Lung Cancer Clinical Trial
Study of Patritumab in Combination With Erlotinib in Subjects With Locally Advanced or Metastatic Non-Small-Cell Lung Cancer (NSCLC). (HER3-Lung)
Summary
Part A: Subjects will receive Patritumab or placebo with erlotinib. Progression-free survival will be the primary outcome. Subjects will need to have Epidermal Growth Factor Receptor (EGFR) wild-type, locally advance or metastatic NSCLC and have their cancer progressed after at least one prior systemic anti-cancer therapy, available recent or archival tumor specimen and may not have had previous EGFR-targeted regimen, anti-HER2 (Human Epidermal Growth Factor Receptor 2), anti-HER3, or anti-HER4 therapy. Subjects may have high heregulin or low heregulin.
Part B: Subjects will receive Patritumab or placebo with erlotinib. Overall survival will be the primary outcome. Subjects will need to have EGFR wild-type, locally advance or metastatic NSCLC and have their cancer progressed after at least one prior systemic anti-cancer therapy, available recent or archival tumor specimen and may not have had previous EGFR-targeted regimen, anti-HER2, anti-HER3, or anti-HER4 therapy. Only subjects with high heregulin will be enrolled.
Eligibility Criteria
Inclusion Criteria:
Must be greater or equal to 20 years of age
Must have cytologically or histologically confirmed NSCLC with either:
Metastatic disease (Stage IV) OR
Stage IIIB disease not amenable to surgery or curative intent.
Note: It is permissible to use either AJCC Version 6.0 or the AJCC Version 7.0 staging system. For sites that use AJCC Version 7.0, T4M0 patients with other ipsilateral nodules and N0-N2 are still eligible.
If tumor histology is adenocarcinoma, must have wild-type EGFR genotype as assessed by a validated assay that includes exon 19 deletion and exon 21 (L858R) substitution.
Must have received one or two prior lines of systemic chemotherapy for advanced or metastatic disease, one of which must be a platinum-doublet therapy.
Must have disease progression or recurrence documented by radiographic assessment following treatment after last chemotherapy or chemoradiation regimen (completed within the previous 12 months).
Must have available recent (before treatment start) or archival tumor specimen.
Must have measurable disease for Part A, measurable disease or non-measurable disease for Part B
Must have Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Must have adequate hematological function
Must have adequate renal function
Must have adequate hepatic function
Agreement to use effective contraception while on treatment and for at least 6 months after end of treatment
Must have provided informed consent for study participation.
Exclusion Criteria:
Lung adenocarcinoma with an Anaplastic Lymphoma Kinase (ALK) gene rearrangement
Left ventricular ejection fraction (LVEF) less than 45%
Prior EGFR-targeted regimen, anti-HER2, anti-HER3, or anti-HER4 therapy
History of other malignancies, except adequately treated non-melanoma skin cancer, curatively treated in-situ disease, or other solid tumors curatively treated with no evidence of disease for greater or equal to 5 years
History of corneal disease
History of interstitial lung disease (ILD)
Clinically active brain metastases
Uncontrolled hypertension
Clinically significant ECG changes
Clinically significant (in the opinion of the Investigator) ascites or pleural effusion requiring chronic medical intervention
Myocardial infarction within 1 year before enrollment, symptomatic congestive heart failure, unstable angina, or unstable cardiac arrhythmia requiring medication
Treatment with anticancer therapy, antibody-based therapy, retinoid therapy, or hormonal therapy within 4 weeks before study drug treatment
Therapeutic radiation therapy or major surgery within 4 weeks before study drug treatment; or palliative radiation within 2 weeks before study drug treatment
Participation in clinical drug trials within 4 weeks
Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals, known human immunodeficiency virus (HIV) infection, or active hepatitis B or C infection.
History of hypersensitivity to any of the study drugs or to any excipients.
