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| ID | Type | Description | Link |
|---|---|---|---|
| 42756493EDI1001 | Other Identifier | Janssen Research & Development, LLC | |
| 2012-000697-34 | EudraCT Number |
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The purpose of this study is to evaluate the safety, pharmacokinetics (study of what the body does to a drug), and pharmacodynamics (study of what a drug does to the body) of JNJ-42756493, a pan-fibroblast growth factor receptor (FGFR) tyrosine kinase inhibitor, in adult participants with advanced or refractory solid tumors or lymphoma.
This is a first-in-human, non-randomized (individuals will not be assigned by chance to study treatments), open-label (individuals will know the identity of study treatments), multicenter (more than 1 hospital work on a study), Phase 1 study. The study consists of 4 parts. Part 1 is the dose-escalation phase, which will be guided by pharmacokinetics, pharmacodynamics and safety. In part 1, safe and biologically active Phase 2 doses (recommended Phase 2 doses [RP2D]) for JNJ-42756493 will be primarily assessed. Participants will be enrolled in sequential cohorts (first cohort will receive the starting dose and subsequent cohorts will receive increased doses of JNJ-42756493). Part 2 is the Dose Confirmation Phase, which consists of a pre and post treatment tumor biopsy cohorts to confirm the RP2D based on the pharmacodynamic effect of JNJ-42756493 on fibroblast growth factor receptor (FGFR) signaling pathway in tumor. Part 3 is the first Dose Expansion Phase, which is designed to evaluate inclusion biomarkers and preliminary clinical activity at the first RP2D. It consists of 4 expansion cohorts, 1 each for squamous cell lung cancer, small cell lung cancer, breast cancer, other solid tumors (Cohorts A, B, C, and D). Part 4 is the second Dose Expansion Phase, which is designed to evaluate inclusion biomarkers and preliminary clinical activity at the second RP2D. Biomarker eligibility has also been refined based on emerging data. It consists of 2 expansion cohorts, Cohort E for non-small cell lung cancer and Cohort F for select solid tumors including breast, urothelial, GBM, ovarian, head & neck, esophageal, gastric, and cholangiocarcinoma (Cohorts E and F). Enrollment of some cohorts may be discontinued due to lack of enrollment or for futility. The study is estimated to take approximately 48 months to complete. Participants' safety will be monitored throughout the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 | Experimental | Dose Escalation, Part 1: Participants will be enrolled in sequential cohorts to determine recommended Phase 2 doses (RP2D). |
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| Part 2 | Experimental | Dose Confirmation, Part 2: Tumor biopsy cohorts will confirm RP2D. |
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| Part 3, Cohort A | Experimental | First dose expansion, Part 3: Participants with squamous non-small cell lung cancer. |
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| Part 3, Cohort B | Experimental | First dose expansion, Part 3: Participants with small cell lung cancer. |
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| Part 3, Cohort C | Experimental | First dose expansion, Part 3: Participants with breast cancer. |
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| Part 3, Cohort D | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JNJ-42756493: Part 1 | Drug | Participants will receive 0.5 mg (starting dose) capsule of JNJ-42756493 orally (by mouth) once daily on Day 1 of Cycle 1. Dose of the study medication will be escalated sequentially till the dose limiting toxicity is achieved to determine the recommended part 2 doses (RP2D). |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Maximum Tolerated Dose (MTD) of JNJ-42756493 | The maximum tolerated dose as determined in Part 1 of the study will be used as the recommended dose for Part 2, 3 and Part 4. | Up to Part 1 Day 84 (Cycle 4, Day 21) |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) of JNJ-42756493 | The Cmax is the maximum observed plasma concentration. | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Minimum Observed Plasma Concentration (Cmin) of JNJ-42756493 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janssen Research & Development, LLC Clinical Trial | Janssen Research & Development, LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham | Alabama | United States | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26324363 | Result | Tabernero J, Bahleda R, Dienstmann R, Infante JR, Mita A, Italiano A, Calvo E, Moreno V, Adamo B, Gazzah A, Zhong B, Platero SJ, Smit JW, Stuyckens K, Chatterjee-Kishore M, Rodon J, Peddareddigari V, Luo FR, Soria JC. Phase I Dose-Escalation Study of JNJ-42756493, an Oral Pan-Fibroblast Growth Factor Receptor Inhibitor, in Patients With Advanced Solid Tumors. J Clin Oncol. 2015 Oct 20;33(30):3401-8. doi: 10.1200/JCO.2014.60.7341. Epub 2015 Aug 31. | |
| 31280362 |
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First dose expansion, Part 3: Participants with solid tumors (consisting of one of the following: gastric, head and neck, lung adenocarcinoma, urothelial, glioblastoma multiforme [GBM], ovarian or prostate).
