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TerminatedNCT02954991Updated Apr 22, 2024Results posted

Phase 2 Study of Glesatinib, Sitravatinib or Mocetinostat in Combination With Nivolumab in Non-Small Cell Lung Cancer

A Phase 2 interventional study of Glesatinib and Sitravatinib in Carcinoma, Non-Small-Cell Lung, sponsored by Mirati Therapeutics Inc.. Terminated at 25 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-04-22.

Sponsored by Mirati Therapeutics Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
This study was terminated as a result of Sponsor portfolio reprioritization.
Phase
Phase 2
Study type
Interventional
Enrollment
161
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study will evaluate the clinical activity of nivolumab in combination with 3 separate investigational agents, glesatinib, sitravatinib, or mocetinostat.

Read the detailed description

Glesatinib is an orally administered multi-targeted tyrosine kinase inhibitor (TKI) that primarily targets the Axl and Mesenchymal-Epithelial Transition (MET) receptors. Sitravatinib is an orally-available, potent small molecule inhibitor of a closely related spectrum of receptor tyrosine kinases (RTKs) including MET, Axl, MERTK, VEGFR family, PDGFR family, KIT, FLT3, Trk family, RET, DDR2 and selected Eph family members. Mocetinostat is an orally administered histone deacetylase (HDAC) inhibitor. Nivolumab is a human IgG monoclonal antibody that binds to the programmed cell death-1(PD-1) receptor and blocks its interaction with programmed cell death ligand-1 (PD-L1) and PD-L2, releasing PD-1 pathway-mediated inhibition of the immune response including anti-tumor immune response. Combining an immunotherapeutic PD-L1 checkpoint inhibitor with an agent that has both immune modulatory and antitumor properties could enhance the antitumor efficacy observed with either agent alone.

The study will begin with a lead-in dose escalation evaluation of two dose levels of each investigational agent in combination with nivolumab. Following completion of the lead-in dose escalation, enrollment into the Phase 2 study will proceed.

02

Conditions studied

  • Carcinoma, Non-Small-Cell Lung
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's enrollment of 161 is above the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Mirati Therapeutics Inc. is the lead sponsor of 50 studies on the registry; 3 are open to participants now.

Of its 20 completed or terminated interventional studies of FDA-regulated products, 4 (20%) 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

  • Diagnosis of non-small cell lung cancer.
  • Prior treatment with a checkpoint inhibitor (as appropriate per cohort)
  • Adequate bone marrow and organ function

Exclusion criteria

Exclusion Criteria:

  • Uncontrolled tumor in the brain
  • Unacceptable toxicity with prior checkpoint inhibitor
  • Impaired heart function
05

Study design

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

Study arms

  • Experimental
    Glesatinib and Nivolumab

    Glesatinib oral tablet administered twice daily in combination with Nivolumab administered as 240 mg IV every 2 weeks or 480 mg IV every 4 week

    Drug: Glesatinib · Drug: Nivolumab

  • Experimental
    Sitravatinib and Nivolumab

    Sitravatinib oral capsule administered daily in combination with nivolumab administered as 240 mg IV every 2 weeks or 480 mg IV every 4 week

    Drug: Sitravatinib · Drug: Nivolumab

  • Experimental
    Mocetinostat and Nivolumab

    Mocetinostat oral capsule administered three times weekly in combination with nivolumab administered as 240 mg IV every 2 weeks or 480 mg IV every 4 week

    Drug: Mocetinostat · Drug: Nivolumab

Interventions

  • DrugGlesatinib

    Glesatinib is a small molecule multi-targeted receptor tyrosine kinase inhibitor

    Also known as: MGCD265

  • DrugSitravatinib

    Sitravatinib is a small molecule inhibitor of receptor tyrosine kinases.

    Also known as: MGCD516

  • DrugMocetinostat

    Mocetinostat is an HDAC inhibitor.

    Also known as: MGCD01013

  • DrugNivolumab

    nivolumab is a programmed death receptor-1 (PD-1) blocking antibody

    Also known as: Opdivo

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR) as Defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

    ORR is defined as the percentage of participants that were documented to have a confirmed complete response (CR) or partial response (PR) as defined by RECIST v1.1.

    Time frame: Up to 40.6 months

Secondary outcomes

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    TEAEs were defined as any event that first occur or increase in severity on or after the first dose of study treatment and not more than 28 days after the last dose of study treatment and prior to the initiation of subsequent systemic anti- cancer therapy. Any clinically significant changes in laboratory tests were recorded as TEAEs.

    Time frame: Day 1 up to 28 days after the last dose (median time on treatment was: CIT experienced 3.7 months; CIT naïve 4.8 months)

  2. Duration of Response (DOR)

    DOR was defined as the time in months from date of the first documentation of objective response (CR or PR) to the first documentation of objective progressive disease (PD) or to death due to any cause in the absence of documented PD. (Be aware, the population analyzed here is the Clinical Activity Evaluable Population and not the Full Analysis Set as used in outcome measure 1).

