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A Phase 2 Exploratory Study of Erlotinib and SNDX-275 in Patients With Non-Small Cell Lung Carcinoma Who Are Progressing on Erlotinib

This study is currently recruiting participants.
Verified by Syndax Pharmaceuticals, September 2008

Sponsored by: Syndax Pharmaceuticals
Information provided by: Syndax Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00750698
  Purpose

Preclinical studies have shown that SNDX-275 is able to reactivate the expression of EGFR, E-cadherin and ErbB3 expression. The combination of SNDX-275 with erlotinib (an EGFRi) in patients who are progressing on erlotinib will show measurable activity as evidenced by the disease control rate and with an acceptable safety profile.


Condition Intervention Phase
Non Small Cell Lung Cancer
Drug: SNDX-275
Drug: erlotinib
Phase II

MedlinePlus related topics:   Cancer    Lung Cancer   

ChemIDplus related topics:   Erlotinib    Erlotinib hydrochloride   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Official Title:   A Phase 2 Exploratory Study of Erlotinib and SNDX-275 in Patients With Non-Small Cell Lung Carcinoma Who Are Progressing on Erlotinib

Further study details as provided by Syndax Pharmaceuticals:

Primary Outcome Measures:
  • Disease control rate (complete response, partial response, or stable disease for at least 3 months) [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Progression-free survival rate at 2 months [ Time Frame: 2 months ] [ Designated as safety issue: No ]
  • Progression-free survival rate at 4 months [ Time Frame: 4 months ] [ Designated as safety issue: No ]

Estimated Enrollment:   70
Study Start Date:   August 2008
Estimated Study Completion Date:   August 2010
Estimated Primary Completion Date:   June 2010 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
"Erlotinib-responsive" patients are those who progressed following either a complete or partial response to erlotinib or a period of stable disease lasting at least 3 months.
Drug: SNDX-275
SNDX-275 (10 mg fixed dose PO Q2W) on days 1 and 15 of a 28-day cycle for up to 6 cycles
Drug: erlotinib
erlotinib (150 mg PO QD) for up to six (6) 28-day cycles
2: Experimental
"Erlotinib-nonresponsive" patients are those who either progressed immediately during treatment with erlotinib (i.e. after at least 1 full cycle of erlotinib treatment) or had an objective response or period of stable disease lasting less than 3 months.
Drug: SNDX-275
SNDX-275 (10 mg fixed dose PO Q2W) on days 1 and 15 of a 28-day cycle for up to 6 cycles
Drug: erlotinib
erlotinib (150 mg PO QD) for up to six (6) 28-day cycles

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

INCLUSION:

  1. Cytologically or histologically confirmed NSCLC of stage IIIb (pleural effusion) or IV
  2. Disease is progressing (either no response to treatment or subsequent relapse after an objective response) on erlotinib treatment, based on at least 2 scans (the last being within 4 weeks of study enrollment and can serve as the baseline scan for the patient's screening into the study )
  3. Recovered from any toxicity associated with the most recent cancer treatment (no greater than grade 1 toxicity on CTCAE scale or to prior baseline condition)
  4. At least 1 measurable lesion ≥ 20mm by conventional CT scan or ≥ 10mm by spiral CT scan
  5. ECOG performance score of 0, 1, or 2 and life expectancy of at least 3 months
  6. Paraffin-embedded tumor specimen available for correlative studies
  7. Male or female over 18 years of age
  8. Hemoglobin ≥ 9.0 g/dL; platelets ≥ 75 x 10⁹/L; ANC ≥ 1.0 x 10⁹/L without the use of hematopoietic growth factors
  9. Coagulation tests within the normal range
  10. Bilirubin and creatinine less than 2 times the upper limit of normal for the institution
  11. AST and ALT less than 3 times the upper limit of normal for the institution
  12. Potassium, magnesium and phosphorus within the normal range for the institution (supplementation is permissible)
  13. Willing to use accepted and effective methods of contraception during the study (both men and women as appropriate) and for 3 months after the last dose of SNDX-275
  14. Patient or legally acceptable representative has granted written informed consent before any study-specific procedure (including special screening tests) is performed

