenkiste JF, Su WC, Felip E, Chia V, Glaser S, Pultar P, Zhao S, Peng B, Akimov M, Tan DSW. Phase Ib/II Study of Capmatinib (INC280) Plus Gefitinib After Failure of Epidermal Growth Factor Receptor (EGFR) Inhibitor Therapy in Patients With EGFR-Mutated, MET Factor-Dysregulated Non-Small-Cell Lung Cancer. J Clin Oncol. 2018 Nov 1;36(31):3101-3109. doi: 10.1200/JCO.2018.77.7326. Epub 2018 Aug 29.

    PubMed 30156984

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing INC280 and Gefitinib in people with Non-small Cell Lung Cancer, run by Novartis Pharmaceuticals at 31 sites in 14 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 6 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 8 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in South Korea, China, Australia, Italy, Netherlands and 9 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 8 Apr 2021). 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?

Phase Ib: Frequency of Dose Limiting Toxicities (DLTs) (time frame: Up to 215 weeks). The study lists 2 primary outcomes in all. 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 NCT01610336, 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 8 Apr 2021.

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