    Time frame: Up to 38.8 months

  3. Progression Free Survival (PFS)

    PFS was defined as the time from the first dose of study drug to the date of PD or death due to any cause in the absence of documented PD, whichever occurs first.

    Time frame: Up to 40.6 months

  4. Overall Survival (OS)

    OS was defined as the time from first dose of study drug to the date of death due to any cause.

    Time frame: Up to 43.8 months

  5. Blood Plasma Concentrations

    Predose (trough) concentrations for sitravatinib

    Time frame: Cycle 1 Day 1 through Cycle 5 Day 1

07

Results

Posted Apr 22, 2024
Limitations and caveats
Enrollment into glesatinib cohorts was discontinued in November 2017 as a result of Sponsor portfolio reprioritization. The analysis and reporting of this treatment arm is limited and will be summarized for selected tables only.

Participant flow

Participants were enrolled across 25 sites in the United States from November 2016 to November 2021.

Participant flow — Overall Study
MilestoneCIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and NivolumabGlesatinib and Nivolumab
Started124325
Received any study treatment124325
Completed000
Not completed124325
Withdrew: Death92112
Withdrew: Lost to follow-up320
Withdrew: Withdrawal by subject981
Withdrew: Study terminated by sponsor18101
Withdrew: Miscellaneous211

Outcome measures

PrimaryObjective Response Rate (ORR) as Defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

ORR is defined as the percentage of participants that were documented to have a confirmed complete response (CR) or partial response (PR) as defined by RECIST v1.1.

Time frame:
Up to 40.6 months
Reported as:
Number · percentage of participants
Objective Response Rate (ORR) as Defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
percentage of participantsCIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and Nivolumab
Objective Response Rate (ORR) as Defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.15.3 (9.5 to 22.9)25 (11.5 to 43.4)
SecondaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs)

TEAEs were defined as any event that first occur or increase in severity on or after the first dose of study treatment and not more than 28 days after the last dose of study treatment and prior to the initiation of subsequent systemic anti- cancer therapy. Any clinically significant changes in laboratory tests were recorded as TEAEs.

Time frame:
Day 1 up to 28 days after the last dose (median time on treatment was: CIT experienced 3.7 months; CIT naïve 4.8 months)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
ParticipantsCIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and Nivolumab
Number of Participants With Treatment-emergent Adverse Events (TEAEs)12332
SecondaryDuration of Response (DOR)

DOR was defined as the time in months from date of the first documentation of objective response (CR or PR) to the first documentation of objective progressive disease (PD) or to death due to any cause in the absence of documented PD. (Be aware, the population analyzed here is the Clinical Activity Evaluable Population and not the Full Analysis Set as used in outcome measure 1).

Time frame:
Up to 38.8 months
Reported as:
Median · months
Duration of Response (DOR)
monthsCIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and Nivolumab
Duration of Response (DOR)11.0 (3.7 to 13.1)11.1 (3.7 to NA)
SecondaryProgression Free Survival (PFS)

PFS was defined as the time from the first dose of study drug to the date of PD or death due to any cause in the absence of documented PD, whichever occurs first.

Time frame:
Up to 40.6 months
Reported as:
Median · months
Progression Free Survival (PFS)
monthsCIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and Nivolumab
Progression Free Survival (PFS)5.4 (4.2 to 5.7)7.1 (4.0 to 13.1)
SecondaryOverall Survival (OS)

OS was defined as the time from first dose of study drug to the date of death due to any cause.

Time frame:
Up to 43.8 months
Reported as:
Median · months
Overall Survival (OS)
monthsCIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and Nivolumab
Overall Survival (OS)11.5 (8.7 to 15.0)NA (9.8 to NA)
SecondaryBlood Plasma Concentrations

Predose (trough) concentrations for sitravatinib

Time frame:
Cycle 1 Day 1 through Cycle 5 Day 1
Reported as:
Mean · ng/ml
Blood Plasma Concentrations
ng/mlCycle 1 Day 15Cycle 2 Day 1Cycle 2 Day 15Cycle 3 Day 1Cycle 5 Day 1
Blood Plasma Concentrations76.57 ± 51.04159.25 ± 36.75952.87 ± 26.26546.41 ± 26.18330.04 ± 12.239

