A Randomized Phase 2 Study of Erlotinib Plus ARQ 197 Versus Erlotinib Plus Placebo in Previously Treated Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
Overview
- Phase
- Phase 2
- Intervention
- ARQ 197
- Conditions
- Non Small Cell Lung Cancer
- Sponsor
- ArQule, Inc., a subsidiary of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc. (Rahway, NJ USA)
- Enrollment
- 167
- Locations
- 2
- Primary Endpoint
- Evaluate progression free survival (PFS) in patients treated with erlotinib plus ARQ 197 versus erlotinib plus placebo
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
This is a randomized, placebo-controlled, double blind phase 2 study designed to compare treatment with ARQ 197 plus erlotinib to erlotinib plus placebo in patients with non-small cell lung cancer. The study will enroll patients who have had one prior chemotherapy regimen (other than erlotinib) for NSCLC.
Detailed Description
This is a randomized, placebo-controlled, double blind phase 2 study designed to compare treatment with ARQ 197 plus erlotinib to erlotinib plus placebo in patients with non-small cell lung cancer. The study will enroll patients who have had one prior chemotherapy regimen (other than erlotinib) for NSCLC. The study will evaluate progression-free survival between the two arms. A total of 154 patients will be enrolled.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Provide signed and dated informed consent prior to study-specific screening procedures
- •≥ 18 years old
- •Histologically or cytologically confirmed inoperable locally advanced or metastatic (stage IIIB/IV) NSCLC
- •≥ one prior chemotherapy regimen (including adjuvant chemotherapy)(not to have included erlotinib or other EGFR inhibiting agent)
- •Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST)
- •Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1
- •Male or female patients of child-producing potential must agree to use double barrier contraception, oral contraceptives or avoidance of pregnancy measures during the study and for 90 days after the last day of treatment
- •Females of childbearing potential must have a negative serum pregnancy test
- •Good organ function
- •Confirmed availability of archival pathology samples (10 unstained paraffin-embedded slides) or tissue block suitable for subsequent analysis of KRAS, EGFR, and c-Met
Exclusion Criteria
- •Previous receipt of erlotinib or other EGFR inhibiting therapy
- •Receipt of any anti-tumor treatment for NSCLC within 4 weeks (2 weeks for radiotherapy) prior to the start of designated treatment
- •Documented major surgical procedure within 4 weeks prior to randomization.
- •Symptomatic central nervous system metastases either considered in the opinion of investigator to be clinically unstable or which require steroids, anti-epileptics, or other symptom-relieving medications
- •Pregnant, breast-feeding, or refusing double barrier contraception, oral contraceptives or avoidance of pregnancy measures
- •Significant gastrointestinal disorder that, in opinion of Investigator, could interfere with the absorption of ARQ 197 and/or erlotinib (e.g. Crohn's disease, small or large bowel resection, malabsorbtion syndrome)
- •Unable or unwilling to swallow the complete dose of erlotinib or ARQ 197
- •Any known contraindication to treatment with ARQ 197 or erlotinib
- •Any known hypersensitivity to any of component of ARQ 197 or erlotinib
- •Other malignancy within 5 years of randomization, with the exception of adequately treated intraepithelial carcinoma of the cervix uteri, prostate carcinoma with a PSA value \< 0.2 ng/ml or basal or squamous cell carcinoma of the skin
Arms & Interventions
1
Erlotinib (150 mg) once daily plus ARQ 197 (360 mg) twice daily.
Intervention: ARQ 197
1
Erlotinib (150 mg) once daily plus ARQ 197 (360 mg) twice daily.
Intervention: Erlotinib
2
Erlotinib (150 mg) once daily plus ARQ 197 placebo twice daily
Intervention: Erlotinib
2
Erlotinib (150 mg) once daily plus ARQ 197 placebo twice daily
Intervention: Placebo
Outcomes
Primary Outcomes
Evaluate progression free survival (PFS) in patients treated with erlotinib plus ARQ 197 versus erlotinib plus placebo
Secondary Outcomes
- Overall response rate (ORR)
- Evaluate overall survival (OS)
- Safety of ARQ 197 in combination with erlotinib in patients with NSCLC