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RECRUITING
NCT05525338
PHASE4

Comparison of Standard Dose Alectinib to Alectinib in Adjusted Dose Based on Alectinib Bloodlevels

Sponsor: University Medical Center Groningen

View on ClinicalTrials.gov

Summary

The ADAPT ALEC randomized controlled trial (RCT) is performed in patients with Anaplastic Lymphoma Kinase (ALK) positive non-small cell lung cancer (NSCLC). The RCT will compare the use of Therapeutic Drug Monitoring (TDM) and dose increases if alectinib 35 ng/Ml (arm A) with standard of care (arm B).

Official title: Standard Dosed Alectinib Versus Therapeutic Drug Monitoring Guided Alectinib Dosing

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

196

Start Date

2022-03-23

Completion Date

2026-12-31

Last Updated

2024-05-13

Healthy Volunteers

No

Interventions

DRUG

Alectinib

In case of an alectinib plasmaconcentration Cmin \<435 ng/mL, determined by TDM, and manageable toxicity, the alectinib dose will be increased with 150mg BID up to a maximum of 900mg BID. In case of unacceptable toxicity (i.e. unbearable or persistent grade 2 toxicity and grade 3/4 toxicity), the alectinib dose can be reduced by 150mg BID.

Locations (8)

Gustave Roussy

Villejuif, Val-de-Marne, France

Radboud University Medical Center

Nijmegen, Gelderland, Netherlands

Maastricht University Medical Center +

Maastricht, Limburg, Netherlands

The Netherlands Cancer Institute

Amsterdam, North Holland, Netherlands

Amsterdam University Medical Center

Amsterdam, North Holland, Netherlands

Leiden University Medical Center

Leiden, South Holland, Netherlands

Erasmus Medical Center

Rotterdam, South Holland, Netherlands

University Medical Center Groningen

Groningen, Netherlands