(NAVIGATOR) Study of BLU-285 in Patients With Gastrointestinal Stromal Tumors (GIST) and Other Relapsed and Refractory Solid Tumors
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ClinicalTrials.gov Identifier: NCT02508532 |
Recruitment Status :
Completed
First Posted : July 27, 2015
Results First Posted : June 22, 2021
Last Update Posted : June 21, 2022
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Study Type | Interventional |
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Study Design | Allocation: Non-Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Gastrointestinal Stromal Tumors (GIST) Other Relapsed or Refractory Solid Tumors |
Intervention |
Drug: Avapritinib |
Enrollment | 250 |
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Experimental: Part 1 Avapritinib (Formerly BLU-285) 30 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 60 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 90 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 135 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 200 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 300 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 400 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 600 mg QD | Experimental: Part 1 and Part 2 Avapritinib (Formerly BLU-285) 300 or 400 mg QD |
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Arm/Group Description |
Part 1: Patients received a starting dose of 30 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 60 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 90 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 135 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 200 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. . |
Part 1: Patients received a starting dose of 300 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 400 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 600 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1 and Part 2: Patients enrolled in Part 1 and Part 2 at a starting dose of 300 or 400 mg QD were included in the Part1/Part 2 safety and efficacy analysis. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Period Title: Part 1 - Dose Determining Period | |||||||||
Started | 6 | 6 | 6 | 6 | 6 | 6 | 7 | 3 | 0 [1] |
Patients From Part 1 Included in the Part 2 Analyses | 0 | 0 | 0 | 0 | 0 | 6 | 7 | 0 | 0 |
Completed | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 2 | 0 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 |
Reason Not Completed | |||||||||
did not complete >21 days of treatment | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
Not Evaluable | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
[1]
This group includes patients enrolled in Part 1 and Part 2 at a starting dose of 300 or 400 mg QD. This group was not used to determine the MTD in Part 1
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Period Title: Part 2 - Treatment | |||||||||
Started | 0 [1] | 0 [1] | 0 [1] | 0 [1] | 0 [1] | 0 [2] | 0 [3] | 0 [1] | 217 [4] |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 217 |
Reason Not Completed | |||||||||
Disease Progression | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 118 |
Adverse Event | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 49 |
Physician Decision | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 |
Administrative | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 |
Sponsor Decision | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28 |
Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 |
[1]
These patients are not included in Part 2 analyses
[2]
Part 1 Only: 6 Patients from this group are included in the 300 or 400 mg QD group. [3]
Part 1 Only: 7 Patients from this group are included in the 300 or 400 mg QD group. [4]
Includes 13 patients enrolled in Part 1 at a starting dose of 300 mg (n = 6) or 400 mg (n = 7) QD.
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Period Title: Part 1 and Part 2 End of Study | |||||||||
Started | 6 | 6 | 6 | 6 | 6 | 0 [1] | 0 [2] | 3 | 217 [3] |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Not Completed | 6 | 6 | 6 | 6 | 6 | 0 | 0 | 3 | 217 |
Reason Not Completed | |||||||||
Disease Progression | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 6 |
Adverse Event | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 |
Death | 0 | 4 | 2 | 4 | 3 | 0 | 0 | 1 | 111 |
Lost to Follow-up | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 6 |
Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15 |
Physician Decision | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 8 |
Initiation of another therapy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Sponsor Decision | 2 | 1 | 1 | 2 | 2 | 0 | 0 | 1 | 68 |
[1]
These 6 patients are included in the 300 or 400 mg QD dose group
[2]
These 7 patients are included in the 300 or 400 mg QD dose group
[3]
Includes 13 patients enrolled in Part 1 at a starting dose of 300 mg (n = 6) or 400 mg (n = 7) QD.
