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Study of Efficacy and Safety of LJM716 and Cetuximab in Head and Neck Squamous Cell Carcinoma Patients

Phase 1
Withdrawn
Conditions
Head and Neck Squamous Cell Carcinoma
Interventions
Biological: LJM716
Biological: cetuximab
Registration Number
NCT02143622
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

To establish whether LJM716 in combination with cetuximab is safe and has beneficial effects in patients with platinum-pretreated recurrent/metastatic head and neck squamous cell carcinoma.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Most recent regimen contains both platinum and cetuximab (Phase II, group B).
  • ECOG Performance Status (PS) ≤ 2.
  • Recovery from all AEs of previous anti-cancer therapies, to baseline or to CTCAE Grade ≤ 1, except for alopecia.
  • Measurable disease as determined by RECIST v1.1.
Exclusion Criteria
  • Previous anti-HER3 antibody treatment.
  • Symptomatic brain metastasis.
  • Prior systemic anti-cancer treatment, within a period of time that is shorter than the cycle length used for that treatment prior to starting study treatment.
  • Prior anaphylactic or other severe infusion reaction to human immunoglobulin or antibody formulations.
  • Inadequate end organ function.
  • Ongoing diarrhea CTCAE Grade ≥ 2. Other protocol-defined inclusion/exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
LJM716+cetuximabLJM716-
LJM716+cetuximabcetuximab-
Primary Outcome Measures
NameTimeMethod
Phase Ib: Number of Total Dose-limiting Toxicity (DLT) During Dose Escalation to Determine Maximum Tolerated Dose (MTD)35 days

The dose escalation part of the study will be guided by a well-established statistical method/model to estimate the maximum tolerated dose of LJM716 in combination with cetuximab

Phase Ib: Target lesion change compared to baseline in patients, per RECIST 1.16 months

Assessment of the preliminary anti-tumor activity of LJM716 in combination. Change in target lesion measurements, from baseline as per RECIST 1.1

Phase II: Percentage of Patients with an Objective Overall Response (OOR) per RECIST 1.16 months

Patients with an Objective Overall Response (OOR) were those whose best response to treatment was a complete response (CR) or a partial response (PR) assessed by imaging, as pr RECIST 1.1.

Secondary Outcome Measures
NameTimeMethod
Duration of response (DOR) per RECIST 1.16 months

Duration of response will be used to further assess the anti-tumor activity of LJM716-cetuximab combination

blood concentration versus time profiles blood PK parameters of LJM716 and cetuximab concentration6 months

blood concentration versus time profiles blood PK parameters will be used to characterize the PK profiles of LJM716 and cetuximab concentration when used in combination

Best overall response (BOR), per RECIST 1.16 months

BOR will be used to further assess the anti-tumor activity of LJM716-cetuximab combination.

Safety and tolerability of the LJM716- cetuximab combination6 months

This will be assessed by looking at the number of Adverse Events (AEs), serious AEs (SAEs) changes in hematology and chemistry values, vital signs, electrocardiograms (ECGs), dose interruptions, reductions and dose intensity.

Overall survival (OS) per RECIST 1.112 months

Overall survival will be used to further assess the anti-tumor activity of LJM716-cetuximab combination

Progression free survival (PFS) per RECIST 1.16 months

Progression free survival will be used to further assess the anti-tumor activity of LJM716-cetuximab combination

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