E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with advanced non-small-cell lung cancer who have received at least two lines of prior chemotherapy |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 12.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10059515 |
E.1.2 | Term | Non-small cell lung cancer metastatic |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 12.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10066490 |
E.1.2 | Term | Progression of non-small cell lung cancer |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To estimate efficacy for each study strata at 18 weeks as assessed by RECIST
The following strata will be assigned: 1. Patients with EGFR activating mutation tumors (Note: These patients must have progressed on one prior EGFR TKI containing regimen unless they have documented T790M activating mutation) 2. Patients with KRAS mutant tumors 3. Patients with EGFR wt and KRAS wt tumors |
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E.2.2 | Secondary objectives of the trial |
- To estimate overall survival (OS) and progression free survival (PFS) in patients with advanced NSCLC receiving AUY922. - To determine safety and tolerability of AUY922 i.v. monotherapy in advanced NSCLC patients. - To assess the pharmacokinetics (PK) profile of AUY922 in NSCLC patients. - To investigate the PD and cellular effects of AUY922 on the target of HSP90 in pre- and post-therapy tumor tissue (where biopsies are available), and serial blood samples. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Patients with histologically or cytologically confirmed advanced (stage IIIB or stage IV) NSCLC who have received at least two prior lines of treatment. One of the prior lines must have included a platinum agent. Continuous treatment with targeted agents after completion of the platinum doublets are counted as two lines. NOTE: Patients with known EGFR mutation must have received a prior EGFR TKI based regimen (i.e. gefitinib or erlotinib) unless patients are known to have T790M. Prior treatment with a platinum agent is not a requirement for EGFR mutant patients. - All patients must have at least one measurable lesion as defined by RECIST criteria. Previously irradiated lesions are not measurable unless the lesion is new or has demonstrated clear progression after radiation. - 18 years or older. - Able to sign informed consent and to comply with the protocol. - World Health Organization (WHO) performance status ≤ 2. - Life expectancy ≥ 12 weeks. - Patients who fulfill the protocol defined criteria will be eligible for PET assessments - Patients must have the protocol defined laboratory values (Hematology, Biohemistry) and an adquate liver function as defined in the protocol - Negative serum pregnancy test for women of child bearing potential (WCBP). The serum pregnancy test must be conducted prior to the first administration of AUY922 (≤14 days prior to dosing). |
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E.4 | Principal exclusion criteria |
- Patients who have received more than four lines of prior treatment. Chemotherapy administered as adjuvant treatment more than six months prior to study enrollment is not considered a prior line of therapy for purposes of this study. - Patients with a history of CNS metastasis. Note: Patients without clinical signs and symptoms of CNS involvement are not required to have MRI of the brain. Exception: Patients with treated brain metastases who are asymptomatic, who has discontinued corticosteroids, and who have been clinically stable for one month will be eligible for protocol participation. - Prior anti-neoplastic treatment with any HSP90 or HDAC inhibitor compound. - Patients must not have received: • any systemic anti-cancer treatment or radiotherapy within 4 weeks prior to first dose of study treatment and should have recovered to baseline or less than Grade 1 from toxicities of such therapy prior to the first dose of study treatment • 2 weeks for palliative radiotherapy to bones, 6 weeks for nitrosoureas and mitomycin • 4 weeks for monoclonal antibodies • ≤5 half-life of the agent or active metabolities [if any] for continuous systemic anticancer treatment or investigational targeted agents. - Patients who have undergone any major surgery ≤ 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy. - Patients who do not have either an archival tumor sample available or are unwilling to have a fresh tumor sample collected at baseline. - Unresolved diarrhea ≥ CTCAE grade 2. - Patients who are receiving sodium warfarin (Coumadin®); • Doses of Coumadin® ≤ 2mg/day, with an INR < 1.5, are permitted. - Pregnant or lactating women. - Fertile women of child bearing potential (WCBP) not willing to use double barrier methods of contraception (abstinence, oral contraceptives, intrauterine device or barrier method of contraception in conjunction with spermicidal jelly, or surgically sterile). Male patients whose partners are not willing to use double-barrier methods of contraception. - Patients who have concurrent or uncontrolled illness that the investigator feels will impede study participation. - Patients with cardiac criteria as detailed in the protocol. - Patients with dyspnea ≥ CTCAE grade 2. - Known history of HIV infection (Testing during screening is not mandatory). - Patients with known disorders due to a deficiency in bilirubin glucuronidation (e.g. Gilbert’s syndrome). - Patients who have been treated with any hematopoietic colony-stimulating growth factors (e.g., G-CSF, GM-CSF) ≤ 2 weeks prior to starting study drug. Erythropoietin or darbepoetin therapy, if initiated before enrollment, may be continued. - Patients with a history of another primary malignancy that is currently clinically significant or currently requires active intervention. - Patients who are unable to comply with the study protocol.
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E.5 End points |
E.5.1 | Primary end point(s) |
Efficacy as assessed by RECIST, to be classified as response (complete or partial), stable disease at 18 weeks, or no clinical benefit (NCB) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 10 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |