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HKI-272

Phase 2

Carcinoma, Non-Small-Cell Lung | Small molecule | Oncology |Puma Biotechnology Inc|Last Updated: Apr 13, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment172
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00266877Study Evaluating the Safety Of HKI-272 (Neratinib) In Subjects With Advanced Non-Small Cell Lung CancerPHASE2 COMPLETED 172Dec 1, 2005Jan 1, 2009Apr 13, 201819 United States, France +3
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Study Endpoints
Primary Endpoints
Objective Response Rate for Neratinib in Patients With Non-small Cell Lung Cancer
From first dose date to progression/death or last tumor assessment, up to three years.

Objective response rate as reported by Independent Assessment (radiographic review by independent radiologists) per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; and Non-PD for non-target lesions, and no new lesions.

Secondary Endpoints
Clinical Benefit Rate for Neratinib in Patients With Non-small Cell Lung Cancer
From first dose date to progression/death or last tumor assessment, up to three years.
Duration of Response for Neratinib in Patients With Non-small Cell Lung Cancer
From start date of response to first PD, assessed up to three years after the first randomization.
Progression Free Survival for Neratinib in Patients With Non-small Cell Lung Cancer
From first dose date to progression/death, assessed up to three years.
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Prior Tarceva or Iressa With EGFR MutationEXPERIMENTALHKI-272 administered to patients whose disease has progressed following \> or = 12 weeks of treatment with Tarceva or Iressa and who have a tumor with an EGFR mutation demonstrated at screening
Prior Tarceva or Iressa w/o EGFR MutationEXPERIMENTALHKI-272 administered to patients whose disease has progressed following \> or = 12 weeks of treatment with Tarceva or Iressa and who have a tumor without an EGFR mutation demonstrated at screening
No Prior EGFR Tyrosine Kinase Inhibitor TreatmentEXPERIMENTALHKI-272 administered to patients with no prior EGFR tyrosine kinase inhibitor treatment, adenocarcinoma, \< or = 20 pack-year smoking history, and current non-smoker (no requirement for EGFR mutation)
Interventions
NameTypeDescription
HKI-272DRUG320mg or 240mg daily by mouth. The starting dose was reduced from 320mg to 240mg per amendment #1 to the protocol for subject safety and tolerability.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * Pathologic diagnosis of NSCLC and current stage IIIB (with pleural effusion) or IV, not curable with conventional therapy. For Arm C, less than or equal to 20 pack-years smoking history and current non smoker. A pack year = number of packs of cigarettes smoked per day x years ...

Countries:United StatesFranceHungaryPolandSpain
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