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Clinical Trials/NCT02145637
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)

Yonsei University0 sites30 target enrollmentMay 7, 2015

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.

Registry
clinicaltrials.gov
Start Date
May 7, 2015
End Date
November 9, 2017
Last Updated
7 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Sponsor

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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