A Phase I Study of Oral LGX818 in Adult Patients With Advanced or Metastatic BRAF Mutant Melanoma



Status:Active, not recruiting
Conditions:Colorectal Cancer, Skin Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:9/5/2018
Start Date:September 2011
End Date:February 28, 2019

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A Phase I, Multicenter, Open-label, Dose-escalation Study of Oral LGX818 in Adult Patients With Locally Advanced or Metastatic BRAF Mutant Melanoma

CLGX818X2101 is a first-time in-human, phase I study to establish the maximum tolerated dose
(MTD) and/or recommended phase 2 dose (RP2D) of daily administered LGX818 (daily, twice daily
and/or every-other-day), a RAF kinase inhibitor. Patients with locally advanced or metastatic
melanoma harboring the BRAF V600 mutation (during dose escalation phase and expansion phase)
and patients with metastatic colorectal cancer harboring the BRAF V600 mutation (during the
expansion phase) will be enrolled. The study consists of a dose escalation part were cohorts
of patients will receive escalating oral doses of LGX818, followed by a safety dose expansion
part were patients will be treated with oral dose of LGX818 given at the MTD or RP2D.


Inclusion Criteria:

For the dose escalation phase:

1. Histologically confirmed diagnosis of locally advanced or metastatic melanoma (stage
IIIB to IV per American Joint Committee on Cancer [AJCC]). For the dose expansion
phase: (i) Histologically confirmed diagnosis of locally advanced or metastatic
melanoma (stage IIIB to IV per American Joint Committee on Cancer [AJCC]), or (ii)
confirmed diagnosis and non-resectable advanced metastatic colorectal cancer (mCRC)
for which no further effective standard therapy exists.

2. Written documentation of BRAF V600E mutation, or any other BRAF V600 mutation.

3. Evidence of measurable disease

Exclusion Criteria:

1. Previous therapy with a MEK inhibitor.

2. Symptomatic or untreated leptomeningeal disease.

3. Symptomatic or untreated brain metastasis.Patients previously treated for these
conditions that are asymptomatic in the absence of corticosteroid therapy are allowed
to enroll. Brain metastasis must be stable with verification by imaging.

4. Known acute or chronic pancreatitis.

5. Clinically significant cardiac disease

6. Impairment of gastrointestinal (GI) function or GI disease that may significantly
alter the absorption of oral LGX818

7. Previous or concurrent malignancy. Exceptions to this exclusion criteria include:
adequately treated basal cell or squamous cell skin cancer; in situ carcinoma of the
cervix, treated curatively and without evidence of recurrence for at least 3 years
prior to study entry; or other solid tumor treated curatively, and without evidence of
recurrence for at least 3 years prior to study entry.

8. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a
female after conception and until the termination of gestation, confirmed by a
positive hCG laboratory test (> 5 mIU/mL).

9. History of thromboembolic or cerebrovascular events within the last 6 months

Other protocol-defined inclusion/exclusion criteria may apply
We found this trial at
3
sites
Boston, Massachusetts 02114
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Boston, MA
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Tampa, FL
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Westmead, New South Wales 2145
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Westmead,
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