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NCT02393209

Docetaxel With or Without TAK-117 (MLN1117) in Participants With Locally Advanced or Metastatic Non-small Cell Lung Cancer

Terminated Phase 1, PHASE2 Results posted Last updated 7 February 2018
What this trial tests

Phase 1, PHASE2 trial testing Docetaxel in Non-small Cell Lung Cancer in 14 participants. Terminated before completion.

Timeline
3 June 2015
Primary endpoint
12 January 2017
20 January 2017

Quick facts

Lead sponsorMillennium Pharmaceuticals, Inc.
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment14
Start date3 June 2015
Primary completion12 January 2017
Estimated completion20 January 2017
Sites11 locations across Netherlands, Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Millennium Pharmaceuticals, Inc. — full company profile →

Who can join

18 and older, any sex, with Non-small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Dose-Limiting Toxicity (DLT) in Phase 1b Primary · Cycle 1 (Up to Day 21)

DLT was evaluated according to National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03 and was defined as any of the following events: 1. Grade 4 neutropenia or thrombocytopenia lasting ≥7 consecutive days; 2. Grade 4 neutropenia with fever and/or infection; 3. Platelet count \<10,000/mm\^3; 4. ≥Grade 3 thrombocytopenia with bleeding; 5. Any other ≥Grade 4 hematologic toxicity; 6. Any other ≥Grade 3 nonhematologic toxicity, with following exceptions: ≥Grade 3 arthralgia/myalgia, ≥Grade 3 nausea/emesis, ≥Grade 3 diarrhoea, Grade 3 fatigue, Grade 3 Ras

GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^20
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^21
Maximum Tolerated Dose (MTD) of TAK-117 in Combination With Docetaxel 36 mg/m^2 in Phase 1b Primary · Cycle 1 (Up to Day 21)

The MTD is defined as the dose of TAK-117 in combination with docetaxel 36 mg/m\^2 at which 1 of 6 evaluable participants experience DLT. DLT was evaluated according to NCI CTCAE version 4.03 and was defined as any of the following events: 1. Grade 4 neutropenia or thrombocytopenia lasting ≥7 consecutive days; 2. Grade 4 neutropenia with fever and/or infection; 3. Platelet count \<10,000/mm\^3; 4. ≥Grade 3 thrombocytopenia with bleeding; 5. Any other ≥Grade 4 hematologic toxicity; 6. Any other ≥Grade 3 nonhematologic toxicity, with following exceptions: ≥Grade 3 arthralgia/myalgia, ≥Grade 3 na

GroupValue95% CI
TAK-117 + Docetaxel300
Recommended Phase 2 Dose of TAK-117 in Phase 1b Primary · Cycle 1 (Up to Day 21)

The recommended phase 2 dose was determined in Phase 1b based on participant dose-limiting toxicities and the maximum tolerated dose.

GroupValue95% CI
TAK-117 + Docetaxel200
Number of Participants With Significant Change in Vital Signs Reported as Adverse Events in Phase 1b Secondary · First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)

Clinically significant change from baseline in vital sign measures will be assessed. Vital sign measurements included measurements of diastolic and systolic blood pressure, heart rate, and temperature.

Bradycardia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^20
Sinus tachycardia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^20
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^21
Number of Participants With Significant Change in Physical Examination Reported as Adverse Events in Phase 1b Secondary · First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)

Physical examination consists of examinations of the following body systems: (1) eyes; (2) ears, nose, throat; (3) cardiovascular system; (4) respiratory system; (5) gastrointestinal system; (6) dermatologic system; (7) extremities; (8) musculoskeletal system; (9) nervous system; (10) lymph nodes; and (11) physical examinations other than body systems described in (1) to (10).

GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^20
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^21
Number of Participants With Electrocardiogram (ECG) Findings Reported as Adverse Events in Phase 1b Secondary · First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)

A standard 12-lead ECG was performed.

Bradycardia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^20
Tachycardia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^20
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^21
Number of Participants With Clinically Significant Change in Clinical Laboratory Tests Reported as Adverse Events in Phase 1b Secondary · First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)

The number of participants with any markedly abnormal standard safety laboratory values (Chemistry, Hematology and Urinalysis) collected throughout study.

