Breast Cancer, ER, Estrogen Receptor Positive, HER2, HER2 Positive, MBC, Metastatic Breast Cancer, Triple Negative
Conditions
Keywords
Breast cancer, Metastatic breast cancer, MBC, HER2 positive, HER2+, Estrogen receptor positive, ER+, Triple negative, FGFR1, 11q, FGF aberrant, Biomarker negative, FGF non-aberrant
Brief summary
The purpose of this study is to determine whether lucitanib is safe and effective in the treatment of patients with FGF aberrant metastatic breast cancer, as well as in the treatment of patients with biomarker negative (FGF non-aberrant) metastatic breast cancer.
Detailed description
Lucitanib is a selective, orally available tyrosine kinase inhibitor targeting FGFR1-3, VEGFR1-3, and PDGFRα and β, with activity in relevant cell lines and animal models. The first in human trial of lucitanib demonstrated that daily dosing with lucitanib can provide durable clinical responses in patients with FGFR1- or 11q (FGF3, FGF4, Cyclin D1, or FGF19)-amplified breast cancer. RECIST partial responses (PRs) were also observed in patients not known to have FGF abnormalities. Based on these results, this study is designed to explore the safety and anti-tumor activity of daily lucitanib in breast cancer patients with and without alterations of the FGF pathway.
Interventions
Lucitanib is a potent, orally available selective inhibitor of the tyrosine kinase activity of fibroblast growth factor receptors (FGFR1-3), vascular endothelial growth factor receptors (VEGFR1-3), and platelet-derived growth factor receptors alpha and beta (PDGFR alpha and beta)
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically or cytologically confirmed metastatic breast cancer relapsed or refractory to approved standard available treatment * Prior treatment with standard first line therapy in the metastatic setting * Availability of tumor tissue sufficient for confirmatory testing of FGFR1 and 11q amplification status * Demonstrated progression of disease by radiological or clinical assessment (Measurable disease according to RECIST Version 1.1 is NOT required for enrollment) * Estimated life expectancy \>6 months
Exclusion criteria
* Current or recent treatment with biologic anticancer therapies * Ongoing AEs from prior anticancer therapies * Active central nervous system (CNS) metastases * Clinically significant or uncontrolled hypertension or cardiac disease * Females who are pregnant or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by the Investigator | From Cycle 1 Day 1 until disease progression or end of treatment, whichever came first, assessed up to 29 months | The primary efficacy endpoint of PFS was calculated as 1+ the number of days from the date of first dose of study drug to disease progression or death due to any cause, whichever occurs first. Patients without a documented event of progression were censored on the date of their last adequate tumor assessment (i.e., radiologic assessment), or the date of randomization if no tumor assessments were performed. Progression events were determined by the investigator. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of Response (DR) by RECIST v1.1 | From Cycle 1 Day 1 until disease progression or end of treatment, whichever came first, assessed up to 29 months | DR for complete response (CR) and partial response (PR) was measured from the date that any of these best confirmed responses was first recorded until the first date that PD was objectively documented. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: Complete Response (CR), is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR), at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. |
| Disease Control Rate (DCR) by RECIST v1.1 | From Cycle 1 Day 1 until disease progression or end of treatment, whichever came first, assessed up to 29 months | The DCR is defined as the percentage of patients with a best response rate of CR, PR, or SD for at least 12 weeks. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: Complete Response (CR), is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR), at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum longest diameter since the treatment started. |
| Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Cmax | Study Day -7 to Study Day 1, or approximately 8 days | The comparative PK study was a within-patient comparison of tablet and capsule formulations of lucitanib administered orally. PK sampling was performed at specified time points on each of the following two days: • Day -7: patients received a single administration of 10 mg or 15 mg lucitanib tablet formulation • Day 1: patients received a single administration of 10 mg or 15 mg lucitanib in capsule formulation. Cmax = maximum concentration following administration of lucitanib. |
| Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Tmax | Study Day -7 to Study Day 1, or approximately 8 days | The comparative PK study was a within-patient comparison of tablet and capsule formulations of lucitanib administered orally. PK sampling was performed at specified time points on each of the following two days: • Day -7: patients received a single administration of 10 mg or 15 mg lucitanib tablet formulation • Day 1: patients received a single administration of 10 mg or 15 mg lucitanib in capsule formulation. Tmax = time to maximum concentration following administration of lucitanib |
| Objective Response Rate (ORR) by RECIST v1.1 | From Cycle 1 Day 1 until disease progression or end of treatment, whichever came first, assessed up to 29 months | ORR is the percentage of patients with a best response of CR or PR according to RECIST v1.1. The best response is recorded from the start of the treatment (Day 1) until disease progression or recurrence. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: Complete Response (CR), is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR), at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. |
| Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUCinf | Study Day -7 to Study Day 1, or approximately 8 days | The comparative PK study was a within-patient comparison of tablet and capsule formulations of lucitanib administered orally. PK sampling was performed at specified time points on each of the following two days: • Day -7: patients received a single administration of 10 mg or 15 mg lucitanib tablet formulation • Day 1: patients received a single administration of 10 mg or 15 mg lucitanib in capsule formulation. AUCinf = area under the plasma concentration time curve from 0 to infinity |
| Relative Bioavailability Analysis for Tablet vs Capsule - Cmax, AUClast, AUCinf | Study Day -7 to Study Day 1, or approximately 8 days | Relative bioavailability of lucitanib was evaluated by comparison of (log-transformed) AUClast, Cmax and AUCinf of the tablet formulation to the capsule formulation using an analysis of variance (ANOVA) model with treatment as a fixed effect. The geometric means, ratio of the geometric means and 90% confidence intervals (CI) on the ratio of Tablet to Capsule (T:R) were presented for AUClast, Cmax and AUCinf. The CIs on the ratio of untransformed PK parameters were derived through reverse transformation of the 90% CI of the difference in the log scale to the 90% CI of the ratio in the original scale. |
| Overall Survival | Cycle 1 Day 1 to date of death, assessed up to 29 months | Overall survival (OS) is defined as the number of days from the date of first dose of study drug to the date of death (due to any cause). Patients without a known date of death will be censored on the date the patient was last known to be alive. |
| Change From Baseline in Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) Total Score | From Cycle 1 Day 1 until end of treatment, assessed up to 29 months | FACT-B is used for assessment of health-related quality of life (QoL) in participants with breast cancer. It consists of 37 items, summarized to 5 subscales: physical (7 items), functional (7 items), social/family (7 items); all 3 ranged from 0 to 28, emotional (6 items) ranging from 0 to 24, and breast cancer subscale (10 items) ranging from 0 to 40; high subscale score represents a better QoL. All single-item measures range from 0='Not at all' to 4='Very much'. FACT-B Total Score is derived from adding the five subscale scores. Total possible score ranges from 0 to 148. High scale score represents a better QoL. |
| Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUClast | Study Day -7 to Study Day 1, or approximately 8 days | The comparative PK study was a within-patient comparison of tablet and capsule formulations of lucitanib administered orally. PK sampling was performed at specified time points on each of the following two days: • Day -7: patients received a single administration of 10 mg or 15 mg lucitanib tablet formulation • Day 1: patients received a single administration of 10 mg or 15 mg lucitanib in capsule formulation. AUClast = area under the plasma concentration time curve from time 0 to the last quantifiable time point (24 hour) |
Countries
United States
Participant flow
Recruitment details
178 patients were recruited from 32 sites in the United States.
