Trial Outcomes & Findings for Pilot LDE225 in Locally Advanced or Metastatic BCC + Previously Tx Non-LDE225 Smoothened Inhibitors (NCT NCT01529450)

NCT ID: NCT01529450

Last Updated: 2017-01-16

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

11 participants

Primary outcome timeframe

End of treatment or at time of disease progression (up to 58 weeks)

Results posted on

2017-01-16

Participant Flow

Participant milestones

Participant milestones
Measure
Refractory Group
Patients previously treated with non-LDE225 Smo inhibitor who were refractory. LDE225: 800-mg (4 200-mg capsules/day) capsule
Resistance Developed Group
Patients previously treated with non-LDE225 Smo inhibitor who were initially responsive but became resistant with progressive disease. LDE225: 800-mg (4 200-mg capsules/day) capsule
Overall Study
STARTED
3
8
Overall Study
COMPLETED
3
6
Overall Study
NOT COMPLETED
0
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pilot LDE225 in Locally Advanced or Metastatic BCC + Previously Tx Non-LDE225 Smoothened Inhibitors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Refractory Group
n=3 Participants
Patients previously treated with non-LDE225 Smo inhibitor who were refractory. LDE225: 800-mg (4 200-mg capsules/day) capsule
Resistance Developed Group
n=6 Participants
Patients previously treated with non-LDE225 Smo inhibitor who were initially responsive but became resistant with progressive disease. LDE225: 800-mg (4 200-mg capsules/day) capsule
Total
n=9 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Continuous
65 years
STANDARD_DEVIATION 24 • n=5 Participants
54 years
STANDARD_DEVIATION 9 • n=7 Participants
57 years
STANDARD_DEVIATION 15 • n=5 Participants
Gender
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Gender
Male
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
6 participants
n=7 Participants
9 participants
n=5 Participants
Size of disease by RECIST criteria
3.8 centimeters
STANDARD_DEVIATION 1.3 • n=5 Participants
4.2 centimeters
STANDARD_DEVIATION 2.4 • n=7 Participants
4.0 centimeters
STANDARD_DEVIATION 2.0 • n=5 Participants

PRIMARY outcome

Timeframe: End of treatment or at time of disease progression (up to 58 weeks)

Population: Progression is defined using RECIST version 1.0 as a 20% increase in the sum of the longest diameter of target lesions, or a measureable increase in a non-target lesion or the appearance of new lesion.

Outcome measures

Outcome measures
Measure
Refractory Group
n=3 Participants
Patients previously treated with non-LDE225 Smo inhibitor who were refractory. LDE225: 800-mg (4 200-mg capsules/day) capsule
Resistance Developed Group
n=6 Participants
Patients previously treated with non-LDE225 Smo inhibitor who were initially responsive but became resistant with progressive disease. LDE225: 800-mg (4 200-mg capsules/day) capsule
Progression Free Survival (PFS) of All Participants
6 weeks
Interval 3.0 to 12.0
36 weeks
Interval 14.0 to 58.0

SECONDARY outcome

Timeframe: Assessed on day 1

Population: Participants with tissue available for screening were analyzed.

Following consent, historical biopsy samples were analyzed for molecular markers associated with clinical response. Tumors were analyzed and present of Smooth mutation (SMO \[genetic changes which influence Ki 67 and Gli levels\]). was determined. The number of participants with and without SMO were reported by clinical outcome (SD = stable disease; PD = progressive disease).

Outcome measures

Outcome measures
Measure
Refractory Group
n=7 Participants
Patients previously treated with non-LDE225 Smo inhibitor who were refractory. LDE225: 800-mg (4 200-mg capsules/day) capsule
Resistance Developed Group
Patients previously treated with non-LDE225 Smo inhibitor who were initially responsive but became resistant with progressive disease. LDE225: 800-mg (4 200-mg capsules/day) capsule
Molecular Markers Associated With Clinical Response
SMO Present (outcome SD)
1 participants
Molecular Markers Associated With Clinical Response
SMO absent (outcome SD)
1 participants
Molecular Markers Associated With Clinical Response
SMO Present (outcome PD)
4 participants
Molecular Markers Associated With Clinical Response
SMO absent (outcome PD)
1 participants

Adverse Events

Refractory Group

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Resistance Developed Group

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Refractory Group
n=3 participants at risk
Patients previously treated with non-LDE225 Smo inhibitor who were refractory. LDE225: 800-mg (4 200-mg capsules/day) capsule
Resistance Developed Group
n=6 participants at risk
Patients previously treated with non-LDE225 Smo inhibitor who were initially responsive but became resistant with progressive disease. LDE225: 800-mg (4 200-mg capsules/day) capsule
Nervous system disorders
Altered mental status
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6 • Number of events 1
Participants with evaluable data are included for Adverse Events

Other adverse events

Other adverse events
Measure
Refractory Group
n=3 participants at risk
Patients previously treated with non-LDE225 Smo inhibitor who were refractory. LDE225: 800-mg (4 200-mg capsules/day) capsule
Resistance Developed Group
n=6 participants at risk
Patients previously treated with non-LDE225 Smo inhibitor who were initially responsive but became resistant with progressive disease. LDE225: 800-mg (4 200-mg capsules/day) capsule
Cardiac disorders
palpitations
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Ear and labyrinth disorders
ear canal stenosis
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Ear and labyrinth disorders
ear drainage
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Ear and labyrinth disorders
hearing loss
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Gastrointestinal disorders
appetite decrease
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Gastrointestinal disorders
dehydration
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Gastrointestinal disorders
diarrhea
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Gastrointestinal disorders
nausea
0.00%
0/3
Participants with evaluable data are included for Adverse Events
33.3%
2/6
Participants with evaluable data are included for Adverse Events
Gastrointestinal disorders
taste disturbance
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Gastrointestinal disorders
vomit
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
General disorders
weight loss
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Infections and infestations
candidiasis
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Injury, poisoning and procedural complications
ecchymosis
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Injury, poisoning and procedural complications
laceration
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Investigations
elevated creatine kinase
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Musculoskeletal and connective tissue disorders
hip fracture
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Musculoskeletal and connective tissue disorders
muscle cramps
0.00%
0/3
Participants with evaluable data are included for Adverse Events
66.7%
4/6
Participants with evaluable data are included for Adverse Events
Musculoskeletal and connective tissue disorders
restless arms and legs
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Musculoskeletal and connective tissue disorders
rhabdomyolysis
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
neoplasm
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Nervous system disorders
altered mental status
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Nervous system disorders
migraine
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Nervous system disorders
somnolence
33.3%
1/3
Participants with evaluable data are included for Adverse Events
0.00%
0/6
Participants with evaluable data are included for Adverse Events
Psychiatric disorders
agitation
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events
Respiratory, thoracic and mediastinal disorders
cough
0.00%
0/3
Participants with evaluable data are included for Adverse Events
16.7%
1/6
Participants with evaluable data are included for Adverse Events

Additional Information

Anne Chang, MD

Stanford University

Phone: (650) 721 7151

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place