Clinical trial · Interventional
Afatinib and Selumetinib in Advanced KRAS Mutant and PIK3CA Wildtype Non-small Cell Lung Cancer
Phase I/II Study With the Combination of Afatinib and Selumetinib in Advanced KRAS Mutant Positive and PIK3CA Wildtype Non-small Cell Lung Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This is a multi-center open-label proof-of-concept study consisting of two parts: PART A - a phase I dose-finding study (3 + 3 classical design) evaluating the RP2D of afatinib in combination with selumetinib in KRASm NSCLC; and PART B - a randomized phase II study investigating the progression free survival and safety of selumetinib/afatinib combination therapy compared to standard of care chemotherapy in KRASm NSCLC.
Conditions
Conditions (4)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Carcinoma, Non-Small-Cell Lung | Lung Non-Small Cell Carcinoma | ALIAS | 0.90 |
| Colorectal Neoplasms | Colorectal Neoplasm | ONTOLOGY_EXACT | 0.98 |
| Gastrointestinal Neoplasms | Digestive System Neoplasm | ALIAS | 0.90 |
| Pancreatic Neoplasms | Pancreatic Neoplasm | ONTOLOGY_EXACT | 0.98 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Afatinib | Drug | Afatinib | ALIAS |
| Docetaxel | Drug | Docetaxel | ALIAS |
| Selumetinib | Drug | Selumetinib | ALIAS |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Afatinib plus selumetinib
- description
- Combination of afatinib and selumetinib at the optimal dose and regimen as determined in the phase I part of this study
- interventionNames
- Drug: Afatinib
- Drug: Selumetinib
- type
- ACTIVE_COMPARATOR
- label
- Control
- description
- Standard-of-care second line treatment for non small cell lung cancer (docetaxel)
- interventionNames
- Drug: Docetaxel
Primary outcomes (2)
- measure
- Dose Limiting Toxicities (Phase I)
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Histological or cytological proof of advanced NSCLC; for PART B: treated with first line therapy for metastatic disease only. * Written documentation of a known pathogenic KRAS (exon 2, 3 or 4) mutation and PIK3CA wildtype (defined as absence of mutations in exon 9 and 20) * Able and willing to give written informed consent * Able and willing to undergo blood sampling for PK and PD analysis * Life expectancy \>=3 months allowing adequate follow up of toxicity evaluation and antitumor activity. * WHO performance status of 0 or 1. * Able and willing to undergo a tumor biopsies prior to start, after two weeks (part A only) and upon progression of disease * Measurable disease according to RECIST 1.1 * Adequate organ system function measured by laboratory values Exclusion Criteria: * Any treatment with investigational drugs within 30 days prior to receiving the first dose of investigational treatment. * History of another malignancy Exception PART A: Patients who have been disease-free for at least 3 years, or patients with a history of completely resected non-melanoma skin cancer and/or patients with indolent second malignancies are eligible. Exception PART B: Adequately treated carcinoma in situ of the cervix and adequately treated basal cell carcinoma of the skin. 3. Symptomatic or untreated leptomeningeal disease. * Symptomatic brain metastasis. * Patients previously treated with any drug combination known to interfere with EGFR, HER2, HER3, HER4 or MAPK- and PI3K-pathway components, including inhibitors of PTEN, PI3K, AKT, mTOR, BRAF, MEK and ERK. * History of interstitial lung disease or pneumonitis * Radio-, immuno- or chemotherapy within the last 2 weeks prior to receiving the first dose of investigational treatment. Palliative radiation (1x 8Gy) is allowed. * Opthalmological diseases * Patients with left ventricular ejection fraction (LVEF) \< 55% * Patients with cardiac comorbidities * Concomitant or recent use (in the past 14 days) of strong inhibitors and inducers of CYP1A2, CYP2C19, CYP3A4, 3A5 and P-glycoprotein (P-gp)
References
Publications (0)
Data not yet available