A Phase 2 interventional study of Erlotinib and AZD6244 in Lung Cancer, sponsored by M.D. Anderson Cancer Center. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-01-12.
Sponsored by M.D. Anderson Cancer Center · Phase 2, Interventional, and Treatment
Different people have different biomarkers (chemical "markers" in the blood that may be related to your reaction to study drugs). If researchers know about your biomarkers before you receive treatment, they may be able to prescribe a treatment that is better suited to your body's specific needs.
The goal of this clinical research study is to learn if drug or drug combinations based on your biomarkers can help to control NSCLC. The safety of these drug combinations will also be studied.
The Study Drugs:
Erlotinib hydrochloride, MK-2206, AZD6244, and Sorafenib are targeted therapies. Targeted therapy is a type of drug that blocks the growth of cancer cells by interfering with specific targeted molecules needed for tumor growth, rather than by simply interfering with rapidly dividing cells (for example with traditional chemotherapy).
Study Groups:
If you are found to be eligible to take part in this study, you will be assigned to 1 of 4 groups:
The group you are in will be assigned by a computer. The results of your screening tests will be used to determine (and may limit) which of the 4 groups you may be eligible to be assigned to. Your likelihood of being in any 1 group over another may also be affected by how well that treatment has done in earlier study participants. Your study doctor will tell you which group you have been assigned.
Study Drug Administration:
Each cycle is 28 days.
If you will take erlotinib hydrochloride (Groups 1 and 2), you should take the tablets in the morning. You should take the drug 1 hour before or 2 hours after a meal, with no more than 7 ounces of water. If you forget to take a dose, the last missed dose should be taken as soon as you remember, as long as it is at least 12 hours before the next dose. The next day, you should take the scheduled dose at the usual time. You should try not to vomit for at least 30 minutes after taking the drug. If you feel nauseated before or after taking the erlotinib, you should take an anti-nausea drug. You may take an extra dose of erlotinib if you vomit within 30 minutes after taking the tablet.
If you are in Group 2, you should take MK-2206 at about the same time each week with about 1 cup (8 ounces) of water. You must take MK-2206 at least 2 hours before or at least 2 hours after any food or a meal. You should not make up any missed doses.
If you are in Group 3, you should take MK-2206 at about the same time each week with about 1 cup (8 ounces) of water. You must take MK-2206 at least 2 hours before or at least 2 hours after eating. You should not make up any missed doses.
If you will take AZD6244 (Group 3), you should take the study drug in the morning before you eat or drink anything. You can eat breakfast 1 hour after you take the dose.
If you will take sorafenib, you must take your doses 12 hours apart. You will take 2 tablets each morning, and again each evening. Sorafenib should be taken with about 1 cup of water on an empty stomach (either 1 hour before a meal or 2 hours after a meal). If you feel nauseated before or after taking the medication, anti-nausea medications should be used. If you miss a dose, you should skip it and take the next scheduled dose at the right time.
Your medication should be stored at room temperature.
Study Visits:
The study visit schedule is described below. In certain cases, with the permission of your doctor, the study visits may occur up to 7 days earlier or later than described below.
On Day 1 of each cycle:
On Day 1 of every odd-numbered cycle (Cycles 3, 5, 7, and so on):
Additional Tests for Group 2:
Additional Tests for Group 3:
Length of Study:
You may continue to take the study drug(s) for as long as you are benefitting. You will be taken off study if the disease gets worse or if you have intolerable side effects.
End-of-Study Visit:
When you go off study for any reason, you will have an end-of-study. This visit may occur up to 7 days earlier or later. The following tests and procedures will be performed:
Follow-Up:
You will have a follow-up evaluation performed 4 weeks ± 7 days after therapy is discontinued. This evaluation may be a visit or contact by phone by the research personnel. If you are in Group 3, you will have a MUGA scan and/or echocardiogram to check your heart function.
You will be called every 3 months for up to 3 years and asked about any cancer treatments you may be receiving. This phone call will take about 10 minutes.
This is an investigational study. Erlotinib is FDA approved and commercially available for treatment of NSCLC that has gotten worse. Sorafenib is approved in renal cell cancer and hepatocellular carcinoma. Sorafenib has also has also been evaluated in unselected advanced patients with NSCLC both alone or with chemotherapy in the first-time treatment of patients . MK-2206, and AZD6244 are not FDA-approved or commercially available. At this time, they are only being used in research.