Participants by arm
| Arm | Count |
|---|---|
| Lucitanib (CO-3810) 10 mg QD 10 mg of lucitanib daily in continuous 28-day treatment cycles until tumor progression, unacceptable toxicity, or withdrawal for other reasons | 109 |
| Lucitanib (CO-3810) 15 mg QD 15 mg of lucitanib daily in continuous 28-day treatment cycles until tumor progression, unacceptable toxicity, or withdrawal for other reasons | 69 |
| Total | 178 |
Baseline characteristics
| Characteristic | Lucitanib (CO-3810) 10 mg QD | Total | Lucitanib (CO-3810) 15 mg QD |
|---|---|---|---|
| Age, Continuous | 57.0 years | 55.0 years | 53.0 years |
| Fibroblast Growth Factor (FGF) Status 11q | 34 Participants | 59 Participants | 25 Participants |
| Fibroblast Growth Factor (FGF) Status FGFR1 | 50 Participants | 78 Participants | 28 Participants |
| Fibroblast Growth Factor (FGF) Status FGFR1 & 11q | 18 Participants | 28 Participants | 10 Participants |
| Fibroblast Growth Factor (FGF) Status Negative | 7 Participants | 13 Participants | 6 Participants |
| Number of Prior Anticancer Therapies | 6.0 Therapies | 6.0 Therapies | 6.0 Therapies |
| Race/Ethnicity, Customized Asian | 5 Participants | 8 Participants | 3 Participants |
| Race/Ethnicity, Customized Black | 10 Participants | 11 Participants | 1 Participants |
| Race/Ethnicity, Customized Hispanic or Latino | 8 Participants | 14 Participants | 6 Participants |
| Race/Ethnicity, Customized Not Hispanic or Latino | 97 Participants | 158 Participants | 61 Participants |
| Race/Ethnicity, Customized Not provided | 4 Participants | 7 Participants | 3 Participants |
| Race/Ethnicity, Customized Not Provided | 4 Participants | 6 Participants | 2 Participants |
| Race/Ethnicity, Customized Other | 1 Participants | 1 Participants | 0 Participants |
| Race/Ethnicity, Customized Unknown/Not assessed | 2 Participants | 3 Participants | 1 Participants |
| Race/Ethnicity, Customized White | 87 Participants | 148 Participants | 61 Participants |
| Sex: Female, Male Female | 109 Participants | 176 Participants | 67 Participants |
| Sex: Female, Male Male | 0 Participants | 2 Participants | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 5 / 109 | 7 / 69 |
| other Total, other adverse events | 107 / 109 | 69 / 69 |
| serious Total, serious adverse events | 31 / 109 | 22 / 69 |
Outcome results
Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by the Investigator
The primary efficacy endpoint of PFS was calculated as 1+ the number of days from the date of first dose of study drug to disease progression or death due to any cause, whichever occurs first. Patients without a documented event of progression were censored on the date of their last adequate tumor assessment (i.e., radiologic assessment), or the date of randomization if no tumor assessments were performed. Progression events were determined by the investigator. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.
Time frame: From Cycle 1 Day 1 until disease progression or end of treatment, whichever came first, assessed up to 29 months
Population: Efficacy population: all patients who have received at least one dose of lucitanib and are confirmed as FGR1-, 11q-amplified, or FGF non-amplified per the central laboratory
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by the Investigator | 93 Days |
| Lucitanib (CO-3810) 15 mg QD | Progression Free Survival (PFS) According to RECIST Version 1.1 as Determined by the Investigator | 77 Days |
Change From Baseline in Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) Total Score
FACT-B is used for assessment of health-related quality of life (QoL) in participants with breast cancer. It consists of 37 items, summarized to 5 subscales: physical (7 items), functional (7 items), social/family (7 items); all 3 ranged from 0 to 28, emotional (6 items) ranging from 0 to 24, and breast cancer subscale (10 items) ranging from 0 to 40; high subscale score represents a better QoL. All single-item measures range from 0='Not at all' to 4='Very much'. FACT-B Total Score is derived from adding the five subscale scores. Total possible score ranges from 0 to 148. High scale score represents a better QoL.
Time frame: From Cycle 1 Day 1 until end of treatment, assessed up to 29 months
Population: Efficacy Population defined as all patients who have received at least one dose of Lucitanib and have at least one post-baseline Investigator Overall Objective Tumor Assessment. 'Overall Number of Participants Analyzed'=participants who completed both a baseline FACT-B assessment and at least one post-baseline assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Change From Baseline in Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) Total Score | -2.422 units on a scale | Standard Deviation 15.5134 |
| Lucitanib (CO-3810) 15 mg QD | Change From Baseline in Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) Total Score | -7.586 units on a scale | Standard Deviation 17.0709 |
| All Patients | Change From Baseline in Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) Total Score | -4.307 units on a scale | Standard Deviation 16.2248 |
Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUCinf
The comparative PK study was a within-patient comparison of tablet and capsule formulations of lucitanib administered orally. PK sampling was performed at specified time points on each of the following two days: • Day -7: patients received a single administration of 10 mg or 15 mg lucitanib tablet formulation • Day 1: patients received a single administration of 10 mg or 15 mg lucitanib in capsule formulation. AUCinf = area under the plasma concentration time curve from 0 to infinity
