An Efficacy and Safety Study of Erdafitinib (JNJ-42756493) in Participants With Urothelial Cancer
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ClinicalTrials.gov Identifier: NCT02365597 |
Recruitment Status :
Active, not recruiting
First Posted : February 19, 2015
Results First Posted : October 10, 2023
Last Update Posted : May 7, 2024
|
Sponsor:
Janssen Research & Development, LLC
Information provided by (Responsible Party):
Janssen Research & Development, LLC
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Study Type | Interventional |
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Study Design | Allocation: N/A; Intervention Model: Single Group Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Urothelial Cancer |
Interventions |
Drug: Erdafitinib Drug: Midazolam Drug: Metformin |
Enrollment | 239 |
Participant Flow
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Main Study: Regimen 1: Erdafitinib 10 Milligrams (mg)/ 12 mg | Main Study: Regimen 2: Erdafitinib 6 mg/ 8 mg | Main Study: Regimen 3: Erdafitinib 8 mg/ 9 mg | Drug-Drug Interaction (DDI) Sub-study: Midazolam 2.5 mg + Metformin 1000 mg + Erdafitinib 8/9 mg |
---|---|---|---|---|
Arm/Group Description | Participants received single dose of erdafitinib 10 mg tablet, orally, once daily, starting from Day 1 through Day 7 and from Day 15 through Day 21 and so on, that is 7-day on and off in each subsequent 28-day cycles starting from Cycle 1. Based on serum phosphate (PO4) levels, there was an option to up-titrate erdafitinib dose to 12 mg, orally, once daily starting from Cycle 2 Day 1 until disease progression, unacceptable toxicity, or any other reason for treatment discontinuation. | Participants received single dose of erdafitinib 6 mg tablet, orally, once daily, starting from Day 1 through Day 28 in each subsequent 28-day cycles starting from Cycle 1. Based on serum PO4 levels, there was an option to up-titrate erdafitinib dose to 8 mg, orally, once daily starting from Cycle 2 Day 1 until disease progression, unacceptable toxicity, or any other reason for treatment discontinuation. | Participants received single dose of erdafitinib 8 mg tablet, orally, once daily, starting from Day 1 through Day 28 in each subsequent 28-day cycles starting from Cycle 1. Based on serum PO4 levels, there was an option to up-titrate erdafitinib dose to 9 mg, orally, once daily starting from Cycle 1 Day 15 until disease progression, unacceptable toxicity, or any other reason for treatment discontinuation. | Participants received pretreatment with single doses of midazolam 2.5 mg syrup orally on Day -2 and metformin 1000 mg tablet orally on Day -1 along with erdafitinib 8 mg tablet, orally, on 28-day cycles starting from Cycle 1 Day 1 to Day 15 (or up-titrated to 9 mg on Day 15 based on Day 14 serum PO4 levels) until disease progression, unacceptable toxicity, or any other reason for treatment discontinuation. |
Period Title: Overall Study | ||||
Started | 33 | 79 | 102 | 25 |
Treated (Safety Analysis Set) | 33 | 78 | 101 | 25 |
Completed | 31 | 62 | 83 | 6 |
Not Completed | 2 | 17 | 19 | 19 |
Reason Not Completed | ||||
Lost to Follow-up | 0 | 1 | 0 | 1 |
Withdrawal by Subject | 1 | 8 | 5 | 1 |
Sponsor's decision | 1 | 3 | 13 | 0 |
Other | 0 | 4 | 0 | 0 |
Enrolled but not treated | 0 | 1 | 1 | 0 |
Ongoing | 0 | 0 | 0 | 17 |
Baseline Characteristics
Arm/Group Title | Main Study: Regimen 1: Erdafitinib 10 Milligrams (mg)/ 12 mg | Main Study: Regimen 2: Erdafitinib 6 mg/ 8 mg | Main Study: Regimen 3: Erdafitinib 8 mg/ 9 mg | Drug-Drug Interaction (DDI) Sub-study: Midazolam 2.5 mg + Metformin 1000 mg + Erdafitinib 8/9 mg | Total | |
---|---|---|---|---|---|---|
Arm/Group Description | Participants received single dose of erdafitinib 10 mg tablet, orally, once daily, starting from Day 1 through Day 7 and from Day 15 through Day 21 and so on, that is 7-day on and off in each subsequent 28-day cycles starting from Cycle 1. Based on serum phosphate (PO4) levels, there was an option to up-titrate erdafitinib dose to 12 mg, orally, once daily starting from Cycle 2 Day 1 until disease progression, unacceptable toxicity, or any other reason for treatment discontinuation. | Participants received single dose of erdafitinib 6 mg tablet, orally, once daily, starting from Day 1 through Day 28 in each subsequent 28-day cycles starting from Cycle 1. Based on serum PO4 levels, there was an option to up-titrate erdafitinib dose to 8 mg, orally, once daily starting from Cycle 2 Day 1 until disease progression, unacceptable toxicity, or any other reason for treatment discontinuation. | Participants received single dose of erdafitinib 8 mg tablet, orally, once daily, starting from Day 1 through Day 28 in each subsequent 28-day cycles starting from Cycle 1. Based on serum PO4 levels, there was an option to up-titrate erdafitinib dose to 9 mg, orally, once daily starting from Cycle 1 Day 15 until disease progression, unacceptable toxicity, or any other reason for treatment discontinuation. | Participants received pretreatment with single doses of midazolam 2.5 mg syrup orally on Day -2 and metformin 1000 mg tablet orally on Day -1 along with erdafitinib 8 mg tablet, orally, on 28-day cycles starting from Cycle 1 Day 1 to Day 15 (or up-titrated to 9 mg on Day 15 based on Day 14 serum PO4 levels) until disease progression, unacceptable toxicity, or any other reason for treatment discontinuation. | Total of all reporting groups | |
Overall Number of Baseline Participants | 33 | 78 | 101 | 25 | 237 | |
Baseline Analysis Population Description |
Safety analysis set included participants who received at least 1 dose of study drug.