Anemia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^22
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^22
Hypokalemia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^23
Hypomagnesemia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^20
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^23
Hypophosphatemia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^20
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^23
Aspartate aminotransferase increased
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^22
Febrile neutropenia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^22
Hyponatremia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^22
Hyperglycemia
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^20
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^22
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) in Phase 1b Secondary · From first dose of study drug to 30 days after last dose of study drug (Up to Day 223)

An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A serious adverse event (SAE) is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / inc

TEAEs
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^26
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^28
SAEs
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^25
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^26
TAK-117 Plasma Concentration in Phase 1b Secondary · Cycle 1 Day 1 pre-dose and 0.5, 1, 2, 4, 6, 8 and 24 hours post-dose
Predose
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2114.00± 254.912
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^20.00± 0.000
0.5 Hour Postdose
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21208.60± 1080.782
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2847.39± 966.346
1 Hour Postdose
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21907.00± 1307.124
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^21973.29± 1688.210
2 Hours Postdose
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^22597.83± 1612.233
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^23021.43± 2162.417
4 Hours Postdose
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^22477.50± 1407.465
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^24185.71± 2156.439
6 Hours Postdose
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^22143.00± 1290.395
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^23648.57± 1636.892
8 Hours Postdose
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^21902.50± 1210.553
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^23677.14± 1941.020
24 Hours Postdose
GroupValue95% CI
Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2652.17± 472.315
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^21771.57± 1347.864

Adverse events — posted to ClinicalTrials.gov

Time frame: First dose of study drug through 30 days from the last dose (up to Day 223). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2
Serious: 5/6 (83%)
Deaths: 1/6
Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
Serious: 6/8 (75%)
Deaths: 3/8

Serious adverse events (20 terms)

ReactionSystemPhase 1 - TAK-117 200 mg +…Phase 1 - TAK-117 300 mg +…
PneumoniaInfections and infestations
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
DehydrationMetabolism and nutrition disorders
Bacterial sepsisInfections and infestations
Legionella infectionInfections and infestations
SepsisInfections and infestations
Gastric haemorrhageGastrointestinal disorders
OdynophagiaGastrointestinal disorders
OesophagitisGastrointestinal disorders
StomatitisGastrointestinal disorders
Acute respiratory distress syndromeRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Cardio-respiratory arrestCardiac disorders
Cardiogenic shockCardiac disorders
Squamous cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Postmenopausal haemorrhageReproductive system and breast disorders
Other adverse events (70 terms — click to expand)

ReactionSystemPhase 1 - TAK-117 200 mg +…Phase 1 - TAK-117 300 mg +…
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Decreased appetiteMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
Aspartate aminotransferase increasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
Oedema peripheralGeneral disorders
HyponatraemiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
StomatitisGastrointestinal disorders
Vision blurredEye disorders
DizzinessNervous system disorders
HypoaesthesiaNervous system disorders
Peripheral sensory neuropathyNervous system disorders
BradycardiaCardiac disorders
Sinus tachycardiaCardiac disorders
Dermatitis acneiformSkin and subcutaneous tissue disorders
EczemaSkin and subcutaneous tissue disorders
Nail discolourationSkin and subcutaneous tissue disorders
Night sweatsSkin and subcutaneous tissue disorders
InsomniaPsychiatric disorders
AnxietyPsychiatric disorders
DepressionPsychiatric disorders
Back painMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
TrismusMusculoskeletal and connective tissue disorders
PneumoniaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Oral candidiasisInfections and infestations
Pseudomonas infectionInfections and infestations

Most-reported serious reactions: Pneumonia, Diarrhoea, Nausea, Vomiting, Respiratory failure, Febrile neutropenia, Dehydration, Bacterial sepsis.

Data from ClinicalTrials.gov NCT02393209 adverse events section.

Sponsor's own description

The purpose of this study is to determine the recommended phase 2 dose (RP2D) of TAK-117 when administered in combination with docetaxel in participants with non-small cell lung cancer (NSCLC) and to evaluate efficacy, safety, and tolerability of TAK-117 administered alone and in combination with docetaxel at the RP2D in participants with locally advanced or metastatic non-small cell lung cancer.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Emerging therapeutic agents for lung cancer.
    Dholaria B, Hammond W, Shreders A, Lou Y. · · 2016 · cited 66× · PMID 27938382 · DOI 10.1186/s13045-016-0365-z
  2. Pivotal Considerations for Optimal Deployment of Healthy Volunteers in Oncology Drug Development.
    Ahmed MA, Patel C, Drezner N, Helms W, et al · · 2020 · cited 9× · PMID 31674150 · DOI 10.1111/cts.12703

Verify or expand the search:

Other trials of Docetaxel

Trials testing the same drug.

Other recruiting trials for Non-small Cell Lung Cancer

Currently open trials in the same condition.

Other Millennium Pharmaceuticals, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02393209.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing