The purpose of this study is to determine if Itacitinib in combination with erlotinib is safe and effective in the treatment of nonsquamous non-small cell lung cancer (NSCLC) that is Stage IIIB/Stage IV or recurrent whose tumors have EGFR activating mutations.
The study consists of an open-label, safety run-in to confirm the safety of Itacitinibin combination with erlotinib in subjects with nonsquamous non-small cell lung cancer (NSCLC) that is Stage IIIB, Stage IV, or recurrent whose tumors have EGFR activating mutations. Subjects in the safety run-in will receive open-label Itacitinib and erlotinib. In the second part of the study, subjects will be enrolled and randomized to receive erlotinib (open-label) and either Itacitinib or placebo in a blinded manner. The dose of Itacitinib administered will be determined from the data produced in the safety run-in phase. Treatment will consist of repeating 21-day cycles. Subjects will take erlotinib tablets daily and Itacitinib/placebo will be self-administered daily during the entire cycle.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
tablets to be administered by mouth once daily at dose selected from safety run-in phase
150 mg tablets administered by mouth once daily at total daily dose of 150 mg
matching placebo tablets to be administered by mouth at dose selected from safety run-in phase
Unnamed facility
Ogden, Utah, United States
Part 1: Determination of the dose of itacitinib that is safe and tolerable in combination with erlotinib as measured by the number of dose-limiting toxicities (DLTs) observed in the evaluation cohort.
Subjects will take erlotinib daily and begin dosing with itacitinib once daily (QD) on Cycle 1, Day 1. The safety and tolerability of the regimen will be assessed during the first 21 days of therapy
Time frame: Baseline through Day 21
Part 2: Overall Survival (OS)
Time frame: Randomization until death. Approximately 31 months.
Part 2: Progression-free survival (PFS)
PFS is defined as the time from randomization until the earliest date of disease progression determined by investigator assessment of objective radiographic disease assessments per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause if sooner.
Time frame: Randomization to disease progression, or death due to any cause if sooner. Approximately 23 months.
Part 2: Objective Response
Objective response determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment
Time frame: Baseline through end of study. Approximately 31 months.
Part 2: Duration of Response
Duration of response determined by radiographic disease assessments per RECIST (v1.1), by investigator assessment Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Time frame: Baseline through end of study. Approximately 31 months.
Part 2: Safety and tolerability of the treatment regimens assessed by a summary of adverse events and clinical laboratory assessments.
Time frame: Baseline through approximately 30 days post treatment discontinuation. Assessed after approximately 31 months.
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