Unique ID issued by UMIN | UMIN000020628 |
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Receipt number | R000023806 |
Scientific Title | A phase I/II, open-label, single-arm study of CH5424802 for patients with advanced non-small-cell lung cancer harboring a RET fusion gene |
Date of disclosure of the study information | 2016/01/19 |
Last modified on | 2022/12/09 11:48:53 |
A phase I/II, open-label, single-arm study of CH5424802 for patients with advanced non-small-cell lung cancer harboring a RET fusion gene
ALL-RET (Alectinib to treat lung cancer harboring a RET fusion gene)
A phase I/II, open-label, single-arm study of CH5424802 for patients with advanced non-small-cell lung cancer harboring a RET fusion gene
ALL-RET (Alectinib to treat lung cancer harboring a RET fusion gene)
Japan |
Advanced non-small-cell lung cancer harboring a RET fusion gene
Pneumology |
Malignancy
NO
[Step 1]
To evaluate the safety, tolerability, pharmacokinetic parameters, and efficacy of CH5424802 in patients with advanced non-small-cell lung cancer harboring a RET fusion gene
[Step 2]
To evaluate the efficacy and safety of CH5424802 at the recommended dose in patients with advanced non-small-cell lung cancer harboring a RET fusion gene
Safety,Efficacy
Exploratory
Phase I,II
[Step 1]
1) Dose-limiting toxicity (DLT)
2) Safety
3) Pharmacokinetic parameters
[Step 2]
Objective response rate in RET-tyrosine kinase inhibitor (TKI)-naive patients according to a central review
[Step 1]
1) Objective response rate in RET-TKI-naive patients according to a central review
2) Response rate according to a review by investigators or sub-investigators
3) Progression-free survival
4) Disease control rate
5) Overall survival
6) Response rate in patients previously treated with RET-TKIs
7) Efficacy in patients harboring different forms of the RET fusion gene
[Step 2]
1) Response rate according to a review by investigators or sub-investigators
2) Safety
3) Pharmacokinetic parameters
4) Progression-free survival
5) Disease control rate
6) Overall survival
7) Response rate in patients previously treated with RET-TKIs
8) Efficacy in patients harboring different forms of the RET fusion gene
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Administration of CH5424802 (600 mg bid, 450 mg bid, or 300 mg bid) in a cycle of 21 days will continue until criteria for a respite, dosage reduction, or discontinuation of the protocol treatment are met.
20 | years-old | <= |
Not applicable |
Male and Female
1. Written informed consent
2. Age 20 or older
3. Histologically or cytologically diagnosed NSCLC
4. Unresectable locally advanced or metastatic disease
5. Tumor samples test positive for a RET fusion gene
6. Testing negative for an EGFR mutation
7. Testing negative for an ALK fusion gene
8. Failure to respond to a course or multiple courses of chemotherapy or progression of NSCLC a course or multiple courses of chemotherapy
9. Life expectancy of 3 months or longer
10. ECOG Performance status of 0-2
11. Female patients of childbearing potential test negative for pregnancy during screening
12. Having adequate bone marrow, liver, renal, and respiratory function
1)Neutrophil count: 1,500/mm3 or higher
2)Hemoglobin: 9.0 g/dL or higher
3)Platelet count: 100,000/mm3 or higher
4)Serum creatinine: 1.5 mg/dL or less
5)ALT, AST, and ALP: Levels 3 times or less the upper limit of normal (local laboratory reference values)
6)Serum bilirubin: Level 1.5 times or less the upper limit of normal (local laboratory reference values)
7)SpO2: 92% or higher
13.Only for Step 2 having one or more measurable lesions in accordance with the revised RECIST guidelines (version 1.1)
1.Having previously received alectinib
2.A history of hypersensitivity to additives contained in CH5424802
3.Having an infection requiring systemic administration of antibiotics or antivirals
4.Laboratory results positive for HBs antigen or anti-HCV antibodies
5.Unstable brain metastases or spinal cord compression that requires treatment
6.A condition that would preclude receipt of the study treatment
7.A QTc interval greater than 480 msec, a history of long QT syndrome, a history of clinically significant ventricular arrhythmia, currently receiving antiarrhythmic drugs, or having an implanted defibrillator
8.Interstitial lung disease or a history of that disease.
9.Poorly controlled diabetes
10.Hypertension that cannot be managed with medication
11.Female patients who are or may be pregnant
12.Patients who would have difficulty taking medication orally
13.Exhibiting adverse reactions prior to treatment that remain Grade 2 or more severe
14.If the following times have not elapsed from prior to treatment or the conclusion of treatment upon enrollment in this study
1)Surgery or radiation therapy: 4 wks
2)Bronchoscopic treatment: 2 wks
3)Chemotherapy: 4 wks
4)Lenvatinib or vandetanib: 3 wks
5)Nitrosourea or MMC: 6 wks
6)Endocrine therapy or immunotherapy: 2 wks
7)Transfusion or a hematopoietic growth factor: 2 wks
8)Other trial medications: 4 wks
15.Patients with pleural effusion, pericardial effusion, or ascites requiring treatment. This does not apply if, upon enrollment, 2 or more wks have passed since fluid was drained and effusion/ascites has not worsened.
16.Patients with a deep vein thrombus or pulmonary thromboembolism that requires treatment
17.Patients with multiple malignancies with differing histologies. Or patients with a history of those malignancies in the past 5 years.
18.Patients whom an investigator or sub-investigator deems ineligible for participation in this study for some other reason.
30
1st name | |
Middle name | |
Last name | Seiji Yano |
Cancer Research Institute, Kanazawa University
Medical Oncology
13-1 Takara-machi, Kanazawa, Ishikawa 920-0934
076-265-2794
syano@staff.kanazawa-u.ac.jp
1st name | |
Middle name | |
Last name | Shinji Takeuchi |
Kanazawa University Hospital
Cancer Center
13-1 Takara-machi, Kanazawa, Ishikawa 920-0934
076-265-2041
takeuchi@staff.kanazawa-u.ac.jp
Cancer Research Institute, Kanazawa University
Japan Agency for Medical Research and Development (AMED)
Japan
CHUGAI PHARMACEUTICAL CO., LTD.
NO
国立がん研究センター東病院(千葉県)
がん研究会有明病院(東京都)
名古屋大医学部附属病院(愛知県)
金沢大学附属病院(石川県)
兵庫県立がんセンター(兵庫県)
国立病院機構 九州がんセンター(福岡県)
2016 | Year | 01 | Month | 19 | Day |
Unpublished
Completed
2015 | Year | 12 | Month | 07 | Day |
2015 | Year | 12 | Month | 09 | Day |
2016 | Year | 02 | Month | 01 | Day |
2019 | Year | 01 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 05 | Month | 31 | Day |
2019 | Year | 07 | Month | 31 | Day |
2016 | Year | 01 | Month | 19 | Day |
2022 | Year | 12 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023806
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