Study of Safety and Efficacy of INC280 and Cetuximab, in Adult c-MET Positive mCRC and HNSCC Patients After Progression on Cetuximab or Panitumumab Therapy

NCT ID: NCT02205398

Last Updated: 2019-01-22

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

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-28

Study Completion Date

2017-01-20

Brief Summary

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This was an open-label, phase Ib, multicenter clinical trial to determine the MTD/RDE of the orally administered c-MET inhibitor INC280 in combination with cetuximab. This combination was to be explored in c-MET positive mCRC and HNSCC patients whose disease progressed on cetuximab or panitumumab treatment. The dose escalation part was to be guided by a Bayesian Logistic Regression Model with overdose control. At MTD/RDE, additional mCRC and HNSCC patients who progressed on cetuximab or panitumumab treatment were to be enrolled in two expansion groups to further assess the anti-tumor activity and the safety and tolerability of the combination of INC280 and cetuximab. Patients were to receive INC280 on a continuous bid dosing regimen and cetuximab every week. A treatment cycle was defined as 28 days with no scheduled break between cycles.

The trial was terminated because of difficulties in identifying patients who met the eligibility criteria.

Detailed Description

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Conditions

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Squamous Cell Carcinoma of Head and Neck (SCCHN) Metastatic Colorectal Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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c-MET positive mCRC and HNSCC

c-MET positive and K/NRAS WT mCRC and c-MET positive HNSCC patients

Group Type EXPERIMENTAL

INC280

Intervention Type DRUG

cetuximab

Intervention Type DRUG

Interventions

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INC280

Intervention Type DRUG

cetuximab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female aged ≥ 18 years
* Metastatic colorectal cancer or head and neck squamous cell carcinoma
* c-MET positive (defined by c-MET IHC intensity score +2 in ≥ 50% of tumor cells and MET gene copy number ≥ 5 by FISH or IHC intensity score +3 in ≥ 50% of tumor cells) and K/NRAS WT status for mCRC patients only
* At least one previous line of treatment for the metastatic disease and the last treatment must have included cetuximab or panitumumab. Documentation of clinical benefit and subsequent progression on cetuximab or panitumumab as the most recent line of treatment is required for patients in the expansion part
* Measurable disease as per RECIST v1.1
* ECOG performance status ≤ 2

Exclusion Criteria

* Prior treatment with c-MET/HGF inhibitors
* History of severe reactions to cetuximab and/or panitumumab (except for G3 rash and G3 hypomagnesaemia)
* History of acute or chronic pancreatitis
* Active bleeding within 4 weeks prior to screening visit
* Symptomatic brain metastases
* Feeding tube dependence
* Not adequate hematologic, renal and hepatic function
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Massachusetts General Hospital Head & Neck

Boston, Massachusetts, United States

Site Status

Memorial Sloan Kettering MSKCC NY

New York, New York, United States

Site Status

University of Utah / Huntsman Cancer Institute Onc Dept

Salt Lake City, Utah, United States

Site Status

Novartis Investigative Site

Leuven, , Belgium

Site Status

Novartis Investigative Site

Toronto, Ontario, Canada

Site Status

Novartis Investigative Site

Lyon, , France

Site Status

Novartis Investigative Site

Toulouse, , France

Site Status

Novartis Investigative Site

Essen, , Germany

Site Status

Novartis Investigative Site

Würzburg, , Germany

Site Status

Novartis Investigative Site

Ancona, AN, Italy

Site Status

Novartis Investigative Site

Milan, MI, Italy

Site Status

Novartis Investigative Site

Barcelona, Catalonia, Spain

Site Status

Novartis Investigative Site

Barcelona, Catalonia, Spain

Site Status

Novartis Investigative Site

L'Hospitalet de Llobregat, Catalonia, Spain

Site Status

Novartis Investigative Site

Valencia, Valencia, Spain

Site Status

Countries

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United States Belgium Canada France Germany Italy Spain

References

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Delord JP, Argiles G, Fayette J, Wirth L, Kasper S, Siena S, Mesia R, Berardi R, Cervantes A, Dekervel J, Zhao S, Sun Y, Hao HX, Tiedt R, Vicente S, Myers A, Siu LL. A phase 1b study of the MET inhibitor capmatinib combined with cetuximab in patients with MET-positive colorectal cancer who had progressed following anti-EGFR monoclonal antibody treatment. Invest New Drugs. 2020 Dec;38(6):1774-1783. doi: 10.1007/s10637-020-00928-z. Epub 2020 May 14.

Reference Type DERIVED
PMID: 32410080 (View on PubMed)

Other Identifiers

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2014-000579-20

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CINC280X2104

Identifier Type: -

Identifier Source: org_study_id

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