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
Last updated on April 2022Recruitment
- Recruitment Status
- Terminated
- Estimated Enrollment
- 40
Inclusion Criteria
- 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
- Documented radiographic disease progression following at least one line of therapy in the advanced/metastatic setting
- Availability of tumor tissue sample suitable for the central confirmation of the genetic alteration and exploratory analyses
- ...
- 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
- Documented radiographic disease progression following at least one line of therapy in the advanced/metastatic setting
- Availability of tumor tissue sample suitable for the central confirmation of the genetic alteration and exploratory analyses
- Histologically or cytologically confirmed advanced/metastatic SCLC or NSCLC
- Eastern Cooperative Oncology Group (ECOG) of 0 or 1
- Measurable disease per RECIST 1.1
Exclusion Criteria
- Uncontrolled hypothyroidism defined as serum thyroid stimulating hormone (TSH) higher than 5 mIU/mL while receiving appropriate thyroid hormone therapy
- Pregnant or breastfeeding women
- Tumors that are invading a major vessel; NSCLC tumors abutting to a major vessel
- ...
- Uncontrolled hypothyroidism defined as serum thyroid stimulating hormone (TSH) higher than 5 mIU/mL while receiving appropriate thyroid hormone therapy
- Pregnant or breastfeeding women
- Tumors that are invading a major vessel; NSCLC tumors abutting to a major vessel
- Presence of another active cancer
- Symptomatic and/or untreated central nervous system metastases
- Ongoing adverse events from surgery or prior anti-cancer therapies, including radiation, targeted, or cytotoxic therapies
- Uncontrolled hypertension, defined as SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg with optimized anti-hypertensive therapy
Summary
- Conditions
- Lung Cancer
- Advanced Lung Cancer
- Metastatic Lung Cancer
- Non -Small Cell Lung Cancer
- NSCLC
- SCLC
- Small Cell Lung Cancer
- Squamous Non Small Cell Lung Cancer
- Stage IV Lung Cancer
- Non-small Cell Lung Cancer
- Squamous Non-Small Cell Lung Cancer
- Type
- Interventional
- Phase
- Phase 2
- Design
- Allocation: N/A
- Intervention Model: Single Group Assignment
- Masking: None (Open Label)
- Primary Purpose: Treatment
Participation Requirements
- Age
- Between 18 years and 125 years
- Gender
- Both males and females
Description
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 wi...
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.
Inclusion Criteria
- 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
- Documented radiographic disease progression following at least one line of therapy in the advanced/metastatic setting
- Availability of tumor tissue sample suitable for the central confirmation of the genetic alteration and exploratory analyses
- ...
- 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
- Documented radiographic disease progression following at least one line of therapy in the advanced/metastatic setting
- Availability of tumor tissue sample suitable for the central confirmation of the genetic alteration and exploratory analyses
- Histologically or cytologically confirmed advanced/metastatic SCLC or NSCLC
- Eastern Cooperative Oncology Group (ECOG) of 0 or 1
- Measurable disease per RECIST 1.1
Exclusion Criteria
- Uncontrolled hypothyroidism defined as serum thyroid stimulating hormone (TSH) higher than 5 mIU/mL while receiving appropriate thyroid hormone therapy
- Pregnant or breastfeeding women
- Tumors that are invading a major vessel; NSCLC tumors abutting to a major vessel
- ...
- Uncontrolled hypothyroidism defined as serum thyroid stimulating hormone (TSH) higher than 5 mIU/mL while receiving appropriate thyroid hormone therapy
- Pregnant or breastfeeding women
- Tumors that are invading a major vessel; NSCLC tumors abutting to a major vessel
- Presence of another active cancer
- Symptomatic and/or untreated central nervous system metastases
- Ongoing adverse events from surgery or prior anti-cancer therapies, including radiation, targeted, or cytotoxic therapies
- Uncontrolled hypertension, defined as SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg with optimized anti-hypertensive therapy
Tracking Information
- NCT #
- NCT02109016
- Collaborators
- Not Provided
- Investigators
- Not Provided