Up to 450 patients will take part in this multicenter study. Approximately 350 will be enrolled at MD Anderson.
7,333 studies on the registry are indexed under Lung Neoplasms; 1,554 are open to participants now.
This study's enrollment of 334 is above the median of 60 across 5,345 interventional studies indexed under Lung Neoplasms.
Browse Lung Neoplasms studies →M.D. Anderson Cancer Center is the lead sponsor of 3,044 studies on the registry; 578 are open to participants now.
Of its 608 completed or terminated interventional studies of FDA-regulated products, 407 (67%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Erlotinib 150 mg by mouth each day of a 28 day cycle.
Drug: Erlotinib
Erlotinib 150 mg by mouth each day of a 28 day cycle. MK-2206 135 mg by mouth every week of a 28 day cycle.
Drug: Erlotinib · Drug: MK-2206
AZD6244 100 mg by mouth daily of a 28 day cycle. MK-2206 100 mg by mouth every week of a 28 day cycle.
Drug: AZD6244 · Drug: MK-2206
Sorafenib 400 mg by mouth twice a day for a 28 day cycle.
Drug: Sorafenib
150 mg by mouth each day of a 28 day cycle.
Also known as: OSI-774, Tarceva
100 mg by mouth daily of a 28 day cycle.
100 mg by mouth every week of a 28 day cycle.
400 mg by mouth twice a day for a 28 day cycle.
Also known as: Nexavar, BAY43-9006
150 mg by mouth daily of a 28 day cycle.
Also known as: OSI-774, Tarceva
135 mg by mouth every week of a 28 day cycle.
8-Week Disease Control Rate (DCR)
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Time frame: 8 weeks
Median Progression-free Survival
Progression-free survival was estimated by Kaplan-Meier method
Time frame: From the date of drug start to the earliest sign of disease progression or death
Patients with pretreated NSCLC who agreed to a baseline tumor biopsy, who had ECOG P of 0 to 2, and who had multiple prior lines of therapy and stable or treated brain metastases were enrolled. Patients were excluded if their tumor harbored EGFR sensitizing mutations or ALK gene fusions, and they were erlotinib or crizotinib na¨ıve.
| Milestone | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib |
|---|---|---|---|---|
| Started | 22 | 42 | 75 | 61 |
| Completed | 0 | 0 | 0 | 0 |
| Not completed | 22 | 42 | 75 | 61 |
| Withdrew: Adverse event | 2 | 4 | 4 | 2 |
| Withdrew: Death | 0 | 1 | 4 | 7 |
| Withdrew: Lost to follow-up | 0 | 1 | 1 | 0 |
| Withdrew: Alternative treatment | 0 | 1 | 0 | 0 |
| Withdrew: Other | 2 | 8 | 8 | 5 |
| Withdrew: Progression | 18 | 27 | 56 | 44 |
| Withdrew: Refuse further treatment | 0 | 0 | 1 | 2 |
| Withdrew: Complicating disease | 0 | 0 | 1 | 1 |
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
| Participants | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib |
|---|---|---|---|---|
| Partial Response | 0 | 0 | 3 | 3 |
| Stable Disease | 6 | 18 | 34 | 25 |
| Progressive Disease | 13 | 18 | 33 | 33 |
Progression-free survival was estimated by Kaplan-Meier method
| months | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib |
|---|---|---|---|---|
| Median Progression-free Survival | 1.8 (1.6 to 3.5) | 2.5 (1.9 to 3.5) | 2.2 (1.8 to 3.6) | 2.1 (1.8 to 2.8) |
Collected over From the first dose through 30 days after the last dose of study medication, up to 3 years. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Arm 1 - Erlotinib | 19/22 (86.4%) | 3/22 (13.6%) | 21/22 (95.5%) |
| Arm 2 - Erlotinib + MK-2206 | 36/42 (85.7%) | 13/42 (31%) | 42/42 (100%) |
| Arm 3 - AZD6244 + MK-2206 | 65/75 (86.7%) | 29/75 (38.7%) | 75/75 (100%) |
| Arm 4 - Sorafenib | 51/61 (83.6%) | 24/61 (39.3%) | 61/61 (100%) |
| Event | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib |
|---|---|---|---|---|
| DyspneaReproductive system and breast disorders | 1/22 | 1/42 | 7/75 | 5/61 |
