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dovitinib lactate

Phase 2

Adenocarcinoma of the Pancreas | Small molecule | Oncology |Novartis AG|Trials Updated: Jul 22, 2022

dovitinib lactate development status

Highest phase Phase 2 (NCT01058434)
Phase scored for NVSPhase 1
Registered trials 16 across 4 sponsors since Oct 2005

dovitinib lactate target and mechanism

Molecular targetFGFR3, PDGFRB, PDGFRA, KIT, FLT3, FLT1
Target classInhibitor
ModalitySmall molecule

Also known as CHIR-258, receptor tyrosine kinase inhibitor TKI258, RTK inhibitor TKI258, TKI258

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials13
Total Enrollment687

FDA Designations

No designations recorded

dovitinib lactate clinical trials

dovitinib lactate · 13 trials · 25 indications

Phase 2 5Phase 1 8
NCT01576380A Phase II Study to Evaluate Efficacy and Safety of Dovitinib (TKI258) in Advanced Scirrhous Gastric Carcinoma PatientsAdenocarcinoma, Scirrhous
COMPLETED11 Analytics
NCT01379534A Phase II Study to Evaluate the Efficacy of TKI258 for the Treatment of Patients With FGFR2 Mutated or Wild-type Advanced and/or Metastatic Endometrial CancerSolid Tumors and Advanced Endometrial Cancer
COMPLETED53 Analytics
NCT01058434Safety and Efficacy of TKI258 in Relapsed or Refractory Multiple Myeloma Patients, Who Are With or Without t(4;14) Chromosomal TranslocationRelapsed or Refractory Multiple Myeloma
COMPLETED43 Analytics
NCT00790426Phase II Study of TKI258 in Advanced Urothelial CarcinomaUrothelial Cancer
COMPLETED44 Analytics
NCT00958971Safety and Efficacy of TKI258 in FGFR1 Amplified and Non-amplified Metastatic HER2 Negative Breast CancerMetastatic Breast Cancer
COMPLETED43 Analytics
PHASE2COMPLETED
A Phase II Study to Evaluate Efficacy and Safety of Dovitinib (TKI258) in Advanced Scirrhous Gastric Carcinoma Patients
Adenocarcinoma, ScirrhousUnlock trial analytics
PHASE2COMPLETED
A Phase II Study to Evaluate the Efficacy of TKI258 for the Treatment of Patients With FGFR2 Mutated or Wild-type Advanced and/or Metastatic Endometrial Cancer
Solid Tumors and Advanced Endometrial CancerUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy of TKI258 in Relapsed or Refractory Multiple Myeloma Patients, Who Are With or Without t(4;14) Chromosomal Translocation
Relapsed or Refractory Multiple MyelomaUnlock trial analytics
PHASE2COMPLETED
Phase II Study of TKI258 in Advanced Urothelial Carcinoma
Urothelial CancerUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy of TKI258 in FGFR1 Amplified and Non-amplified Metastatic HER2 Negative Breast Cancer
Metastatic Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

disease control rate (DCR)
up to 8 weeks after the start date of study treatment

Eight-week DCR is defined as the proportion of patients with best overall response of CR, PR or SD at the end of Week 8 as per local investigator's assessment.

Progression Free Survival (PFS) Rate
up to 18 weeks

The 18-week PFS was defined as the percentage of participants who did not have a progression event at week 18. Participants who progressed, died, had response assessment of unknown (UNK) or discontinued before 18 weeks of observation without progression were counted as "failure". Progressive disease was assessed as per investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Overall response rate
4 weeks
Complete responses (CR) or partial response (PR) defined according to RECIST
Every 8 weeks
Maximum tolerated dose (MTD) is defined as the highest dose level at which less than 33% of patients experience study treatment-related dose limiting toxicities (DLT)
First course, 21 days

All toxicities and adverse events will be summarized with frequencies and descriptive measures, and tabulated according to body system, severity and relation to treatment.

Overall safety profile characterized by type, frequency, severity (according to National Cancer Institute [NCI] CTCAE version 4.0), timing, seriousness and relationship to study treatment
Up to 30 days post-treatment

All toxicities and adverse events will be summarized with frequencies and descriptive measures, and tabulated according to body system, severity and relation to treatment.

Composite of Pharmacokinetics of TKI258, FMI capsule (supplied in 100 mg strength) and FMI tablet (supplied in 250 mg strength), in patients with advanced solid tumors, excluding breast cancer based on PK parameters AUClast and Cmax
9 days
Determine the relative bioavailability of the final market image form of TKI258 (monohydrate tablets) as compared to the clinical service form of TKI258 (anhydrate capsules)
relative bioavailability (9 days)
Determine the effect of food on the bioavailability of TKI258
food effect (22 days)
Determine the relative bioavailability of the final market image form of TKI258 (monohydrate capsules) as compared to the clinical service form of TKI258 (anhydrate capsules)
9 days
Maximum tolerated dose (MTD) of TKI258
30 days
Phase I: To determine the MTD of TKI258, administered orally on a 5 days on/2 days off schedule to adult patients with advanced or metastatic RCC whose diseases have progressed despite standard therapy or for whom no standard anticancer therapy exists.
at end of phase I
Phase II: To determine anti-tumor activity of TKI258 in advanced or metastatic RCC patients with predominant clear cell histology that have been previously treated with VEGF receptor tyrosine kinase inhibitor (sunitinib and/or sorafenib).
at end of phase II
Cohort1: Find out about the routes and rates of excretion of TKI258 and its metabolites
Day 15
Cohort 2: Safety and Tolerability of TKI258
Time to patient withdrawal due to disease progression or tolerability issues
Dose Expansion: Determine the maximum tolerated dose based on dose limiting toxicity of TKI258
end of dose escalation
Dose Expansion: Determine the plasma and whole blood pharmacokinetics of orally administered TKI258
PK run-in days 1 & 2, cycle 1 days 1, 8, 15, 16, 28, cycle 2 day 15, cycle 2+ day 28
Dose Escalation: Assess tumor response according to RECIST as measured by response rate and lack of early progressive disease (<=2 months)
every 8 weeks

