A Phase II Clinical Trail of the Cyclin Dependent Kinase (CDK)4/6 Inhibitor, PD0332991 in Previously Treated, Advanced NSCLC Patients With Wildtype Retinoblastoma Protein (RB) and Inactive Cyclin Dependent Kinase (CDK)N2a
Inclusion Criteria:
- Histologically or cytologically proven non small cell lung cancer
- Stage IV (M1a or M1b) disease. Patients may also have recurrence of early-stage
disease or locally advanced disease with the presence of new distant metastases.
- Cyclin dependent kinase (CDK)N2a (p16) protein absent or expressed at a low level in
tumor biopsy specimen
- Failed or intolerant of at least one prior systemic chemotherapy regimen (there is no
maximum number of prior chemotherapy regimens)
- Eastern cooperative oncology group (ECOG) performance status 0-2
- Age >18 years.
- Adequate organ and bone marrow function
- Measurable disease by standard RECIST v1.1 criteria
- Life expectancy of greater than 3 months
Exclusion Criteria:
- Inability to understand or sign the informed consent document
- Inability or unwillingness to take oral medications
- No available tissue specimen for p16 analysis
- Chemotherapy or radiotherapy within 3 weeks prior to beginning the study drug
- Other investigational agents within 4 weeks prior to beginning the study drug
- All side effects from previous chemotherapy, radiotherapy or investigational agents
not resolved, returned to baseline or returned to Grade 1 toxicity (exceptions are
grade 2 alopecia and grade 2 peripheral neuropathy)
- Major surgery within 4 weeks prior to beginning the study drug
- Surgical scar from previous surgery not healed prior to beginning the study drug
- High-dose or chronic steroid use
- High-dose statins within 7 days
- History of rhabdomyolysis
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac
arrhythmia, uncontrolled diabetes, stroke or myocardial infarction within 3 months,
or psychiatric illness/social situations that would limit compliance with study
requirements.
- Baseline corrected QT interval (QTc) >470ms
- Pre-existing clinically significant cardiac, hepatic or renal dysfunction at the
discretion of the treating physician
- Untreated or uncontrolled (symptomatic or asymptomatic) brain metastases
- Leptomeningeal carcinomatosis
- Inability or unwillingness to use contraception during the treatment period by
patients with reproductive potential.
- Pregnant or breastfeeding women
- HIV-positive patients on combination antiretroviral therapy