Time frame: Study Day -7 to Study Day 1, or approximately 8 days
Population: PK parameters were assessed in a subset of patients (N=15)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUCinf | Tablet | 4780 h*ng/mL | Standard Deviation 2140 |
| Lucitanib (CO-3810) 10 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUCinf | Capsule | 5680 h*ng/mL | Standard Deviation 2730 |
| Lucitanib (CO-3810) 15 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUCinf | Tablet | 5720 h*ng/mL | Standard Deviation 3760 |
| Lucitanib (CO-3810) 15 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUCinf | Capsule | 4620 h*ng/mL | Standard Deviation 1620 |
Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUClast
The comparative PK study was a within-patient comparison of tablet and capsule formulations of lucitanib administered orally. PK sampling was performed at specified time points on each of the following two days: • Day -7: patients received a single administration of 10 mg or 15 mg lucitanib tablet formulation • Day 1: patients received a single administration of 10 mg or 15 mg lucitanib in capsule formulation. AUClast = area under the plasma concentration time curve from time 0 to the last quantifiable time point (24 hour)
Time frame: Study Day -7 to Study Day 1, or approximately 8 days
Population: PK parameters were assessed in a subset of patients (N=15)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUClast | Tablet | 2550 h*ng/mL | Standard Deviation 1150 |
| Lucitanib (CO-3810) 10 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUClast | Capsule | 2650 h*ng/mL | Standard Deviation 1380 |
| Lucitanib (CO-3810) 15 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUClast | Tablet | 2840 h*ng/mL | Standard Deviation 1230 |
| Lucitanib (CO-3810) 15 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - AUClast | Capsule | 2420 h*ng/mL | Standard Deviation 613 |
Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Cmax
The comparative PK study was a within-patient comparison of tablet and capsule formulations of lucitanib administered orally. PK sampling was performed at specified time points on each of the following two days: • Day -7: patients received a single administration of 10 mg or 15 mg lucitanib tablet formulation • Day 1: patients received a single administration of 10 mg or 15 mg lucitanib in capsule formulation. Cmax = maximum concentration following administration of lucitanib.
Time frame: Study Day -7 to Study Day 1, or approximately 8 days
Population: PK parameters were assessed in a subset of patients (N=15)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Cmax | Tablet | 292 ng/mL | Standard Deviation 156 |
| Lucitanib (CO-3810) 10 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Cmax | Capsule | 265 ng/mL | Standard Deviation 137 |
| Lucitanib (CO-3810) 15 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Cmax | Tablet | 278 ng/mL | Standard Deviation 99.8 |
| Lucitanib (CO-3810) 15 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Cmax | Capsule | 285 ng/mL | Standard Deviation 121 |
Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Tmax
The comparative PK study was a within-patient comparison of tablet and capsule formulations of lucitanib administered orally. PK sampling was performed at specified time points on each of the following two days: • Day -7: patients received a single administration of 10 mg or 15 mg lucitanib tablet formulation • Day 1: patients received a single administration of 10 mg or 15 mg lucitanib in capsule formulation. Tmax = time to maximum concentration following administration of lucitanib
Time frame: Study Day -7 to Study Day 1, or approximately 8 days
Population: PK parameters were assessed in a subset of patients (N=15)
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Tmax | Tablet | 1.0 Hours |
| Lucitanib (CO-3810) 10 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Tmax | Capsule | 1.5 Hours |
| Lucitanib (CO-3810) 15 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Tmax | Tablet | 1.0 Hours |
| Lucitanib (CO-3810) 15 mg QD | Comparative Pharmacokinetics (PK) of the Lucitanib Capsule Formulation vs. Tablet Formulation - Tmax | Capsule | 1.0 Hours |
Disease Control Rate (DCR) by RECIST v1.1
The DCR is defined as the percentage of patients with a best response rate of CR, PR, or SD for at least 12 weeks. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: Complete Response (CR), is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR), at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum longest diameter since the treatment started.
Time frame: From Cycle 1 Day 1 until disease progression or end of treatment, whichever came first, assessed up to 29 months
Population: Efficacy population only
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Disease Control Rate (DCR) by RECIST v1.1 | 48.1 percentage of patients |
| Lucitanib (CO-3810) 15 mg QD | Disease Control Rate (DCR) by RECIST v1.1 | 34.3 percentage of patients |
| All Patients | Disease Control Rate (DCR) by RECIST v1.1 | 42.8 percentage of patients |
Duration of Response (DR) by RECIST v1.1
DR for complete response (CR) and partial response (PR) was measured from the date that any of these best confirmed responses was first recorded until the first date that PD was objectively documented. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: Complete Response (CR), is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR), at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.