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Arm/Group Title | Experimental: Part 1 Avapritinib (Formerly BLU-285) 30 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 60 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 90 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 135 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 200 mg QD | Experimental: Part 1 Avapritinib (Formerly BLU-285) 600 mg QD | Part 1 and Part 2 Avapritinib (Formerly BLU-285) 300 mg or 400 mg QD | Total | |
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Arm/Group Description |
Part 1: Patients received a starting dose of 30 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 60 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 90 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 135 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1: Patients received a starting dose of 200 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. . |
Part 1: Patients received a starting dose of 600 mg QD for 28 days and they were assessed for dose limiting toxicities (DLT). If no DTLs were observed the dose escalation continued. Patients received avapritinib in continuous 28 day cycles until discontinuation. |
Part 1 and Part 2: Patients enrolled in Part 1 and Part 2 at a starting dose of 300 or 400 mg QD were included in the Part1/Part 2 safety and efficacy analysis. Patients received avapritinib in continuous 28 day cycles until discontinuation. Includes 13 patients from Part 1 |
Total of all reporting groups | |
Overall Number of Baseline Participants | 6 | 6 | 6 | 6 | 6 | 3 | 217 | 250 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
|||||||||
Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants | |
58.7 (12.21) | 60.2 (6.77) | 60.2 (11.84) | 61.5 (10.05) | 61.7 (8.31) | 48.3 (20.82) | 59.4 (11.00) | 59.4 (10.97) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants | |
Female |
4 66.7%
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3 50.0%
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1 16.7%
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0 0.0%
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3 50.0%
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1 33.3%
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84 38.7%
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96 38.4%
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Male |
2 33.3%
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3 50.0%
|
5 83.3%
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6 100.0%
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3 50.0%
|
2 66.7%
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133 61.3%
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154 61.6%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants | |
American Indian or Alaska Native |
0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
|
2 0.9%
|
2 0.8%
|
|
Asian |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
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0 0.0%
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22 10.1%
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22 8.8%
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|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
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0 0.0%
|
0 0.0%
|
1 0.5%
|
1 0.4%
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|
Black or African American |
1 16.7%
|
0 0.0%
|
0 0.0%
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1 16.7%
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0 0.0%
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0 0.0%
|
10 4.6%
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12 4.8%
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White |
5 83.3%
|
6 100.0%
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4 66.7%
|
5 83.3%
|
4 66.7%
|
3 100.0%
|
154 71.0%
|
181 72.4%
|
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More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
2 33.3%
|
0 0.0%
|
2 33.3%
|
0 0.0%
|
28 12.9%
|
32 12.8%
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Region of Enrollment
Measure Type: Number Unit of measure: Participants |
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Belgium | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
0 | 0 | 1 | 1 | 1 | 0 | 13 | 16 | ||
France | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
0 | 0 | 1 | 1 | 2 | 0 | 20 | 24 | ||
Germany | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
1 | 2 | 0 | 1 | 0 | 0 | 14 | 18 | ||
Netherlands | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
0 | 0 | 1 | 0 | 0 | 0 | 11 | 12 | ||
Poland | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
0 | 0 | 0 | 0 | 0 | 0 | 8 | 8 | ||
South Korea | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
0 | 0 | 0 | 0 | 0 | 0 | 17 | 17 | ||
Spain | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
0 | 0 | 0 | 0 | 0 | 0 | 11 | 11 | ||
United Kingdom | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
1 | 0 | 3 | 0 | 0 | 1 | 23 | 28 | ||
United States | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 217 participants | 250 participants |
4 | 4 | 0 | 3 | 3 | 2 | 100 | 116 | ||
Body Mass Index (BMI)
[1] Mean (Standard Deviation) Unit of measure: Kg/m2 |
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Number Analyzed | 3 participants | 6 participants | 6 participants | 6 participants | 6 participants | 3 participants | 198 participants | 228 participants | |
24.78 (4.22) | 31.61 (8.63) | 28.33 (3.76) | 23.78 (2.71) | 24.63 (5.16) | 27.15 (4.54) | 25.98 (6.22) | 26.09 (6.15) | ||
[1]
Measure Analysis Population Description: Body Mass Index was only calculated for patients with both a height and weight measurement at Baseline
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Name/Title: | Medical Information |
Organization: | Blueprint Medicines |
Phone: | 1-888-258-7768 |
EMail: | medinfo@blueprintmedicines.com |
Responsible Party: | Blueprint Medicines Corporation |
ClinicalTrials.gov Identifier: | NCT02508532 |
Other Study ID Numbers: |
BLU-285-1101 |
First Submitted: | July 23, 2015 |
First Posted: | July 27, 2015 |
Results First Submitted: | March 5, 2021 |
Results First Posted: | June 22, 2021 |
Last Update Posted: | June 21, 2022 |