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CompletedNCT00364780Updated May 13, 2022

Study of XL647 in Subjects With Non-Small-Cell Lung Cancer

A Phase 2 interventional study of XL647 in Non-small-cell Lung Cancer, sponsored by Kadmon Corporation, LLC. Completed at 7 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-13.

Sponsored by Kadmon Corporation, LLC · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
55
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this phase II study is to determine the safety, tolerability, and activity of XL647 in previously untreated subjects with non-small cell lung cancer (NSCLC). XL647 is a small molecule that potently inhibits multiple receptor kinases, including EGFR, VEGFR2 (KDR), ErbB2, and EphB4. Sensitivity to EGFR inhibitors has been linked to specific EGFR mutations and associated with certain clinical characteristics in patients with NSCLC (eg, female, minimal and remote smoking history, and adenocarcinoma histology).

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Conditions studied

  • Non-small-cell Lung Cancer
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In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 55 is close to the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Kadmon Corporation, LLC is the lead sponsor of 20 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject has NSCLC with a histologically confirmed diagnosis of adenocarcinoma with measurable disease (stage IIIB, with malignant pleural effusion, and stage IV) and either has a demonstrated activating mutation of the EGF receptor in tumor tissue or meets one of three criteria: asian, female, and minimal or no smoking history.
  • Measurable disease defined according to RECIST
  • ECOG performance status of 0 or 1
  • Normal organ and marrow function
  • No other malignancies within 5 years, except for non-melanoma skin cancer

Exclusion criteria

Exclusion Criteria:

  • Radiation to ≥25% of bone marrow within 30 days of XL647 treatment
  • Prior systemic anticancer therapy, including cytotoxic chemotherapy, anti-VEGF, anti-VEGFR, or anti-EGFR agents or investigational drug
  • Subject has not recovered to ≤ grade 1 or to within 10% of baseline values from adverse events due to other medications administered > 30 days before study enrollment
  • Receiving anticoagulation therapy with warfarin (low-dose warfarin \< 1 mg/day, heparin and low molecular weight heparins are permitted)
  • The subject meets any of the following cardiac criteria:

    • Corrected QT interval (QTc) of > 460 msec
    • Family history of congenital long QT syndrome or unexplained sudden death
    • History of sustained ventricular arrhythmias
    • Has a finding of left bundle branch block
    • Has an obligate pacemaker
    • Has important bradycardia defined as a heart rate of \< 50 bpm due to sinus node dysfunction
    • Has uncontrolled hypertension
    • Has symptomatic congestive heart failure, unstable angina, or a myocardial infarction within the past 3 months
    • Has a serum potassium or serum magnesium level that falls outside the normal range
  • The subject has progressive symptomatic or hemorrhagic brain or leptomeningeal metastases
  • Uncontrolled intercurrent illness
  • Subject is pregnant or breastfeeding
  • Known HIV
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
55 participants (actual)

Study arms

  • Experimental
    1

    Patients received XL647 at an intermittent dosing schedule receiving drug for 5 days followed by 9 days without drug.

    Drug: XL647

  • Experimental
    2

    Patients received drug at a daily dosing schedule

    Drug: XL647

Interventions

  • DrugXL647

    XL647 will be administered orally as a single agent. XL647 will be supplied as 50 mg tablets. Subjects in the Intermittent 5 \& 9 cohort will receive XL647 at a dose of 350 mg on a 5 days on and 9 days off cycle every 2 weeks for 8 weeks. Subjects in the Daily Dosing cohort will receive XL647 administered daily as a single oral dose of 300 mg. In the absence of progressive disease (PD) and unacceptable XL647-related toxicity, subjects may continue to receive XL647 treatment on their assigned dosing schedule for up to 1 year on this study. Subjects who reach 1 year of treatment with no evidence of disease progression may, with the concurrence of the investigator and the sponsor, continue to receive therapy.

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What researchers measure

Primary outcomes

  1. Response rate

    Time frame: Inclusion until disease progression

  2. Safety and tolerability

    Time frame: Inclusion until 30 days post last treatment

Secondary outcomes

  1. Progression-free survival

    Time frame: Inclusion until disease progression or death

  2. Duration of response

    Time frame: Inclusion until disease progression

  3. Overall survival

    Time frame: Inclusion until 180-Day Follow-up post last treatment

  4. Pharmacokinetic and pharmacodynamic parameters

    Time frame: At various time points from pre-dosing until post dosing

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Study locations

7 sites
  • Hematology Oncology Associates of the Treasure Coast
    Port Saint Lucie, Florida 34952, United States
  • University of Chicago
    Chicago, Illinois 60637, United States
  • Carle Cancer Center
    Urbana, Illinois 61801, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Wayne University, Wertz Clinical Cancer Center, Karmanos Center
    Detroit, Michigan 48201, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10021, United States
  • Case Western Reserve University, University Hospitals of Cleveland
    Cleveland, Ohio 44106, United States
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References and documents

Publications

  • Pietanza MC, Gadgeel SM, Dowlati A, Lynch TJ, Salgia R, Rowland KM Jr, Wertheim MS, Price KA, Riely GJ, Azzoli CG, Miller VA, Krug LM, Kris MG, Beumer JH, Tonda M, Mitchell B, Rizvi NA. Phase II study of the multitargeted tyrosine kinase inhibitor XL647 in patients with non-small-cell lung cancer. J Thorac Oncol. 2012 May;7(5):856-65. doi: 10.1097/JTO.0b013e31824c943f. PubMed 22722787 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 13, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00364780
Lead sponsor
Kadmon Corporation, LLC
Responsible party
Sponsor
First posted
Aug 16, 2006
Start date
Jul 2006
Primary completion
May 2010
Completion
Aug 2010
Last update
May 13, 2022

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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