Crizotinib in Pretreated Metastatic Non-small-cell Lung Cancer With MET Amplification or ROS1 Translocation (METROS)

NCT ID: NCT02499614

Last Updated: 2017-10-25

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

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

Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2018-12-31

Brief Summary

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

Phase II, two arms, parallel, non comparative study with crizotinib in patients with ROS 1 translocation or MET amplification or MET exon 14 mutation

Detailed Description

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

This is a phase II, prospective, two arms, parallel, non comparative study with crizotinib in pretreated NSCLC patients with ROS1 translocation or MET amplification or MET exon 14 mutation (figure 1). Patients with locally advanced or metastatic NSCLC, pretreated with at least one previous chemotherapy line and with at least one measurable tumor lesion will be considered eligible for the trial. All potentially eligible patients will be evaluated for MET and ROS1 by FISH to detect MET amplification or ROS1 translocation. MET mutation will be assessed using direct sequencing or high sensitive methods. After evaluation of inclusion and exclusion criteria, and after signature of informed consent form, all MET amplified or MET exon 14 mutation or ROS1 translocated eligible patients will receive crizotinib 250 mg BID p.o until disease progression, unacceptable toxicity or patient refusal.

Conditions

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

Carcinoma, Non-Small-Cell Lung

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

MET amplification ROS1 translocation Crizotinib

Study Design

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

Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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

Patients with MET amplification or MET exon 14 mutation

Pretreated NSCLC patients with MET amplification or MET exon 14 mutation with locally advanced or metastatic NSCLC and with at least one measurable tumor lesion will be considered eligible for the trial and they will receive crizotinib 250 mg BID p.o until disease progression, unacceptable toxicity or patient refusal.

Group Type EXPERIMENTAL

Crizotinib

Intervention Type DRUG

Eligible patients with ROS1 translocation or MET amplification will be treated with Crizotinib at the standard dose of 250 mg BID. The dose of crizotinib may be adjusted depending on the type and severity of toxicity encountered

Patients with ROS1 translocation

Pretreated NSCLC patients with ROS1 translocation with locally advanced or metastatic NSCLC and with at least one measurable tumor lesion will be considered eligible for the trial and they will receive crizotinib 250 mg BID p.o until disease progression, unacceptable toxicity or patient refusal.

Group Type EXPERIMENTAL

Crizotinib

Intervention Type DRUG

Eligible patients with ROS1 translocation or MET amplification will be treated with Crizotinib at the standard dose of 250 mg BID. The dose of crizotinib may be adjusted depending on the type and severity of toxicity encountered

Interventions

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

Crizotinib

Eligible patients with ROS1 translocation or MET amplification will be treated with Crizotinib at the standard dose of 250 mg BID. The dose of crizotinib may be adjusted depending on the type and severity of toxicity encountered

Intervention Type DRUG

Other Intervention Names

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

XALKORI

Eligibility Criteria

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

Inclusion Criteria

* Histologically confirmed diagnosis of NSCLC
* Availability of tumor tissue for ROS1 and MET analyses
* Patient positive for ROS1 translocation or MET amplification
* At least one radiological measurable disease according to RECIST criteria (Response Evaluation Criteria in Solid Tumors )
* At least 1 previous standard chemotherapy regimen
* Performance status 0-2 (ECOG)
* Patient compliance to trial procedures
* age ≥ 18 years
* Written informed consent
* Adequate BM function (ANC ≥ 1.5x109/L, Platelets ≥ 100x109/L, HgB \> 9g/dl)
* Adequate liver function (bilirubin \<G2, transaminases no more than 3xULN/\<5xULN in present of liver metastases).
* Normal level of alkaline phosphatase and creatinine.
* If female: childbearing potential either terminated by surgery, radiation, or menopause, or attenuated by use of approved contraceptive method \[intrauterine contraceptive device (IUD), birth control pills, or barrier device\] during and for ninety(90) days after end of treatment.

Exclusion Criteria

* No tumor tissue available or patient negative for ROS1 translocation or MET amplification
* Absence of any measurable lesion
* For ROS1+ patients: Previous therapy with crizotinib or any anti-ALK agent
* For MET amplified patients: Evidence of MET amplification in tumor tissue collected in EGFR mutant patient at time of EGFR-TKI acquired resistance occurrence. An EGFR mutant patient is eligible if MET amplification is detected in a tumor specimen collected before starting an EGFR-TKI
* No previous chemotherapy
* Concomitant radiotherapy or chemotherapy.
* Previous radiotherapy on the target lesion(s). If all sites were included in radiotherapy fields patient is eligible only if there is evidence of progressive disease after completion of radiotherapy.
* Symptomatic brain metastases
* Diagnosis of any other malignancy during the last 5 years, except for in situ carcinoma of cervix uteri and squamous cell carcinoma of the skin
* Pregnancy or lactating
* Other serious illness or medical condition potentially interfering with the study
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.

Fondazione Ricerca Traslazionale

OTHER

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.

