ClinicalTrials.gg
CompletedNCT01524926CREATEUpdated Dec 11, 2023

CREATE: Cross-tumoral Phase 2 With Crizotinib

A Phase 2 interventional study of Crizotinib (PF-02341066) in Locally Advanced and/or Metastatic Anaplastic Large Cell Lymphoma, Locally Advanced and/or Metastatic Inflammatory Myofibroblastic Tumor and Locally Advanced and/or Metastatic Papillary Renal Cell Carcinoma Type 1, sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Completed at 25 sites in 10 countries. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2023-12-11.

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
582
Allocation
Non-randomized
Ages
1 Year and older
Sex
All
01

Study summary

The study will primarily assess the antitumor activity of crizotinib in a variety of tumors with alterations in ALK and/or MET pathways. The targeted patient population will include patients with tumors harboring specific alterations leading to ALK and/or MET activation, where tyrosine kinase inhibitors against these targets have not yet been adequately explored.

02

Conditions studied

  • Locally Advanced and/or Metastatic Anaplastic Large Cell Lymphoma
  • Locally Advanced and/or Metastatic Inflammatory Myofibroblastic Tumor
  • Locally Advanced and/or Metastatic Papillary Renal Cell Carcinoma Type 1
  • Locally Advanced and/or Metastatic Alveolar Soft Part Sarcoma
  • Locally Advanced and/or Metastatic Clear Cell Sarcoma
  • Locally Advanced and/or Metastatic Alveolar Rhabdomyosarcoma

Keywords

  • Phase 2
  • Crizotinib
  • Anaplastic large cell lymphoma
  • Inflammatory myofibroblastic tumor
  • Papillary renal cell carcinoma type 1
  • Alveolar soft part sarcoma
  • Clear cell sarcoma
  • Alveolar rhabdomyosarcoma
03

In context

Lymphoma, Large-Cell, Anaplastic

397 studies on the registry are indexed under Lymphoma, Large-Cell, Anaplastic; 26 are open to participants now.

This study's planned enrollment of 582 is above the median of 37 across 306 interventional studies indexed under Lymphoma, Large-Cell, Anaplastic.

Browse Lymphoma, Large-Cell, Anaplastic studies →

Lead sponsor

European Organisation for Research and Treatment of Cancer - EORTC is the lead sponsor of 352 studies on the registry; 23 are open to participants now.

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

04

Who can participate

Ages eligible
1 Year and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

General inclusion criteria:

  • Locally advanced and/or anaplastic large cell lymphoma
  • Locally advanced and/or metastatic inflammatory myofibroblastic tumor
  • Locally advanced and/or metastatic papillary renal cell carcinoma type 1
  • Locally advanced and/or metastatic alveolar soft part sarcoma
  • Locally advanced and/or metastatic clear cell sarcoma
  • Locally advanced and/or metastatic alveolar rhabdomyosarcoma.
  • The above must be incurable by conventional surgery, radiotherapy, systemic therapy or any other means.
  • Proven presence of specific ALK and/or MET pathway alteration in tumor tissue is not mandatory for patient registration.
  • Availability of tumor material for central pathology review
  • Written
  • according to 1.1
  • Patients with are eligible if treated and/or neurologically stable with no ongoing requirement for (off steroids for at least 2 weeks) and not taking medications. Absence of spinal cord compression unless treated with the patient attaining good pain control and stable or recovered neurologic function.
  • No carcinomatous meningitis or .
  • Any previous systemic anticancer therapy must have been completed at least 4 weeks prior to initiation of study medication.
  • No treatment with any other drug within the past 4 weeks or within less than 4 half-life times of the investigational drug before treatment with crizotinib (whatever is the longest period).
  • No prior therapy directly targeting ALK and/or MET, no previous treatment with crizotinib.
  • Major surgery must have been completed at least 4 weeks prior to initiation of study medication.
  • Prior palliative radiotherapy must have been completed at least 24 hrs prior to initiation of study medication, and minor surgical procedures must have been completed at least two weeks prior to the initiation of study medication.
  • (ECOG) performance status 0-2, or Lansky play scale ≥ 50 for children aged 1 to 12 yo
  • Adequate hematological function: ≥ 1 x 109/L, ≥ 30 x 109/L and ≥ 8 g/dL.
  • Adequate bone marrow, renal and hepatic functions
  • All related adverse events from previous therapies must have recovered to ≤ Grade 1 (except alopecia). No persistence of adverse events from prior anti-cancer therapy deemed .
  • No acute or chronic severe gastrointestinal conditions such as diarrhea or ulcerations.
  • Normal cardiac function and no cerebrovascular accident including .
  • No current congestive heart failure.
  • No ongoing cardiac dysrhythmias of Grade >2.
  • No uncontrolled atrial fibrillation of any grade.
  • \<470 msec.
  • Absence of interstitial lung disease.
  • No concurrent use of drugs or foods that are known strongCYP3A4 inhibitors
  • No concurrent use of drugs that are known potent inducers,within 12 days prior to first dose of crizotinib
  • No concomitant intercurrent illnesses
  • Effective method (if applicable)

Disease-specific inclusion criteria for patients with anaplastic large cell lymphoma

  • Patient may have received previous systemic treatment, surgery and/or radiotherapy for localized, locally advanced or advanced disease.
  • Patient must have received previous systemic chemotherapy (usually a CHOP-like multidrug combination, if not medically contraindicated, with or without monoclonal antibodies), and may not qualify for further conventional therapy with curative intent.
  • No pretreatment limitations (including autologous or allogeneic stem cell- or bone marrow transplantation), provided all other patient selection criteria are met.

