Table 1.
Key completed trials involving HSP90 inhibitors
Drug name | Trial information | Stratification | End point | ORR | Comments |
---|---|---|---|---|---|
Ganetespib |
NCT01031225 n=99 Phase II |
Cohort A: mutant RAS Cohort B: mutant EGFR Cohort C: wild type |
PFS at 16 weeks Cohort A: 13.3% Cohort B: 5.9% Cohort C: 13.9% |
4% (only seen in patients with ALK translocation) | Two deaths (one cardiac arrest and one renal failure) |
GALAXY-1 NCT01348126 n=255 Phase II Combination drug: docetaxel |
LDH RAS mutation Time since advanced disease Performance status Smoking |
OS: HR 0.69 PFS: HR 0.70 |
15% in the combination arm 11% in stand-alone arm |
Best response achieved in patients with >6 months since advanced diagnosis (HR 0.41) | |
AUY922 |
NCT01922583 n=112 Phase II |
EGFR-mutated KRAS-mutated ALK-rearranged Wild type |
ORR and SD at 18 weeks Overall: 13% |
EGFR: 18% KRAS: 0% ALK: 25% Wild type: 13% |
SD achieved in some crizotinib-resistant patients |
Retaspimycin (IPI-504) |
NCT00431015 n=76 Phase II |
EGFR wild-type EGFR-mutated |
ORR of 7% | EGFR wild-type: 10% EGFR-mutated: 4% |
Grade 3 liver dysfunction in 11% of patients |
Abbreviations: ORR, overall response rate; PFS, progression-free survival; OS, overall survival; HR, hazard ratio; SD, stable disease; EGFR, epidermal growth factor receptor; ALK, anaplastic lymphoma kinase; LDH, lactate dehydrogenase.