Ruxolitinib in Combination With Pemetrexed/Cisplatin in Non Small Cell Lung Cancer

NCT ID: NCT02119650

Last Updated: 2018-02-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-11

Study Completion Date

2016-06-21

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study was to determine if ruxolitinib, in combination with Pemetrexed/Cisplatin and Pemetrexed Maintenance, is safe and effective in the treatment of nonsquamous non-small cell lung cancer (NSCLC) that is Stage IIIB, Stage IV, or recurrent.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The study consisted of an open-label, safety run-in (consisting of 1 to 4 cohorts of 9 participants each), to confirm the safety of ruxolitinib in combination with pemetrexed/cisplatin in participants with nonsquamous non-small cell lung cancer (NSCLC) that is Stage IIIB, Stage IV, or recurrent. Participants in the safety run-in received open-label ruxolitinib and pemetrexed and cisplatin.

In the second part of the study, participants enrolled and randomized and received pemetrexed and cisplatin (open-label) and either ruxolitinib or placebo in a blinded manner. The dose of ruxolitinib administered was determined from the data produced in the safety run-in phase.

Treatment consisted of repeating 21-day cycles. Participants received infusions of pemetrexed and cisplatin on Day 1 of each cycle and ruxolitinib/placebo was self-administered during the entire cycle. Maintenance therapy with ruxolitinib or placebo in combination with pemetrexed, based on the original treatment assignment, was allowed for participants eligible for maintenance therapy.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

NSCLC (Non-small Cell Lung Carcinoma)

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Ruxolitinib plus Pemetrexed/Cisplatin

Group Type EXPERIMENTAL

Ruxolitinib

Intervention Type DRUG

5 mg tablets to be administered by mouth at dose selected from safety run-in phase (Ruxolitinib 15 mg twice daily (BID))

Pemetrexed

Intervention Type DRUG

500 mg/m\^2 administered as an intravenous infusion over 10 minutes

Cisplatin

Intervention Type DRUG

75 mg/m\^2 infused over 2 hours beginning 30 ± 5 minutes after the end of the pemetrexed infusion

Placebo plus Pemetrexed/Cisplatin

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

5 mg matching placebo tablets to be administered by mouth

Pemetrexed

Intervention Type DRUG

500 mg/m\^2 administered as an intravenous infusion over 10 minutes

Cisplatin

Intervention Type DRUG

75 mg/m\^2 infused over 2 hours beginning 30 ± 5 minutes after the end of the pemetrexed infusion

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Ruxolitinib

5 mg tablets to be administered by mouth at dose selected from safety run-in phase (Ruxolitinib 15 mg twice daily (BID))

Intervention Type DRUG

Placebo

5 mg matching placebo tablets to be administered by mouth

Intervention Type DRUG

Pemetrexed

500 mg/m\^2 administered as an intravenous infusion over 10 minutes

Intervention Type DRUG

Cisplatin

75 mg/m\^2 infused over 2 hours beginning 30 ± 5 minutes after the end of the pemetrexed infusion

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Jakafi ® Jakavi ® Alimta®

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Histologically or cytologically confirmed diagnosis of nonsquamous NSCLC that is Stage IIIB Stage IV, or recurrent after prior definitive intervention (radiation, surgery, or chemoradiation therapy, with or without adjuvant or neoadjuvant chemotherapy).
* Radiographically measurable or evaluable disease.
* Life expectancy of at least 12 weeks.
* Tumor without activating driver mutations for which there is available therapy (eg, tumor without mutations in epidermal growth factor receptor or anaplastic lymphoma).
* An modified Glasgow Prognostic Score (mGPS) of 1 or 2 as defined below:

* Criteria:

* C-reactive protein \>10 mg/L AND albumin ≥35 g/L; Score = 1
* C-reactive protein \>10 mg L AND albumin \<35 g/L; Score = 2
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
* Adequate renal, hepatic, and bone marrow function demonstrated by protocol-specified laboratory parameters at the screening visit.

Exclusion Criteria

* Squamous or mixed histology (eg, adenosquamous) NSCLC
* Previous systemic therapy for advanced or metastatic disease.
* Known active central nervous system (CNS) metastases.
* Current or previous other malignancy within 2 years of study entry, except cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancy without sponsor approval.
* Current uncontrolled cardiac disease such as angina or myocardial infarction, congestive heart failure including New York Heart Association functional classification of 3, or arrhythmia requiring treatment.
* Uncontrolled concomitant medical conditions, including, but not limited to, renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, neurological, cerebral, or psychiatric diseases.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Incyte Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Gerard T Kennealey, MD

Role: STUDY_DIRECTOR

Incyte Corporation

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Phoenix, Arizona, United States

Site Status

Fayetteville, Arkansas, United States

Site Status

Fresno, California, United States

Site Status

La Jolla, California, United States

Site Status

San Diego, California, United States

Site Status

San Francisco, California, United States

Site Status

Lone Tree, Colorado, United States

Site Status

Norwich, Connecticut, United States

Site Status

Southington, Connecticut, United States

Site Status

Augusta, Georgia, United States

Site Status

Joliet, Illinois, United States

Site Status

Indianapolis, Indiana, United States

Site Status

Lafayette, Indiana, United States

Site Status

Kansas City, Kansas, United States

Site Status

Detroit, Michigan, United States

Site Status

St Louis, Missouri, United States

Site Status

Reno, Nevada, United States

Site Status

Lebanon, New Hampshire, United States

Site Status

Mount Kisco, New York, United States

Site Status

New York, New York, United States

Site Status

Winston-Salem, North Carolina, United States

Site Status

Canton, Ohio, United States

Site Status

Portland, Oregon, United States

Site Status

Chattanooga, Tennessee, United States

Site Status

Knoxville, Tennessee, United States

Site Status

Memphis, Tennessee, United States

Site Status

Ogden, Utah, United States

Site Status

Leesburg, Virginia, United States

Site Status

Kennewick, Washington, United States

Site Status

Seattle, Washington, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

INCB 18424-266

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.