Disease-specific inclusion criteria for patients with inflammatory myofibroblastic tumor

  • Patient may have received previous systemic treatment, surgery and/or radiotherapy for localized, locally advanced or metastatic disease.
  • No mandatory pretreatment.
  • No pretreatment limitations, provided all other patient selection criteria are met.

Disease-specific inclusion criteria for patients with papillary renal cell carcinoma type 1

  • Patient may have received previous systemic treatment, surgery and/or radiotherapy for localized, locally advanced or metastatic disease.
  • No mandatory pretreatment.
  • No pretreatment limitations, provided all other patient selection criteria are met.

Disease-specific inclusion criteria for patients with clear cell sarcoma

  • Patient may have received previous systemic treatment, surgery and/or radiotherapy for localized, locally advanced or metastatic disease.
  • No mandatory pretreatment.
  • No pretreatment limitations, provided all other patient selection criteria are met.

Disease-specific inclusion criteria for patients with alveolar soft part sarcoma

  • Patient may have received previous systemic treatment, surgery and/or radiotherapy for localized, locally advanced or metastatic disease.
  • No mandatory pretreatment.
  • No pretreatment limitations, provided all other patient selection criteria are met.

Disease-specific inclusion criteria for patients with alveolar rhabdomyosarcoma

  • Patient may have received previous systemic treatment, surgery and/or radiotherapy for localized, locally advanced or metastatic disease.
  • Patient must have received previous systemic chemotherapy (usually anthracycline-based, if not medically contraindicated), and may not qualify for further conventional therapy with curative intent.
  • No pretreatment limitations, provided all other patient selection criteria are met.
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
582 participants (estimated)

Study arms

  • Experimental
    Crizotinib in Anaplastic large cell lymphoma

    Drug: Crizotinib (PF-02341066)

  • Experimental
    Crizotinib in Inflammatory myofibroblastic tumor

    Drug: Crizotinib (PF-02341066)

  • Experimental
    Crizotinib in Papillary renal cell carcinoma type 1

    Drug: Crizotinib (PF-02341066)

  • Experimental
    Crizotinib in Clear cell sarcoma

    Drug: Crizotinib (PF-02341066)

  • Experimental
    Crizotinib in Alveolar soft part sarcoma

    Drug: Crizotinib (PF-02341066)

  • Experimental
    Crizotinib in Alveolar rhabdomyosarcoma

    Drug: Crizotinib (PF-02341066)

Interventions

  • For patients of 15yo and older, Capsules of 200 and 250 mg Daily dose of 500, 400 or 250 mg/day depending on toxicitie; for patients younger than 15yo, 280 mg/m²/dose BID, with reductions allowed to 80% as first reduction and to 60% as second reduction respectively of the initial dose.

06

What researchers measure

Primary outcomes

  1. Antitumor activity of crizotinib

    To study the antitumor activity of crizotinib across predefined tumor types in patients whose tumors are harboring specific alterations in ALK and/or MET

Secondary outcomes

  1. Safety (reporting of adverse events according to CTCAE v4.0)

  2. Progression free survival

  3. Disease control rate

  4. Overall survival

  5. Duration of response

  6. Correlative research endpoints

07

Study locations

25 sites
  • Hôpitaux Universitaires Bordet-Erasme - Institut Jules Bordet
    Brussels, Belgium
  • U.Z. Gasthuisberg
    Leuven, Belgium
  • Institut Bergonie
    Bordeaux, France
  • Centre Georges-Francois-Leclerc
    Dijon, France
  • Centre Leon Berard
    Lyon, France
  • Assistance Publique - Hôpitaux de Marseille - Hôpital de La Timone
    Marseille, France
  • Institut Gustave Roussy
    Villejuif, France
  • Helios Klinikum Bad Saarow
    Bad Saarow, Germany
  • Universitaetsklinikum Carl Gustav Carus
    Dresden, Germany
  • Universitaetsklinikum - Essen
    Essen, Germany
  • Medizinische Hochschule Hannover
    Hannover, Germany
  • UniversitaetsMedizin Mannheim
    Mannheim, Germany
  • Klinikum Grosshadern Ludwig-Maximilians Univ. Muenchen
    Muenchen, Germany
  • Fondazione IRCCS Istituto Nazionale dei Tumori
    Milano, Italy
  • Leiden University Medical Centre
    Leiden, Netherlands
  • Radboud University Nijmegen Medical Centre
    Nijmegen, Netherlands
  • Erasmus MC - Sophia kindersiekenhuis
    Rotterdam, Netherlands
  • Oslo University Hospital - Radiumhospitalet
    Oslo, Norway
  • Maria Sklodowska-Curie Memorial Cancer Centre
    Warsaw, Poland
  • National Cancer Institute
    Bratislava, Slovakia
  • The Institute Of Oncology
    Ljubljana, Slovenia
  • St. James's University Hospital
    Leeds, United Kingdom
  • University College Hospital
    London, United Kingdom
  • Christie NHS Foundation Trust
    Manchester, United Kingdom
  • Nottingham University Hospitals NHS Trust - City Hospital
    Nottingham, United Kingdom
08

