A Randomized Phase 2 Study of Erlotinib + ARQ 197 Versus Erlotinib + Placebo in Previously Treated Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)

NCT ID: NCT00777309

Last Updated: 2013-02-28

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

PHASE2

Total Enrollment

167 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-09-30

Study Completion Date

2011-08-31

Brief Summary

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This is a randomized, placebo-controlled, double blind phase 2 study designed to compare treatment with ARQ 197 plus erlotinib to erlotinib plus placebo in patients with non-small cell lung cancer. The study will enroll patients who have had one prior chemotherapy regimen (other than erlotinib) for NSCLC.

Detailed Description

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This is a randomized, placebo-controlled, double blind phase 2 study designed to compare treatment with ARQ 197 plus erlotinib to erlotinib plus placebo in patients with non-small cell lung cancer. The study will enroll patients who have had one prior chemotherapy regimen (other than erlotinib) for NSCLC. The study will evaluate progression-free survival between the two arms.

A total of 154 patients will be enrolled.

Conditions

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Non Small Cell Lung Cancer

Keywords

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NSCLC

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

Erlotinib (150 mg) once daily plus ARQ 197 (360 mg) twice daily.

Group Type EXPERIMENTAL

ARQ 197

Intervention Type DRUG

360 mg administered twice daily until disease progression, unacceptable toxicity or other discontinuation criterion is met

Erlotinib

Intervention Type DRUG

Erlotinib is a white, film coated tablet in strengths of 25, 100 and 150 mg administered once daily until disease progression, unacceptable toxicity or other discontinuation criterion is met.

2

Erlotinib (150 mg) once daily plus ARQ 197 placebo twice daily

Group Type ACTIVE_COMPARATOR

Erlotinib

Intervention Type DRUG

Erlotinib is a white, film coated tablet in strengths of 25, 100 and 150 mg administered once daily until disease progression, unacceptable toxicity or other discontinuation criterion is met.

Placebo

Intervention Type DRUG

The placebo is provided as a capsule

Interventions

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ARQ 197

360 mg administered twice daily until disease progression, unacceptable toxicity or other discontinuation criterion is met

Intervention Type DRUG

Erlotinib

Erlotinib is a white, film coated tablet in strengths of 25, 100 and 150 mg administered once daily until disease progression, unacceptable toxicity or other discontinuation criterion is met.

Intervention Type DRUG

Placebo

The placebo is provided as a capsule

Intervention Type DRUG

Other Intervention Names

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Tivantinib Tarceva

Eligibility Criteria

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Inclusion Criteria

1. Provide signed and dated informed consent prior to study-specific screening procedures
2. ≥ 18 years old
3. Histologically or cytologically confirmed inoperable locally advanced or metastatic (stage IIIB/IV) NSCLC
4. ≥ one prior chemotherapy regimen (including adjuvant chemotherapy)(not to have included erlotinib or other EGFR inhibiting agent)
5. Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST)
6. Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1
7. Male or female patients of child-producing potential must agree to use double barrier contraception, oral contraceptives or avoidance of pregnancy measures during the study and for 90 days after the last day of treatment
8. Females of childbearing potential must have a negative serum pregnancy test
9. Good organ function
10. Confirmed availability of archival pathology samples (10 unstained paraffin-embedded slides) or tissue block suitable for subsequent analysis of KRAS, EGFR, and c-Met

Exclusion Criteria

1. Previous receipt of erlotinib or other EGFR inhibiting therapy
2. Receipt of any anti-tumor treatment for NSCLC within 4 weeks (2 weeks for radiotherapy) prior to the start of designated treatment
3. Documented major surgical procedure within 4 weeks prior to randomization.
4. Symptomatic central nervous system metastases either considered in the opinion of investigator to be clinically unstable or which require steroids, anti-epileptics, or other symptom-relieving medications
5. Pregnant, breast-feeding, or refusing double barrier contraception, oral contraceptives or avoidance of pregnancy measures
6. Significant gastrointestinal disorder that, in opinion of Investigator, could interfere with the absorption of ARQ 197 and/or erlotinib (e.g. Crohn's disease, small or large bowel resection, malabsorbtion syndrome)
7. Unable or unwilling to swallow the complete dose of erlotinib or ARQ 197
8. Any known contraindication to treatment with ARQ 197 or erlotinib
9. Any known hypersensitivity to any of component of ARQ 197 or erlotinib
10. Other malignancy within 5 years of randomization, with the exception of adequately treated intraepithelial carcinoma of the cervix uteri, prostate carcinoma with a PSA value \< 0.2 ng/ml or basal or squamous cell carcinoma of the skin
11. Previously diagnosed grade 3 or 4 (CTCAE) bradycardia or other heart arrhythmia
12. Any other significant co-mormid condition that, in opinion of the Investigator, would impair study participation or cooperation
13. Known human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ArQule, Inc., a subsidiary of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc. (Rahway, NJ USA)

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Burbank, California, United States

Site Status

Santa Monica, California, United States

Site Status

Torrington, Connecticut, United States

Site Status

Jacksonville, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

Chicago, Illinois, United States

Site Status

Batesville, Indiana, United States

Site Status

Indianapolis, Indiana, United States

Site Status

Louisville, Kentucky, United States

Site Status

Boston, Massachusetts, United States

Site Status

Worcester, Massachusetts, United States

Site Status

Charlotte, North Carolina, United States

Site Status

Canton, Ohio, United States

Site Status

Corpus Christi, Texas, United States

Site Status

Dallas, Texas, United States

Site Status

Dallas, Texas, United States

Site Status

Houston, Texas, United States

Site Status

Salt Lake City, Utah, United States

Site Status

Gauting, , Germany

Site Status

Großhansdorf, , Germany

Site Status

Hamburg, , Germany

Site Status

Mainz, , Germany

Site Status

Mannheim, , Germany

Site Status

Villingen-Schwenningen, , Germany

Site Status

Daugavpils, , Latvia

Site Status

Riga, , Latvia

Site Status

Bialystock, , Poland

Site Status

Otwock, , Poland

Site Status

Poznan, , Poland

Site Status

Szczecin, , Poland

Site Status

Torun, , Poland

Site Status

Wroclaw, , Poland

Site Status

Central Clinical Hospital #1

Moscow, , Russia

Site Status

Central Clinical Hospital #2

Moscow, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Saint Petersgurg, , Russia

Site Status

Lviv, , Ukraine

Site Status

Countries

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United States Germany Latvia Poland Russia Ukraine

Other Identifiers

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ARQ 197-209

Identifier Type: -

Identifier Source: org_study_id