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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03719690
Registration number
NCT03719690
Ethics application status
Date submitted
16/10/2018
Date registered
25/10/2018
Date last updated
21/06/2024
Titles & IDs
Public title
Safety and Efficacy of Tipifarnib in Head and Neck Cancer With HRAS Mutations and Impact of HRAS on Response to Therapy
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Scientific title
A 2 Cohort, Non-comparative, Pivotal Study Evaluating the Efficacy of Tipifarnib in Patients With Head and Neck Squamous Cell Carcinoma (HNSCC) With HRAS Mutations (AIM-HN) and the Impact of HRAS Mutations on Response to First Line Systemic Therapies for HNSCC (SEQ-HN)
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Secondary ID [1]
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KO-TIP-007
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Universal Trial Number (UTN)
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Trial acronym
AIM-HN/SEQ-HN
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HRAS Gene Mutation
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0
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HNSCC
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Condition category
Condition code
Cancer
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0
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0
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Head and neck
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Tipifarnib
Treatment: Devices - HRAS Detection Assay
Experimental: AIM-HN - Tipifarnib, Oral Tablet. Dose Level 1 orally, bid on days 1-7 and 15-21 of 28-day treatment cycles
No intervention: SEQ-HN - HNSCC patients in whom HRAS mutations were not identified (wild type HRAS HNSCC) and who consent to provide first line outcome data and additional follow up.
Treatment: Drugs: Tipifarnib
Tablet for oral administration
Treatment: Devices: HRAS Detection Assay
In Vitro Assay to detect HRAS mutations
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Intervention code [1]
0
0
Treatment: Drugs
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Intervention code [2]
0
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
0
0
Objective Response Rate (ORR) in High Variable Allele Frequency (VAF) Population, as Assessed by Independent Review Facility (IRF)
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Assessment method [1]
0
0
ORR was defined as the percentage of participants who experienced a best overall response (BOR) of complete response (CR; disappearance of all target lesions) or partial response (PR; at least a 30% decrease in the sum of diameters of target lesions) and was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by IRF. 95% confidence interval (CI) was calculated by the exact binomial (Clopper-Pearson) method.
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Timepoint [1]
0
0
Up to approximately 28 months
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Secondary outcome [1]
0
0
ORR in All VAF Population, as Assessed by IRF
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Assessment method [1]
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ORR was defined as the percentage of participants who experienced a BOR of CR or PR and was assessed using RECIST v1.1 by IRF. 95% CI was calculated by the exact binomial (Clopper-Pearson) method.
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Timepoint [1]
0
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Up to approximately 28 months
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Secondary outcome [2]
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0
Duration of Response (DoR) in High VAF Population, as Assessed by IRF
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Assessment method [2]
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DoR was defined as the time from the date of first response (CR or PR \[whichever occurred first\]) to the date of progression of disease or death of any cause, whichever occurred first, in participants with a confirmed CR or PR and was assessed using RECIST v1.1 by IRF. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
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Timepoint [2]
0
0
Up to approximately 28 months
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Secondary outcome [3]
0
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DoR in All VAF Population, as Assessed by IRF
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Assessment method [3]
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DoR was defined as the time from the date of first response (CR or PR \[whichever occurred first\]) to the date of progression of disease or death of any cause, whichever occurred first, in participants with a confirmed CR or PR and was assessed using RECIST v1.1 by IRF. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
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Timepoint [3]
0
0
Up to approximately 28 months
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Secondary outcome [4]
0
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Progression Free Survival (PFS) in High VAF Population, as Assessed by IRF
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Assessment method [4]
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PFS was defined as months from the first dose of the study drug to the first documented progressive disease (PD, appearance of one or more new lesions or at least a 20% increase in the sum of the diameters of target lesions) or death, whichever came first and was assessed using RECIST v1.1 by IRF. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
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Timepoint [4]
0
0
Up to approximately 28 months
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Secondary outcome [5]
0
0
PFS in All VAF Population, as Assessed by IRF
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Assessment method [5]
0
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PFS was defined as months from the first dose of the study drug to the first documented PD or death, whichever came first and was assessed using RECIST v1.1 by IRF. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
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Timepoint [5]
0
0
Up to 28 approximately months
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Secondary outcome [6]
0
0
PFS Rate in High VAF Population, as Assessed by IRF
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Assessment method [6]
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PFS rate was defined as the percentage of participants who had not experienced documented PD or death, whichever came first and was assessed using RECIST v1.1 by IRF at 6 and 9 month timepoints. Percentage of participants was calculated using the Kaplan-Meier method. 95% CI was calculated using normal approximation to the log transformed cumulative hazard rate
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Timepoint [6]
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6 months and 9 months
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Secondary outcome [7]
0
0
PFS Rate in All VAF Population, as Assessed by IRF
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Assessment method [7]
0
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PFS rate was defined as the percentage of participants who had not experienced documented PD or death, whichever came first and was assessed using RECIST v1.1 by IRF at 6 and 9 month timepoints. Percentage of participants was calculated using the Kaplan-Meier method. 95% CI was calculated using normal approximation to the log transformed cumulative hazard rate.
