To determine the optimal dose and schedule of Fusilev to prevent or reduce Folotyn-related Grade 3 or higher oral mucositis in patients with Non-Small Cell Lung Cancer.
This is an open-label, uncontrolled, nonrandomized, multicenter, dose-finding, single-arm, Phase 1 study primarily to determine the optimal dose and schedule of Fusilev to prevent or reduce Folotyn-related Grade 3 or higher oral mucositis.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
A cycle of Folotyn treatment is 28 days, with treatment on Days 1 and 15 in each cycle.
Fusilev will be administered either four times a day (QID) (6 hours apart, ±10 minutes), twice a day (BID) (8 hours apart, ±10 minutes) or once a day (QD) by IV push (3-5 minutes) at a dose of 5 mg/m2 according to the cohort to which patients are assigned.
Optimal dose and Schedule of Fusilev to prevent or reduce Oral Mucositis
The study period will begin on the first day of Folotyn treatment (Day 1). Folotyn will be administered intravenously (IV) at a dose of 190 mg/m2 on Days 1 and 15 in a 28-day treatment cycle. Twenty-four hours after the Folotyn dose, Fusilev will be administered either four times a day (QID) (6 hours apart, ±10 minutes), twice a day (BID) (8 hours apart, ±10 minutes) or once a day (QD) by IV push (3-5 minutes) at a dose of 5 mg/m2 according to the cohort to which patients are assigned. Within a given cohort, Fusilev will be administered at the same dose and schedule after each Folotyn dose for the duration of the study.
Time frame: Up to 8 weeks
Impact of Fusilev on the number of Folotyn-related dose modifications secondary to oral mucositis
Analysis will involve the number, percent and type of Folotyn dose modification as a function of Fusilev dose.
Time frame: Up to 8 weeks
Impact of Fusilev on the frequency of Oral Mucositis
Distribution of the number of cases of oral mucositis will be described by cohort and by degree of mucositis.
Time frame: Up to 8 weeks
Impact of Fusilev on use of Analgesics for Oral Mucositis
Oral mucositis assessment form will be provided by the sponsor and is to be completed during treatment visits on day 1 \& 15, days 4 \&18, end of treatment visits. Patients will complete an Oral Mucositis Daily Questionnaire (OMDQ) starting at Day 1 of Cycle 1 and ending at the End of Treatment visit. Oral mucositis assessment will be assessed in the clinic by the investigator, or designee, and graded according to AE severity as established in the NCI CTCAE scale, Version 4.0.
Time frame: Up to 8 weeks
Impact of Fusilev on number of Folotyn doses delivered
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
All treatment-emergent AEs will be managed per the investigator's judgment or the site's clinical standard of care. Folotyn decrease dose modifications will be made based on Hematologic Adverse Events (absolute neutrophil count) and Non- Hematologic Adverse events (CTCAE v.4) excluding nausea/vomiting for dose adjustments
Time frame: Up to 8 weeks