A Phase 2 interventional study of Dasatinib in Carcinoma, Non-small Cell Lung, sponsored by Bristol-Myers Squibb. Terminated at 24 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-19.
Sponsored by Bristol-Myers Squibb · Phase 2, Interventional, and Treatment
The purpose of this study is to establish whether patients with malignancy harboring a discoidin domain receptor 2 mutation or an inactivating B-RAF mutation will respond to dasatinib.
6,485 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,630 are open to participants now.
This study's enrollment of 19 is below the median of 62 across 5,211 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.
Browse Carcinoma, Non-Small-Cell Lung studies →Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.
Of its 429 completed or terminated interventional studies of FDA-regulated products, 223 (52%) have results posted.
Counted across the registry records on this site, refreshed daily.
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com.
Inclusion Criteria
Nonsynonymous mutation of B-RAF or DDR2, defined as follows:.
i) NSCLC with inactivating B-RAF mutation.
ii) NSCLC with discoidin domain receptor 2 (DDR2) mutation.
iii) Malignancy of other histology with DDR2 mutation or inactivating B-RAF mutation, or NSCLC having a B-RAF mutation that is not functionally characterized.
Exclusion Criteria
Participants with nonsmall-cell lung cancer (NSCLC) and an inactivating B-RAF mutation received dasatinib, 140 mg, once daily as a tablet until unacceptable toxicity or disease progression occurred
Drug: Dasatinib
Participants with NSCLC and a discoidin domain receptor 2 (DDR2) mutation received dasatinib, 140 mg, once daily as a tablet until unacceptable toxicity or disease progression occurred
Drug: Dasatinib
Tablet, oral, 140 mg, once daily until unacceptable toxicity or disease progression
Objective Response Rate (ORR)
ORR is defined as the percentage of patients with best tumor response of either Partial Response (a 30% or greater decrease in the sum of the longest diameter \[LD\] of all lesions in reference to the baseline sum LD) or Complete Response (disappearance of clinical and radiologic evidence of target lesions), according to Response Evaluation Criteria in Solid Tumors.
Time frame: From enrollment of last patient to 24 months or until all patients have died, whichever occurs first
Duration of Response (DOR)
DOR is defined as the time from the first assessment documentation of partial response (PR) or complete response (CR) until the first assessment documentation of disease progression.
Time frame: From enrollment of last patient to 24 months or until all patients have died, whichever occurs first
Overall Survival
Overall survival is defined as the time from treatment start date to the date of death. If a patient does not die, survival will be censored on the last date the patient was known to be alive.
Time frame: From enrollment of last patient to 24 months or until all patients have died, whichever occurs first
Progression-free Survival (PFS) Distribution
PFS distribution is defined as the percentage of patients with no documentation of disease progression at a specified time point. Confidence interval computed using the Brookmeyer and Crowley method
Time frame: From Day 1 of study treatment to Week 12
Progression-free Survival (PFS)
PFS is defined as the time from treatment start date to the earliest evidence of disease progression or death. Patients who die or whose disease does not progress will be censored on the date of their last tumor assessment.
Time frame: From Day 1 of study treatment to Week 12
Number of Patients With Death as Outcome, Serious Adverse Events (SAEs), Drug-related SAEs, Adverse Events (AEs) Leading to Discontinuation, and Drug-related AEs Leading to Discontinuation
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=having certain, probable, possible, or unknown relationship to study drug.
Time frame: From enrollment of last patient to 24 months or until all patients have died, whichever occurs first
Number of Participants With Laboratory Testing Results That Meet the Criteria for Grade 3 or 4 Abnormality
Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activities of daily living. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death related to adverse event. Laboratory values graded by Common Terminology Criteria for Adverse Events, volume 3. Hemoglobin, Grade 3: \<8.0 - 6.5 g/dL, \<4.9-4.0 mmol/L, \<80-65 g/L. Alkaline phosphatase, Grade 3: \>5.0-20.0\*upper limit of normal (ULN). Total bilirubin, Grade 3: \>3.0-10.0\*ULN. Calcium, low, Grade 3: \<7.0-6.0 mg/dL, \<1.75-1.5 mmol/L.
Time frame: From enrollment of last patient to 24 months or until all patients have died, whichever occurs first
| Milestone | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) |
|---|---|---|
| Started | 9 | 5 |
| Completed | 0 | 0 |
| Not completed | 9 | 5 |
| Withdrew: Disease progression | 7 | 5 |
| Withdrew: Study drug toxicity | 2 | 0 |
ORR is defined as the percentage of patients with best tumor response of either Partial Response (a 30% or greater decrease in the sum of the longest diameter \[LD\] of all lesions in reference to the baseline sum LD) or Complete Response (disappearance of clinical and radiologic evidence of target lesions), according to Response Evaluation Criteria in Solid Tumors.
No measurements were reported for this outcome.
DOR is defined as the time from the first assessment documentation of partial response (PR) or complete response (CR) until the first assessment documentation of disease progression.
No measurements were reported for this outcome.
