NCT02145637
Completed
Phase 1
Phase I Study of the Combination of Afatinib and Ruxolitinib in Patients With Treatment-refractory Non-Small Cell Lung Cancer (NSCLC)
ConditionsNSCLC
InterventionsAfatinib plus Ruxolitinib combination therapy
Overview
- Phase
- Phase 1
- Intervention
- Afatinib plus Ruxolitinib combination therapy
- Conditions
- NSCLC
- Sponsor
- Yonsei University
- Enrollment
- 30
- Primary Endpoint
- To set a recommended phase II dose (RP2D)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This phase Ib study will investigate dose limiting toxicity (DLT) and maximum tolerated dose (MTD) of afatinib and ruxolitinib combination therapy, based on the preclinical data that inhibition of IL-6R/JAK1 signal transmission pathway will increase sensitivity to afatinib.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Stage 4 NSCLC patients
- •disease progression after platinum doublet (all), EGFR TKI (if EGFR mutant), and crizotinib (if ALK positive)
- •Men and women aged 20 years or older
- •Recovery from previous drug-related toxicity: CTCAE 4.03 ≤ Grade 1
- •ECOG 0 or 1
- •able to orally take and retain drug
- •have a measurable or unmeasurable lesion under RECIST 1.1 Criteria
- •have proper hematological, renal, and hepatic functions
- •intention to use an acceptable contraception
- •able to read and understand the informed consent form
Exclusion Criteria
- •previous chemotherapy, radiation therapy, immunotherapy, or other anticancer therapy within 14 days
- •Clinically significant gastrointestinal disorder or malabsorption syndrome
- •Acute digestive disorder
- •major organ failure
- •Significant cardiac disorders
- •major operation of a main organ in 4 weeks
- •Untreated symptomatic brain metastasis
- •pregnant or nursing
- •previously diagnosed Interstitial lung disease(ILD)
- •previously treated with irreversible pan-HER inhibitor including Afatinib or Ruxolitinib
Arms & Interventions
Afatinib plus Ruxolitinib combination (single arm)
Intervention: Afatinib plus Ruxolitinib combination therapy
Outcomes
Primary Outcomes
To set a recommended phase II dose (RP2D)
Time Frame: 36 days
We will set a recommended phase II dose (RP2D) using conventional 3+3 deisgn.
Secondary Outcomes
- Overall survival (OS)(1year)
- Safety and tolerability (dose relating toxicity; DLT)(1year)
- Progression free survival (PFS)(1year)
- Overall response rate (ORR)(1year)
- Pharmacodynamic biomarker(1year)
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