Pharmacokinetic and Safety Study of Lower Doses of Ceritinib Taken With a Low-fat Meal Versus 750 mg of Ceritinib in the Fasted State in Adult Patients With (ALK-positive) Metastatic Non-small Cell Lung Cancer (NSCLC)

NCT ID: NCT02299505

Last Updated: 2022-02-09

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

306 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-09

Study Completion Date

2020-03-06

Brief Summary

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A Phase I study to assess the systemic exposure, effiacy, and safety of 450 mg ceritinib taken with a low-fat meal and 600 mg ceritinib taken with a low-fat meal as compared with that of 750 mg ceritinib taken in the fasted state in adult patients with ALK rearranged (ALK-positive) metastatic non-small cell lung cancer (NSCLC)

Detailed Description

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This was an open-label, randomized, multi-center, parallel design, Phase I study in which the systemic exposure, efficacy and safety of ceritinib administered at 450 mg or 600 mg with a low-fat meal vs 750 mg in the fasted state was assessed in subjects with ALK+ NSCLC following multiple oral daily dosing of ceritinib. Subjects were randomized in a 1:1:1 ratio to once daily doses of oral ceritinib (450 mg following a low-fat meal, 600 mg following a low-fat meal or ceritinib 750 mg administered on an empty stomach). Randomization was stratified by brain metastases at Screening (presence or absence) and by prior treatment (prior crizotinib use with ALK+ determined by Fluorescent in situ hybridization (FISH); crizotinib-naïve but could be previously treated with other systemic anti-cancer therapy with ALK+ determined by FISH, or treatment-naïve subjects with ALK+ by IHC).

Conditions

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Non-Small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ceritinib 450 mg with a low-fat meal

Oral ceritinib QD (21 days/ cycle) at a dose of 450 mg (3×150 mg/capsule) administered in the morning immediately (within 30 minutes)following a low-fat meal.

Group Type EXPERIMENTAL

ceritinib

Intervention Type DRUG

The investigational drug ceritinib was supplied to the Investigators as 150 mg capsules, for oral administration.

ceritinib 600 mg with a low-fat meal

Oral ceritinib QD (21 days/ cycle) at a dose of 600 mg (4×150 mg/capsule) administered in the morning immediately (within 30 minutes) following a low-fat meal.

Group Type EXPERIMENTAL

ceritinib

Intervention Type DRUG

The investigational drug ceritinib was supplied to the Investigators as 150 mg capsules, for oral administration.

ceritinib 750 mg on an empty stomach

Oral ceritinib QD (21 days/ cycle) at a dose of 750 mg (5×150 mg/capsule) administered in the morning on an empty stomach (i.e., fasted from food and drink except water)

Group Type ACTIVE_COMPARATOR

ceritinib

Intervention Type DRUG

The investigational drug ceritinib was supplied to the Investigators as 150 mg capsules, for oral administration.

Interventions

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ceritinib

The investigational drug ceritinib was supplied to the Investigators as 150 mg capsules, for oral administration.

Intervention Type DRUG

Other Intervention Names

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LDK378

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed diagnosis of stage IIIB (and is not a candidate for definitive multimodality therapy) or IV ALK-positive NSCLC.
* Patients may have received one prior treatment regimen with crizotinib (all other ALK inhibitors are excluded).
* Patients may have received prior chemotherapy, biologic therapy, or other investigational agents. ALK inhibitors other than crizotinib are excluded.
* Patient has a World Health Organization (WHO) performance status 0-2.

