A Study to Assess the Efficacy and Safety of the VEGFR-FGFR Inhibitor, Lucitanib, Given to Patients With Advanced/Metastatic Lung Cancer and FGF, VEGF, or PDGF Related Genetic Alterations
Status: | Terminated |
---|---|
Conditions: | Lung Cancer, Lung Cancer, Cancer, Cancer, Cancer |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 9/20/2018 |
Start Date: | April 2014 |
End Date: | September 2016 |
A Single Arm, Open-label, Phase 2 Study to Assess the Efficacy and Safety of Lucitanib Given Orally as a Single Agent to Patients With Advanced/Metastatic Lung Cancer and FGF, VEGF, or PDGF Related Genetic Alterations
The purpose of this study is to determine whether lucitanib is safe and effective in the
treatment of patients with advanced/metastatic lung cancer and fibroblast growth factor
(FGF), vascular endothelial growth factor receptor (VEGF), or platelet derived growth factor
(PDGF) related genetic alterations.
treatment of patients with advanced/metastatic lung cancer and fibroblast growth factor
(FGF), vascular endothelial growth factor receptor (VEGF), or platelet derived growth factor
(PDGF) related genetic alterations.
Lucitanib is an oral inhibitor of the tyrosine kinase activity of FGFR 1-3, VEGFR 1-3, and
PDGFR α/β. Lucitanib has demonstrated potent anti-tumor and anti-angiogenic activity in vitro
proliferation assays and in vivo using human tumor xenograft models, with a trend for
stronger efficacy in those with genomic aberrancies of FGF or PDGF. Abnormalities in the FGF,
VEGF, and PDGF-related genes are observed across lung cancer histologies.
The first in human trial of lucitanib demonstrated that daily lucitanib is clinically active
in patients with advanced solid tumors. Specifically, patients with FGFR1-amplification
appeared to derive particular benefit from lucitanib.
Based on these results, this study is designed to explore the safety and anti-tumor activity
of daily lucitanib in lung cancer patients with FGF, VEGF, and PDGF genetic alterations.
PDGFR α/β. Lucitanib has demonstrated potent anti-tumor and anti-angiogenic activity in vitro
proliferation assays and in vivo using human tumor xenograft models, with a trend for
stronger efficacy in those with genomic aberrancies of FGF or PDGF. Abnormalities in the FGF,
VEGF, and PDGF-related genes are observed across lung cancer histologies.
The first in human trial of lucitanib demonstrated that daily lucitanib is clinically active
in patients with advanced solid tumors. Specifically, patients with FGFR1-amplification
appeared to derive particular benefit from lucitanib.
Based on these results, this study is designed to explore the safety and anti-tumor activity
of daily lucitanib in lung cancer patients with FGF, VEGF, and PDGF genetic alterations.
Inclusion Criteria:
- Histologically or cytologically confirmed advanced/metastatic SCLC or NSCLC
- Any of the following tumor tissue based genetic alterations: FGFR1, FGFR2, FGFR3,
VEGFA, or PDGFRα amplification; Any FGFR1, FGFR2, or FGFR3 gene fusion; FGFR1, FGFR2,
or FGFR3 activating mutation
- Availability of tumor tissue sample suitable for the central confirmation of the
genetic alteration and exploratory analyses
- Eastern Cooperative Oncology Group (ECOG) of 0 or 1
- Measurable disease per RECIST 1.1
- Documented radiographic disease progression following at least one line of therapy in
the advanced/metastatic setting
Exclusion Criteria:
- Tumors that are invading a major vessel; NSCLC tumors abutting to a major vessel
- Uncontrolled hypertension, defined as SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg with
optimized anti-hypertensive therapy
- Uncontrolled hypothyroidism defined as serum thyroid stimulating hormone (TSH) higher
than 5 mIU/mL while receiving appropriate thyroid hormone therapy
- Symptomatic and/or untreated central nervous system metastases
- Presence of another active cancer
- Ongoing adverse events from surgery or prior anti-cancer therapies, including
radiation, targeted, or cytotoxic therapies
- Pregnant or breastfeeding women
We found this trial at
8
sites
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Emory University Emory University, recognized internationally for its outstanding liberal artscolleges, graduate and professional schools,...
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University of California at Los Angeles The University of California, Los Angeles (UCLA) is an...
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Tennessee Oncology, PLLC Since 1976 Tennessee Oncology has been providing quality cancer care. In 2013,...
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University of Pittsburgh Medical Center UPMC is one of the leading nonprofit health systems in...
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Georgetown University Georgetown University is one of the world's leading academic and research institutions, offering...
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