Expanded Access Study of Alectinib for Participants With Anaplastic Lymphoma Kinase (ALK)-Rearranged Non-Small Cell Lung Cancer (NSCLC) After Disease Progression on or Intolerance to Prior ALK Tyrosine Kinase Inhibitor Therapy

NCT ID: NCT02271139

Last Updated: 2017-03-09

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

NO_LONGER_AVAILABLE

Study Classification

EXPANDED_ACCESS

Brief Summary

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This is an open-label, multicenter, single-arm, expanded access study designed to provide alectinib to participants with ALK-rearranged NSCLC after disease progression on or intolerance to prior ALK tyrosine kinase inhibitor (TKI) therapy. Participants will receive alectinib until disease progression, unacceptable toxicity, withdrawal of consent, patient or physician decision to discontinue treatment, death, alectinib becomes commercially available in the United States following approval of alectinib by the FDA, or the Sponsor decides to close the trial, whichever occurs first (approximately 15 months).

Detailed Description

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Conditions

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Non-Small Cell Lung Cancer

Interventions

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Alectinib

Alectinib 600 mg administered orally with food.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants with locally advanced (American Joint Committee on Cancer \[AJCC\] Stage IIIB) not amenable to curative therapy or metastatic (AJCC Stage IV) NSCLC
* Life expectancy of at least 12 weeks
* Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0-3
* Histologically confirmed NSCLC
* Documented ALK rearrangement as assessed by approved fluorescence in situ hybridization (FISH) test, using the Vysis ALK Break Apart FISH Probe Kit or the Ventana immunohistochemistry (IHC) test
* After disease progression on or intolerance to prior ALK TKI therapy: 1) participants need to have a minimum washout period of at least 5 half-lives between the last dose of ALK TKI therapy or other targeted therapies and the first dose of study treatment; 2) participants must have recovered from treatment toxicities to less than or equal to (\</=) Grade 1 or to their pretreatment levels (for participants who have developed interstitial lung disease \[ILD\], they must have fully recovered); 3) participants can either be chemotherapy-naïve or have received at least one line of platinum-based chemotherapy for locally advanced or metastatic disease
* Recovery from effects of any major surgery or significant traumatic injury at least 28 days before the first dose of study treatment
* Adequate hematological and renal function
* Agreement to use highly effective methods of contraception per protocol definitions

Exclusion Criteria

* Prior therapy with alectinib
* Participants with symptomatic central nervous system (CNS) metastases who are neurologically unstable or require increasing doses of steroids within 1 week prior to Day 1 to manage CNS symptoms
* Administration of strong/potent cytochrome P450 3A (CYP3A) inhibitors or inducers, or agents with potential QT prolonging effects within 14 days prior to first administration of study drug
* Participants with liver disease
* Any clinically significant concomitant disease or condition that could interfere with the conduct of the study
* Active or uncontrolled infectious diseases requiring treatment
* History of organ transplant
* Participants with baseline QTc \> 470 milliseconds (ms) or participants with symptomatic bradycardia
* Pregnant or lactating, or intending to become pregnant during the study
* History of hypersensitivity to any of the additives in alectinib formulation
* Any psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol requirements and/or follow-up procedures; those conditions should be discussed with the participants before trial entry
* Serious, uncontrolled infections or current known infection with human immunodeficiency virus (HIV)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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University of Alabama

Bimingham, Alabama, United States

Site Status

Southern Cancer Center

Daphne, Alabama, United States

Site Status

Southern Cancer Center

Mobile, Alabama, United States

Site Status

Southern Cancer Center - Mobile

Mobile, Alabama, United States

Site Status

Southern Cancer Center, PC

Mobile, Alabama, United States

Site Status

Lalita Pandit Inc.

Fountain Valley, California, United States

Site Status

University of California San Diego Medical Center; Moores Cancer Center

La Jolla, California, United States

Site Status

Loma Linda Cancer Center

Loma Linda, California, United States

Site Status

LAC USC Medical Center

Los Angeles, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

University of California Irvine Medical Center

Orange, California, United States

Site Status

St. Joseph Heritage Healthcare

Sebastopol, California, United States

Site Status

Innovative Clinical Research Institute

Whittier, California, United States

Site Status

University Cancer & Blood Center, LLC

Athens, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University of Chicago Hospital

Chicago, Illinois, United States

Site Status

Loyola University Med Center

Maywood, Illinois, United States

Site Status

Investigative Clin Rsch of IN

Indianapolis, Indiana, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Dana Farber Partners Can Ctr

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Med Ctr; Hem/Onc

Boston, Massachusetts, United States

Site Status

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Karmanos Cancer Institute - Farmington Hills/Weisberg Cancer Treatment Center

Farmington Hills, Michigan, United States

Site Status

Henry Ford Health System

West Bloomfield, Michigan, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Comprehensive Cancer Care, P.C.

St Louis, Missouri, United States

Site Status

Billings Clinic Cancer Center; Billings Cancer Research

Billings, Montana, United States

Site Status

San Juan Oncology Associates

Farmington, New Mexico, United States

Site Status

Columbia University Medical Center; Clinical Research Management Office

New York, New York, United States

Site Status

W.G. Bill Hefner VA Medical Center

Salisbury, North Carolina, United States

Site Status

Mark H. Zangmeister Center

Columbus, Ohio, United States

Site Status

Tulsa Cancer Institute

Tulsa, Oklahoma, United States

Site Status

Oregon Health & Science Uni

Portland, Oregon, United States

Site Status

Forbes Hospital

Monroeville, Pennsylvania, United States

Site Status

Allegheny Valley Hospital

Natrona Heights, Pennsylvania, United States

Site Status

Cancer Treatment Centers of America - Eastern Regional Medical Center

Philadelphia, Pennsylvania, United States

Site Status

Allegheny Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

West Penn Cancer Institute

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina; Hollings Cancer Center

Charleston, South Carolina, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

Virginia Cancer Specialists, PC

Fairfax, Virginia, United States

Site Status

University of Washington Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Northwest Medical Specialties

Tacoma, Washington, United States

Site Status

University of Wisconsin; Oncology

Madison, Wisconsin, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Sikkema BJ, Baart SJ, Paats MS, Smit EF, Schols AMWJ, Mathijssen RHJ, van Rossum EFC, Dingemans AC. Body Weight Gain Associated With Alectinib in Patients With ALK+ Non-Small Cell Lung Cancer: Pooled Analysis of Individual Patient Data From Four Prospective Clinical Trials. J Clin Oncol. 2025 Feb 20;43(6):641-650. doi: 10.1200/JCO-24-01579. Epub 2024 Dec 11.

Reference Type DERIVED
PMID: 39661917 (View on PubMed)

Other Identifiers

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ML29453

Identifier Type: -

Identifier Source: org_study_id

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