A Study of XL184 (Cabozantinib) With or Without Erlotinib in Adults With Non-Small Cell Lung Cancer

NCT ID: NCT00596648

Last Updated: 2013-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-12-31

Brief Summary

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In Phase 1 of this study, the purpose is to evaluate the safety, tolerability, and highest safe dose of the multiple receptor tyrosine kinase inhibitor (including VEGFR2, MET, and RET) XL184 in combination with the EGFR inhibitor erlotinib administered to adults with Non-Small-Cell Lung Cancer (NSCLC). In Phase 2 of this study, the purpose is to evaluate the objective response rate of daily oral administration of XL184 with or without erlotinib in subjects with NSCLC who have progressed after responding to treatment with erlotinib.

Detailed Description

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Conditions

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Carcinoma, Non-Small-Cell Lung

Keywords

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Lung Cancer Non-Small-Cell Lung Cancer NSCLC

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1 Arm

Escalating doses of XL184 + erlotinib

Group Type EXPERIMENTAL

XL184

Intervention Type DRUG

Capsules administered orally daily

erlotinib

Intervention Type DRUG

Tablets administered orally daily.

Phase 2 Arm 1

XL184 + erlotinib (dose determined from Phase 1 portion of study)

Group Type EXPERIMENTAL

XL184

Intervention Type DRUG

Capsules administered orally daily

erlotinib

Intervention Type DRUG

Tablets administered orally daily.

Phase 2 Arm 2

XL184 administered as a single agent

Group Type EXPERIMENTAL

XL184

Intervention Type DRUG

Capsules administered orally daily

Interventions

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XL184

Capsules administered orally daily

Intervention Type DRUG

erlotinib

Tablets administered orally daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed NSCLC and Stage 3b or 4 NSCLC (Phase 1 only), Stage 3b or 4 NSCLC (Phase 2 only)
* Documented progressive disease following a prior RECIST response to monotherapy with erlotinib OR documented progressive disease following stable disease of at least 6 months on monotherapy with erlotinib (Phase 2 only)
* Must have tolerated erlotinib at the maximal dose that will be administered in Phase 2 only (or at a higher dose) for a minimum of 6 weeks
* Measurable disease per RECIST (Phase 2 only)
* At least 18 years old
* ECOG performance status of 0 or 1
* Adequate organ and marrow function
* Sexually active subjects must agree to use medically accepted methods of contraception during the course of the study and for 3 months following discontinuation of study treatment (excluding women who are not of child bearing potential and men who have been sterilized).
* Female subjects of childbearing potential must have a negative pregnancy test at enrollment
* No other diagnosis of malignancy (unless non-melanoma skin cancer, carcinoma in situ of the cervix or malignancy diagnosed ≥ 2 years previously, and currently with no evidence of disease).
* Capable of understanding and complying with the protocol, and written informed consent

Exclusion Criteria

* Received anti-cancer treatment within 4 weeks, except erlotinib, prior to first dose (Phase 1 only)
* In Phase 2 only: the subject has received:

* Small molecule inhibitors of VEGFR2/KDR OR
* An investigational anti-cancer agent within 4 weeks of the first dose of study drug OR
* An investigational agent that targets EGF or EGFR at any time OR
* An approved agent that targets EGF or EGFR (with the exception of erlotinib and gefitinib) at any time unless approved by Exelixis OR
* Anti-cancer therapy within 4 weeks (with the exception of gefitinib and erlotinib) of the first dose of study drug OR
* Prior therapy with a c-Met inhibitor
* Not recovered to NCI CTCAE v.3 Grade ≤1 from clinically significant adverse events due to antineoplastic agents, investigational drugs, or other medications administered prior to study enrollment
* Symptomatic or uncontrolled brain metastases requiring current treatment, including steroids and anticonvulsants
* History of significant hematemesis or recent history of hemoptysis
* Presence of cavitation, central lesion, or lesion abutting a major blood vessel
* Intercurrent illness such as hypertension or cardiac arrhythmias or recent history of significant disease such as congestive heart failure
* Pregnant or breastfeeding
* Active bacterial or viral infection requiring systemic treatment
* Allergy or hypersensitivity to components of either the XL184 or erlotinib formulations
* Incapable of understanding and complying with the protocol or unable to provide informed consent
* History of idiopathic pulmonary fibrosis or interstitial lung disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Exelixis

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Katmai Oncology Group

Anchorage, Alaska, United States

Site Status

Stanford University Medical Center

Palo Alto, California, United States

Site Status

University of California, Davis

Sacramento, California, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Georgetown University/Lombardi Comprehensive Cancer Center

Washington D.C., District of Columbia, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Park Nicollet Institute

Saint Louis Park, Minnesota, United States

Site Status

Summit Medical Group

Berkeley Heights, New Jersey, United States

Site Status

Case Western Reserve University

Cleveland, Ohio, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Swedish Cancer Institute

Seattle, Washington, United States

Site Status

University of Washington/ Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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XL184-202

Identifier Type: -

Identifier Source: org_study_id