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Comparison of Standard Dose Alectinib to Alectinib in Adjusted Dose Based on Alectinib Bloodlevels
Sponsor: University Medical Center Groningen
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
Conditions
Interventions
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