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EUCTR2012-005637-36
Alternative entry: NCT01828112

LDK378 versus chemotherapy in ALK rearranged (ALK positive) patients previously treated withchemotherapy (platinum doublet) and crizotinib

Data source: WHO (Imported from 18.04.2024)
Changed: Dec 14, 2023, 1:00 AM
Disease category:

Health conditions (Data source: WHO)

non-small cell lung cancer (NSCLC)
MedDRA version: 17.1Level: PTClassification code 10061873Term: Non-small cell lung cancerSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps);Therapeutic area: Diseases [C] - Cancer [C04]

Interventions (Data source: WHO)


Product Code: LDK378
Pharmaceutical Form: Capsule, hard
Other descriptive name: LDK378
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 150-

Trade Name: Alimta
Product Name: pemetrexed
Pharmaceutical Form: Powder for concentrate for solution for infusion
INN or Proposed INN: pemetrexed
CAS Number: 150399-23-8
Other descriptive name: PEMETREXED DISODIUM
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 100-

Trade Name: Alimta
Product Name: pemetrexed
Pharmaceutical Form: Powder for concentrate for solution for infusion
INN or Proposed INN: pemetrexed
CAS Number: 150399-23-8
Other descriptive name: PEMETREXED DISODIUM
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 500-

Trade Name: Docetaxel-Ratiopharm
Product Name: docetaxel
Pharmaceutical Form: Concentrate for solution for infusion
Other descriptive name: DOCETAXEL
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 20-

Trade Name: Docetaxel-Ratiopharm
Product Name: docetaxel
Pharmaceutical Form: Concentrate for solution for infusion
Other descriptive name: DOCETAXEL
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 80-

Inclusion/Exclusion Criteria (Data source: WHO)

Gender:
Female: yes
Male: yes

Inclusion criteria:
1. Patient has a histologically or cytologically confirmed diagnosis of non-small cell lung
cancer (NSCLC) that is anaplastic lymphoma kinase (ALK) positive as assessed by the Abbott FISH Test.
2. Patient has stage IIIB or IV diagnosis and must have received previous treatment with crizotinib and one regimen of platinum doublet, cytotoxic chemotherapy for the treatment of locally advanced or metastatic NSCLC.
3. Patient has at least one measurable lesion as defined by RECIST 1.1. A previously irradiated site lesion may only be counted as a target lesion if there is clear sign of progression since the
irradiation

Other protocol-defined inclusion criteria may apply
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 126
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 110

Exclusion criteria:
1. Patient with known hypersensitivity to any of the excipients of LDK378 (microcrystalline cellulose, mannitol, crospovidone, colloidal silicon dioxide and magnesium stearate)
2. Patient with a history of severe hypersensitivity reaction to pemetrexed or docetaxel or any knownexcipients of these drugs.
3. Patient with symptomatic central nervous system (CNS) metastases who is neurologically unstable or has required increasing doses of steroids within the 2 weeks prior to screening
to manage CNS symptoms.

Other protocol-defined exclusion criteria may apply

Further information on the trial from WHO database (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=EUCTR2012-005637-36
Further information on trial

Date trial registered

Jul 18, 2013

Incorporation of the first participant

Jul 17, 2013

Recruitment status

Not Recruiting

Academic title (Data source: WHO)

A phase III, multicenter, randomized, open-label study of oral LDK378 versus standard chemotherapy in adult patients with ALK-rearranged (ALK-positive) advanced non-small cell lung cancer who have been treated previously with chemotherapy (platinum doublet) and crizotinib

Type of trial (Data source: WHO)

Interventional clinical trial of medicinal product

Design of the trial (Data source: WHO)

Controlled: yes Randomised: yes Open: yes Single blind: no Double blind: no Parallel group: yes Cross over: yes Other: no If controlled, specify comparator, Other Medicinial Product: yes Placebo: no Other: no Number of treatment arms in the trial: 2

Phase (Data source: WHO)

Human pharmacology (Phase I): noTherapeutic exploratory (Phase II): noTherapeutic confirmatory - (Phase III): yesTherapeutic use (Phase IV): no

Primary end point (Data source: WHO)

Main Objective: To compare the antitumor activity of LDK378 versus reference chemotherapy, as measured by PFS determined by a BIRC;Secondary Objective: Key secondary:
- To compare OS in patients treated with LDK378 versus reference chemotherapy

Other secondary:
- To assess the antitumor activity of LDK378 versusreference chemotherapy, as measured by ORR, DOR, DCR, and TTR determined by BIRC and by investigators
- To assess the antitumor activity of LDK378 versus reference chemotherapy, as measured by PFS determined by investigators
- To evaluate the safety profile of LDK378 versus reference chemotherapy
- To assess the effect of LDK378 versus reference chemotherapy on PROs, including disease related symptoms, functioning, and health-related quality of life
- To characterize the PK of LDK378 in this patient population

;Primary end point(s): progression-free survival (PFS) which is defined as the time from the date of randomization to the date of the first radiologically documented disease progression or death due to any
cause.;Timepoint(s) of evaluation of this end point: Month 18

Secundary end point (Data source: WHO)

Secondary end point(s): Key secondary:
Overall Survival (OS) defined as time from date of randomization to date of death due to any
cause

Other secondary:
- Overall Response Rate (ORR) defined as the proportion of patients with a best overall response
- Duration of Response (DOR) defined as the time from date of first documented CR or PR to date of first documented disease progression or death due to underlying cancer defined as complete response (CR) or partial response (PR); (CR+PR)
- Disease Control Rate (DCR) defined as the proportion of patients with best overall response of CR, PR, or stable disease (SD)
- Time to Response (TTR) defined as the time from date of randomization to date of first
documented response (CR or PR)

Other secondary endpoints as per full protocol may apply;Timepoint(s) of evaluation of this end point: For key secondary:
Month 18

For other secondary:
Month 18

Contact information (Data source: WHO)

Novartis Pharma Services AG

Trial results (Data source: WHO)

Results summary

A phase III, multicenter, randomized, open-label study of oral LDK378 versus standard chemotherapy in adult patients with ALK-rearranged (ALK-positive) advanced non-small cell lung cancer who have been treated previously with chemotherapy (platinum doublet) and crizotinib

Link to the results in the primary register

no information available yet

Information on the availability of individual participant data

no information available yet

Trial sites

Countries (Data source: WHO)

Argentina, Australia, Austria, Belgium, Brazil, Canada, Colombia, Democratic People's Republic of, France, Germany, Hong Kong, India, Ireland, Israel, Italy, Japan, Korea, Netherlands, New Zealand, Norway, Peru, Portugal, Singapore, Spain, Sweden, Switzerland, Taiwan, Turkey, United Kingdom, United States

Contact for further information on the trial

Contact for general information (Data source: WHO)

Information&communication m?dicales
2 et 4 rue Lionel Terray
Novartis Pharma S.A.S.
+33.1.55.47.66.00
icm.phfr@novartis.com

Contact for scientific information (Data source: WHO)

Information&communication m?dicales
2 et 4 rue Lionel Terray
Novartis Pharma S.A.S.
+33.1.55.47.66.00
icm.phfr@novartis.com

Further trial identification numbers

Secondary ID (Data source: WHO)

Alternative entry: NCT01828112
CLDK378A2303
2012-005637-36-DE
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