Adverse events

Collected over Day 1 up to 28 days after the last dose. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CIT Experienced: Sitravatinib and Nivolumab92/124 (74.2%)62/124 (50%)122/124 (98.4%)
CIT Naive: Sitravatinib and Nivolumab11/32 (34.4%)17/32 (53.1%)31/32 (96.9%)
Glesatinib and Nivolumab2/5 (40%)1/5 (20%)5/5 (100%)
Most frequent serious events
Showing 10 of 82
Most frequent serious events
EventCIT Experienced: Sitravatinib and NivolumabCIT Naive: Sitravatinib and NivolumabGlesatinib and Nivolumab
EmbolismVascular disorders0/1241/321/5
PneumoniaInfections and infestations10/1243/320/5
DiarrhoeaGastrointestinal disorders8/1241/320/5
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)7/1242/320/5
Acute kidney injuryRenal and urinary disorders2/1242/320/5
Acute respiratory failureRespiratory, thoracic and mediastinal disorders0/1242/320/5
Pulmonary embolismRespiratory, thoracic and mediastinal disorders5/1242/320/5
Angina pectorisCardiac disorders0/1241/320/5
Cardiac arrestCardiac disorders1/1241/320/5
Cardiac failureCardiac disorders1/1241/320/5
Most frequent other events
Showing 10 of 87
Most frequent other events
EventCIT Experienced: Sitravatinib and NivolumabCIT Naive: Sitravatinib and NivolumabGlesatinib and Nivolumab
FatigueGeneral disorders77/12421/322/5
DiarrhoeaGastrointestinal disorders79/12420/323/5
Decreased appetiteMetabolism and nutrition disorders62/12419/320/5
NauseaGastrointestinal disorders62/12416/321/5
CoughRespiratory, thoracic and mediastinal disorders32/12415/320/5
Weight decreasedInvestigations57/12413/320/5
HypothyroidismEndocrine disorders30/12413/320/5
Alanine aminotransferase increasedInvestigations28/1244/322/5
Aspartate aminotransferase increasedInvestigations27/1248/322/5
VomitingGastrointestinal disorders48/12412/321/5

Baseline characteristics

The Safety Population was defined as all participants who received at least 1 dose of any study treatment (sitravatinib, glesatinib, or nivolumab). 1 participant has been excluded from the analysis as the PD-L1 status could not be confirmed due to a missing laboratory sample.

Age, Customized
Age, Customized(Participants)CIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and NivolumabGlesatinib and NivolumabTotal
30 to 89 years124325161
Sex: Female, Male
Sex: Female, Male(Participants)CIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and NivolumabGlesatinib and NivolumabTotal
Female6620288
Male5812373
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)CIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and NivolumabGlesatinib and NivolumabTotal
Hispanic or Latino4307
Not Hispanic or Latino118295152
Unknown or Not Reported2002
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)CIT Experienced: Sitravatinib and NivolumabCIT Naïve: Sitravatinib and NivolumabGlesatinib and NivolumabTotal
[Not specified] — American Indian or Alaska Native1001
[Not specified] — Asian3104
[Not specified] — Native Hawaiin or Other Pacific Islander0101
[Not specified] — Black or African American83213
[Not specified] — White107263136
[Not specified] — Other5106
08

Study locations

25 sites
  • Yuma Regional Medical Center
    Yuma, Arizona 85364, United States
  • Beverly Hills Cancer Center
    Beverly Hills, California 90211, United States
  • City of Hope National Medical Center
    Duarte, California 91010, United States
  • University of California San Diego
    La Jolla, California 92093, United States
  • University of California San Francisco Comprehensive Cancer Center
    San Francisco, California 94115, United States
  • University of California Los Angeles - Torrance - Community Cancer Care
    Santa Clarita, California 91355, United States
  • Rocky Mountain Cancer Centers - Denver - Midtown
    Denver, Colorado 80218, United States
  • Baptist Health
    Louisville, Kentucky 40207, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Minnesota Oncology Hematology, P.A.
    Minneapolis, Minnesota 55404, United States
  • University of Minnesota Masonic Cancer Center
    Minneapolis, Minnesota 55455, United States
  • Saint Francis Cancer Treatment Center
    Grand Island, Nebraska 68803, United States
  • Oncology Hematology Care-Blue Ash
    Cincinnati, Ohio 45242, United States
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
  • Ohio State University Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
  • Hematology Oncology Associates - Barnett Office
    Medford, Oregon 97504, United States
  • Northwest Cancer Specialists, P.C.
    Tualatin, Oregon 97062, United States
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania 19111, United States
  • Vanderbilt University
    Nashville, Tennessee 37212, United States
  • Texas Oncology - South Austin
    Austin, Texas 78745, United States
  • USOR - Texas Oncology - Denison Cancer Center
    Denison, Texas 75020, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Texas Oncology - Tyler
    Tyler, Texas 75702, United States
  • Virginia Cancer Specialist
    Fairfax, Virginia 22031, United States
  • University of Wisconsin
    Madison, Wisconsin 53792, United States
09

References and documents

Study documents

  • Study protocol · Feb 11, 2020
  • Statistical analysis plan · Jan 10, 2022
  • Informed consent form · Oct 25, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02954991
Lead sponsor
Mirati Therapeutics Inc.
Responsible party
Sponsor
First posted
Nov 4, 2016
Start date
Nov 7, 2016
Primary completion
Nov 4, 2021
Completion
Nov 4, 2021
Results posted
Apr 22, 2024
Last update
Apr 22, 2024

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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