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Afatinib Dimaleate

Phase 1

Recurrent Non-Small Cell Lung Carcinoma | Small molecule | Oncology |Merck & Company, Inc.|Trials Updated: Oct 16, 2024

Afatinib Dimaleate development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Feb 2015

Afatinib Dimaleate target and mechanism

ModalitySmall molecule

Also known as BIBW 2992MA2, Gilotrif

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment11

FDA Designations

No designations recorded

Afatinib Dimaleate clinical trials

Afatinib Dimaleate · 1 trial · 4 indications

Phase 1 1
NCT02364609Pembrolizumab and Afatinib in Patients With Non-small Cell Lung Cancer With Resistance to ErlotinibRecurrent Non-Small Cell Lung Carcinoma
COMPLETED11 Analytics
PHASE1COMPLETED
Pembrolizumab and Afatinib in Patients With Non-small Cell Lung Cancer With Resistance to Erlotinib
Recurrent Non-Small Cell Lung CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Tolerated Dose (MTD) Recommended Dose of Pembrolizumab in Combination With Lead in Pembrolizumab and Afatinib Dimaleate
Day 21

MTD is defined as the dose were less than two patients experienced a dose limiting toxicity. Dose limiting toxicities are defined in the protocol and graded per CTCAE 4.0.

Secondary Endpoints

Overall Response Rate Per RECIST 1.1
Up to 3 years
Progression Free Survival
Time from start of treatment to time of progression or death, whichever occurs first, assessed up to 3 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm I (afatinib dimaleate, pembrolizumab)EXPERIMENTALDOSE DE-ESCALATION COHORT: Patients receive afatinib dimaleate PO QD on days 1-21 and pembrolizumab IV over 30 minutes on day 1. Courses repeat every 21 days (for up to 2 years for pembrolizumab) in the absence of disease progression or unacceptable toxicity. 6 patients were enrolled into Dose Level 0 at 40 mg QD of afatinib, no de-escalation was needed prior to expansion.
Arm II (pembrolizumab, afatinib dimaleate)EXPERIMENTALEXPANSION COHORT: Patients receive pembrolizumab IV over 30 minutes on day 1 for 2 courses. Beginning course 3, patients receive afatinib dimaleate PO and pembrolizumab IV as in Arm I. Courses repeat every 21 days (up to 2 years for pembrolizumab) in the absence of disease progression or unacceptable toxicity. All five expansion patients were enrolled at the dose of 40 mg QD of Afatinib.

Interventions

NameTypeDescription
Afatinib DimaleateDRUGGiven PO
PembrolizumabBIOLOGICALGiven IV
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Incurable, advanced or metastatic/recurrent non-small cell lung cancer with EGFR activating mutations (exon 19 del, exon 21 L858R, L861Q, G718X); who have radiologic and/or clinically progressive disease on erlotinib at any point during the patient's cancer treatment as determ...

Countries:United States
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