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TerminatedNCT01491633Updated Jul 15, 2014Results posted

Dasatinib in Advanced Squamous Cell Lung Cancer

A Phase 2 interventional study of Dasatinib in Squamous Cell Lung Cancer, sponsored by Dana-Farber Cancer Institute. Terminated at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-07-15.

Sponsored by Dana-Farber Cancer Institute · Phase 2, Interventional, and Treatment

Why this study was terminated
Safety issues/concerns per DF/HCC PI
Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Dasatinib is a drug that has been shown to stop some cancer cells from growing. This drug has been used in treatment for other types of cancer and information from other research studies suggests that dasatinib may help to stop squamous cell lung cancer from growing, especially in individuals whose tumor has a mutation in the DDR2 gene.

Advanced squamous cell lung cancer (SqCC) carries a poor prognosis and new therapeutic targets are needed. Several studies have examined dasatinib in NSCLC; these report significant toxicities, but also responses in patients found to harbor mutations in DDR2 or BRAF.

An open-label phase II trial with dasatinib was carried out to determine the response rates in patients with SqCC who had previously failed standard chemotherapy and to correlate responses with patient genotype.

Read the detailed description

Dasatinib will be taken orally, daily in cycles of 28 days.

On the first day of study treatment and at 2 weeks, 4 weeks and then every 4 weeks subjects will have the following:

  • Medical history and clinical exam
  • Safety blood tests
  • Measurement of Performance Status
  • Review of pill log
  • CT scans will be done every 8 weeks.

In this research study, the investigators are looking at how well dasatinib works in treating squamous cell lung cancer.

Dasatinib administered at 140mg per day for the treatment of advanced SqCC of the lung is associated with excess adverse events, similar to other studies, so is not recommended in unselected patients. Further work to identify patients likely to benefit from dasatinib and in managing dasatinib-related toxicities is needed.

02

Conditions studied

  • Squamous Cell Lung Cancer

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Keywords

  • Lung cancer
  • NSCLC
  • Stage IIIB
  • Stage IV
03

In context

Lung Neoplasms

7,333 studies on the registry are indexed under Lung Neoplasms; 1,554 are open to participants now.

This study's enrollment of 5 is below the median of 60 across 5,345 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Dana-Farber Cancer Institute is the lead sponsor of 832 studies on the registry; 122 are open to participants now.

Of its 113 completed or terminated interventional studies of FDA-regulated products, 77 (68%) have results posted.

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

04

Who can participate

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

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.

Inclusion criteria

  • Stage III/B or IV squamous NSCLC
  • Measurable disease
  • Previously offered all standard chemotherapy regimens for advanced squamous cell lung cancer
  • ECOG performance status of 0 or 1
  • Estimated life expectancy greater than 12 weeks
  • Normal organ and marrow function
  • Confirmed availability of archival pathology samples
  • Agrees to discontinue St. Johns Wort
  • Able to take medications by mouth
  • Willing and able to use acceptable method of birth control for the entire study period and for at least 4 weeks after the last dose of study drug

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breast-feeding
  • Chemotherapy or radiotherapy within 4 weeks prior to entering study
  • Receiving any other investigational agents
  • Known untreated or progressive brain metastases
  • History of prior treatment with or allergic reactions attributed to compounds of similar chemical or biologic composition to dasatinib, nilotinib or imatinib
  • Taking medications known to be potent CYP3A4 inhibitors
  • Currently taking H2 inhibitors or proton pump inhibitors
  • Currently taking drugs or have taken drugs in the past 7 days that are generally accepted to have a risk of causing Torsades de Pointes
  • HIV positive
  • Clinically uncontrolled hypertension (blood pressure > 160/110)
  • Previous or concurrent malignancy except adequately treated basal or squamous cell skin cancer, in situ carcinoma of the cervix, or other solid tumor treated curatively, and without evidence of recurrence for at least 5 years
  • Active and uncontrolled clinically significant infection
  • Chronic gastrointestinal disease
  • Acquired or congenital bleeding disorder or clinically significant gastrointestinal bleeding within 3 months
  • Supplemental oxygen required for current malignancy
  • Evidence of symptomatic pleural effusions unless undergoing a therapeutic thoracentesis as part of non-study care
  • Individuals who are prisoners or who are compulsory detained for medical or psychiatric reasons
  • Uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, symptomatic cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Hypokalemia or hypomagnesemia that cannot be corrected prior to dasatinib administration
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Dasatinib