References and documents

Publications

  • Schoffski P, Kubickova M, Wozniak A, Blay JY, Strauss SJ, Stacchiotti S, Switaj T, Bucklein V, Leahy MG, Italiano A, Isambert N, Debiec-Rychter M, Sciot R, Lee CJ, Speetjens FM, Nzokirantevye A, Neven A, Kasper B. Long-term efficacy update of crizotinib in patients with advanced, inoperable inflammatory myofibroblastic tumour from EORTC trial 90101 CREATE. Eur J Cancer. 2021 Oct;156:12-23. doi: 10.1016/j.ejca.2021.07.016. Epub 2021 Aug 13. PubMed 34392187 ↗
  • Schoffski P, Sufliarsky J, Gelderblom H, Blay JY, Strauss SJ, Stacchiotti S, Rutkowski P, Lindner LH, Leahy MG, Italiano A, Isambert N, Debiec-Rychter M, Sciot R, Van Cann T, Marreaud S, Nzokirantevye A, Collette S, Wozniak A. Crizotinib in patients with advanced, inoperable inflammatory myofibroblastic tumours with and without anaplastic lymphoma kinase gene alterations (European Organisation for Research and Treatment of Cancer 90101 CREATE): a multicentre, single-drug, prospective, non-randomised phase 2 trial. Lancet Respir Med. 2018 Jun;6(6):431-441. doi: 10.1016/S2213-2600(18)30116-4. Epub 2018 Apr 15. PubMed 29669701 ↗
  • Schoffski P, Wozniak A, Leahy MG, Aamdal S, Rutkowski P, Bauer S, Richter S, Grunwald V, Debiec-Rychter M, Sciot R, Geoerger B, Marreaud S, Collette S, Nzokirantevye A, Strauss SJ. The tyrosine kinase inhibitor crizotinib does not have clinically meaningful activity in heavily pre-treated patients with advanced alveolar rhabdomyosarcoma with FOXO rearrangement: European Organisation for Research and Treatment of Cancer phase 2 trial 90101 'CREATE'. Eur J Cancer. 2018 May;94:156-167. doi: 10.1016/j.ejca.2018.02.011. Epub 2018 Mar 20. PubMed 29567632 ↗
  • Schoffski P, Wozniak A, Kasper B, Aamdal S, Leahy MG, Rutkowski P, Bauer S, Gelderblom H, Italiano A, Lindner LH, Hennig I, Strauss S, Zakotnik B, Anthoney A, Albiges L, Blay JY, Reichardt P, Sufliarsky J, van der Graaf WTA, Debiec-Rychter M, Sciot R, Van Cann T, Marreaud S, Raveloarivahy T, Collette S, Stacchiotti S. Activity and safety of crizotinib in patients with alveolar soft part sarcoma with rearrangement of TFE3: European Organization for Research and Treatment of Cancer (EORTC) phase II trial 90101 'CREATE'. Ann Oncol. 2018 Mar 1;29(3):758-765. doi: 10.1093/annonc/mdx774. PubMed 29216400 ↗
  • Schoffski P, Wozniak A, Stacchiotti S, Rutkowski P, Blay JY, Lindner LH, Strauss SJ, Anthoney A, Duffaud F, Richter S, Grunwald V, Leahy MG, Reichardt P, Sufliarsky J, van der Graaf WT, Sciot R, Debiec-Rychter M, van Cann T, Marreaud S, Lia M, Raveloarivahy T, Collette L, Bauer S. Activity and safety of crizotinib in patients with advanced clear-cell sarcoma with MET alterations: European Organization for Research and Treatment of Cancer phase II trial 90101 'CREATE'. Ann Oncol. 2017 Dec 1;28(12):3000-3008. doi: 10.1093/annonc/mdx527. Erratum In: Ann Oncol. 2019 Feb 1;30(2):344. doi: 10.1093/annonc/mdx823. PubMed 28950372 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01524926
Collaborators
Pfizer
Responsible party
Sponsor
First posted
Feb 2, 2012
Start date
Sep 2012
Primary completion
Dec 6, 2017
Completion
Oct 30, 2022
Last update
Dec 11, 2023

Oversight

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

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Studies of the drug tested here: Crizotinib

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