Overall survival is defined as the time from treatment start date to the date of death. If a patient does not die, survival will be censored on the last date the patient was known to be alive.
| Months | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) |
|---|---|---|
| Overall Survival | 3.06 (0.76 to 6.47) | 4.21 (0.82 to NA) |
PFS distribution is defined as the percentage of patients with no documentation of disease progression at a specified time point. Confidence interval computed using the Brookmeyer and Crowley method
| Percentage of participants | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) |
|---|---|---|
| Progression-free Survival (PFS) Distribution | 1.41 (0.72 to 1.87) | 1.38 (0.59 to 2.96) |
PFS is defined as the time from treatment start date to the earliest evidence of disease progression or death. Patients who die or whose disease does not progress will be censored on the date of their last tumor assessment.
| Months | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) |
|---|---|---|
| Progression-free Survival (PFS) | 1.41 (0.72 to 1.87) | 1.38 (0.59 to 2.96) |
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=having certain, probable, possible, or unknown relationship to study drug.
| Participants | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) |
|---|---|---|
| Death | 8 | 4 |
| Death within 30 days of last treatment | 3 | 1 |
| SAEs | 7 | 4 |
| Drug-related SAEs | 0 | 1 |
| AEs leading to discontinuation | 7 | 2 |
| Drug-related AEs leading to discontinuation | 2 | 0 |
| Drug-related AEs | 6 | 3 |
Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care activities of daily living. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death related to adverse event. Laboratory values graded by Common Terminology Criteria for Adverse Events, volume 3. Hemoglobin, Grade 3: \<8.0 - 6.5 g/dL, \<4.9-4.0 mmol/L, \<80-65 g/L. Alkaline phosphatase, Grade 3: \>5.0-20.0\*upper limit of normal (ULN). Total bilirubin, Grade 3: \>3.0-10.0\*ULN. Calcium, low, Grade 3: \<7.0-6.0 mg/dL, \<1.75-1.5 mmol/L.
| Participants | Dasatinib, 140 mg |
|---|---|
| Hemoglobin, Grade 3 | 2 |
| Alkaline phosphatase, Grade 3 | 1 |
| Total bilirubin, Grade 3 | 1 |
| Calcium, low, Grade 3 | 1 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Dasatinib, 140 mg | — | 11/14 (78.6%) | 13/14 (92.9%) |
| Event | Dasatinib, 140 mg |
|---|---|
| Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 4/14 |
| Lung infectionInfections and infestations | 2/14 |
| Pleural effusionRespiratory, thoracic and mediastinal disorders | 2/14 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 2/14 |
| Non-small cell lung cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/14 |
| Diverticular perforationGastrointestinal disorders | 1/14 |
| CholangitisHepatobiliary disorders | 1/14 |
| Lower respiratory tract infectionInfections and infestations | 1/14 |
| Angina pectorisCardiac disorders | 1/14 |
| Atrial fibrillationCardiac disorders | 1/14 |
| Event | Dasatinib, 140 mg |
|---|---|
| FatigueGeneral disorders | 7/14 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 6/14 |
| NauseaGastrointestinal disorders | 5/14 |
| Pleural effusionRespiratory, thoracic and mediastinal disorders | 4/14 |
| CoughRespiratory, thoracic and mediastinal disorders | 4/14 |
| Decreased appetiteMetabolism and nutrition disorders | 3/14 |
| HeadacheNervous system disorders | 3/14 |
| Oedema peripheralGeneral disorders | 3/14 |
| DiarrhoeaGastrointestinal disorders | 3/14 |
| PyrexiaGeneral disorders | 2/14 |
All participants who received at least 1 dose of study drug
| Age, Categorical(Participants) | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 3 | 3 | 6 |
| >=65 years | 6 | 2 | 8 |
| Age, Continuous(Years) | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) | Total |
|---|---|---|---|
| Median | 67.0 (51.0 to 75.0) | 63.0 (50.0 to 73.0) | 66.5 (50.0 to 75.0) |
| Sex: Female, Male(Participants) | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) | Total |
|---|---|---|---|
| Female | 5 | 1 | 6 |
| Male | 4 | 4 | 8 |
| Race (NIH/OMB)(Participants) | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 1 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 1 | 1 |
| White | 8 | 4 | 12 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) | Total |
|---|---|---|---|
| Hispanic/Latino | 1 | 0 | 1 |
| Not Hispanic/Latino | 5 | 5 | 10 |
| Not reported | 3 | 0 | 3 |
| Time from cancer diagnosis to start of study therapy(Months) | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) | Total |
|---|---|---|---|
| Median | 14.4 (6.2 to 21.7) | 8.5 (1.5 to 51.6) | 12.1 (1.5 to 51.6) |
| Tumor Type(Participants) | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) | Total |
|---|---|---|---|
| Nonsmall-cell lung carcinoma | 9 | 5 | 14 |
| Other | 0 | 0 | 0 |
| Nonsmall-cell lung carcinoma histology(Participants) | Dasatinib, 140 mg (NSCLC With Inactivating B-RAF Mutation) | Dasatinib, 140 mg (NSCLC With DDR2 Mutation) | Total |
|---|---|---|---|
| Adenocarcinoma | 7 | 1 | 8 |
| Bronco-alveolar carcinoma | 1 | 0 | 1 |
| Large cell carcinoma | 1 | 0 | 1 |
| Squamous cell carcinoma | 0 | 4 | 4 |
3 further baseline measures are reported on the registry.
This study is terminated, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Carcinoma, Non-Small-Cell Lung→
Bristol-Myers Squibb