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Timepoint [7]
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6 months and 9 months
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Secondary outcome [8]
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Overall Survival (OS) in High VAF Population
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Assessment method [8]
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OS was defined as months from first dose date until death from any cause. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
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Timepoint [8]
0
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Up to approximately 28 months
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Secondary outcome [9]
0
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OS in All VAF Population
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Assessment method [9]
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OS was defined as months from first dose date until death from any cause. Median was calculated using the Kaplan-Meier method. 95% CI was based on Brookmeyer and Crowley method with log-log transformation.
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Timepoint [9]
0
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Up to approximately 28 months
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Secondary outcome [10]
0
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OS Rate at 12 Months in High VAF Population
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Assessment method [10]
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OS rate was defined as the percentage of participants who had not experienced or death and was assessed at 12 months. Percentage of participants was calculated using the Kaplan-Meier method. 95% CI was calculated using normal approximation to the log transformed cumulative hazard rate.
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Timepoint [10]
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12 months
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Secondary outcome [11]
0
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OS Rate at 12 Months in All VAF Population
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Assessment method [11]
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OS rate was defined as the percentage of participants who had not experienced or death and was assessed at 12 months. Percentage of participants was calculated using the Kaplan-Meier method. 95% CI was calculated using normal approximation to the log transformed cumulative hazard rate.
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Timepoint [11]
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12 months
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Secondary outcome [12]
0
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Time to Response (TTR) in High VAF Population, as Assessed by IRF
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Assessment method [12]
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TTR was defined as months from treatment start to first CR or PR (whichever was first recorded) in participants with confirmed CR or PR and was assessed using RECIST v1.1 by IRF. TTR was summarized descriptively by summary statistics.
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Timepoint [12]
0
0
Up to approximately 28 months
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Secondary outcome [13]
0
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TTR in All VAF Population, as Assessed by IRF
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Assessment method [13]
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TTR was defined as months from treatment start to first CR or PR (whichever was first recorded) in participants with confirmed CR or PR and was assessed using RECIST v1.1 by IRF. TTR was summarized descriptively by summary statistics.
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Timepoint [13]
0
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Up to approximately 28 months
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Secondary outcome [14]
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Number of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs)
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Assessment method [14]
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TEAEs were defined as adverse events (AEs) that started on or after the first dose of the study drug and within 30 days of the last administration of the study drug. Common Terminology Criteria for Adverse Events (CTCAE) v5.0 was used for toxicity grading (Grade 3: severe or disabling; Grade 4: life-threatening; Grade 5: death related to AE). Clinically significant changes in laboratory tests, vital signs, and electrocardiogram results were reported as AEs.
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Timepoint [14]
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Up to approximately 28 months
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Secondary outcome [15]
0
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Change From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Module 35 (EORTC QLQ-H&N35) Subscales
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Assessment method [15]
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Change from Baseline score in pain, swallowing, speech problems, and senses problems subscales of EORTC QLQ-H\&N35 are summarized individually. Raw scores for each subscale were linear transformations and standardized to range (0 - 100), with higher scores representing worse levels of symptoms. Change from Baseline was calculated as End of Treatment Observed - Baseline with a negative change representing a reduction in symptoms.