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There are 6 Locations for this study
Glendale Arizona, , United States
Duarte California, , United States
La Verne California, , United States
Los Angeles California, 43210, United States
San Francisco California, , United States
Port Saint Lucie Florida, , United States
Tampa Florida, , United States
Chicago Illinois, , United States
Maywood Illinois, , United States
Goshen Indiana, 46526, United States
Louisville Kentucky, , United States
Grand Rapids Michigan, , United States
Saint Cloud Minnesota, , United States
Saint Louis Missouri, , United States
Las Vegas Nevada, , United States
Columbus Ohio, , United States
Bend Oregon, , United States
Portland Oregon, , United States
Redmond Oregon, 97756, United States
Chattanooga Tennessee, , United States
Knoxville Tennessee, , United States
Nashville Tennessee, , United States
Dallas Texas, , United States
Salt Lake City Utah, , United States
Arlington Virginia, , United States
Seattle Washington, , United States
Brasschaat Antwerpen, , Belgium
Bruxelles Brussels, , Belgium
Charleroi Hainaut, , Belgium
Charleroi , , Belgium
Gent , 9000, Belgium
Liege , , Belgium
Yvoir , 5530, Belgium
Hamilton Ontario, , Canada
Kingston Ontario, , Canada
Toronto Ontario, , Canada
Levis Quebec, , Canada
Montreal Quebec, , Canada
Ostava-Poruba , , Czechia
Ostrava-Poruba , , Czechia
Esslingen am Neckar Baden-Wurttemberg, , Germany
Gerlingen Baden-Wurttemberg, , Germany
Heidelberg Baden-Württemberg, , Germany
Ulm Baden-Württemberg, , Germany
Villingen-Schwenningen Baden-Württemberg, , Germany
Gauting Bayern, 82131, Germany
Muenchen Bayern, , Germany
Frankfurt am Main Hessen, , Germany
Immenhausen Hessen, , Germany
Koln Nordrhein-Westfalen, , Germany
Rheine Nordrhein-Westfalen, , Germany
Mainz Rheinland-Pfalz, , Germany
Halle Sachsen-Anhalt, , Germany
Grosshansdorf Schleswig-Holstein, , Germany
Gießen , , Germany
Szekesfehervar Fejer, , Hungary
Gyor Gyor-Moson-Sopron, , Hungary
Szolnok Jasz-Nagykun-Szolnok, , Hungary
Tatabanya , , Hungary
Meldola Forli, , Italy
Sora Frosinone, , Italy
Lecco Lombardia, , Italy
Benevento , , Italy
Bologna , , Italy
Cremona , , Italy
Faenza , , Italy
Genova , , Italy
Milano , , Italy
Napoli , , Italy
Perugia , , Italy
Ravenna , , Italy
Rimini , , Italy
Roma , , Italy
Rozzano , , Italy
Torun Kujawsko-pomorskie, , Poland
Otwock Mazowieckie, , Poland
Gdansk Pomorskie, , Poland
Szczecin Zachodniopomorskie, , Poland
Krakow , , Poland
Prabuty , , Poland
Warszawa , , Poland
La Coruna A Coruña, , Spain
Sevilla Andalucia, , Spain
Valencia Valenciana, Comunidad, , Spain
Alicante , , Spain
Barcelona (2) , , Spain
Barcelona (3) , , Spain
Barcelona (4) , , Spain
Barcelona (5) , , Spain
Barcelona (6) , , Spain
Barcelona , , Spain
Burgos (2) , , Spain
Burgos , , Spain
Madrid (2) , , Spain
Madrid (3) , , Spain
Madrid (4) , , Spain
Madrid , , Spain
Manresa (2) , , Spain
Manresa , , Spain
Palma de Mallorca , , Spain
Valencia , , Spain
Zaragoza (2) , , Spain
Zaragoza , , Spain
Stevenage Hertfordshire, , United Kingdom
London (2) , , United Kingdom
London (3) , , United Kingdom
London , , United Kingdom
Northwood , , United Kingdom
Rickmansworth , , United Kingdom
Southampton , , United Kingdom
Wirral , , United Kingdom
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