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 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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