Clinical Trial · NCT03463525

Open-label PET Study With [11C]Osimertinib in Patients With EGFRm NSCLC and Brain Metastases

Overview

This is an open-label, single centre, Phase I study to determine the brain exposure of \[11C\]osimertinib in patients with EGFRm NSCLC with brain metastases.

Sponsor

AstraZeneca

Phase

Phase 1

Contacts

Simon Ekman, MD (PRINCIPAL_INVESTIGATOR)

ClinicalTrials.gov

NCT03463525

Eligibility

Inclusion

  • Alanine aminotransferase (ALT) \>2.5x ULN or \>5x ULN in the presence of liver metastases;
  • Past medical history of ILD, drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD.
  • Serum/plasma calcium \<lower limit normal (LLN)
  • Histological or cytological confirmation of diagnosis of NSCLC.
  • Previous participation in a research PET or PET/CT study.
  • Serum/plasma potassium \<lower limit of normal (LLN)
  • Glomerular filtration rate \<30 ml/min
  • Mean resting corrected QT interval (QTc) \>470 msec obtained from 3 ECGs, using the screening clinic ECG machine derived QTc value.
  • Creatinine \>1.5xl ULN concurrent with creatinine clearance \<50 mL/min (using Cockcroft-Gault formula).
  • Patient with any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as electrolyte abnormalities including:
  • Previous allogenic bone marrow transplant
  • Patients on anticoagulant treatment.
  • Treatment with any of the following: EGFR-TKI (e.g. erlotinib, gefitinib or afatinib) within 10 days or at least 5x the half-life, whichever is the longer; any cytotoxic chemotherapy, investigational agents or other anticancer drugs within 14 days of start of IP; osimertinib in the present or other studies; major surgery (excluding placement of vascular access) within 4 weeks of start of IP; radiotherapy (including brain) with a limited field of radiation within 1 week of start of IP, except in patients receiving radiation to more than 30% of the bone marrow or with a wide field of radiation which must be completed within 4 weeks of the first administration of the IP; current receipt (or inability to stop at least 3 weeks before study start) medications or herbal supplements known to be potent inducers of CYP3A4.
  • World Health Organisation (WHO) performance status 0 to 2 and a minimum life expectancy of 4 weeks.
  • Mandatory provision (if available) of formalin fixed, paraffin embedded tissue and blood for central confirmation of EGFR mutation status. Please refer to the Laboratory Manual for details.

Exclusion

  • Absence of collateral flow between ulnar and radial artery as assessed by the Allen´s test".