The primary purpose of this study was to find the recommended dose of LGK974 as a single agent and in combination with PDR001 that can be safely given to adult patients with selected solid malignancies that had progressed despite standard therapy or for which no effective standard therapy existed.
This open-label multicenter phase 1 dose escalation study was the first to administer LGK974 as a single agent or in combination with PDR001 in humans. The study comprised of 2 parts: a dose escalation of LGK974 as a single agent, followed by a safety expansion in specific disease indications; and a dose escalation of LGK974 in combination with PDR001, followed by a safety expansion in cutaneous melanoma.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
185
UCLA School of Medicine
Los Angeles, California, United States
Sidney Kimmel Comprehensive Cancer Center Johns Hopkins
Baltimore, Maryland, United States
Dana Farber Cancer Institute SC-7
Boston, Massachusetts, United States
University of Michigan Comprehensive Cancer Center Onc Dept.
Ann Arbor, Michigan, United States
Karmanos Cancer Institute Wayne St
Detroit, Michigan, United States
University of Texas/MD Anderson Cancer Center MD Anderson 2
Houston, Texas, United States
Novartis Investigative Site
Montreal, Quebec, Canada
Novartis Investigative Site
Villejuif, France
Novartis Investigative Site
Essen, Germany
Novartis Investigative Site
Milan, MI, Italy
...and 10 more locations
Incidence of dose limiting toxicities (DLTs) during the first cycle of LGK974 treatment and during the first 2 cycles of LGK974 in combination with PDR001
DLT is defined as an adverse event or abnormal laboratory value that is assessed by the investigator as unrelated to disease, disease progression, intercurrent illness, or concomitant medications and that meets the criteria defined in the study protocol. The objective was to determine the Maximum Tolerated Dose (MTD) or Recommended Dose for Expansion (RDE) of LGK974 as a single agent and in combination with PDR001 when administered orally to adult patients with malignancies dependent on Wnt ligands.
Time frame: 28 days (LGK974 single agent) and 56 days (LGK974 in combination with PDR001)
Type and category of study drug related adverse events (AE)
The incidence of treatment-emergent adverse events (new or worsening from baseline) will be summarized by primary system organ class, severity based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03, type of AE, relationship to study drug by dose group.
Time frame: 61 months
Absorption and plasma concentrations of LGK974
Evaluate pharmacokinetic (PK) parameters such as AUClast, AUCtau, Cmax, the apparent elimination T1/2 and Racc for LGK974 and its pharmacologically metabolite.
Time frame: 61 months
PD related to the Wnt pathway
Assessing percent change from baseline to post-treatment of PD related to the Wnt pathway.
Time frame: 61 months
Overall response rate of tumor
Patients with an Overall Response Rate(ORR), complete response (CR) or partial response (PR) rate and duration of response (DOR) assessed by RECIST 1.1 for single agent LGK974 and by RECIST1.1 and irRC for LGK974+PDR001.
Time frame: 61 months
Absorportion and plasma concentrations of PDR001
Evaluate pharmacokinetic (PK) parameters such as AUClast, AUCtau, Cmax, the apparent elimination T1/2 and Racc for LGK974, its pharmacologically metabolite and PDR001.
Time frame: 61 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.