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Timepoint [15]
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Baseline and End of Treatment Visit (up to approximately 28 months)
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Secondary outcome [16]
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Change From Baseline in the EuroQol-Visual Analog Scale (EQ-VAS) Score
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Assessment method [16]
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The EQ-VAS forms part of the EQ-5D-5L and collects the self-rating health status from 0 (the worst imaginable health) to 100 (the best imaginable health). Change from Baseline was calculated as End of Treatment Observed - Baseline with a negative change representing an increase in symptoms.
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Timepoint [16]
0
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Baseline and End of Treatment Visit (up to approximately 28 months)
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Eligibility
Key inclusion criteria
AIM-HN
1. At least 18 years of age.
2. Histologically confirmed head and neck cancer (oral cavity, pharynx, larynx, sinonasal, nasopharyngeal, or unknown primary) of squamous histology not amenable to local therapy with curative intent (surgery or radiation therapy with or without chemotherapy).
3. Documented treatment failure from most recent prior therapy (e.g. tumor progression, clinical deterioration, or recurrence), and from at least one prior platinum-containing regimen, in any treatment setting.
4. Known tumor missense HRAS mutation.
5. Measurable disease by RECIST v1.1.
6. ECOG performance status of 0-1.
7. Acceptable liver, renal and hematological function
8. Other protocol defined inclusion criteria may apply.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Histologically confirmed salivary gland, thyroid, (primary) cutaneous squamous or nonsquamous histologies (e.g. mucosal melanoma).
2. Received treatment for unstable angina within prior year, myocardial infarction within the prior year, cerebro-vascular attack within the prior year, history of New York Heart Association grade III or greater congestive heart failure, or current serious cardiac arrhythmia requiring medication except atrial fibrillation.
3. Non-tolerable Grade 2 or = Grade 3 neuropathy or evidence of unstable neurological symptoms within 4 weeks of Cycle 1 Day 1.
4. Active, uncontrolled bacterial, viral or fungal infections requiring systemic therapy. Known history of infection with human immunodeficiency virus or an active infection with hepatitis B or hepatitis C.
5. Received treatment for non-cancer related liver disease within prior year.
6. Other protocol defined exclusion criteria may apply
Inclusion Criteria: SEQ-HN
1. At least 18 years of age.
2. Histologically confirmed head and neck cancer (oral cavity, pharynx, larynx, sinonasal, nasopharyngeal, or unknown primary) of squamous histology.
3. Will or has received at least one systemic anti-cancer therapy for recurrent or metastatic HNSCC.
4. HRAS wildtype (i.e., have no identified tumor missense HRAS mutation).
5. Other protocol defined inclusion criteria may apply
SEQ-HN
1. Histologically confirmed salivary gland, thyroid, (primary) cutaneous squamous or nonsquamous histologies (e.g. mucosal melanoma).
5. Other protocol defined exclusion criteria may apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/03/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
2/05/2023
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Sample size
Target
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Accrual to date
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Final
296
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [2]
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Royal North Shore Hospital - Saint Leonards
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Recruitment postcode(s) [1]
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3000 - Melbourne
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Recruitment postcode(s) [2]
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2065 - Saint Leonards
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Recruitment outside Australia
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California
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Florida
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Georgia
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Illinois
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Kansas
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Kentucky
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Maryland
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Massachusetts
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Missouri
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North Carolina
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Oklahoma
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Cuneo
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Legnago
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Meldola
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Putrajaya
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Valencia
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Tainan
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Taipei
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Taoyuan
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Thailand
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Bangkok
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Thailand
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Chiang Mai
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England
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Glasgow
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Manchester
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United Kingdom
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Sutton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Kura Oncology, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
An international, multicenter, open-label, 2 cohort, non-comparative, pivotal study evaluating the efficacy of tipifarnib in HRAS mutant HNSCC (AIM-HN). The first cohort will assess the objective response rate (ORR) of tipifarnib in subjects with HNSCC with HRAS mutations. The second study cohort, SEQ-HN, is an observational sub-study including HNSCC patients in whom HRAS mutations were not identified (wild type HRAS HNSCC) and who consent to provide first line outcome data and additional follow up.
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Trial website
https://clinicaltrials.gov/study/NCT03719690
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
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Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/90/NCT03719690/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/90/NCT03719690/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03719690
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