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linifanib

Phase 3

Advanced Solid Tumors | Small molecule | Oncology |AbbVie Inc.|Trials Updated: Nov 21, 2017

linifanib development status

Highest phase Phase 3 run by Abbott (NCT01009593)
Phase scored for ABBVPhase 1
Registered trials 16 across 3 sponsors since Jun 2007

linifanib target and mechanism

Molecular targetFLT3, FLT1, FLT4, KDR, CSF1R, PDGFRB
Target classInhibitor
ModalitySmall molecule

Also known as ABT-869

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials10
Total Enrollment650

FDA Designations

No designations recorded

linifanib clinical trials

linifanib · 10 trials · 11 indications

Phase 2 6Phase 1 4
NCT00707889Phase 2 Study of ABT-869 in Combination With mFOLFOX6 Versus Bevacizumab in Combination With mFOLFOX6 to Treat Advanced Colorectal CancerAdvanced Colorectal Cancer
COMPLETED159 Analytics
NCT00645177Phase 2 Study of ABT-869 in Combination With Paclitaxel Versus Paclitaxel Alone to Treat Metastatic Breast CancerMetastatic Breast Cancer
COMPLETED10 Analytics
NCT00716534Study of Carboplatin/Paclitaxel in Combination With ABT-869 in Subjects With Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)Advanced or Metastatic Non-Small Cell Lung Cancer
COMPLETED145 Analytics
NCT00517920Phase 2 Study of ABT-869 in Advanced Hepatocellular Carcinoma (HCC)Advanced Hepatocellular Carcinoma
COMPLETED44 Analytics
NCT00517790Study of ABT-869 in Subjects With Advanced Non-small Cell Lung Cancer (NSCLC)Non-Small Cell Lung Cancer (NSCLC)
COMPLETED140 Analytics
NCT00486538Study of ABT-869 in Subjects With Advanced Renal Cell Carcinoma Who Have Previously Received Treatment With SunitinibAdvanced Renal Cell Carcinoma
COMPLETED53 Analytics
PHASE2COMPLETED
Phase 2 Study of ABT-869 in Combination With mFOLFOX6 Versus Bevacizumab in Combination With mFOLFOX6 to Treat Advanced Colorectal Cancer
Advanced Colorectal CancerUnlock trial analytics
PHASE2COMPLETED
Phase 2 Study of ABT-869 in Combination With Paclitaxel Versus Paclitaxel Alone to Treat Metastatic Breast Cancer
Metastatic Breast CancerUnlock trial analytics
PHASE2COMPLETED
Study of Carboplatin/Paclitaxel in Combination With ABT-869 in Subjects With Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
Advanced or Metastatic Non-Small Cell Lung CancerUnlock trial analytics
PHASE2COMPLETED
Phase 2 Study of ABT-869 in Advanced Hepatocellular Carcinoma (HCC)
Advanced Hepatocellular CarcinomaUnlock trial analytics
PHASE2COMPLETED
Study of ABT-869 in Subjects With Advanced Non-small Cell Lung Cancer (NSCLC)
Non-Small Cell Lung Cancer (NSCLC)Unlock trial analytics
PHASE2COMPLETED
Study of ABT-869 in Subjects With Advanced Renal Cell Carcinoma Who Have Previously Received Treatment With Sunitinib
Advanced Renal Cell CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free survival
Radiographic evaluation every 2 months, clinial evaluation every 2 weeks
Progression Free Survival (PFS)
Disease Progression
Progression-Free Rate
Week 16
Objective Response Rate
Week 16
Progression Free Rate (PFR)
Week 16
Safety: Adverse Events - The number of participants with adverse events will be reported as a measure of Safety.
All adverse events occuring through the Final Visit will be reported.

The investigators will monitor each subject for clinical and lab evidence of adverse events on a routine basis through out the study. The investigators will question each subject regarding any adverse effects that they have experienced and record any events on the care report forms. All adverse events will be followed to a satisfactory clinical resolution.

Safety: Physical Examination and Vital Signs - Physical examination will be performed and vital signs will be assessed for participants as a measure of safety.
Change from baseline to Day 1 of Weeks 1, 2, 3, 6, 9 and 12 and on Week 24 then Day 1 of every 12 weeks and Final Visit.

Physical exam, blood pressure, pulse, body temperature will be measured and recorded on the case report forms.

Safety: Multiple Gated Acquisition (MUGA) will be assessed at specified time points as a measure of safety.
Change from baseline to every 12 weeks

MUGA

Safety: Clinical Lab Tests will be performed for each participant as a safety measure.
Change from baseline to Day 1 of Weeks 1, 2, 3, 6, 9 and 12 and on Week 24 then Day 1 of every 12 weeks and Final Visit

Chemistry, hematology, urinalysis lab tests will be measured and recorded on the case report forms. All clinically significant values will be followed by the investigator to a satisfactory clinical resolution.

Safety (Number of patients with adverse events and/or dose-limiting toxicities)
At each treatment visit (weekly for 6 weeks, then every 3 weeks)

Evaluation of vital signs, physical exams, clinical lab testing and adverse event monitoring.

Pharmacokinetic
Various timepoints

Blood samples for the pharmacokinetics of linifanib will be collected for each subject and each regimen (fasting, fed, AM and PM dosings).

ECG Evaluation
Various timepoints

Triplicate ECG will be performed at designated timepoints.

Adverse Events
Throught the study

Only treatment emergent AEs will be included. Toxicity grade, relationship to study drug and AEs leading to discontinuation will be evaluated.

Lab data and vital signs
Various timepoints

Blood chemistry and hematology will be analyzed based on the regimen and dosing and overall. 24 hr ABPM will be analyzed by regimen and dosing time and overall.

Safety tolerability assessment
Weekly assessment for 3 weeks then every 3 weeks or more frequently as needed
Dose limiting toxicity determination
Weekly assessment for the first 3 weeks
Pharmacokinetic profile evaluation
Day 1 and Day 15

Secondary Endpoints

Overall survival
from randomization until patient death or alive at 5 years
12-month overall survival rate
from randomization until patient death or alive at 5 years
Objective response rate
from randomization until patient death or alive at 5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AACTIVE_COMPARATOROpen-label to Bevacizumab plus mFOLFOX6
BACTIVE_COMPARATOROpen-label to High-dose ABT-869 arm plus mFOLFOX6
CACTIVE_COMPARATOROpen-label to low-dose ABT-869 arm plus mFOLFOX6
ABT-869EXPERIMENTAL -
ABT-869 0.25 mg/kgEXPERIMENTALApproximately half of the subjects were randomized to receive the high dose
ABT-869 0.10 mg/kgEXPERIMENTALApproximately half of the subjects were randomized to receive the Low Dose
Single armEXPERIMENTALOne oral dose daily
linifanibEXPERIMENTAL -
Arm AEXPERIMENTAL -
Arm BEXPERIMENTAL -
1EXPERIMENTAL -
Group 1EXPERIMENTALDose escalation from Open label 0.05 to 0.25 mg/kg once a day dosing for 21 days
Group 2EXPERIMENTALOpen label 0.10 mg/kg once a day dosing after safety evolution of Group 1
Group 3EXPERIMENTALOpen label 0.20 mg/kg once a day dosing after safety evolution of Group 2
Group 4EXPERIMENTALOpen label 0.25 mg/kg once a day dosing after safety evolution of Group 3

Interventions

NameTypeDescription
ABT-869DRUG12.5 mg QD, tablets taken orally days 1-14 of every 14-day cycle
bevacizumabDRUG10 mg/kg QD, IV on Day 1 of each 14-day cycle
oxaliplatinDRUG85 mg/m2 IV, 120 minutes on Day 1 of each 14-day cycle
folinic acidDRUG400 mg/m2 IV, 120 minutes on Day 1 of each 14-day cycle
fluorouracilDRUG400 mg/m2 IV bolus on Day 1 of each 14-day cycle; followed by 2400 mg/m2 IV infusion 46-48 hours
paclitaxelDRUG90 mg/m2 IV infusion over 1 hour, weekly every 3 out of 4 weeks
Placebo for ABT-869DRUG0.20 mg/kg (or dose from Lead-in) QD, tablets taken orally days 1-28 of every 28-day cycle
CarboplatinDRUGCarboplatin (AUC 6 mg/mL/min)
ABT-869 .25 mg/kgDRUGSubjects will take linifanib (ABT-869) based on body weight. Dosing will be determined at baseline and will be based on randomization to either 0.10 mg or 0.25 mg of ABT-869 per kilogram of body weight.
ABT-869 0.10 mg/kgDRUGSubjects will take linifanib (ABT-869) based on body weight. Dosing will be determined at baseline and will be based on randomization to either 0.10 mg or 0.25 mg of ABT-869 per kilogram of body weight.
linifanibDRUGQD daily
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites46

Inclusion Criteria: Subject must be \>/= 18 years of age. Subject (male or female) must be diagnosed with adenocarcinoma of the colon or rectum. Subject must have metastatic disease or locally recurrent disease that is not amenable to surgical resection with curative intent. Subject must have rece...

Countries:United StatesAustraliaBelgiumBrazilCanadaCzechiaGreeceNew ZealandPolandPortugalRomaniaRussiaSouth KoreaSpainMexicoSingaporeTaiwanFrance
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Competitive Landscape -Other Solid Tumors 10 trials (matched to "Advanced Solid Tumors")

Frequently asked questions about linifanib

What is linifanib used for?

Linifanib is an investigational small molecule being studied in oncology for advanced solid tumors and non-small cell lung cancer. It has been evaluated in Phase 1 clinical trials, including an extension study in patients with advanced or metastatic solid tumors and a combination study in Japanese patients with NSCLC.

What does linifanib target?

Linifanib targets FLT3, FLT1, FLT4, KDR, CSF1R, and PDGFRB. It is a small molecule inhibitor of these receptor tyrosine kinases, which are involved in angiogenesis and tumor cell signaling. By inhibiting these targets, linifanib may interfere with processes that support tumor growth and survival.

Who is developing linifanib?

Linifanib is being developed by AbbVie Inc., which trades on the New York Stock Exchange under the ticker ABBV. AbbVie is the sponsor of the clinical trials evaluating linifanib in advanced solid tumors and non-small cell lung cancer.

What phase is linifanib in?

Linifanib is in Phase 1 clinical development. It is an investigational agent and has not been approved by the FDA for any indication. The Phase 1 trials have been completed, and no active trials are currently listed for linifanib.

What clinical trials is linifanib in?

Linifanib has been studied in two completed Phase 1 trials: NCT01413893, an extension study in subjects with advanced or metastatic solid tumors that enrolled 35 patients, and NCT01225302, which evaluated linifanib in combination with carboplatin and paclitaxel in Japanese subjects with non-small cell lung cancer and enrolled 12 patients.