Trial Outcomes & Findings for Savolitinib in Treating Patients With MET Amplified Metastatic or Unresectable Colorectal Cancer (NCT NCT03592641)

NCT ID: NCT03592641

Last Updated: 2023-10-17

Results Overview

Objective response rate is calculated as the number of people with a complete or partial response divided by the total number of people treated. Complete response is defined as disappearance of all target lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

From start of treatment until documented progression of disease (up to 4 months)

Results posted on

2023-10-17

Participant Flow

Recruitment occurred at 12 health system organizations within the NCI network. Enrollment was open from 1/30/2019 to 12/30/2021.

70 subjects were pre-screened to test for MET amplification. 9 subjects had MET amplification and signed the main consent form. 4 of these subjects were excluded from the trial because they did not meet all eligibility criteria. 5 subjects were enrolled in the treatment portion of the study.

Participant milestones

Participant milestones
Measure
Treatment (Savolitinib)
savolitinib 600 mg once daily for weight ≥ 50 kg and 400 mg once daily for weight \< 50 kg
Overall Study
STARTED
5
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Savolitinib)
savolitinib 600 mg once daily for weight ≥ 50 kg and 400 mg once daily for weight \< 50 kg
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Savolitinib in Treating Patients With MET Amplified Metastatic or Unresectable Colorectal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Savolitinib)
n=5 Participants
savolitinib 600 mg once daily for weight ≥ 50 kg and 400 mg once daily for weight \< 50 kg
Age, Continuous
60.8 years
STANDARD_DEVIATION 10.1 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From start of treatment until documented progression of disease (up to 4 months)

Objective response rate is calculated as the number of people with a complete or partial response divided by the total number of people treated. Complete response is defined as disappearance of all target lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Outcome measures

Outcome measures
Measure
Treatment (Savolitinib)
n=4 Participants
savolitinib 600 mg once daily for weight ≥ 50 kg and 400 mg once daily for weight \< 50 kg
Objective Response Rate (ORR) as Measured by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
0 Participants

SECONDARY outcome

Timeframe: From start of treatment until documented progression of disease (up to 4 months)

Progression-free survival is defined as the duration of time from start of treatment until clinical or radiographic progression or death, whichever occurs first. Progression is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.

Outcome measures

Outcome measures
Measure
Treatment (Savolitinib)
n=4 Participants
savolitinib 600 mg once daily for weight ≥ 50 kg and 400 mg once daily for weight \< 50 kg
Months of Progression-Free Survival (PFS)
2.29 months
Interval 1.41 to 3.55

Adverse Events

Treatment (Savolitinib)

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Savolitinib)
n=5 participants at risk
savolitinib 600 mg once daily for weight ≥ 50 kg and 400 mg once daily for weight \< 50 kg
Metabolism and nutrition disorders
anorexia
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Nervous system disorders
dizziness
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Respiratory, thoracic and mediastinal disorders
dyspnea
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Cardiac disorders
sinus tachycardia
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Vascular disorders
thromboembolic event
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
General disorders
edema limbs
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Injury, poisoning and procedural complications
vascular access complication
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).

Other adverse events

Other adverse events
Measure
Treatment (Savolitinib)
n=5 participants at risk
savolitinib 600 mg once daily for weight ≥ 50 kg and 400 mg once daily for weight \< 50 kg
Investigations
Alanine aminotransferase increased
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Investigations
Alkaline phosphatase increased
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Blood and lymphatic system disorders
Anemia
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Metabolism and nutrition disorders
Anorexia
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Gastrointestinal disorders
Ascites
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Investigations
Aspartate aminotransferase increased
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Musculoskeletal and connective tissue disorders
Back pain
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Investigations
Blood bicarbonate decreased
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Investigations
Blood lactate dehydrogenase increased
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Gastrointestinal disorders
Constipation
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Gastrointestinal disorders
Diarrhea
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Nervous system disorders
Dysgeusia
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Gastrointestinal disorders
Dyspepsia
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Respiratory, thoracic and mediastinal disorders
Dyspnea
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
General disorders
Fatigue
60.0%
3/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Gastrointestinal disorders
Indigestion
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Nervous system disorders
Headache
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Hepatobiliary disorders
Biliary Obstructions
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Respiratory, thoracic and mediastinal disorders
Hoarseness
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Vascular disorders
Hot flashes
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Metabolism and nutrition disorders
Hyperglycemia
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Vascular disorders
Hypertension
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Metabolism and nutrition disorders
Hypoalbuminemia
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Metabolism and nutrition disorders
Hyponatremia
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Infections and infestations
Common Cold Symptoms
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Injury, poisoning and procedural complications
Stubbed Toe
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Investigations
LDH Increased
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Investigations
Lymphocyte count decreased
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Musculoskeletal and connective tissue disorders
Muscle cramp
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Gastrointestinal disorders
Nausea
60.0%
3/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
General disorders
Pain
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Skin and subcutaneous tissue disorders
Pruritus
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Investigations
Serum amylase increased
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Respiratory, thoracic and mediastinal disorders
Sore throat
20.0%
1/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
Investigations
White blood cell decreased
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
General disorders
Edema limbs
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).
General disorders
Non-cardiac chest pain
40.0%
2/5 • From start of treatment until 1 month after end of treatment (up to 5 months)
Adverse events were described by grade, frequency, and attribution according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 5.0).

Additional Information

John Strickler, MD

Duke University Medical Center

Phone: 919-668-1861

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60