Targeted drug LDK378 takes aim at rare ROS1-driven lung cancer
NCT ID NCT01964157
First seen Jul 14, 2026 · Last updated Jul 15, 2026 · Updated 1 time
Summary
This phase 2 trial tests the experimental drug LDK378 in adults with advanced non-small cell lung cancer that has a specific genetic change called a ROS1 rearrangement. Participants must have already received at least one platinum-based chemotherapy and their cancer must have progressed. The study measures how many patients' tumors shrink or disappear and tracks side effects. LDK378 is taken daily as a pill in 28-day cycles.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an experimental ALK/ROS1 inhibitor called LDK378
- What this could lead to
- If effective, LDK378 could offer a new targeted treatment option for people with a rare genetic form of lung cancer that has stopped responding to standard chemotherapy.
- What could go wrong
- This is a small, early-phase trial with only 32 participants, so results may not apply broadly. The drug may cause side effects or fail to shrink tumors in many patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
32 people
The number who actually took part.
- Started
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Sep 2013
- Finished
-
Jan 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
20 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subjects with histologically or cytologically confirmed, unresectable NSCLC that carries a ROS1 rearrangement, as per FISH assay (Abbott Molecular Inc.) * ECOG performance status of 0 to 2 * Male or female; ≥ 20 years of age * Subjects must have received at least 1 platinum doublet to treat their locally advanced or metastatic NSCLC * Subjects whose disease has progressed within 6 months Subjects with measurable lesion (using RECIST 1.1 criteria) * Subjects must have recovered from all toxicities related to prior anticancer therapies to grade ≤ 2 * Subjects must have archival tissue sample available, collected either at the time of diagnosis of NSCLC or any time since * Provision of written informed consent prior to any study specific procedures Exclusion Criteria: * Any unresolved chronic toxicity greater than CTC grade 2 from previous anticancer therapy. * Any major operation or irradiation within 4 weeks of baseline disease assessment * Any clinically significant gastrointestinal abnormalities which may impair intake or absorption of the study drug * Subjects with symptomatic central nervous system (CNS) metastases who are neurologically unstable or have required increasing doses of steroids within the 2 weeks prior to study entry to manage CNS symptoms * Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ or treated thyroid cancer. * Subjects with an uncontrolled major cardiovascular disease (including AMI within 12 months, unstable angina within 6 months, over NYHA class III congestive heart failure, congenital long QT syndrome, 2° or more AV Block and uncontrolled hypertension) * Pregnant or lactating female * Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the patient to participate in the study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Yonsei Cancer Center at Yonsei University Medical Center
Seoul, 03722, South Korea
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