Gene Therapy Clinical Trials

Erlotinib and Momelotinib for the Treatment of Epidermal Growth Factor Receptor (EGFR) Mutated EGFR Tyrosine Kinase Inhibitor (TKI) Naive Metastatic Non-Small Cell Lung Cancer (NSCLC)

This study will evaluate the safety, preliminary efficacy, and pharmacokinetics (PK) of momelotinib (MMB) and erlotinib, as well as define the maximum tolerated dose (MTD) of momelotinib (MMB) combined with erlotinib in adults with epidermal growth factor receptor (EGFR)-mutated, EGFR tyrosine kinase inhibitor (TKI) naive metastatic non-small cell lung cancer (NSCLC). Participants will be sequentially enrolled to receive progressively increasing doses of momelotinib (MMB) in combination with erlotinib. Escalation of momelotinib (MMB) doses will proceed to the MTD, defined as the highest tested dose associated with dose-limiting toxicities (DLT) during the first 28 days of combined erlotinib and momelotinib (MMB) treatment. There will be four dose levels and each treatment cycle will consist of 28 days.

Stanford is currently not accepting patients for this trial.

Intervention(s):

  • drug: Erlotinib
  • drug: Momelotinib (MMB)

Eligibility


Key Inclusion Criteria:

   - Metastatic NSCLC with documented EGFR exon 19 deletion or exon 21 (L858R) substitution
   mutation

   - Treatment naive OR one prior standard chemotherapy that is platinum-based

   - Adequate organ function defined as follows:

      - Hepatic: Total bilirubin < upper limit of the normal range (ULN); aspartate
      transaminase (AST) and alanine transaminase (ALT) ≤ 3 x ULN

      - Hematological: absolute neutrophil count (ANC) ≥1500 cells/mm^3, platelet ≥
      100,000 cells/mm^3, hemoglobin ≥ 9.0 g/dL

      - Renal: Serum creatinine < ULN OR calculated creatinine clearance (CLcr) of ≥ 60
      ml/min

   - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2

Key Exclusion Criteria:

   - Known positive status for human immunodeficiency virus (HIV)

   - Chronic active or acute viral hepatitis A, B, or C infection (testing required for
   hepatitis B and C)

   - Presence of > Grade 1 peripheral neuropathy

   - Symptomatic leptomeningeal, brain metastases, or spinal cord compression.

   - History of interstitial pneumonitis

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study

All

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
CCTO
650-498-7061
Not Recruiting