Actively Recruiting

Phase 1
Phase 2
All Genders
NCT05439993

Tepotinib Plus Paclitaxel in MET Amplified or MET Exon 14 Alterated Gastric and GEJ Carcinoma

Led by Hallym University Medical Center · Updated on 2022-07-05

42

Participants Needed

1

Research Sites

226 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Purpose of this study is to define the maximal tolerated dose (MTD) and recommended phase 2 dose (RP2D) of paclitaxel and tepotinib combination therapy in patients with advanced tumors and to evaluate the efficacy of paclitaxel and tepotinib combination treatment as second-line therapy in patients with advanced gastric and gastroesophageal junction carcinomas (AGC/GEJCs) with MET amplification or MET exon 14 alterations. This study is devided into Phase 1b and Phase 2 study.

CONDITIONS

Official Title

Tepotinib Plus Paclitaxel in MET Amplified or MET Exon 14 Alterated Gastric and GEJ Carcinoma

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Willingness to sign written informed consent before any study procedures
  • Age 19 years or older, male or female
  • Phase 1b: Histologically confirmed metastatic solid tumor progressed after approved therapies or no standard effective therapy available
  • Phase 2b: Histologically confirmed locally advanced or metastatic gastric or gastroesophageal carcinoma progressed after first-line fluoropyrimidine-based chemotherapy
  • MET amplification (copy number gain ≥3) or MET exon 14 skipping mutation confirmed by targeted DNA sequencing
  • Measurable disease by RECIST 1.1 (Phase 2 only); evaluable lesions allowed in Phase 1b
  • ECOG performance status of 0 or 1
  • Adequate organ and marrow function as defined by study criteria
Not Eligible

You will not qualify if you...

  • Active, unstable or symptomatic central nervous system lesions; leptomeningeal metastasis excluded
  • Recent treatment with nitrosourea or mitomycin C within 6 weeks
  • Cytotoxic chemotherapy within 14 days prior to study treatment
  • Prior exposure to c-MET inhibitors
  • Recent radiotherapy within 4 weeks for wide field or 2 weeks for limited field; resolved acute radiation symptoms
  • History of allogeneic bone marrow or organ transplantation
  • History of other primary cancers except gastric cancer
  • Clinically significant cardiovascular disease including recent acute coronary syndrome, heart failure, low ejection fraction (<50%), significant arrhythmia, or risk factors for arrhythmia
  • Uncontrolled hypertension with systolic >180 mmHg or diastolic >100 mmHg despite treatment
  • HIV positive or active hepatitis B or C infection; hepatitis B carriers allowed with prophylactic antiviral treatment
  • Gastrointestinal disorders impairing function or absorption; ileostomy not allowed
  • Any conditions judged by investigator to contraindicate participation (e.g., severe infections, liver dysfunction, lung disease, renal disease, inability to swallow pills, social or psychological problems)
  • Pregnant or lactating women
  • Medical, psychiatric, cognitive, or other conditions interfering with consent, protocol compliance, or trial completion
  • Hypersensitivity to paclitaxel

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Hallym University Medical Center

Gyeonggi-do, South Korea

Actively Recruiting

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Research Team

B

Bum Jun Kim, Dr

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Tepotinib Plus Paclitaxel in MET Amplified or MET Exon 14 Alterated Gastric and GEJ Carcinoma | DecenTrialz