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
The study will evaluate the clinical activity of nivolumab in combination with 3 separate investigational agents, glesatinib, sitravatinib, or mocetinostat.
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.
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 →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.
Exclusion Criteria:
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
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
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
Glesatinib is a small molecule multi-targeted receptor tyrosine kinase inhibitor
Also known as: MGCD265
Sitravatinib is a small molecule inhibitor of receptor tyrosine kinases.
Also known as: MGCD516
Mocetinostat is an HDAC inhibitor.
Also known as: MGCD01013
nivolumab is a programmed death receptor-1 (PD-1) blocking antibody
Also known as: Opdivo
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
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)
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
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
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
Blood Plasma Concentrations
Predose (trough) concentrations for sitravatinib
Time frame: Cycle 1 Day 1 through Cycle 5 Day 1
Participants were enrolled across 25 sites in the United States from November 2016 to November 2021.
| Milestone | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab | Glesatinib and Nivolumab |
|---|---|---|---|
| Started | 124 | 32 | 5 |
| Received any study treatment | 124 | 32 | 5 |
| Completed | 0 | 0 | 0 |
| Not completed | 124 | 32 | 5 |
| Withdrew: Death | 92 | 11 | 2 |
| Withdrew: Lost to follow-up | 3 | 2 | 0 |
| Withdrew: Withdrawal by subject | 9 | 8 | 1 |
| Withdrew: Study terminated by sponsor | 18 | 10 | 1 |
| Withdrew: Miscellaneous | 2 | 1 | 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.
| percentage of participants | CIT Experienced: Sitravatinib and Nivolumab | CIT 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) |
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.
| Participants | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 123 | 32 |
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).
| months | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab |
|---|---|---|
| Duration of Response (DOR) | 11.0 (3.7 to 13.1) | 11.1 (3.7 to NA) |
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.
| months | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab |
|---|---|---|
| Progression Free Survival (PFS) | 5.4 (4.2 to 5.7) | 7.1 (4.0 to 13.1) |
OS was defined as the time from first dose of study drug to the date of death due to any cause.
| months | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab |
|---|---|---|
| Overall Survival (OS) | 11.5 (8.7 to 15.0) | NA (9.8 to NA) |
Predose (trough) concentrations for sitravatinib
| ng/ml | Cycle 1 Day 15 | Cycle 2 Day 1 | Cycle 2 Day 15 | Cycle 3 Day 1 | Cycle 5 Day 1 |
|---|---|---|---|---|---|
| Blood Plasma Concentrations | 76.57 ± 51.041 | 59.25 ± 36.759 | 52.87 ± 26.265 | 46.41 ± 26.183 | 30.04 ± 12.239 |
Collected over Day 1 up to 28 days after the last dose. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| CIT Experienced: Sitravatinib and Nivolumab | 92/124 (74.2%) | 62/124 (50%) | 122/124 (98.4%) |
| CIT Naive: Sitravatinib and Nivolumab | 11/32 (34.4%) | 17/32 (53.1%) | 31/32 (96.9%) |
| Glesatinib and Nivolumab | 2/5 (40%) | 1/5 (20%) | 5/5 (100%) |
| Event | CIT Experienced: Sitravatinib and Nivolumab | CIT Naive: Sitravatinib and Nivolumab | Glesatinib and Nivolumab |
|---|---|---|---|
| EmbolismVascular disorders | 0/124 | 1/32 | 1/5 |
| PneumoniaInfections and infestations | 10/124 | 3/32 | 0/5 |
| DiarrhoeaGastrointestinal disorders | 8/124 | 1/32 | 0/5 |
| Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 7/124 | 2/32 | 0/5 |
| Acute kidney injuryRenal and urinary disorders | 2/124 | 2/32 | 0/5 |
| Acute respiratory failureRespiratory, thoracic and mediastinal disorders | 0/124 | 2/32 | 0/5 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 5/124 | 2/32 | 0/5 |
| Angina pectorisCardiac disorders | 0/124 | 1/32 | 0/5 |
| Cardiac arrestCardiac disorders | 1/124 | 1/32 | 0/5 |
| Cardiac failureCardiac disorders | 1/124 | 1/32 | 0/5 |
| Event | CIT Experienced: Sitravatinib and Nivolumab | CIT Naive: Sitravatinib and Nivolumab | Glesatinib and Nivolumab |
|---|---|---|---|
| FatigueGeneral disorders | 77/124 | 21/32 | 2/5 |
| DiarrhoeaGastrointestinal disorders | 79/124 | 20/32 | 3/5 |
| Decreased appetiteMetabolism and nutrition disorders | 62/124 | 19/32 | 0/5 |
| NauseaGastrointestinal disorders | 62/124 | 16/32 | 1/5 |
| CoughRespiratory, thoracic and mediastinal disorders | 32/124 | 15/32 | 0/5 |
| Weight decreasedInvestigations | 57/124 | 13/32 | 0/5 |
| HypothyroidismEndocrine disorders | 30/124 | 13/32 | 0/5 |
| Alanine aminotransferase increasedInvestigations | 28/124 | 4/32 | 2/5 |
| Aspartate aminotransferase increasedInvestigations | 27/124 | 8/32 | 2/5 |
| VomitingGastrointestinal disorders | 48/124 | 12/32 | 1/5 |
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(Participants) | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab | Glesatinib and Nivolumab | Total |
|---|---|---|---|---|
| 30 to 89 years | 124 | 32 | 5 | 161 |
| Sex: Female, Male(Participants) | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab | Glesatinib and Nivolumab | Total |
|---|---|---|---|---|
| Female | 66 | 20 | 2 | 88 |
| Male | 58 | 12 | 3 | 73 |
| Ethnicity (NIH/OMB)(Participants) | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab | Glesatinib and Nivolumab | Total |
|---|---|---|---|---|
| Hispanic or Latino | 4 | 3 | 0 | 7 |
| Not Hispanic or Latino | 118 | 29 | 5 | 152 |
| Unknown or Not Reported | 2 | 0 | 0 | 2 |
| Race/Ethnicity, Customized(Participants) | CIT Experienced: Sitravatinib and Nivolumab | CIT Naïve: Sitravatinib and Nivolumab | Glesatinib and Nivolumab | Total |
|---|---|---|---|---|
| [Not specified] — American Indian or Alaska Native | 1 | 0 | 0 | 1 |
| [Not specified] — Asian | 3 | 1 | 0 | 4 |
| [Not specified] — Native Hawaiin or Other Pacific Islander | 0 | 1 | 0 | 1 |
| [Not specified] — Black or African American | 8 | 3 | 2 | 13 |
| [Not specified] — White | 107 | 26 | 3 | 136 |
| [Not specified] — Other | 5 | 1 | 0 | 6 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: No
This study is terminated, as verified in Apr 2024. 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→
Mirati Therapeutics Inc.