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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT01870609
Registration number
NCT01870609
Ethics application status
Date submitted
29/05/2013
Date registered
6/06/2013
Date last updated
30/01/2017
Titles & IDs
Public title
Placebo Controlled Study of VS-6063 in Subjects With Malignant Pleural Mesothelioma
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Scientific title
A Phase 2 Randomized, Double-Blind, Placebo-Controlled, Multicenter Study of VS-6063 in Subjects With Malignant Pleural Mesothelioma
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Secondary ID [1]
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VS-6063-202
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Universal Trial Number (UTN)
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Trial acronym
COMMAND
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Malignant Pleural Mesothelioma
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Condition category
Condition code
Cancer
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Lung - Mesothelioma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - defactinib (VS-6063)
Treatment: Drugs - Placebo
Active Comparator: defactinib (VS-6063) - 2 x 200 mg defactinib (VS-6063) tablets, administered orally, twice daily
Placebo Comparator: Placebo - 2 placebo tablets, administered orally, twice daily
Treatment: Drugs: defactinib (VS-6063)
Treatment: Drugs: Placebo
Sugar pill manufactured to mimic defactinib tablet
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Compare the overall survival (OS) in subjects with malignant pleural mesothelioma receiving defactinib (VS-6063) or placebo
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Assessment method [1]
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The median duration of OS will be estimated based on the 50th percentile of the Kaplan-Meier distribution
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Timepoint [1]
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From randomization to end of life, an expected average of 12 months
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Primary outcome [2]
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Compare the progression free survival (PFS) in subjects with malignant pleural mesothelioma receiving defactinib (VS-6063) or placebo
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Assessment method [2]
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PFS will be calculated based on the stratified log-rank test, and will use Kaplan-Meier estimation methods for estimation of summary statistics
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Timepoint [2]
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From date of randomization to earliest documented date of progression, an expected average of 4 months
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Secondary outcome [1]
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To assess Quality of Life (QoL) in subjects treated with defactinib (VS-6063) or placebo using the Lung Cancer Symptom Scale modified for mesothelioma (LCSS-Meso)
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Assessment method [1]
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QoL will be assessed using the LCSS-Meso. The LCSS-Meso total score will be analyzed through a comparison of median area under the curve (AUC) between the 2 treatment groups using a Wilcoxon test.
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Timepoint [1]
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Every 3-4 weeks from baseline through end of treatment, an expected average of 4 months
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Secondary outcome [2]
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To determine the objective response rate (ORR) in subjects receiving defactinib (VS-6063) or placebo.
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Assessment method [2]
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ORR is measured as the best overall response assessed by central review using Response Evaluation Criteria In Solid Tumors (RECIST), version 1.1.
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Timepoint [2]
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Every 6-8 weeks from baseline through end of treatment, an expected average of 4 months
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Eligibility
Key inclusion criteria
- 1. Able to understand and give written informed consent and comply with study
procedures.
- 2. Histologically proven diagnosis of MPM. All subjects must have biopsy material
(archival tissue is acceptable) available for immunohistochemistry determination of
Merlin status prior to enrollment.
- 3. Evaluable disease, or measurable disease as assessed by RECIST version 1.1.
- 4. Received only one prior chemotherapy regimen consisting of = 4 cycles of
pemetrexed/cisplatin or pemetrexed/carboplatin; subjects must have documentation of an
ongoing response (confirmed PR or SD) following completion of this regimen. Subjects
changing from cisplatin to carboplatin or vice versa within the same course of
treatment because of platinum toxicity will be considered to have had first-line
chemotherapy. Note: Subjects may have undergone previous surgical resection of their
disease providing it was completed prior to initiation of chemotherapy.
- 5. Received last dose of prior chemotherapy within = 6 weeks of first dose of VS-6063.
- 6. Have completed baseline quality of life evaluation as assessed by LCSS modified for
mesothelioma
- 7. Age =18 years.
- 8. Life expectancy =3 months.
- 9. All prior cytotoxic toxicities must have resolved to grade = 1 prior to
randomization.
- 10. Performance status according to the Karnofsky Scale of = 70% (after palliative
measures such as pleural drainage).
- 11. Corrected QT interval (QTc) < 470 ms (as calculated by the Fridericia correction
formula).
- 12. Adequate bone marrow function (hemoglobin = 9.0 g/dL; platelets = 100 x 109/L;
absolute neutrophil count [ANC] = 1.5 x 109/L) without the use of hematopoietic growth
factors.