Lucio Crinò

Role: PRINCIPAL_INVESTIGATOR

Ospedale Santa Maria della Misericordia - Azienda Ospedaliera di Perugia

Locations

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

IRCCS - Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST)- Oncologia Medica

Meldola, Forlì- Cesena, Italy

Site Status RECRUITING

Ospedale Versilia- Oncologia

Camaiore, Lucca, Italy

Site Status ACTIVE_NOT_RECRUITING

Ospedale per gli Infermi - Presidio Ospedaliero di Faenza- Unità Operativa di Oncologia Medica

Faenza, Ravenna, Italy

Site Status RECRUITING

Ospedale Umberto I°- Unità Operativa di Oncologia

Lugo, Ravenna, Italy

Site Status RECRUITING

A. O. "Ospedale di Circolo" di Busto Arsizio- Struttura Complessa di Oncologia Medica

Saronno, Varese, Italy

Site Status RECRUITING

Sacro Cuore- Don Calabria Hospital- U.O.C. Oncologia Medica

Negrar, Verona, Italy

Site Status RECRUITING

Istituto Toscano Tumori Ospedale San Donato- U.O.C. di Oncologia Medica Dipartimento di Oncologia USL-8

Arezzo, , Italy

Site Status RECRUITING

Azienda Ospedaliera di Rilievo Nazionale "S.G. Moscati"- U.O. di Oncologia Medica

Avellino, , Italy

Site Status RECRUITING

IRCCS Istituto Tumori "Giovanni Paolo II"- U.O. Oncologia Medica

Bari, , Italy

Site Status RECRUITING

A.O.U. Careggi- S.C. Oncologia Medica 1

Florence, , Italy

Site Status RECRUITING

IRCCS A.O.U. San Martino- IST- Istituto Nazionale per la Ricerca sul Cancro- U.O.S. Tumori Polmonari

Genova, , Italy

Site Status RECRUITING

Ospedale Civile Livorno- U.O. Dipartimento di Oncologia Medica

Livorno, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Campo di Marte- U.O.C. di Oncologia Medica

Lucca, , Italy

Site Status ACTIVE_NOT_RECRUITING

Istituto Europeo di Oncologia - Divisione di Oncologia Toracica

Milan, , Italy

Site Status RECRUITING

A.O.U. Policlinico di Modena- Oncologia Ematologia e Malattie Apparato Respiratorio

Modena, , Italy

Site Status RECRUITING

Istituto Nazionale per lo Studio e la Cura dei Tumori "Fondazione Giovanni Pascale"- Oncologia Medica Dipartimento Toraco-Polmonare

Napoli, , Italy

Site Status RECRUITING

A.O.U. "Maggiore della Carità"- Dipartimento Oncologico

Novara, , Italy

Site Status RECRUITING

Istituto Oncologico Veneto IRCCS- UOS Oncologia Toracica UOC. Oncologia Medica 2

Padua, , Italy

Site Status RECRUITING

Casa di Cura La Maddalena- U.O. Oncologia medica

Palermo, , Italy

Site Status RECRUITING

Azienda Ospedaliera Universitaria di Parma- Struttura Complessa di Oncologia Medica

Parma, , Italy

Site Status RECRUITING

Ospedale Santa Maria della Misericordia - Azienda Ospedaliera di Perugia

Perugia, , Italy

Site Status RECRUITING

Azienda Ospedaliero Universitaria Pisana (AOUP)- Pneumo-Oncologia - Dipartimento Cardio-Toracico

Pisa, , Italy

Site Status RECRUITING

Ospedale di Ravenna- Oncologia Medica

Ravenna, , Italy

Site Status RECRUITING

Ospedale "Infermi" Rimini- UU.OO. Oncologia ed Ematologia

Rimini, , Italy

Site Status RECRUITING

Osp. Civile SS. Annunziata- U.O.C di Oncologia Medica

Sassari, , Italy

Site Status ACTIVE_NOT_RECRUITING

Policlinico 'G.B.Rossi' Borgo Roma - A.O.U. Integrata (Giampaolo Tortora)- Oncologia Medica

Verona, , Italy

Site Status RECRUITING

Countries

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

Italy

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Federico Cappuzzo

Role: CONTACT

Phone: +39 010 8398491 / 92

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Angelo Delmonte

Role: primary

Stefano Tamberi

Role: primary

Claudio Dazzi

Role: primary

Claudio Verusio

Role: primary

Stefania Gori

Role: primary

Sergio Bracarda

Role: primary

Cesare Gridelli

Role: primary

Domenico Galetta

Role: primary

Francesco Di Costanzo

Role: primary

Francesco Grossi

Role: primary

Federico Cappuzzo

Role: primary

Filippo De Marinis, MD

Role: primary

Fausto Barbieri

Role: primary

Alessandro Morabito

Role: primary

Gloria Borra

Role: primary

Adolfo Favaretto

Role: primary

Vittorio Gebbia

Role: primary

Marcello Tiseo

Role: primary

Lucio Crinò, MD

Role: primary

Antonio Chella

Role: primary

Federico Cappuzzo

Role: primary

Maximilian Papi

Role: primary

Emilio Bria

Role: primary

References

Explore related publications, articles, or registry entries linked to this study.

Chiari R, Ricciuti B, Landi L, Morelli AM, Delmonte A, Spitaleri G, Cortinovis DL, Lamberti G, Facchinetti F, Pilotto S, Verusio C, Chella A, Bonanno L, Galetta D, Cappuzzo F. ROS1-rearranged Non-small-cell Lung Cancer is Associated With a High Rate of Venous Thromboembolism: Analysis From a Phase II, Prospective, Multicenter, Two-arms Trial (METROS). Clin Lung Cancer. 2020 Jan;21(1):15-20. doi: 10.1016/j.cllc.2019.06.012. Epub 2019 Jun 18.

Reference Type DERIVED
PMID: 31607443 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

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

FoRT 01/2014

Identifier Type: -

Identifier Source: org_study_id