Feasibility Study for Repurposing RET Inhibitors

Official title

Feasibility Study for Repurposing RET Inhibitors for Treating Cancer Cachexia

Overview

The purpose of this study is to assess the effects of selpercatinib on cachexia and anorexia in patients diagnosed with NSCLC, colorectal cancer, or pancreatic cancer.

Detailed description

This clinical trial aims to evaluate the feasibility of selpercatinib in addressing cachexia and anorexia among patients with non-small cell lung cancer (NSCLC), colorectal cancer, or pancreatic cancer who are eligible for platinum-based chemotherapy per standard of care. Participants will undergo blood draws at baseline and at 4, 8, and 12 weeks while on selpercatinib. At 16 weeks patients will return to the clinic for a weight assessment.

Study evaluations will include the Functional Assessment of Anorexia Cachexia Therapy (FAACT), administered at screening, at 12 weeks post-discontinuation of the study drug, and again at the 16-week follow-up. In addition, several assessments of overall muscle strength and function will be conducted including a hallux strength assessment, sub-maximal leg press, sit-to-stand timing, grip strength, and ultrasound of the quadriceps. These will be conducted at baseline and again at 12 weeks end-of-treatment.

Interventions

• Drug Selpercatinib
  Patients will be instructed to take selpercatinib orally (PO) twice daily (BID), approximately every 12 hours. While on study, they will undergo weight measurements and regular blood draws every 4 weeks. At the 16-week post-treatment follow-up, patients will return to the clinic for a weight assessment to evaluate potential changes in body weight. Patients will be administered assessments including, Functional Assessment of Anorexia Cachexia Therapy (FAACT), administered at screening, at 12 wee
• Other Strength Assessment
  Several strength assessment will be conducted at baseline and at 12 weeks end-of-treatment, which will include measurements such as grip strength, hallux strength, timed chair stands, leg press, and localized ultrasound of the quadriceps.

Primary outcome measures

• Mean (± SD) changes in body weight after 12 weeks [Time frame: 12 weeks]
• Mean (± SD) percentage of doses of selpercatinib taken on time by patient [Time frame: 12 weeks]

Secondary outcome measures (4)

• Mean (± SD) changes in anorexic behaviors after 12 weeks [Time frame: 12 weeks]
• Mean (± SD) changes in skeletal muscle while taking selpercatinib [Time frame: 12 Weeks]
• Mean (± SD) changes in Strength outcomes in patients taking selpercatinib [Time frame: 12 weeks]
• Mean (± SD) changes in plasma GDF-15 while taking selpercatinib [Time frame: 12 Weeks]

Eligibility criteria

Inclusion criteria

• Histologically confirmed and documented locally advanced or metastatic NSCLC, pancreatic ductal adenocarcinoma, or colorectal cancer
• Patient is currently receiving platinum-based therapy for cancer treatment
• Patients on stable EPI
• Written informed consent signed and dated by the patient prior to the performance of any study-specific procedures, sampling, or analyses
• At least 18 years-of-age at the time of signature of the informed consent form (ICF)
• Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0, 1, or 2
• Plasma GDF-15 level is at least 1500pg/mL
• Life expectancy exceeds 4 months, as judged by investigator
• Cachexia, defined as weight loss of >5% body weight in the past 6 months, OR weight loss of >2% body weight in the past 6 months with BMI < 20

Exclusion criteria

• ECOG Performance Score of 3 or 4
• Is pregnant or plans to become pregnant during study duration (if patient is of childbearing potential) or plans to make someone pregnant during study duration.
• Patient has not experienced significant weight loss (defined as loss of >5% body weight in the past 6 months, OR loss of >2% body weight in the past 6 months with BMI < 20)†
• Out-of-range laboratory values defined as:

• Absolute neutrophil count (ANC) <1.5 x 109/L
• Hemoglobin (Hgb)90 g/L or <9 g/dL
• Platelets <100 x 109/L
• Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) >2.5 x the upper limit of normal (ULN) if no demonstrable liver metastases or >5 times ULN in the presence of liver metastases
• Total bilirubin >1.5 x ULN (unless the patient has Grade 1 bilirubin elevation due to Gilbert's disease or a similar syndrome involving slow conjugation of bilirubin)
• Creatinine >1.5 times ULN (patients may enter if creatinine is >1.5 x ULN and estimated glomerular filtration rate (eGFR) is >30 mL/min/1.73 m2 according to the Chronic Kidney Disease Epidemiology Collaboration equation); confirmation of eGFR is only required when creatinine is >1.5 X ULN
• International Normalization Ratio (INR) >2
• Ongoing treatment with anti-seizure medications that induce the CYP3A enzyme
• Presence of active gastrointestinal disease or other conditions that will interfere significantly with the absorption, distribution, metabolism, or excretion of selpercatinib(e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea Grade ≥2)
• As judged by the investigator, any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension, uncontrolled diabetes mellitus, active bleeding diatheses, or active infection including hepatitis B, hepatitis C, and human immunodeficiency virus. Screening for chronic conditions is not required.
• Presence of other active invasive cancers other than the ones treated in this study within 5 years prior to screening, except appropriately treated basal cell carcinoma of the skin, or in situ carcinoma of uterine cervix, or other local tumors considered cured by local treatment.
• Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol and/or follow-up procedures outlined in the protocol.
• Pneumonitis or QTc prolongation.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

Non-randomized

Model

Single group

Masking

Open label

Primary purpose

Treatment

Study locations

United States · 1 center

• OU Health Stephenson Cancer Center — Oklahoma City

Identifiers

NCT: NCT07146893 · OU-SCC-FEATHER · PHF-CTGA

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