RecruitingPhase 2Phase 3NCT05770037

DETERMINE Trial Treatment Arm 01: Alectinib in Adult, Paediatric and Teenage/Young Adult Patients With ALK Positive Cancers

DETERMINE (Determining Extended Therapeutic Indications for Existing Drugs in Rare Molecularly Defined Indications Using a National Evaluation Platform Trial): An Umbrella-Basket Platform Trial to Evaluate the Efficacy of Targeted Therapies in Rare Adult, Paediatric and Teenage/Young Adult (TYA) Cancers With Actionable Genomic Alterations, Including Common Cancers With Rare Actionable Alterations. Treatment Arm 01: Alectinib in Adult, Paediatric and Teenage/Young Adult Patients With ALK Positive Cancers


Sponsor

Cancer Research UK

Enrollment

30 participants

Start Date

Dec 18, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This clinical trial is looking at a drug called alectinib. Alectinib is approved as standard of care treatment for adult patients with certain types of lung cancer. This means it has gone through clinical trials and been approved by the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK. Alectinib works in lung cancer patients with a particular mutation in their cancer known as ALK. Investigators now wish to find out if it will be useful in treating patients with other cancer types which have the same mutation. If the results are positive, the study team will work with the NHS and the Cancer Drugs Fund to see if these drugs can be routinely accessed for patients in the future. This trial is part of a trial programme called DETERMINE. The programme will also look at other anti-cancer drugs in the same way, through matching the drug to rare cancer types or ones with specific mutations.


Eligibility

Plain Language Summary

Simplified for easier understanding

This study is testing alectinib — a targeted drug — in patients of any age (adults, teenagers, and children) with cancers that carry an ALK gene mutation, regardless of cancer type. It is part of a larger master protocol that matches patients to treatments based on their tumor's genetics. **You may be eligible if...** - Your tumor has been confirmed to carry an ALK-positive mutation by genetic testing - You meet the eligibility criteria of the main DETERMINE master protocol (NCT05722886) - Women of childbearing potential must have a negative pregnancy test and use effective contraception **You may NOT be eligible if...** - Your tumor does not have an ALK mutation - You do not meet the master protocol's general eligibility requirements - You have conditions that specifically contraindicate alectinib Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGAlectinib

Adult patients will be administered alectinib orally at a dose of 600 mg (four 150 mg capsules) twice daily. Paediatric patients with a body weight ≥40 kg and who are able to swallow the capsules, will be administered alectinib orally at a dose of 600 mg (four 150 mg capsules) twice daily. Each cycle of treatment will consist of 28 days and patients may continue on treatment until disease progression without clinical benefit, unacceptable AEs or withdrawal of consent.


Locations(27)

Belfast City Hospital

Belfast, United Kingdom

University Hospital Birmingham

Birmingham, United Kingdom

Birmingham Children's Hospital

Birmingham, United Kingdom

Bristol Royal Hospital for Children

Bristol, United Kingdom

Bristol Haematology and Oncology Centre

Bristol, United Kingdom

Addenbrooke's Hospital

Cambridge, United Kingdom

Velindre Cancer Centre

Cardiff, United Kingdom

Cardiff Children's Hospital

Cardiff, United Kingdom

Western General Hospital

Edinburgh, United Kingdom

The Beatson Hospital

Glasgow, United Kingdom

Royal Hospital for Children Glasgow

Glasgow, United Kingdom

Leicester Royal Infirmary

Leicester, United Kingdom

Alder Hey Hospital

Liverpool, United Kingdom

University College London Hospital

London, United Kingdom

Guy's Hospital

London, United Kingdom

Great Ormond Street Hospital

London, United Kingdom

Royal Manchester Children's Hospital

Manchester, United Kingdom

The Christie Hospital

Manchester, United Kingdom

Clatterbridge Cancer Centre

Metropolitan Borough of Wirral, United Kingdom

Great North Children's Hospital

Newcastle, United Kingdom

Freeman Hospital

Newcastle, United Kingdom

Churchill Hospital

Oxford, United Kingdom

John Radcliffe Hospital

Oxford, United Kingdom

Weston Park Hospital

Sheffield, United Kingdom

Sheffield's Children's Hospital

Sheffield, United Kingdom

Southampton General Hospital

Southampton, United Kingdom

The Royal Marsden Hospital

Sutton, United Kingdom

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NCT05770037


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