A Phase 2 Study of Poziotinib in Patients With Non-Small Cell Lung Cancer (NSCLC), Locally Advanced or Metastatic, With EGFR or HER2 Exon 20 Insertion Mutation (ZENITH20)

Who is this study for? Patients with non-small cell lung cancer, locally advanced or metastatic, with EGFR or HER2 exon 20 insertion mutation
What treatments are being studied? Poziotinib
Status: Terminated
Location: See all (63) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This is a Phase 2, open-label, multi-center study to evaluate the efficacy and the safety/tolerability of poziotinib in seven participant cohorts for up to 603 previously treated and treatment-naïve NSCLC participant. Cohorts 3 and 4 were added with Amendment 1 and three additional cohorts were added with Amendment 2 (Cohorts 5, 6 and 7).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Participant must be willing and capable of giving written Informed Consent, adhering to dosing and visit schedules, and meeting all study requirements

• Participant has histologically or cytologically confirmed locally advanced or metastatic non-small cell lung cancer (NSCLC) that is not amenable to treatment with curative intent

• Prior treatment status:

‣ Cohorts 1 and 2: Participant has had at least one prior systemic treatment for locally advanced or metastatic NSCLC

⁃ Cohorts 3 and 4: Participant is treatment-naïve for locally advanced or metastatic NSCLC and eligible to receive first-line treatment with poziotinib as determined by the Investigator. Adjuvant/neo-adjuvant therapies (chemotherapy, radiotherapy, or investigational agents) are permissible as long as they end at least 15 days prior to study entry.

⁃ Cohort 5: Participants who meet the criteria for enrollment in Cohorts 1 to 4, but the enrollment in the respective cohort has been closed

⁃ Cohort 6: Participant with EGFR mutation-positive NSCLC who progressed while on treatment with first-line osimertinib

⁃ Cohort 7: Participant has had at least one prior systemic treatment for locally advanced or metastatic NSCLC

• Specific mutations:

‣ Cohort 1 and 3: Documented EGFR exon 20 insertion mutation

⁃ Cohort 2 and 4: Documented HER2 exon 20 insertion mutation

⁃ Cohort 5: Documented EGFR or HER2 exon 20 insertion mutations

⁃ Cohort 6: Documented acquired EGFR mutation (tested after osimertinib progression)

⁃ Cohort 7: Documented EGFR or HER2 activating mutations

• Participant has adequate organ function at Baseline

Locations
United States
Arizona
Mayo Clinic Hospital
Phoenix
California
Oncology Physician's Network Inc./OPN Healthcare
Arcadia
City of Hope
Duarte
UCSD -Moores Cancer Center
La Jolla
Pacific Shores Medical Group
Long Beach
Los Angeles Hematology Oncology Medical Group
Los Angeles
USC/Norris Comprehensive Cancer Center
Los Angeles
UC Davis Comprehensive Cancer Center
Sacramento
UCSF Helen Diller Comprehensive Cancer Center at Mt Zion
San Francisco
UCLA Hematology/Oncology
Santa Monica
The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance
Kaiser Permanente Medical Center
Vallejo
Colorado
Rocky Mountain Cancer Center
Boulder
Connecticut
Yale University, Yale Cancer Center Smilow Cancer Hospital at Yale
New Haven
Washington, D.c.
Georgetown University Medical Center
Washington D.c.
Florida
Florida Hospital
Orlando
H. Lee Moffitt Cancer Center & Research Institute
Tampa
The Bond & Steele Clinic, P.A. dba Bond Clinic, P.A.
Winter Haven
Georgia
University Cancer & Blood Center, LLC
Athens
CTCA - Southeastern Regional Medical Center
Newnan
Illinois
CTCA - Midwestern Regional Medical Center
Zion
Massachusetts
Massachusetts General Hospital
Boston
Maryland
Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
Baltimore
Michigan
Karmanos Cancer Institute
Detroit
Minnesota
Minnesota Oncology Hematology, P.A.
Minneapolis
Mayo Clinic
Rochester
Mississippi
Hattiesburg Clinic Hematology/Oncology
Hattiesburg
North Carolina
Duke University Medical Center
Durham
New York
Roswell Park Cancer Institute
Buffalo
NYU Langone Medical Center
New York
Weill Cornell Medical College
New York
North Shore Hematology Oncology Associates P.C. DBA NY Cancer and Blood Specialists
Port Jefferson Station
Montefiore Einstein Medical Center for Cancer Care
The Bronx
North Shore Hematology Oncology Associates DBA New York Cancer and Blood Specialists
The Bronx
Ohio
Cleveland Clinic
Cleveland
The Ohio State University
Columbus
Oklahoma
Oklahoma Cancer Specialists and Research Institute, LLC
Tulsa
Pennsylvania
CTCA - Eastern Regional Medical Center
Philadelphia
Tennessee
Baptist Cancer Center
Memphis
Texas
Texas Oncology- Austin
Austin
MD Anderson Cancer Center
Houston
Virginia
Virginia Cancer Specialists, PC
Fairfax
Washington
Seattle Cancer Care Alliance
Seattle
Other Locations
Belgium
Saint Luc University Hospital
Brussels
University Hospitals Leuven
Leuven
Ambroise Pare University Hospital Center
Mons
General Hospital Delta
Roeselare
Canada
Cross Cancer Institute
Edmonton
London Regional Cancer Program
London
Princess Margaret Cancer Centre
Toronto
BC Cancer - Vancouver
Vancouver
France
Hopital Larrey, CHU Toulouse, Unité d'Oncologie des Voies Respiratoires
Toulouse
Gustave Roussy Oncology Institute, Department of Medical Oncology
Villejuif
Israel
Soroka Medical Center
Beersheba
Rambam Healthcare Campus
Haifa
Hadassah Medical Center
Jerusalem
Rabin Medical Center
Petah Tikva
Italy
National Cancer Institute, IRCCS, Department of Medical Oncology
Milan
Santa Maria delle Croci Hospital
Ravenna
National Cancer Institute Regina Elena, IRCCS, Operative Unit of Medical Oncology A 1
Rome
Netherlands
Erasmus Medical Center
Rotterdam
Spain
University Hospital Germans Trias i Pujol, Department of Medical Oncology
Barcelona
University Hospital 12 de Octubre
Madrid
Time Frame
Start Date: 2017-10-13
Completion Date: 2023-04-03
Participants
Target number of participants: 648
Treatments
Experimental: Poziotinib
* Cohort 1: Previously treated participants with EGFR exon 20 insertion mutant positive NSCLC (closed to enrollment)~* Cohort 2: Previously treated participants with HER2 exon 20 insertion mutant positive NSCLC (closed to enrollment)~* Cohort 3: Treatment naïve participants with EGFR exon 20 insertion-mutant positive NSCLC (fully enrolled)~* Cohort 4: Treatment naïve participants with HER2 exon 20 insertion mutant positive NSCLC~* Cohort 5: Participants who meet the criteria for enrollment in Cohort 1 to 4, but the enrollment in the respective cohort has been closed~* Cohort 6: Participants with acquired EGFR mutation who progressed while on treatment with first-line osimertinib~* Cohort 7: Participants with EGFR or HER2 activating mutations
Sponsors
Leads: Spectrum Pharmaceuticals, Inc

This content was sourced from clinicaltrials.gov