Time frame: From Cycle 1 Day 1 until disease progression or end of treatment, whichever came first, assessed up to 29 months
Population: Efficacy population for patients who had a confirmed CR or PR
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Duration of Response (DR) by RECIST v1.1 | 175 Days |
| Lucitanib (CO-3810) 15 mg QD | Duration of Response (DR) by RECIST v1.1 | 336 Days |
Objective Response Rate (ORR) by RECIST v1.1
ORR is the percentage of patients with a best response of CR or PR according to RECIST v1.1. The best response is recorded from the start of the treatment (Day 1) until disease progression or recurrence. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions, defined by and assessed as: Complete Response (CR), is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. Partial Response (PR), at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.
Time frame: From Cycle 1 Day 1 until disease progression or end of treatment, whichever came first, assessed up to 29 months
Population: Efficacy population: all patients who have received at least one dose of lucitanib and are confirmed as FGR1-, 11q-amplified, or FGF non-amplified per the central laboratory
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Objective Response Rate (ORR) by RECIST v1.1 | 4.7 percentage of participants |
| Lucitanib (CO-3810) 15 mg QD | Objective Response Rate (ORR) by RECIST v1.1 | 1.5 percentage of participants |
| All Patients | Objective Response Rate (ORR) by RECIST v1.1 | 3.5 percentage of participants |
Overall Survival
Overall survival (OS) is defined as the number of days from the date of first dose of study drug to the date of death (due to any cause). Patients without a known date of death will be censored on the date the patient was last known to be alive.
Time frame: Cycle 1 Day 1 to date of death, assessed up to 29 months
Population: Intent to treat population by initial treatment and overall
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Overall Survival | 15.0 Months |
| Lucitanib (CO-3810) 15 mg QD | Overall Survival | 7.7 Months |
| All Patients | Overall Survival | 10.7 Months |
Relative Bioavailability Analysis for Tablet vs Capsule - Cmax, AUClast, AUCinf
Relative bioavailability of lucitanib was evaluated by comparison of (log-transformed) AUClast, Cmax and AUCinf of the tablet formulation to the capsule formulation using an analysis of variance (ANOVA) model with treatment as a fixed effect. The geometric means, ratio of the geometric means and 90% confidence intervals (CI) on the ratio of Tablet to Capsule (T:R) were presented for AUClast, Cmax and AUCinf. The CIs on the ratio of untransformed PK parameters were derived through reverse transformation of the 90% CI of the difference in the log scale to the 90% CI of the ratio in the original scale.
Time frame: Study Day -7 to Study Day 1, or approximately 8 days
Population: PK parameters were assessed in a subset of patients (N=15).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Lucitanib (CO-3810) 10 mg QD | Relative Bioavailability Analysis for Tablet vs Capsule - Cmax, AUClast, AUCinf | Cmax Geometric Mean Ratio | 111.73 Percentage (tablet/capsule) |
| Lucitanib (CO-3810) 10 mg QD | Relative Bioavailability Analysis for Tablet vs Capsule - Cmax, AUClast, AUCinf | AUClast Geometric Mean Ratio | 97.58 Percentage (tablet/capsule) |
| Lucitanib (CO-3810) 10 mg QD | Relative Bioavailability Analysis for Tablet vs Capsule - Cmax, AUClast, AUCinf | AUCinf Geometric Mean Ratio | 82.9 Percentage (tablet/capsule) |
| Lucitanib (CO-3810) 15 mg QD | Relative Bioavailability Analysis for Tablet vs Capsule - Cmax, AUClast, AUCinf | Cmax Geometric Mean Ratio | 100.56 Percentage (tablet/capsule) |
| Lucitanib (CO-3810) 15 mg QD | Relative Bioavailability Analysis for Tablet vs Capsule - Cmax, AUClast, AUCinf | AUClast Geometric Mean Ratio | 112.2 Percentage (tablet/capsule) |
| Lucitanib (CO-3810) 15 mg QD | Relative Bioavailability Analysis for Tablet vs Capsule - Cmax, AUClast, AUCinf | AUCinf Geometric Mean Ratio | 114.23 Percentage (tablet/capsule) |