Expanded Access Study of Alectinib for Participants With Anaplastic Lymphoma Kinase (ALK)-Rearranged Non-Small Cell Lung Cancer (NSCLC) After Disease Progression on or Intolerance to Prior ALK Tyrosine Kinase Inhibitor Therapy
- Conditions
- Non-Small Cell Lung Cancer
- Registration Number
- NCT02271139
- Lead Sponsor
- Genentech, Inc.
- Brief Summary
This is an open-label, multicenter, single-arm, expanded access study designed to provide alectinib to participants with ALK-rearranged NSCLC after disease progression on or intolerance to prior ALK tyrosine kinase inhibitor (TKI) therapy. Participants will receive alectinib until disease progression, unacceptable toxicity, withdrawal of consent, patient or physician decision to discontinue treatment, death, alectinib becomes commercially available in the United States following approval of alectinib by the FDA, or the Sponsor decides to close the trial, whichever occurs first (approximately 15 months).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NO_LONGER_AVAILABLE
- Sex
- All
- Target Recruitment
- Not specified
- Participants with locally advanced (American Joint Committee on Cancer [AJCC] Stage IIIB) not amenable to curative therapy or metastatic (AJCC Stage IV) NSCLC
- Life expectancy of at least 12 weeks
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0-3
- Histologically confirmed NSCLC
- Documented ALK rearrangement as assessed by approved fluorescence in situ hybridization (FISH) test, using the Vysis ALK Break Apart FISH Probe Kit or the Ventana immunohistochemistry (IHC) test
- After disease progression on or intolerance to prior ALK TKI therapy: 1) participants need to have a minimum washout period of at least 5 half-lives between the last dose of ALK TKI therapy or other targeted therapies and the first dose of study treatment; 2) participants must have recovered from treatment toxicities to less than or equal to (</=) Grade 1 or to their pretreatment levels (for participants who have developed interstitial lung disease [ILD], they must have fully recovered); 3) participants can either be chemotherapy-naïve or have received at least one line of platinum-based chemotherapy for locally advanced or metastatic disease
- Recovery from effects of any major surgery or significant traumatic injury at least 28 days before the first dose of study treatment
- Adequate hematological and renal function
- Agreement to use highly effective methods of contraception per protocol definitions
- Prior therapy with alectinib
- Participants with symptomatic central nervous system (CNS) metastases who are neurologically unstable or require increasing doses of steroids within 1 week prior to Day 1 to manage CNS symptoms
- Administration of strong/potent cytochrome P450 3A (CYP3A) inhibitors or inducers, or agents with potential QT prolonging effects within 14 days prior to first administration of study drug
- Participants with liver disease
- Any clinically significant concomitant disease or condition that could interfere with the conduct of the study
- Active or uncontrolled infectious diseases requiring treatment
- History of organ transplant
- Participants with baseline QTc > 470 milliseconds (ms) or participants with symptomatic bradycardia
- Pregnant or lactating, or intending to become pregnant during the study
- History of hypersensitivity to any of the additives in alectinib formulation
- Any psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol requirements and/or follow-up procedures; those conditions should be discussed with the participants before trial entry
- Serious, uncontrolled infections or current known infection with human immunodeficiency virus (HIV)
Study & Design
- Study Type
- EXPANDED_ACCESS
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (44)
LAC USC Medical Center
🇺🇸Los Angeles, California, United States
University of Southern California
🇺🇸Los Angeles, California, United States
Allegheny Cancer Center
🇺🇸Pittsburgh, Pennsylvania, United States
Karmanos Cancer Institute - Farmington Hills/Weisberg Cancer Treatment Center
🇺🇸Farmington Hills, Michigan, United States
Henry Ford Health System
🇺🇸West Bloomfield, Michigan, United States
Billings Clinic Cancer Center; Billings Cancer Research
🇺🇸Billings, Montana, United States
Northwestern University
🇺🇸Chicago, Illinois, United States
University of Chicago Hospital
🇺🇸Chicago, Illinois, United States
Loyola University Med Center
🇺🇸Maywood, Illinois, United States
Southern Cancer Center
🇺🇸Mobile, Alabama, United States
Loma Linda Cancer Center
🇺🇸Loma Linda, California, United States
University of California Irvine Medical Center
🇺🇸Orange, California, United States
Virginia Cancer Specialists, PC
🇺🇸Fairfax, Virginia, United States
Massachusetts General Hospital
🇺🇸Boston, Massachusetts, United States
Dana Farber Partners Can Ctr
🇺🇸Boston, Massachusetts, United States
Beth Israel Deaconess Med Ctr; Hem/Onc
🇺🇸Boston, Massachusetts, United States
University of California San Diego Medical Center; Moores Cancer Center
🇺🇸La Jolla, California, United States
University Cancer & Blood Center, LLC
🇺🇸Athens, Georgia, United States
Southern Cancer Center, PC
🇺🇸Mobile, Alabama, United States
Investigative Clin Rsch of IN
🇺🇸Indianapolis, Indiana, United States
West Penn Cancer Institute
🇺🇸Pittsburgh, Pennsylvania, United States
Allegheny Valley Hospital
🇺🇸Natrona Heights, Pennsylvania, United States
Forbes Hospital
🇺🇸Monroeville, Pennsylvania, United States
Comprehensive Cancer Care, P.C.
🇺🇸St. Louis, Missouri, United States
University of Washington Seattle Cancer Care Alliance
🇺🇸Seattle, Washington, United States
Northwest Medical Specialties
🇺🇸Tacoma, Washington, United States
University of Alabama
🇺🇸Bimingham, Alabama, United States
Southern Cancer Center - Mobile
🇺🇸Mobile, Alabama, United States
Lalita Pandit Inc.
🇺🇸Fountain Valley, California, United States
St. Joseph Heritage Healthcare
🇺🇸Sebastopol, California, United States
Innovative Clinical Research Institute
🇺🇸Whittier, California, United States
San Juan Oncology Associates
🇺🇸Farmington, New Mexico, United States
Columbia University Medical Center; Clinical Research Management Office
🇺🇸New York, New York, United States
W.G. Bill Hefner VA Medical Center
🇺🇸Salisbury, North Carolina, United States
Mark H. Zangmeister Center
🇺🇸Columbus, Ohio, United States
Tulsa Cancer Institute
🇺🇸Tulsa, Oklahoma, United States
Cancer Treatment Centers of America - Eastern Regional Medical Center
🇺🇸Philadelphia, Pennsylvania, United States
Medical University of South Carolina; Hollings Cancer Center
🇺🇸Charleston, South Carolina, United States
UT Southwestern Medical Center
🇺🇸Dallas, Texas, United States
University of Wisconsin; Oncology
🇺🇸Madison, Wisconsin, United States
Barbara Ann Karmanos Cancer Institute
🇺🇸Detroit, Michigan, United States
University of Minnesota
🇺🇸Minneapolis, Minnesota, United States
Oregon Health & Science Uni
🇺🇸Portland, Oregon, United States
Medical College of Wisconsin
🇺🇸Milwaukee, Wisconsin, United States