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TerminatedNCT02703571Updated Dec 21, 2020

Study of Safety and Efficacy of Ribociclib and Trametinib in Patients With Metastatic or Advanced Solid Tumors

A Phase 1 interventional study of ribociclib and Trametinib in Solid Tumors for Phase Ib, Pancreatic Cancer for Phase II and Colorectal Cancer for Phase II, sponsored by Novartis Pharmaceuticals. Terminated at 15 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-21.

Sponsored by Novartis Pharmaceuticals · Phase 1, Interventional, and Treatment

Why this study was terminated
Company decision

From the registry’s dates

  • Primary completion was Sep 2019, 7 years ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
95
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Phase Ib dose escalation in advanced solid tumors to identify dose for Phase II dose expansion in advanced or metastatic pancreatic cancer and KRAS-mutant colorectal cancer. Open-label, nonrandomized.

Read the detailed description

Upon careful review of all available efficacy and safety data from the study phase Ib part, Novartis decided to not start the study phase II part.

This decision was in no means triggered by an unfavorable safety profile of the combination. The observed safety profile of the combination represents contributions of the individual safety profile of trametinib and ribociclib.

No new safety signals were observed.

The study was closed early in line with protocol Section 4.4.

02

Conditions studied

  • Solid Tumors for Phase Ib
  • Pancreatic Cancer for Phase II
  • Colorectal Cancer for Phase II

Keywords

  • Trametinib
  • Ribociclib
  • LEE011
  • TMT212
  • advanced solid tumors
  • pancreatic cancer
  • KRAS-mutant colorectal cancer
  • colorectal cancer
  • advanced pancreatic cancer
  • metastatic pancreatic cancer
03

In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 95 is above the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) 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

Inclusion criteria

  • Written informed consent must
  • Patient has histologically and/or cytologically confirmed malignancies:

Phase I:

  • Patients with advanced or metastatic solid tumors who have failed at least one prior line of systemic antineoplastic therapy in the advanced setting without a standard of care treatment option available;

Phase II:

  • Advanced or metastatic pancreatic adenocarcinoma who have failed at least one prior systemic antineoplastic therapies in the advanced setting
  • Advanced or metastatic KRAS-mutant CRC who have failed at least two prior systemic antineoplastic therapies in the advanced setting without a standard of care treatment option available. Testing for KRAS mutation in patients with CRC using locally approved diagnostic kit will be used for eligibility.
  • Phase II only: patient must have measurable disease
  • Patient has an ECOG performance status 0 or 1.
  • Patient has adequate bone marrow and organ function
  • Patient must have specified laboratory values within normal limits or corrected to within normal limits with supplements before the first dose of study medication on Cycle 1 Day 1:
  • Standard 12-lead ECG values defined

Exclusion criteria

Exclusion Criteria:

Phase II only:

  • Patient has received prior treatment with a MEK inhibitor or a CDK4/6 inhibitor.

Phase I and Phase II:

  • Patient with a known hypersensitivity to the study drugs or any of the excipients of ribociclib or trametinib.
  • Patient is concurrently using other anti-cancer therapy.
  • Patient has received radiotherapy ≤ 4 weeks or limited field radiation for palliation ≤ 2 weeks prior to Cycle 1 Day 1
  • Patient has received local therapy to liver ≤ 3 months of C1D1
  • History of liver disease as follow:
  • Cirrhosis
  • Autoimmune hepatitis
  • Active viral hepatitis
  • Portal hypertension
  • Drug induced liver steatosis
  • Prior systemic anti-cancer treatment within 28 days prior to Cycle 1 Day 1
  • Prior therapy with anthracyclines at cumulative doses of 450 mg/ m2 or more for doxorubicin or 900 mg/m2 or more for epirubicin.
  • Patient is currently receiving warfarin or other coumadin derived anti-coagulant
  • Patient has a history of deep venin thrombosis or pulmonary embolism within 6 months of screening.
  • Patient has a concurrent malignancy or malignancy within 3 years prior to Cycle 1 Day 1, with the exception of adequately treated basal or squamous cell carcinoma or curatively resected cervical cancer.
  • Patients with central nervous system (CNS) involvement
  • Patient has impairment of GI function or GI disease that may significantly alter the absorption of the study drugs
  • History of interstitial lung disease or pneumonitis.
  • Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality
  • Patient is currently receiving any strong inducers or inhibitors of CYP3A4/5 and/or Substances that have a narrow therapeutic window and are predominantly metabolized through CYP3A4/5 and cannot be discontinued 7 days prior to Cycle 1 Day 1:
  • Patient is currently receiving or has received systemic corticosteroids ≤ 2 weeks prior to starting study drug, or who have not fully recovered from side effects of such treatment.
  • History of retinal vein occlusion (RVO)