    Dasatinib 140 mg by mouth each day

    Drug: Dasatinib

Interventions

  • 140 mg orally, daily in 28 day cycles

    Also known as: BMS-354825

06

What researchers measure

Primary outcomes

  1. Response Rate

    Determine the overall response rate of patients with squamous cell carcinoma of the lung treated with dasatinib

    Time frame: 2 years

Secondary outcomes

  1. Types and Frequency of DDR2 Mutations

    Determine frequency of DDR2 mutations in study patients

    Time frame: 2 years

  2. Survival

    Establish the overall survival of patients with SCC treated with dasatinib

    Time frame: 2 years

  3. Toxicities

    Define the toxicities of dasatinib when administered to the patient population. NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 will be utilized for adverse event reporting.

    Time frame: 2 years

07

Results

Posted Jul 15, 2014
Limitations and caveats
Due to the toxicity of the study agent no subjects were evaluable for response

Participant flow

Participant flow — Overall Study
MilestoneDasatinib
Started5
Completed0
Not completed5

Outcome measures

PrimaryResponse Rate

Determine the overall response rate of patients with squamous cell carcinoma of the lung treated with dasatinib

Time frame:
2 years
Reported as:
Number · percent
Response Rate
percentDasatinib
Response RateNA
SecondaryTypes and Frequency of DDR2 Mutations

Determine frequency of DDR2 mutations in study patients

Time frame:
2 years
Reported as:
Number · participants
Types and Frequency of DDR2 Mutations
participantsDasatinib
Types and Frequency of DDR2 Mutations0
SecondarySurvival

Establish the overall survival of patients with SCC treated with dasatinib

Time frame:
2 years
Reported as:
Mean · days
Survival
daysDasatinib
Survival112 ± 85
SecondaryToxicities

Define the toxicities of dasatinib when administered to the patient population. NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 will be utilized for adverse event reporting.

Time frame:
2 years
Reported as:
Number · grade 3 toxicities
Toxicities
grade 3 toxicitiesDasatinib
Toxicities3
Post-hocTime on Study

Number of days participant remained on study

Time frame:
2 years
Reported as:
Mean · days
Time on Study
daysDasatinib
Time on Study22 ± 12

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Dasatinib—2/5 (40%)5/5 (100%)
Most frequent serious events
Most frequent serious events
EventDasatinib
HemoptysisRespiratory, thoracic and mediastinal disorders1/5
DeathGeneral disorders1/5
Most frequent other events
Most frequent other events
EventDasatinib
Pleural effusionRespiratory, thoracic and mediastinal disorders2/5
DyspneaRespiratory, thoracic and mediastinal disorders1/5
FatigueGeneral disorders1/5
Elevated LFTsGastrointestinal disorders1/5
AnorexiaGeneral disorders1/5
NauseaGastrointestinal disorders1/5

Baseline characteristics

Age, Continuous
Age, Continuous(years)Dasatinib
Mean59 (55 to 78)
Sex: Female, Male
Sex: Female, Male(Participants)Dasatinib
Female2
Male3
08

Study locations

3 sites
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
09

References and documents

Publications

  • Brunner AM, Costa DB, Heist RS, Garcia E, Lindeman NI, Sholl LM, Oxnard GR, Johnson BE, Hammerman PS. Treatment-related toxicities in a phase II trial of dasatinib in patients with squamous cell carcinoma of the lung. J Thorac Oncol. 2013 Nov;8(11):1434-7. doi: 10.1097/JTO.0b013e3182a47162. PubMed 24128713 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 15, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01491633
Responsible party
Bruce Johnson, MD (Professor of Medicine, Harvard Medical School, Dana-Farber Cancer Institute) — Principal investigator
First posted
Dec 14, 2011
Start date
Sep 2011
Primary completion
Jan 2013
Completion
May 2013
Results posted
Jul 15, 2014
Last update
Jul 15, 2014

Study contacts

Bruce Johnson, MD
principal investigator · Dana-Farber Cancer Institute

Oversight

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

Not currently enrolling

This study is terminated, as verified in Jun 2014. You cannot join it, but the record below documents what was studied.

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