Secondary Endpoints

time to progression (TTP)
baseline and every 4 weeks until Week 17 and every 8 weeks after Week 17 until disease progression
overall response rate (ORR)
baseline and every 4 weeks until Week 17 and every 8 weeks after Week 17 until disease progress
progression free survival (PFS)
baseline and every 4 weeks until Week 17 and every 8 weeks after Week 17 until disease progress
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TKI258EXPERIMENTALTKI258 is dosed on a flat scale of 500 mg, to be administered orally on a 5 days on / 2 days off dosing schedule which will be repeated every week.
FGFR3 wild typeEXPERIMENTAL -
FGFR3 mutantEXPERIMENTAL -
TKI258 - PositiveEXPERIMENTALThese are the participants who had a positive T(4;14) status
TKI258 - NegativeEXPERIMENTALThese are the participants who had a negative T(4;14) status
TKI258 Non-interpretableEXPERIMENTALThese are the participants who had a non-interpretable T(4;14) status
Treatment (dovitinib lactate, gemcitabine, and capecitabine)EXPERIMENTALPatients receive dovitinib lactate PO on days 1-5, 8-12, and 15-19, gemcitabine hydrochloride IV over 30 minutes on days 1 and 8, and capecitabine PO twice daily on days 1-14. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
500 mg FMI capsule + 250 mg FMI tabletEXPERIMENTALBE phase sequence 1= 3 weeks on FMI capsule then 1 week on FMI tablet
500 mg TKI258 FMI capsule +250 mg FMI tabletEXPERIMENTALBE phase sequence 2= 3 weeks on FMI tablet then 1 week on FMI capsule
Arm 1 - TKI258 - bioavailabilityEXPERIMENTAL -
TKI258 - food effectEXPERIMENTAL -
TKI258 - bioavailabilityEXPERIMENTAL -
TKI258 - foodEXPERIMENTAL -

Interventions

NameTypeDescription
TKI258DRUGTKI258 is dosed on a flat scale of 500 mg, to be administered orally on a 5 days on / 2 days off dosing schedule which will be repeated every week.
dovitinib lactateDRUGGiven PO
gemcitabine hydrochlorideDRUGGiven IV
capecitabineDRUGGiven PO
laboratory biomarker analysisOTHERCorrelative studies
enzyme-linked immunosorbent assayOTHERCorrelative studies
pharmacological studyOTHERCorrelative studies
TKI258 (dovitinib)DRUGbioavailability (anhydrate capsules) food (monohydrae capsules)
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: * Diagnosis of advanced/metastatic scirrhous gastric carcinoma * Evidence of diffusely infiltrating gastric lesions and/or at least one measurable extra-gastric lesion * Patients previously treated with one or two systemic lines * Documented radiological confirmation of disease ...

Countries:JapanUnited StatesBrazilItalyNew ZealandSouth KoreaSpainUnited KingdomAustraliaCanadaFranceGermanyNetherlandsTurkey (Türkiye)AustriaTaiwanFinland
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Frequently asked questions about dovitinib lactate

What is dovitinib lactate used for?

Dovitinib lactate is an investigational small molecule being studied in oncology, specifically for adenocarcinoma of the pancreas, including stage III and stage IV pancreatic cancer, as well as biliary cancers and advanced or metastatic solid tumors. It is not approved for any indication and remains in clinical development.

What does dovitinib lactate target?

Dovitinib lactate is a multi-kinase inhibitor that targets FGFR3, PDGFRB, PDGFRA, KIT, FLT3, and FLT1. By inhibiting these receptor tyrosine kinases, it is designed to interfere with signaling pathways involved in tumor cell proliferation, angiogenesis, and survival.

Who is developing dovitinib lactate?

Dovitinib lactate is being developed by Novartis AG, which trades under the ticker NVS. Novartis is the sponsor of the clinical program evaluating the drug in pancreatic cancer and other solid tumors.

What phase is dovitinib lactate in?

Dovitinib lactate is in Phase 1 clinical development. It is investigational and has not been approved by the FDA for any indication. The Phase 1 trial has been completed, and no active trials are currently listed for this asset.

What clinical trials is dovitinib lactate in?

Dovitinib lactate has been evaluated in one completed Phase 1 trial, NCT01497392, which studied dovitinib lactate with gemcitabine hydrochloride and capecitabine in patients with advanced or metastatic solid tumors, pancreatic cancer, and biliary cancers. The trial enrolled 26 patients in the United States.