A Study of LGK974 in Patients With Malignancies Dependent on Wnt Ligands

Program Status

Active, not recruiting

Phase

Phase 1

Prior Immunotherapy Allowed

Yes

CRC-directed Trial

Yes

Drugs

LGK974, PDR001

Tags

MSS/ MMRp

Comments

Porcupine (Wnt) inhibitor (LGK974) + PD1 (PDR001). BRAF mutant colorectal cancer specifically being recruited.

Phase I is expected to be Jan. 2019

Location Location Status
United States
UCLA School of Medicine
Los Angeles, California 90024
Active, not recruiting
Sidney Kimmel Comprehensive Cancer Center Johns Hopkins
Baltimore, Maryland 21287-0013
Active, not recruiting
Dana Farber Cancer Institute SC-7
Boston, Massachusetts 02215
Active, not recruiting
University of Michigan Comprehensive Cancer Center Onc Dept.
Ann Arbor, Michigan 48109-0944
Active, not recruiting
Karmanos Cancer Institute Wayne St
Detroit, Michigan 48201
Active, not recruiting
University of Texas/MD Anderson Cancer Center MD Anderson 2
Houston, Texas 77030-4009
Active, not recruiting
Canada
Novartis Investigative Site
Montreal, Quebec H2W 1T8
Active, not recruiting
France
Novartis Investigative Site
Villejuif 94800
Active, not recruiting
Germany
Novartis Investigative Site
Essen 45147
Active, not recruiting
Italy
Novartis Investigative Site
Milano, MI 20133
Active, not recruiting
Novartis Investigative Site
Napoli 80131
Active, not recruiting
Netherlands
Novartis Investigative Site
Rotterdam 3075 EA
Active, not recruiting
Novartis Investigative Site
Utrecht 3584CX
Active, not recruiting
Spain
Novartis Investigative Site
Barcelona, Catalunya 08035
Active, not recruiting
Novartis Investigative Site
Barcelona, Catalunya 08036
Active, not recruiting
Novartis Investigative Site
Hospitalet de LLobregat, Catalunya 08907
Active, not recruiting
Novartis Investigative Site
Valencia, Comunidad Valenciana 46010
Active, not recruiting
Novartis Investigative Site
Madrid 28009
Active, not recruiting
Novartis Investigative Site
Madrid 28040
Active, not recruiting
Novartis Investigative Site
Madrid 28050
Active, not recruiting

Inclusion Criteria

Inclusion Criteria:

Diagnosis of locally advanced or metastatic cancer that has progressed despite standard therapy or for which no effective standard therapy exists and histological confirmation of one of the following diseases indicated below:

Single Agent Dose escalation part:documented B-RAF mutant colorectal cancer or pancreatic adenocarcinoma. In addition, tumors of any histological origin with documented genetic alterations upstream in the Wnt signaling pathway are eligible with prior agreement with Novartis.

Single Agent Dose expansion part: documented B-RAF mutant colorectal cancer with documented RNF43 mutation and/or RSPO fusion or pancreatic adenocarcinoma with documented RNF43 mutation. In addition, patients with tumors of any histological origin with documented genetic alterations upstream in the Wnt signaling pathway (e.g. RNF43 or RSPO fusion) are eligible with prior agreement with Novartis

LGK974 with PDR001: Dose escalation: patients with the following cancers that were previously treated with anti-PD-1 therapy and whose best response on that therapy was progressive disease (i.e. primary refractory): melanoma, lung SCC, HNSCC. Patients with esophageal SCC, cervical SCC or TNBC who are either naïve or primary refractory to prior anti-PD-1 therapy.

LGK974 with PDR001: Dose expansion: patients with:

cutaneous melanoma that was primary refractory to prior anti-PD-1 therapy, defined as a best response of progressive disease or stable disease for 4 months. Patients with BRAF V600-mutant melanoma must have also received and been failed by prior systemic therapy with a BRAF V600 inhibitor, with or without a MEK inhibitor.

Exclusion Criteria

Exclusion Criteria:

Impaired cardiac function
Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of LGK974 (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, small bowel resection)
Brain metastases that have not been adequately treated
Malignant disease other than that being treated in this study
Laboratory abnormalities as specified in the protocol
Osteoporosis, osteopenia
Bone fractures within the past year
Pathologic bone fracture
Active, known or suspected autoimmune disease or severe hypersensitivity reactions to other monoclonal antibodies

Other protocol-defined inclusion/exclusion criteria may apply

NCT ID

NCT01351103

Date Trial Added

2011-05-10

Updated Date

2024-05-30