| Back painMusculoskeletal and connective tissue disorders | 0/22 | 1/42 | 0/75 | 4/61 |
| Pleural effusionRespiratory, thoracic and mediastinal disorders | 0/22 | 0/42 | 1/75 | 4/61 |
| Thromboembolic eventVascular disorders | 0/22 | 0/42 | 4/75 | 1/61 |
| Lung infectionInfections and infestations | 1/22 | 0/42 | 3/75 | 3/61 |
| DiarrheaGastrointestinal disorders | 0/22 | 2/42 | 0/75 | 1/61 |
| FeverGeneral disorders | 0/22 | 2/42 | 0/75 | 0/61 |
| Respiratory failureRespiratory, thoracic and mediastinal disorders | 0/22 | 2/42 | 3/75 | 0/61 |
| VomitingGastrointestinal disorders | 0/22 | 2/42 | 1/75 | 0/61 |
| Multi-organ failureGeneral disorders | 1/22 | 0/42 | 0/75 | 0/61 |
| Event | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib |
|---|---|---|---|---|
| DiarrheaGastrointestinal disorders | 8/22 | 24/42 | 26/75 | 16/61 |
| Rash AcneiformSkin and subcutaneous tissue disorders | 11/22 | 18/42 | 29/75 | 3/61 |
| FatigueGeneral disorders | 2/22 | 15/42 | 31/75 | 26/61 |
| Rash MaculopapularSkin and subcutaneous tissue disorders | 3/22 | 14/42 | 29/75 | 24/61 |
| Increased ASTInvestigations | 5/22 | 5/42 | 29/75 | 7/61 |
| AnorexiaMetabolism and nutrition disorders | 6/22 | 16/42 | 9/75 | 15/61 |
| Increased alkaline phosphataseInvestigations | 2/22 | 10/42 | 17/75 | 22/61 |
| VomitingGastrointestinal disorders | 5/22 | 10/42 | 27/75 | 14/61 |
| NauseaGastrointestinal disorders | 7/22 | 13/42 | 25/75 | 12/61 |
| HyperglycemiaMetabolism and nutrition disorders | 2/22 | 11/42 | 24/75 | 4/61 |
| Age, Continuous(years) | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib | Total |
|---|---|---|---|---|---|
| Median | 61 (34 to 82) | 62 (43 to 78) | 61 (26 to 76) | 62 (35 to 79) | 61 (26 to 82) |
| Age, Customized(Participants) | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib | Total |
|---|---|---|---|---|---|
| <=49 years | 2 | 2 | 6 | 7 | 17 |
| Between 50 and 59 years | 8 | 16 | 27 | 19 | 70 |
| Between 60 and 69 years | 10 | 12 | 29 | 24 | 75 |
| >=70 years | 2 | 12 | 13 | 11 | 38 |
| Sex: Female, Male(Participants) | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib | Total |
|---|---|---|---|---|---|
| Female | 10 | 15 | 49 | 32 | 106 |
| Male | 12 | 27 | 26 | 29 | 94 |
| Ethnicity (NIH/OMB)(Participants) | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 3 | 1 | 3 | 7 | 14 |
| Not Hispanic or Latino | 19 | 41 | 72 | 54 | 186 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 1 | 1 |
| Asian | 1 | 0 | 2 | 1 | 4 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 3 | 2 | 6 | 8 | 19 |
| White | 18 | 40 | 67 | 51 | 176 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(participants) | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib | Total |
|---|---|---|---|---|---|
| United States | 22 | 42 | 75 | 61 | 200 |
| KRAS mut+(Participants) | Arm 1 - Erlotinib | Arm 2 - Erlotinib + MK-2206 | Arm 3 - AZD6244 + MK-2206 | Arm 4 - Sorafenib | Total |
|---|---|---|---|---|---|
| No | 16 | 34 | 53 | 43 | 146 |
| Yes | 6 | 8 | 22 | 18 | 54 |
Documents are hosted by the registry — open the source record to download them.
Ran from Jun 2011 to primary completion in Nov 2020, 113 months.
Results were first posted in Jan 2022, 1 year 1 month after primary completion.
Of 535 non-industry phase 2 interventional studies under Lung Neoplasms, half reached primary completion within 56 months of starting (the median), counting those still running; a quarter within 35 and three quarters within 86. This study's 113 months is above that.
Counting every sponsor, half of 712 studies reached it within 46 months; a quarter within 30 and three quarters within 77.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.
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Studies of the drugs tested here: Erlotinib · AZD 6244 · MK 2206 · Sorafenib