EXCLUSION:

  1. Prior stem cell transplant
  2. Symptomatic CNS involvement
  3. Prior treatment with an HDAC inhibitor
  4. Concurrent anticancer therapy, with the exception of radiotherapy for a non-target study lesion
  5. Currently taking medication(s) on the prohibited medication list
  6. Systemic chemotherapy or treatment with an investigational agent within 28 days before enrollment
  7. Current use of valproic acid
  8. Untreated or unstable brain metastases, or taken steroids for this condition within 4 weeks of study drug administration
  9. Currently active second malignancy, or any malignancy within the last 5 years other than cured basal or squamous cell skin carcinoma, cervical carcinoma in situ, or superficial bladder cancer
  10. Inability to swallow oral medications or a gastrointestinal malabsorption condition
  11. Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals, known HIV infection, or active hepatitis B or C infection
  12. Abnormal cardiac function as defined as clinically significant findings on ECG (multifocal PVCs, ST-T wave changes consistent with myocardial infarction or acute ischemia, QTc greater than 500 milliseconds), tachycardia, or left ventricular ejection fraction less than 40% on MUGA scan
  13. Another serious or uncontrolled medical condition within 3 months of enrollment such as hypertension, diabetes mellitus, or suppressed immune system
  14. Known hypersensitivity to benzamides
  15. Morbid obesity
  16. Women who are currently pregnant or breast-feeding
  17. Patient is currently enrolled in (or completed within 28 days) another investigational drug study
  18. Patient unavailable for on-study or follow-up assessments
  19. Patient has any kind of medical, psychiatric, or behavioral disorder that places the patient at increased risk for study participation or compromises the ability of the patient to give written informed consent and/or to comply with study procedures and requirements
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00750698

Contacts
Contact: Jeannette Hasapidis     781-419-1404     jhasapidis@syndax.com    
Contact: Rachel Sorensen     781-419-1410     rsorensen@syndax.com    

Locations
United States, California
University of California San Diego     Not yet recruiting
      La Jolla, California, United States
Sharp Memorial Hospital     Not yet recruiting
      San Diego, California, United States
City of Hope     Not yet recruiting
      Duarte, California, United States
United States, Florida
University of Miami, Miller School of Medicine     Recruiting
      Miami, Florida, United States
United States, Georgia
Medical College of Georgia     Not yet recruiting
      Augusta, Georgia, United States
United States, Illinois
RUSH University Medical Center     Not yet recruiting
      Chicago, Illinois, United States
United States, Maryland
University of Maryland Medical Center     Not yet recruiting
      Baltimore, Maryland, United States
United States, Minnesota
the Mayo Clinic     Not yet recruiting
      Rochester, Minnesota, United States
United States, New York
Roswell Park Cancer Institute     Recruiting
      Buffalo, New York, United States
United States, North Carolina
Blumenthal Cancer Center     Not yet recruiting
      Charlotte, North Carolina, United States
United States, South Carolina
South Carolina Oncology Associates     Not yet recruiting
      Columbia, South Carolina, United States
University of South Carolina     Recruiting
      Charleston, South Carolina, United States

Sponsors and Collaborators
Syndax Pharmaceuticals

Investigators
Study Chair:     Alex Adjei, MD     Roswell Park Cancer Institute    
  More Information


Responsible Party:   Syndax Pharmaceuticals, Inc. ( Jeannette Hasapidis, Associate Director of Clinical Trials Management )
Study ID Numbers:   SNDX-275-0403
First Received:   September 8, 2008
Last Updated:   September 8, 2008
ClinicalTrials.gov Identifier:   NCT00750698
Health Authority:   United States: Food and Drug Administration

Keywords provided by Syndax Pharmaceuticals:
lung cancer  
non small cell lung cancer  

Study placed in the following topic categories:
Erlotinib
Thoracic Neoplasms
Non-small cell lung cancer
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Carcinoma, Non-Small-Cell Lung
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Respiratory Tract Neoplasms
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 03, 2008




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