Exclusion Criteria

* Prior treatment with an ALK inhibitor other than crizotinib.
* History of carcinomatous meningitis.
* Presence or history of a malignant disease other than an ALK-positive advanced tumor that has been diagnosed and/or required therapy within the past 3 years.
* Clinically significant, uncontrolled heart disease and/or recent cardiac event (within 6 months)
* Patient has history of interstitial lung disease or interstitial pneumonitis, including clinically significant radiation pneumonitis (i.e., affecting activities of daily living or requiring therapeutic intervention).
* Patient has other severe, acute, or chronic medical conditions
* Patient is currently receiving treatment with warfarin sodium (Coumadin®) or any other coumarin-derivative anticoagulants.
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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Highlands Oncology Group

Fayetteville, Arkansas, United States

Site Status

Loma Linda University

Loma Linda, California, United States

Site Status

Goshen Center for Cancer Care IU Health - SC

Indianapolis, Indiana, United States

Site Status

Maryland Oncology Hematology, P.A. SC-2

Rockville, Maryland, United States

Site Status

Essex Oncology of North Jersey PA SC

Belleville, New Jersey, United States

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Greenville Health System SC

Greenville, South Carolina, United States

Site Status

Utah Cancer Specialists Dept.of Utah Cancer Spec. (3)

Salt Lake City, Utah, United States

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Novartis Investigative Site

Grafton, Auckland, Australia

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Novartis Investigative Site

Auckland, , Australia

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Vienna, , Austria

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Vienna, , Austria

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Edegem, , Belgium

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Natal, Rio Grande do Norte, Brazil

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Novartis Investigative Site

Passo Fundo, Rio Grande do Sul, Brazil

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Novartis Investigative Site

Porto Alegre, Rio Grande do Sul, Brazil

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Novartis Investigative Site

Itajaí, Santa Catarina, Brazil

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Barretos, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Novartis Investigative Site

Sofia, , Bulgaria

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Edmonton, Alberta, Canada

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Hamilton, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Montería, , Colombia

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Brno, , Czechia

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Regensburg, Bavaria, Germany

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Berlin, , Germany

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Cologne, , Germany

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Würzburg, , Germany

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Athens, GR, Greece

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Athens, , Greece

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Hyderabad, Andhra Pradesh, India

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Bangalore, Karnataka, India

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Nashik, Maharashtra, India

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Kolkata, West Bengal, India

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Delhi, , India

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Bergamo, BG, Italy

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Bologna, BO, Italy

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Brescia, BS, Italy

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Meldola, FC, Italy

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San Giovanni Rotondo, FG, Italy

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Milan, MI, Italy

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Milan, MI, Italy

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Aviano, PN, Italy

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Roma, RM, Italy

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Verona, VR, Italy

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Novara, , Italy

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El Achrafiyé, Lebanon, Lebanon

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Kuching, Sarawak, Malaysia

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Pulau Pinang, , Malaysia

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Nieuwegein, , Netherlands

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Gdansk, , Poland

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Konin, , Poland

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Tarnobrzeg, , Poland

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Saint Petersburg, , Russia

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Seoul, Korea, South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seville, Andalusia, Spain

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Donostia / San Sebastian, Basque Country, Spain

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Pamplona, Navarre, Spain

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Madrid, , Spain

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Madrid, , Spain

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Taichung, , Taiwan

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Taipei, , Taiwan

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Taoyuan District, , Taiwan

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Hat Yai, Changwat Songkhla, Thailand

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Bangkok, THA, Thailand

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Bangkok, , Thailand

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Novartis Investigative Site

Talas / Kayseri, , Turkey (Türkiye)

Site Status

Novartis Investigative Site

Metropolitan Borough of Wirral, Merseyside, United Kingdom

Site Status

Novartis Investigative Site

Newcastle upon Tyne, Newcastle, United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Brazil Bulgaria Canada Colombia Czechia Germany Greece India Italy Lebanon Malaysia Netherlands Poland Russia South Korea Spain Taiwan Thailand Turkey (Türkiye) United Kingdom

Related Links

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https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=17802

Results for CLDK378A2112 can be found on the Novartis Clinical Trial Results Website

Other Identifiers

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2014-004001-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CLDK378A2112

Identifier Type: -

Identifier Source: org_study_id

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