The purpose of this study is to evaluate the safety and efficacy of entinostat in combination with erlotinib in the treatment of Advanced Non-Small Cell Lung Cancer (NSCLC).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
141
Entinostat tablets on Days 1 and 15 of a 28-day cycle.
Placebo-matching entinostat tablets on Days 1 and 15 of a 28-day cycle.
Erlotinib 150 mg tablets once daily.
Identification of Safe-dose for the Phase 2 Double-blind Phase in the Lead-in Phase
Safe recommended Phase 2 dose was determined based on dose-limiting toxicities (DLT) in Cycle 1. A DLT was defined as any of the following occurring in Cycle 1: Grade 3 or greater nonhematologic toxicity that was considered related to either entinostat or erlotinib or a Grade 4 hematologic toxicity lasting more than 7 days and/or resulting in a dose delay. Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale was used where Grade 1=mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=life-threatening and 5=death. The dose that was found to be safe is reported.
Time frame: Cycle 1 of Lead-in Phase
4-Month Progression-free Survival (PFS) Rate in the Double-blind Phase
PFS rate at 4 months was defined as the percentage of participants who are progression-free at 4 months.
Time frame: Month 4
Objective Response Rate (ORR) in the Double-blind Phase
ORR was defined as the percentage of participants who had confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) as assessed by the investigator. CR=disappearance of all target lesions; disappearance of non-target lesions and normalization of tumor marker level. PR=At least a 30% decrease in the sum of the longest diameter of target lesions, taking at reference the baseline sum longest diameter.
Time frame: Month 6
6-Month PFS Rate in the Double-blind Phase
PFS rate at 6 months is defined as the percentage of participants who are progression-free at 6 months.
Time frame: Month 6
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) by Severity in the Double-blind Phase
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HOPE (Hematology Oncology Physicians & Extenders)
Tucson, Arizona, United States
Rocky Mountain Cancer Center
Denver, Colorado, United States
Advanced Medical Specialties
Miami, Florida, United States
Ocala Oncology Center
Ocala, Florida, United States
Cancer Centers of Florida
Ocoee, Florida, United States
Hematology Oncology Associates of Illinois
Chicago, Illinois, United States
Central Indiana Cancer Centers
Indianapolis, Indiana, United States
Kansas City Cancer Centers
Overland Park, Kansas, United States
Alliance Hematology Oncology
Westminster, Maryland, United States
St Joseph Oncology
Saint Joseph, Missouri, United States
...and 20 more locations
An AE is defined as any untoward medical occurrence in a patient or clinical investigation patient administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. Worsening of a pre-existing medical condition was considered an AE if there was either an increase in severity, frequency, or duration of the condition or an association with significantly worse outcomes. A TEAE is an AE that starts after the administration of study drug. A SAE is any AE that is fatal, life threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth effect or other significant medical hazard. TEAE severity was graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale where Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=Life-threatening and 5=Death.
Time frame: First dose of study drug to within 30 days past last dose (Up to 7 months)
Number of Participants With Grade 3 or 4 Laboratory Variables in the Double-blind Phase
Laboratory tests included tests of Hematology and Chemistry. The individual laboratory values were graded by the investigator using the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 scale where Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, medically significant, Grade 4=Life-threatening and 5=Death.
Time frame: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Vital Sign Values: Systolic Blood Pressure in the Double-blind Phase
Time frame: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Vital Sign Values: Diastolic Blood Pressure in the Double-blind Phase
Time frame: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Vital Sign Values: Heart Rate in the Double-blind Phase
Time frame: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Vital Sign Values: Respiration Rate in the Double-blind Phase
Time frame: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Vital Sign Values: Temperature in the Double-blind Phase
Time frame: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Vital Sign Values: Weight in the Double-blind Phase
Time frame: Day 1 and 15 of each cycle to safety follow-up 30 days past last dose (up to 7 months)
Cmax: Maximum Plasma Concentration of Entinostat in the Lead-in Phase
Time frame: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose
Tmax: Time to Cmax of Entinostat in the Lead-in Phase
Time frame: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose
AUC(0-24): Area Under the Concentration-time Curve From Time 0 to 24 Hours in the Lead-in Phase
Time frame: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose
AUC(0-last): Area Under the Concentration-time Curve From Time 0 to Last Quantifiable Concentration in the Lead-in Phase
Time frame: Day 1 predose and 0.5, 1, 2, 4 and 6 hours after dose; Days 2 and 8 predose (entinostat alone); Day 15 predose and 0.5, 1, 2, 4, 6 and 24 hours after dose