|
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 33 participants | 78 participants | 101 participants | 25 participants | 237 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Between 18 and 65 years |
11 33.3%
|
39 50.0%
|
39 38.6%
|
11 44.0%
|
100 42.2%
|
|
>=65 years |
22 66.7%
|
39 50.0%
|
62 61.4%
|
14 56.0%
|
137 57.8%
|
|
Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
||||||
Number Analyzed | 33 participants | 78 participants | 101 participants | 25 participants | 237 participants | |
68.6 (7.98) | 64.5 (10.36) | 66.1 (10.2) | 64.8 (10.35) | 65.8 (10.03) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 33 participants | 78 participants | 101 participants | 25 participants | 237 participants | |
Female |
11 33.3%
|
24 30.8%
|
24 23.8%
|
10 40.0%
|
69 29.1%
|
|
Male |
22 66.7%
|
54 69.2%
|
77 76.2%
|
15 60.0%
|
168 70.9%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 33 participants | 78 participants | 101 participants | 25 participants | 237 participants | |
Hispanic or Latino |
1 3.0%
|
2 2.6%
|
2 2.0%
|
1 4.0%
|
6 2.5%
|
|
Not Hispanic or Latino |
25 75.8%
|
68 87.2%
|
75 74.3%
|
22 88.0%
|
190 80.2%
|
|
Unknown or Not Reported |
7 21.2%
|
8 10.3%
|
24 23.8%
|
2 8.0%
|
41 17.3%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 33 participants | 78 participants | 101 participants | 25 participants | 237 participants |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
2 6.1%
|
11 14.1%
|
5 5.0%
|
0 0.0%
|
18 7.6%
|
|
Black or African American |
0 0.0%
|
2 2.6%
|
2 2.0%
|
0 0.0%
|
4 1.7%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
White |
24 72.7%
|
56 71.8%
|
75 74.3%
|
20 80.0%
|
175 73.8%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
3 12.0%
|
3 1.3%
|
|
Unknown or Not Reported |
7 21.2%
|
7 9.0%
|
18 17.8%
|
2 8.0%
|
34 14.3%
|
|
Other |
0 0.0%
|
2 2.6%
|
1 1.0%
|
0 0.0%
|
3 1.3%
|
|
Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 33 participants | 78 participants | 101 participants | 25 participants | 237 participants |
AUSTRIA |
0 0.0%
|
2 2.6%
|
2 2.0%
|
0 0.0%
|
4 1.7%
|
|
BELGIUM |
3 9.1%
|
2 2.6%
|
4 4.0%
|
0 0.0%
|
9 3.8%
|
|
FRANCE |
7 21.2%
|
9 11.5%
|
20 19.8%
|
1 4.0%
|
37 15.6%
|
|
GERMANY |
0 0.0%
|
5 6.4%
|
6 5.9%
|
0 0.0%
|
11 4.6%
|
|
INDIA |
0 0.0%
|
0 0.0%
|
0 0.0%
|
3 12.0%
|
3 1.3%
|
|
ISRAEL |
0 0.0%
|
2 2.6%
|
3 3.0%
|
0 0.0%
|
5 2.1%
|
|
ITALY |
4 12.1%
|
12 15.4%
|
19 18.8%
|
0 0.0%
|
35 14.8%
|
|
MOLDOVA, REPUBLIC OF |
0 0.0%
|
1 1.3%
|
0 0.0%
|
0 0.0%
|
1 0.4%
|
|
ROMANIA |
0 0.0%
|
1 1.3%
|
1 1.0%
|
0 0.0%
|
2 0.8%
|
|
RUSSIAN FEDERATION |
1 3.0%
|
7 9.0%
|
11 10.9%
|
0 0.0%
|
19 8.0%
|
|
SOUTH KOREA |
2 6.1%
|
9 11.5%
|
3 3.0%
|
0 0.0%
|
14 5.9%
|
|
SPAIN |
7 21.2%
|
8 10.3%
|
4 4.0%
|
20 80.0%
|
39 16.5%
|
|
TAIWAN |
0 0.0%
|
2 2.6%
|
2 2.0%
|
0 0.0%
|
4 1.7%
|
|
TURKEY |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 4.0%
|
1 0.4%
|
|
UNITED KINGDOM |
1 3.0%
|
5 6.4%
|
5 5.0%
|
0 0.0%
|
11 4.6%
|
|
UNITED STATES |
8 24.2%
|
13 16.7%
|
21 20.8%
|
0 0.0%
|
42 17.7%
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will withhold such publication for up to an additional 60 days to allow for filing of a patent application.
Results Point of Contact
Name/Title: | Executive Medical Director |
Organization: | Janssen Research & Development, LLC |
Phone: | 844-434-4210 |
EMail: | ClinicalTrialDisclosure@its.jnj.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Janssen Research & Development, LLC |
ClinicalTrials.gov Identifier: | NCT02365597 |
Other Study ID Numbers: |
CR105065 42756493BLC2001 ( Other Identifier: Janssen Research & Development, LLC ) 2014-002408-26 ( EudraCT Number ) 2023-510273-34-00 ( Registry Identifier: EUCT number ) |
First Submitted: | January 29, 2015 |
First Posted: | February 19, 2015 |
Results First Submitted: | September 14, 2023 |
Results First Posted: | October 10, 2023 |
Last Update Posted: | May 7, 2024 |