Other protocol-defined inclusion/exclusion criteria may apply.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
95 participants (actual)

Study arms

  • Experimental
    Advanced or metastatic solid tumors

    Patients in the Phase I portion of the study who have advanced or metastatic solid tumors

    Drug: ribociclib · Drug: Trametinib

Interventions

  • Drugribociclib

    Combination treatment with LEE and TMT

    Also known as: LEE011

  • DrugTrametinib

    Combination treatment with LEE and TMT

    Also known as: TMT212

06

What researchers measure

Primary outcomes

  1. Incidence of dose limiting toxicities (DLTs)

    Phase Ib part: The primary variable is the incidence of DLTs during the first 21 days of therapy. Estimation of the MTD of the combination treatment will be based upon the estimation of the probability of DLT during the first 21 days of therapy for patients in the DDS.

    Time frame: 21-day cycle one of treatment

  2. Objective Response Rate (ORR)

    Phase II part: The primary variable used to evaluate the efficacy of the ribociclib and trametinib combination is the ORR, defined as the proportion of patients with a best overall confirmed CR or PR, as assessed per RECIST 1.1 by investigator assessment.

    Time frame: Until progression of disease up to 1 year

Secondary outcomes

  1. Duration of response (DOR)

    Phase II part: Among patients with a confirmed response (PR or CR) per RECIST 1.1, DOR is defined as the time from first documented response (PR or CR) to the date of first documented disease progression or death due to any cause. The distribution function of DOR will be estimated using the Kaplan-Meier method. The median DOR along with 95% CI will be presented by treatment arm.

    Time frame: Until progression of disease up to 1 year

  2. Time to response

    Phase II part: Time to overall response of CR or PR (TTR) is defined as the time from start of study drug to first documented response (CR or PR, which must be confirmed subsequently) for patients with a confirmed CR or PR. TTR will be summarized by treatment arm, using descriptive statistics.

    Time frame: Until progression of disease up to 1 year

  3. Disease control rate

    Phase II part: Disease control rate (DCR) is defined as the proportion of patients with best overall response of CR, PR, or SD per RECIST 1.1. DCR will be estimated and the binomial exact 95% CI will be provided by arm.

    Time frame: Until progression of disease up to 1 year

  4. Progression disease rate

    Phase Ib part: Progression disease rate defined as the proportion of patients with a progression disease as assessed per RECIST 1.1 by investigator assessment.

    Time frame: Until progression of disease up to 1 year

  5. Progression free survival

    Phase Ib and phase II parts: Progression-free survival (PFS) is defined as the time from the date of the first dose of study drug to the date of first documented disease progression per RECIST 1.1 or death due to any cause.

    Time frame: Until progression of disease up to 1 year

  6. overall survival

    Phase Ib and phase II parts: Overall survival (OS) is defined as the time from the date of first dose of study drug to the date of death due to any cause.

    Time frame: Until death up to 1 year

07

Study locations

15 sites
  • Highlands Oncology Group
    Fayetteville, Arkansas 72703, United States
  • City of Hope National Medical Center
    Duarte, California 91010, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06520, United States
  • University of Miami Sylvester Comp Cancer Ctr
    Miami, Florida 33136, United States
  • Dana Farber Cancer Center
    Boston, Massachusetts 02215, United States
  • UT MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Novartis Investigative Site
    Melbourne, Victoria 3000, Australia
  • Novartis Investigative Site
    Leuven, 3000, Belgium
  • Novartis Investigative Site
    Edmonton, Alberta T6G 1Z2, Canada
  • Novartis Investigative Site
    Vancouver, British Columbia V5Z 4E6, Canada
  • Novartis Investigative Site
    Koeln, 50937, Germany
  • Novartis Investigative Site
    Ulm, 89081, Germany
  • Novartis Investigative Site
    Amsterdam, 1066 CX, Netherlands
  • Novartis Investigative Site
    Utrecht, 3584 CX, Netherlands
  • Novartis Investigative Site
    Barcelona, Catalunya 08035, Spain
08

References and documents

Individual participant data

Plan to share: Undecided — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02703571
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Mar 9, 2016
Start date
Jun 29, 2016
Primary completion
Sep 24, 2019
Completion
Sep 24, 2019
Last update
Dec 21, 2020

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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