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Eligibility
for people ages 18 years and up
Location
at San Francisco, California and other locations
Dates
study started
estimated completion:
Principal Investigator

Description

Summary

This is an open-label, multicenter, global Phase 2 basket study of entrectinib (RXDX-101) for the treatment of patients with solid tumors that harbor an NTRK1/2/3, ROS1, or ALK gene fusion. Patients will be assigned to different baskets according to tumor type and gene fusion.

Official Title

An Open-Label, Multicenter, Global Phase 2 Basket Study of Entrectinib for the Treatment of Patients With Locally Advanced or Metastatic Solid Tumors That Harbor NTRK1/2/3, ROS1, or ALK Gene Rearrangements

Keywords

Breast Cancer Cholangiocarcinoma Colorectal Cancer Head and Neck Neoplasms Lymphoma, Large-Cell, Anaplastic Melanoma Neuroendocrine Tumors Non-Small Cell Lung Cancer Ovarian Cancer Pancreatic Cancer Papillary Thyroid Cancer Primary Brain Tumors Renal Cell Carcinoma Sarcomas Salivary Gland Cancers Adult Solid Tumor Entrectinib RXDX-101 TrkA TrkB TrkC NTRK1 NTRK2 NTRK3 ROS1 ALK Trk Fusions NTRK Gene Rearrangements ROS1 Fusions ROS1 Gene Rearrangements ALK Fusions ALK Gene Rearrangements Basket study Renal cell cancer Head & Neck cancers Anaplastic Large Cell Lymphoma

Eligibility

You can join if…

Open to people ages 18 years and up

  • Histologically- or cytologically-confirmed diagnosis of locally advanced or metastatic solid tumor that harbors an NTRK1/2/3, ROS1, or ALK gene rearrangement
  • Note: Patients diagnosed with anaplastic large cell lymphoma (ALCL) harboring a gene rearrangement of interest may be eligible provided they meet all other inclusion/

You CAN'T join if...

  • For patients enrolled via local molecular testing, an archival or fresh tumor tissue(unless medically contraindicated) is required to be submitted for independent central molecular testing at Ignyta's CLIA laboratory post-enrollment
  • Measurable or evaluable disease
  • Patients with CNS involvement, including leptomeningeal carcinomatosis, which is either asymptomatic or previously-treated and controlled, are allowed
  • Prior anticancer therapy is allowed (excluding approved or investigational Trk, ROS1,or ALK inhibitors in patients who have tumors that harbor those respective gene rearrangements)
  • Note: prior treatment with crizotinib is permitted only in ALK- or ROS1-rearranged NSCLC patients presenting with CNS-only progression. Other ALK inhibitors are prohibited.
  • At least 2 weeks or 5 half-lives, whichever is shorter, must have elapsed after prior chemotherapy or small molecule targeted therapy
  • At least 4 weeks must have elapsed since completion of antibody-directed therapy
  • Prior radiotherapy is allowed if more than 14 days have elapsed since the end of treatment
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 and minimum life expectancy of 4 weeks
  • Adequate organ function as defined per protocol
  • Ability to swallow entrectinib intact
  • Other protocol specified criteria

Exclusion Criteria:

  • Current participation in another therapeutic clinical trial
  • Prior treatment with approved or investigational Trk, ROS1, or ALK inhibitors in patients who have tumors that harbor those respective gene rearrangements
  • Note: prior treatment with crizotinib is permitted only in ALK- or ROS1-rearranged NSCLC patients presenting with CNS-only progression. Other ALK inhibitors are prohibited.
  • History of other previous cancer that would interfere with the determination of safety or efficacy
  • Incomplete recovery from any surgery
  • History of non-pharmacologically induced prolonged QTc interval
  • History of additional risk factors for torsade de pointes
  • Peripheral neuropathy Grade ≥ 2
  • Known active infections
  • Active gastrointestinal disease or other malabsorption syndromes
  • Known interstitial lung disease, interstitial fibrosis, or history of tyrosine kinase inhibitor-induced pneumonitis
  • Other protocol specified criteria

Locations

  • St. Joseph Heritage Healthcare accepting new patients
    Santa Rosa, California, 95403, USA
  • City of Hope Cancer Center accepting new patients
    Duarte, California, 91010, USA
  • Scripps Clinic Medical Group accepting new patients
    La Jolla, California, 92037, USA
  • University of California San Diego Moores Cancer Center accepting new patients
    La Jolla, California, 92093, USA
  • University of Southern California - Keck School of Medicine accepting new patients
    Los Angeles, California, 90032, USA
  • University of California, Irvine College of Medicine accepting new patients
    Orange, California, 92868, USA
  • Southern California Kaiser Permanente - All So. California Locations accepting new patients
    Panorama City, California, 91402, USA
  • Sarcoma Oncology Research Center LLC accepting new patients
    Santa Monica, California, 90403, USA

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Ignyta, Inc.
ID
NCT02568267
Phase
Phase 2
Lead Scientist
Collin Blakely
Study Type
Interventional
Last Updated
April 2017
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