Clinical trial

A Phase I Dose Finding Study of Oral LXH254 in Adult Patients With Advanced Solid Tumors Harboring MAPK Pathway Alterations

Name
CLXH254X2101
Description
A Phase I Study of LXH254 in Patients With Advanced Solid Tumors That Harbor MAPK Pathway Alterations.
Trial arms
Trial start
2016-01-18
Estimated PCD
2022-02-18
Trial end
2022-02-19
Status
Terminated
Phase
Early phase I
Treatment
LXH254
pan-RAF inhibitor
Arms:
Dose escalation LXH254, Dose escalation LXH254 + PDR001, Dose expansion LXH254: Group 1, Dose expansion LXH254: Group 2, Dose expansion LXH254: Group 3, Dose expansion: LXH254 + PDR001
PDR001
Biological: PDR001 anti-PD1 antibody
Arms:
Dose escalation LXH254 + PDR001, Dose expansion: LXH254 + PDR001
Size
142
Primary endpoint
Safety and tolerability as assessed by incidence and severity of adverse events (AEs), dose interruptions, reductions, and dose intensity.
From Cycle 1 Day 1 until 30 days for LXH254 single agent and 150 days for LXH254 in combination with PDR001 post study treatment (expected duration approximately 12 months)
Incidence and nature of dose limiting toxicities (DLTs) (dose escalation and LXH254 single agent only)
28 days
Incidence and nature of dose limiting toxicities (DLTs) (dose escalation and LXH254 in combination with PDR001 only)
56 days
Eligibility criteria
Inclusion Criteria: * All patients participating in this clinical trial must have progressed following standard therapy, or for whom, in the opinion of the Investigator, no effective standard therapy exists, is tolerated or appropriate. * Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 * Presence of at least one measurable lesion according to RECIST v1.1. * Documented MAPK alteration Additional inclusion criteria for the Dose Expansion part: LXH254 in combination with PDR001: * Patients with confirmed KRAS-mutated NSCLC * Patients with confirmed NRAS-mutated melanoma (cutaneous melanoma only) Exclusion Criteria: - Prior treatment with a BRAFi, MEKi and/or pan-RAF inihibitors for patients to be enrolled in the dose expansion part. Exceptions may be made after documented agreement between Novartis and Investigator. * History or current evidence of retinal vein occlusion (RVO) or current risk factors for RVO. * Any medical condition that would, in the investigator's judgment, prevent the patient's participation in the clinical study due to safety concerns or compliance with clinical study procedures. * Patients receiving proton pump inhibitors which cannot be discontinued 3 days prior to the start study treatment and for the duration of the study. * Pregnant or nursing (lactating) women Additional exclusion criteria for LXH254 in combination with PDR001 * History of severe hypersensitivity reactions, which in the opinion of the investigator may cause in increased risk of serious infusion reaction. * Known human immunodeficiency virus (HIV). * Any positive test for hepatitis B virus or hepatitis C virus indicating acute or chronic infection. * Active, known or suspected autoimmune disease. * Active infection requiring systemic antibiotic therapy * Patients requiring systemic steroid therapy or any immunosuppressive therapy (≥10mg/day prednisone or equivalent) which cannot be discontinued at least 7 days prior to first dose of study treatment. * Use of any live vaccines against infectious diseases within 4 weeks of initiation of study treatment. Other inclusion/exclusion criteria as per protocol may apply.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 142, 'type': 'ACTUAL'}}
Updated at
2022-12-21

1 organization

2 products

4 indications

Product
PDR001
Indication
NSCLC
Indication
Ovarian Cancer
Indication
Melanoma
Indication
Solid Tumors
Product
LXH254