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| Part 4, Cohort E | Experimental | Second dose expansion, Part 4: Participants with non-small cell lung cancer. |
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| Part 4, Cohort F | Experimental | Second dose expansion, Part 4: Participants with solid tumors (consisting of one of the following: breast, urothelial, GBM). |
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| JNJ-42756493: Part 2 | Drug | Participants will receive JNJ-42756493 at the RP2D or below RP2D (maximum tolerated dose from Part 1) orally once daily on a 21 days cycle to confirm RP2D (in Part 2). |
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| JNJ-42756493: Part 3 | Drug | Participants will receive JNJ-42756493 at first RP2D of 9 mg daily in Part 3 orally once daily on a 21 days cycle. |
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| JNJ-42756493: Part 4 | Drug | Participants will receive JNJ-42756493 second RP2D of 10 mg intermittent dosing in Part 4 (with option to increase to 12 mg intermittent dosing based on phosphate level), orally on an intermittent schedule of daily for 7 days followed by 7 days off with a 28-day cycle. |
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The Cmin is the minimum observed plasma concentration.
| Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of JNJ-42756493 | The Tmax is defined as actual sampling time to reach maximum observed analyte concentration. | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) | The AUCtau is the measure of the plasma drug concentration from time zero to end of dosing interval (24 hour). It is used to characterize drug absorption. | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Elimination Half Life of JNJ-42756493 | The elimination half-life (t1/2) is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z). | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Apparent Volume of Distribution at Steady-State (Vss) of JNJ-42756493 | Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss is the apparent volume of distribution at steady-state, which is estimated by (D/AUC[0-infinity])*(AUMC[0-infinity])/AUC[0-infinity]) where D is the dose of study drug, AUMC(0-infinity) is the area under the first moment curve extrapolated to infinity and AUC(0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time. | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Total Clearance of JNJ-42756493 | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Total clearance of drug is calculated as dose divided by AUCtau at steady-state. | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Accumulation Index (AI) of JNJ-42756493 | Accumulation index is calculated by Cmax on Day 1 of Cycle 2/Cmax on Day 1 of Cycle 1 and/or AUCtau on Day 1 of Cycle 2/AUCtau on Day 1 of Cycle 1, where tau is the length of the dosing interval (24 hour). | Up to Part 4Day 84 (Cycle 4, Day 21) |
| Number of Participants With Objective Tumor Response | Objective response based on assessment of confirmed Complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST). CR defined as disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to less than 10 millimeter (mm). PR defined as at least 30 percent (%) decrease in sum of the diameters of the target lesions taking as reference the Baseline sum diameters. Confirmed responses are those that persist on repeat imaging study for at least 4 weeks after initial documentation of response. | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Progression Free Survival (PFS) | Progression free survival is the time period from start of study medication till the disease progression or death, whichever occurs first. | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Duration of Objective Response | Duration of objective response is time interval from the first date that criteria for complete response or partial response are met to the first date of progression of disease. | Up to Part 4 Day 84 |
| Number of Participants With an Adverse Event | An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. | Up to Part 4 Day 84 (Cycle 4, Day 21) |
| Tucson |
| Arizona |
| United States |
| La Jolla | California | United States |
| Los Angeles | California | United States |
| Sacramento | California | United States |
| Santa Monica | California | United States |
| Denver | Colorado | United States |
| Tampa | Florida | United States |
| Augusta | Georgia | United States |
| Chicago | Illinois | United States |
| Goshen | Indiana | United States |
| Boston | Massachusetts | United States |
| Detroit | Michigan | United States |
| St Louis | Missouri | United States |
| New Brunswick | New Jersey | United States |
| Albuquerque | New Mexico | United States |
| Charlotte | North Carolina | United States |
| Durham | North Carolina | United States |
| Nashville | Tennessee | United States |
| Dallas | Texas | United States |
| Houston | Texas | United States |
| Tyler | Texas | United States |
| Fairfax | Virginia | United States |
| Bordeaux | France |
| Caen | France |
| Dijon | France |
| Lyon | France |
| Marseille | France |
| Saint-Herblain | France |
| Villejuif | France |
| Badalona | Spain |
| Barcelona | Spain |
| Madrid | Spain |
| Málaga | Spain |
| Pamplona | Spain |
| Seville | Spain |
| Valencia | Spain |
| Derived |
| Valade E, Dosne AG, Xie H, Kleiman R, Li LY, Perez-Ruixo JJ, Ouellet D. Assessment of the effect of erdafitinib on cardiac safety: analysis of ECGs and exposure-QTc in patients with advanced or refractory solid tumors. Cancer Chemother Pharmacol. 2019 Sep;84(3):621-633. doi: 10.1007/s00280-019-03896-1. Epub 2019 Jul 6. |
| 31088831 | Derived | Bahleda R, Italiano A, Hierro C, Mita A, Cervantes A, Chan N, Awad M, Calvo E, Moreno V, Govindan R, Spira A, Gonzalez M, Zhong B, Santiago-Walker A, Poggesi I, Parekh T, Xie H, Infante J, Tabernero J. Multicenter Phase I Study of Erdafitinib (JNJ-42756493), Oral Pan-Fibroblast Growth Factor Receptor Inhibitor, in Patients with Advanced or Refractory Solid Tumors. Clin Cancer Res. 2019 Aug 15;25(16):4888-4897. doi: 10.1158/1078-0432.CCR-18-3334. Epub 2019 May 14. |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D008223 | Lymphoma |
| D000168 | Acrocephalosyndactylia |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D055752 | Small Cell Lung Carcinoma |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D003398 | Craniosynostoses |
| D013580 | Synostosis |
| D004413 | Dysostoses |
| D001848 | Bone Diseases, Developmental |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D013576 | Syndactyly |
| D019465 | Craniofacial Abnormalities |
| D009139 | Musculoskeletal Abnormalities |
| D017880 | Limb Deformities, Congenital |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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