This is a multi-center open-label proof-of-concept study consisting of two parts: PART A - a phase I dose-finding study (3 + 3 classical design) evaluating the RP2D of afatinib in combination with selumetinib in KRASm NSCLC; and PART B - a randomized phase II study investigating the progression free survival and safety of selumetinib/afatinib combination therapy compared to standard of care chemotherapy in KRASm NSCLC.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
320
UMC St. Radboud Nijmegen
Nijmegen, Gelderland, Netherlands
RECRUITINGNetherlands Cancer Institute - Antoni van Leeuwenhoek Hospital
Amsterdam, Netherlands
RECRUITINGDose Limiting Toxicities (Phase I)
Incidence of DLTs in the first treatment cycle
Time frame: Cycle 1 (4 weeks)
Progression Free Survival (Phase II)
PFS measured by RECIST v 1.1
Time frame: CT scan every 6 weeks and monthly phone call until start of subsequent anticancer therapy or until all patients have been followed up for at least 18 months of have been lost to follow up, whichever occurs first
Tolerability (Incidence and severity of adverse events per CTCAE v4.03)
Incidence and severity of adverse events per CTCAE v4.03
Time frame: Up to 28 days after last study drug intake
Plasma concentrations of afatanib and selumetinib
Plasma concentrations of afatanib and selumetinib will be measured at day 1,2,4,8,15, 22 in cycle 1, on day 1 and 2 in cycle 2 and subsequently before every treatment cycle to determine pharmacokinetics of both substances in combination and interindividual differences after a single dose and after multiple doses.
Time frame: On day 1, 2, 4, 8, 15, 22 in cycle 1, on day 1 and 2 in cycle 2 and subsequently at every treatment cycle pre-dose
Efficacy (Phase II) (Overall response rate (ORR), duration of response (DOR) , time to response (TTR) and overall survival (OS) per RECIST v1.1)
Overall response rate (ORR), duration of response (DOR) , time to response (TTR) and overall survival (OS) per RECIST v1.1
Time frame: Assessed by CT scans every 6 weeks and by monthly phone call until all patients have been followed up for at least 18 months or have been lost to follow up, whichever occurs first.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.