- 13. Adequate renal function (creatinine = 1.5 x ULN [upper limit of normal] or
glomerular filtration rate of = 50mL/min).
- 14. Adequate hepatic function (total bilirubin = 1.5 x ULN for the institution;
aspartate transaminase [AST] and alanine transaminase [ALT] = 2.5 x ULN).
- 15. Men and women of childbearing potential must agree to use adequate
contraception(double barrier birth control) for the duration of study therapy and for
3 months after the last dose of VS-6063.
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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. Currently enrolled in (or completed within 30 days before study drug
administration)another investigational drug study.
- 2. GI condition that could interfere with the swallowing or absorption of study drug.
- 3. History of upper GI bleeding, ulceration, or perforation within 12 months prior to
the first dose of study drug.
- 4. Known history of Gilbert's Syndrome.
- 5. Known history of stroke or cerebrovascular accident within 6 months prior to the
first dose of study drug.
- 6. Subjects with known infection with human immunodeficiency virus or Acquired Immune
Deficiency Syndrome (testing not required).
- 7. Subjects with known infection with hepatitis A, B or C (testing not required).
- 8. Any evidence of serious active infections.
- 9. Major surgery within 28 days prior to the first dose of study drug.
- 10. Uncontrolled or severe concurrent medical condition (including uncontrolled brain
metastases). Stable brain metastases either previously treated or being treated with a
stable dose of steroids and/or anticonvulsants (no dose change within 28 days prior to
the first dose of study drug) will be allowed.
- 11. Uncontrolled or severe cardiovascular disease, including myocardial infarct or
unstable angina within 6 months prior to study treatment, New York Heart Association
Class II or greater congestive heart failure, serious arrhythmias requiring medication
for treatment, clinically significant pericardial disease, or cardiac amyloidosis.
- 12 Known history of malignant hypertension.
- 13. Psychiatric illness or social situations that would limit compliance with study
requirements.
- 14. History of another invasive malignancy in the last 5 years. Adequately treated
noninvasive,non-melanoma skin cancers as well as in situ carcinoma of the cervix
within the last 5 years will be allowed.
- 15. Prior treatment with drugs an FAK inhibitor.
- 16. Women who are pregnant or breastfeeding.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled 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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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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
Terminated
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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
1/09/2013
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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
1/01/2016
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Sample size
Target
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Accrual to date
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Final
344
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Recruitment in Australia
Recruitment state(s)
VIC,WA
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Recruitment hospital [1]
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Peninsula Oncology Centre - Frankston
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Sir Charles Gairdner Hospital - Perth
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Chris O'Brien Lifehouse at RPA - Camperdown
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Monash Cancer Center - East Bentlrigh
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Epworth Hospital - Melbourne
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Northern Cancer Institute - Sydney
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Calvary Mater Newcastle - Waratah
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Recruitment hospital [8]
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Princess Alexandra Hospital +61(0)7 3176 5054 - Woolloongabba
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- Frankston
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- Perth
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- Camperdown
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3165 - East Bentlrigh
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- Melbourne
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- Sydney
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- Waratah
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Recruitment postcode(s) [8]
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QLD 4102 - Woolloongabba
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Verastem, Inc.
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Address
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Ethics approval
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Summary
Brief summary
This study is a Phase 2, randomized, double-blind, placebo-controlled, multicenter study of
defactinib (VS-6063) in subjects with malignant pleural mesothelioma (MPM) who have not
progressed (confirmed partial response or stable disease) following = 4 cycles of treatment
with pemetrexed/cisplatin or pemetrexed/carboplatin. Prior to entry and randomization to the
study, each subject must have tumor Merlin status(high or low) established by
immunohistochemistry performed at a central laboratory. Subjects will be randomized in a 1:1
ratio to receive oral VS-6063 400 mg twice per day, or matched placebo. Randomization will be
stratified by tumor Merlin status (high versus low). Progression will be assessed both
locally and by central review using the Response Evaluation Criteria In Solid Tumors (RECIST)
Version 1.1. Subjects will continue to receive treatment until disease progression or other
discontinuation criteria are met. Following documentation of nonfatal disease progression,
all subjects will be followed for overall survival by telephone contact every 2 months until
end of life or the close of the study.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT01870609
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Hagop Youssoufian
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Address
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Verastem, Inc.
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT01870609
Download to PDF