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Proteasome Inhibitor

Treatment (carfilzomib, sotorasib) for Lung Cancer

Phase 1
Recruiting
Led By Ravi Salgia, MD
Research Sponsored by City of Hope Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Creatinine clearance of ≤ 1.5 x ULN or GFR ≥ 60 mL/min/1.73 m^2
Failed prior KRAS inhibitor
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from the start of treatment until disease progression/recurrence, assessed up to 30 days after completion of study treatment
Awards & highlights

Study Summary

This trial is testing the safety and effectiveness of using a combination of two drugs, carfilzomib and sotorasib, to treat patients with a specific type of lung cancer called KRAS

Who is the study for?
This trial is for adults with advanced or metastatic non-small cell lung cancer that has a specific mutation called KRAS G12C. Participants should have measurable disease and may have had prior treatments, but there are certain criteria they must meet to join.Check my eligibility
What is being tested?
The trial is testing the combination of two drugs, Carfilzomib and Sotorasib, to see if they're safe together, what the best dose might be, and how well they work against this type of lung cancer. It includes tests like CT scans, MRIs, biopsies, and heart checks.See study design
What are the potential side effects?
Possible side effects from Carfilzomib could include fatigue, nausea, shortness of breath among others. Sotorasib may cause diarrhea or liver issues. The study will monitor patients closely for any adverse reactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My kidney function is within the normal range.
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I have tried a KRAS inhibitor treatment without success.
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My heart function is classified as good or better.
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I am able to get out of my bed or chair and move around.
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I am 18 years old or older.
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My lung cancer is advanced or has spread, and tests show a KRASG12C mutation.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from treatment response to progression or death, assessed up to 30 days after completion of study treatment
This trial's timeline: 3 weeks for screening, Varies for treatment, and from treatment response to progression or death, assessed up to 30 days after completion of study treatment for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of dose limiting toxicities
Incidence of grade 3 and 4 treatment-related toxicities
Secondary outcome measures
Duration of response
Objective response rate
Overall survival
+1 more

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (carfilzomib, sotorasib)Experimental Treatment7 Interventions
Patients receive carfilzomib IV over 30 minutes on days 1, 2, 8, 9, 15, and 16 of each cycle and sotorasib PO QD on days 1-28 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo ECHO at screening and undergo CT or MRI and collection of blood samples at screening and on study. Patients may undergo optional biopsies on study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Biopsy
2014
Completed Phase 4
~1090
Carfilzomib
2017
Completed Phase 3
~1440
Echocardiography
2013
Completed Phase 4
~11670
Sotorasib
2021
Completed Phase 1
~370
Computed Tomography
2017
Completed Phase 2
~2720
Biospecimen Collection
2004
Completed Phase 2
~1700
Magnetic Resonance Imaging
2017
Completed Phase 3
~1190

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)NIH
13,669 Previous Clinical Trials
40,926,386 Total Patients Enrolled
City of Hope Medical CenterLead Sponsor
567 Previous Clinical Trials
1,922,645 Total Patients Enrolled
Ravi Salgia, MDPrincipal InvestigatorCity of Hope Medical Center
2 Previous Clinical Trials
42 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has the FDA formally endorsed the use of carfilzomib and sotorasib for treatment?

"Based on our assessment at Power, the safety rating for Treatment (carfilzomib, sotorasib) is 1. This score reflects that this Phase 1 trial has minimal data supporting its safety and effectiveness."

Answered by AI

Is the enrollment for this clinical trial currently open?

"As per clinicaltrials.gov, patient recruitment is not ongoing for this particular trial. The trial was introduced on April 17th, 2024 and saw its latest update on February 6th, 2024. Presently, there are approximately 4180 other trials that are actively enrolling participants."

Answered by AI
~10 spots leftby Mar 2026