Entrectinib (RXDX-101) is an orally available inhibitor of the tyrosine kinases TrkA (coded by the gene NTRK1), TrkB (coded by the gene NTRK2), TrkC (coded by the gene NTRK3), ROS1 (coded by the gene ROS1), and ALK (coded by the gene ALK). Molecular alterations to one or more of these targets are present in several different tumor types, including non-small cell lung cancer (NSCLC), colorectal cancer (CRC), prostate cancer, papillary thyroid cancer, pancreatic cancer, and neuroblastoma. Patients with locally advanced or metastatic cancer with a detectable molecular alteration in targets of interest may be eligible for enrollment. Phase 1 will assess safety and tolerability of entrectinib via standard dose escalation scheme and determine the recommended Phase 2 dose. Safety and efficacy will be assessed in the dose expansion portion of the study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
84
UC Irvine Medical Center
Orange, California, United States
University of California, San Francisco, Helen Diller Family Comprehensive Cancer Center
San Francisco, California, United States
University Of Colorado
Aurora, Colorado, United States
Georgetown University Medical Center
Washington D.C., District of Columbia, United States
Florida Cancer Specialists - Sarasota
Sarasota, Florida, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Tennessee Oncology
Nashville, Tennessee, United States
University of Texas M.D. Anderson Cancer Center
Houston, Texas, United States
Samsung Medical Center
Seoul, South Korea
Dose-Limiting Toxicity (DLT)
Determine dose-limiting toxicities of entrectinib.
Time frame: 28 days following first dose of entrectinib
Maximum Tolerated Dose (MTD)
Determine MTD of entrectinib
Time frame: 28 days following first dose of entrectinib
Recommended Phase 2 Dose (RP2D)
Determine RP2D of entrectinib.
Time frame: Approx. 6 months
Overall Response Rate (ORR) in Dose Expansion
Per RECIST v1.1 as assessed by Investigator.
Time frame: Approx. 2 months
Plasma Concentrations of Entrectinib
Time frame: Cycle 1 Days 1, 7, 14, 28
Disease Control
Per RECIST v1.1 as assessed by Investigator.
Time frame: Approx. 2 years
Duration of Response
Per RECIST v1.1 as assessed by Investigator.
Time frame: Approx. 2 years
Overall Survival (OS)
Time frame: Approx. 2 years
Progression-Free Survival (PFS)
Time frame: Approx. 2 years
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