An Open-Label, Multicenter, Global Phase 2 Basket Study of Entrectinib for the Treatment of Patients with Locally Advanced or Metastatic Solid Tumors that Harbor NTRK1/2/3, ROS1, or ALK Gene Rearrangements.

NOT ENROLLING
Protocol # :
15-435
Conditions
Breast Cancer
Cholangiocarcinoma
Colorectal Cancer
Head and Neck Neoplasms
Lymphoma, Large-Cell, Anaplastic
Melanoma
Neuroendocrine Tumors
Non-Small Cell Lung Cancer
Ovarian Cancer
Pancreatic Cancer
Papillary Thyroid Cancer
Primary Brain Tumors
Renal Cell Carcinoma
Sarcomas
Salivary Gland Cancers
Adult Solid Tumor
Phase
II
Disease Sites
Lip, Oral Cavity and Pharynx
Esophagus
Stomach
Small Intestine
Colon
Rectum
Anus
Liver
Pancreas
Other Digestive Organ
Larynx
Lung
Other Respiratory and Intrathoracic Organs
Bones and Joints
Soft Tissue
Mycosis Fungoides
Other Skin
Breast
Cervix
Corpus Uteri
Ovary
Other Female Genital
Prostate
Other Male Genital
Urinary Bladder
Kidney
Other Urinary
Eye and Orbit
Brain and Nervous System
Thyroid
Unknown Sites
Ill-Defined Sites
Other Endocrine System
Kaposi's Sarcoma
Melanoma, Skin
Principal Investigator
Lin, Jessica
Site Investigator
Demetri, George, D.
Site Research Nurses
Blaikie, Anna, Rose
Boudreault, Teresa
Bowes, Cynthia
Caramella, Anne
Carr, Margaret, M.
Carrozza, Susan, J.
Channell, Kelly
Delrosso, Alexandria, P.
Diorio, RN, Michele
Fiore, Marisa
Harran, John
Hedglin, Jennifer
Hewes, Julia
Hewes, Julia
Hohos, Melissa
Joyce, Margaret
Limor, Sora
Lundin, Aishlinn
Lundin, Aishlinn
Ly, Christina
McCarthy, Elizabeth, Ann
McIntyre, Casandra
Mossali, Alexandra
Patchel, Rachel, Alexandra
Powers, Allison
QUINN, NICHOLAS
Rattner, Barbara, A.
Sharma, Malti
Sutcliffe, Shaun
Turbini, Victoria, L.
White, Laura
Wood, Valerie, J.

Trial Description

This is an open-label, multicenter, global Phase 2 basket study of entrectinib (RXDX-101) for
the treatment of patients with solid tumors that harbor an NTRK1/2/3, ROS1, or ALK gene
fusion. Patients will be assigned to different baskets according to tumor type and gene
fusion.

Eligibility Requirements

Inclusion Criteria:

- Histologically- or cytologically-confirmed diagnosis of locally advanced or metastatic
solid tumor that harbors an NTRK1/2/3, ROS1, or ALK gene rearrangement

- For patients enrolled via local molecular testing, an archival or fresh tumor tissue
(unless medically contraindicated) is required to be submitted for independent central
molecular testing at Ignyta's CLIA laboratory post-enrollment

- Measurable or evaluable disease

- Patients with CNS involvement, including leptomeningeal carcinomatosis, which is
either asymptomatic or previously-treated and controlled, are allowed

- Prior anticancer therapy is allowed (excluding approved or investigational Trk, ROS1,
or ALK inhibitors in patients who have tumors that harbor those respective gene
rearrangements)

- Note: prior treatment with crizotinib is permitted only in ALK- or ROS1-rearranged
NSCLC patients presenting with CNS-only progression. Other ALK inhibitors are
prohibited.

- At least 2 weeks or 5 half-lives, whichever is shorter, must have elapsed after prior
chemotherapy or small molecule targeted therapy

- At least 4 weeks must have elapsed since completion of antibody-directed therapy

- Prior radiotherapy is allowed if more than 14 days have elapsed since the end of
treatment

- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 and minimum life
expectancy of 4 weeks

- Adequate organ function as defined per protocol

- Ability to swallow entrectinib intact

- Other protocol specified criteria

Exclusion Criteria:

- Current participation in another therapeutic clinical trial

- Prior treatment with approved or investigational Trk, ROS1, or ALK inhibitors in
patients who have tumors that harbor those respective gene rearrangements

- Note: prior treatment with crizotinib is permitted only in ALK- or ROS1-rearranged
NSCLC patients presenting with CNS-only progression. Other ALK inhibitors are
prohibited.

- History of other previous cancer that would interfere with the determination of safety
or efficacy

- Familial or personal history of congenital bone disorders, or bone metabolism
alterations

- Incomplete recovery from any surgery

- History of recent (within the past 3 months) symptomatic congestive heart failure or
ejection fraction ≤50% observed during screening for the study

- History of non-pharmacologically induced prolonged QTc interval

- History of additional risk factors for torsades de pointes

- Peripheral neuropathy Grade ≥ 2

- Known active infections

- Active gastrointestinal disease or other malabsorption syndromes

- Known interstitial lung disease, interstitial fibrosis, or history of tyrosine kinase
inhibitor-induced pneumonitis

- Other protocol specified criteria

15-435