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Phase II Study of AUY922 in NSCLC Patients With Exon 20 Insertion Mutations in EGFR


Phase 2
18 Years
N/A
Not Enrolling
Both
Non Small Cell Lung Cancer

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Trial Information

Phase II Study of AUY922 in NSCLC Patients With Exon 20 Insertion Mutations in EGFR


Interested patients will be asked to undergo some screening tests and procedures to confirm
that they are eligible. Many of these tests and procedures are likely to be part of regular
cancer care and may be done even if it turns out that patients do not take part in the
research study. If patients have had some of these tests or procedures recently, they may or
may not have to be repeated. These tests and procedures include: a medical history physical
exam, performance status, assessment of tumor, EKG, electrocardiogram or multigated
acquisition scan, eye exam, blood draw, blood pregnancy test, urine test and collection of a
piece of the stored tumor tissue.

The study treatment is given in 21 day cycles. AUY922 is given by IV (into a vein). This is
called an infusion. Patients will receive an infusion of AUY922 on days 1, 8 and 15 of each
cycle (once per week). The infusion will take about 60 minutes.

A schedule of clinic visits for the study is summarized below.

Cycle 1, Day 1: physical exam, including measurement of vital signs and weight; performance
status; EKG; blood draw; routine urine test Cycle 1, Day 2: EKG Cycle 1, Day 3: EKG Cycle 1,
Day 8: Vital signs, performance status, EKG, questions about side effects and other
medications taken Cycle 1, Day 15: Physical exam, including measurement of vital signs,
performance status; EKG; blood draw; questions about side effects and other medications
taken Note that in Cycle 1 patients will need to stay at (or return to) the clinic for the
last EKG following the Day 1 AUY922 infusion, and come to the clinic on Days 2 and 3 for
EKGs.

Cycle 2 and beyond, Day 1: physical exam, including measurement of vital signs and weight;
performance status; EKG; blood draw; questions about side effects and other medications
taken; routine urine test Cycle 2 and beyond, Day 8: Vital signs; performance status; EKG;
questions about side effects and other medications taken Cycle 2 and beyond, Day 15:
Physical exam, including measurement of vital signs; performance status; EKG; blood draw;
questions about side effects and other medications taken.

Additional EKGs may be done at any time if the study doctor thinks it is necessary. A blood
test to measure the amount of cardiac enzymes in the blood may be done whenever abnormal
findings are suspected or seen on the EKG.

Additional tests and procedures:

- CT or MRI scans will be done to measure the disease about every 6 weeks.

- A blood pregnancy test, for women who can become pregnant, will be performed every 6
weeks or at any point in which pregnancy is suspected.

- A standard eye exam will be done on Cycle 3, Day 1. Additional eye exams will be done
if patients experience any eye-related symptoms, such as changes in vision.

Within 1 week after the last dose of the study drug AUY922, patients will be asked to return
to the clinic. At this visit the following will be done: physical examination, performance
status, EKG, ECHO or MUGA scan, blood draw, urine test, eye exam, questions about side
effects and other medications taken. Patients will be asked to return to the clinic a second
time so investigators can follow-up on any ongoing side effects after stopping AUY922.


Inclusion Criteria:



- Histologically or cytologically confirmed stage IV or recurrent NSCLC

- Measurable disease by RECIST 1.0

- Must have received at least one prior line of therapy for advanced lung cancer (no
maximum number)

- Life expectancy of at least 12 weeks

Exclusion Criteria:

- Pregnant or breastfeeding

- Radiation within 2 weeks

- Cytotoxic chemotherapy or monoclonal antibodies within 4 weeks

- EGFR tyrosine kinase inhibitor within 2 weeks

- Other small molecule inhibitor within 2 weeks

- Experimental treatment within 30 days

- Prior treatment with any HSP90 or HDAC inhibitor compound

- Known and untreated brain metastases

- History of allergic reactions attributed to compounds of similar chemical or biologic
composition to AUY922

- Unresolved diarrhea greater than or equal to CTCAE version 4, grade 1

- Major surgery within 2 weeks of starting study drug or have not recovered from side
effects of surgery

- Known disorders due to a deficiency in bilirubin glucuronidation

- Requiring use of therapeutic doses of warfarin (Coumadin)

- History of long QT syndrome

- History of clinically manifest ischemic heart disease, heart failure or left
ventricular dysfunction

- Clinically significant ECG abnormalities

- Other clinically significant heart disease

- Currently receiving treatment with any medication which has a relative risk of
prolonging the QTc interval or inducing Torsades de Pointes

- On a cardiac pacemaker

- Concurrent malignancies or invasive cancers diagnosed within 3 years except for
adequately treated basal cell cancer of the skin or in situ cancer of the cervix

- Known to be HIV positive

Type of Study:

Interventional

Study Design:

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Overall Response Rate to AUY922

Outcome Description:

To evaluate the overall response rate to AUY922 in patients with advanced NSCLC exon 20 insertion mutations in EGFR

Outcome Time Frame:

2 years

Safety Issue:

No

Principal Investigator

Lecia Sequist, MD, MPH

Investigator Role:

Principal Investigator

Investigator Affiliation:

Massachusetts General Hospital

Authority:

United States: Food and Drug Administration

Study ID:

12-484

NCT ID:

NCT01854034

Start Date:

June 2013

Completion Date:

December 2015

Related Keywords:

  • Non Small Cell Lung Cancer
  • Advanced disease
  • EGFR mutation
  • Carcinoma, Non-Small-Cell Lung
  • Lung Neoplasms

Name

Location

Beth Israel Deaconess Medical Center Boston, Massachusetts  02215
Dana-Farber Cancer Institute Boston, Massachusetts  02115
Brigham and Women's Hospital Boston, Massachusetts  02115
Massachusetts General Hospital Boston, Massachusetts  02114-2617