Trial Outcomes & Findings for Testing Crizotinib as a Potential Targeted Treatment in Cancers With ROS1 Genetic Changes (MATCH-Subprotocol G) (NCT NCT04439253)

NCT ID: NCT04439253

Last Updated: 2026-04-29

Results Overview

Overall response rate was defined as the proportion of patients with best overall response of complete response (CR) or partial response (PR) among all eligible and treated patients. Best overall response was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. Please refer to the protocol for the detailed definitions of response criteria. The 90% two-sided binomial exact confidence interval was calculated for ORR.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

4 participants

Primary outcome timeframe

Tumor assessments occurred at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration

Results posted on

2026-04-29

Participant Flow

Subprotocol G was activated on August 12, 2015. A total of 5 patients were assigned to this arm after screening, 2 from screening cohort and 3 from outside assay. Of the 5 patients, 4 patients were enrolled to arm G between August 2015, and September 2018.

To be assigned to a specific MATCH subprotocol, patients needed to submit a tumor biopsy for molecular characterization and those with molecular variants addressed by treatments included in the trial entered corresponding MATCH subprotocol. For the subprotocol G, patients had to have an ROS1 translocations (other than patients with non-small cell lung cancer).

Participant milestones

Participant milestones
Measure
Treatment (Crizotinib)
Patients receive crizotinib 250 mg PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Crizotinib: Given PO
Overall Study
STARTED
4
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Crizotinib)
Patients receive crizotinib 250 mg PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Crizotinib: Given PO
Overall Study
Adverse Event
1
Overall Study
Disease progression
2
Overall Study
Complicating disease
1

Baseline Characteristics

Testing Crizotinib as a Potential Targeted Treatment in Cancers With ROS1 Genetic Changes (MATCH-Subprotocol G)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Crizotinib)
n=4 Participants
Patients receive crizotinib 250 mg PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Crizotinib: Given PO
Age, Continuous
54 years
n=9 Participants
Sex: Female, Male
Female
2 Participants
n=9 Participants
Sex: Female, Male
Male
2 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=9 Participants
Race (NIH/OMB)
Asian
0 Participants
n=9 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=9 Participants
Race (NIH/OMB)
White
4 Participants
n=9 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=9 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants

PRIMARY outcome

Timeframe: Tumor assessments occurred at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration

Population: Patients who were eligible and received protocol treatment

Overall response rate was defined as the proportion of patients with best overall response of complete response (CR) or partial response (PR) among all eligible and treated patients. Best overall response was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. Please refer to the protocol for the detailed definitions of response criteria. The 90% two-sided binomial exact confidence interval was calculated for ORR.

Outcome measures

Outcome measures
Measure
Treatment (Crizotinib)
n=4 Participants
Patients receive crizotinib 250 mg PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Crizotinib: Given PO
Objective Response Rate (ORR)
25 percentage of participants
Interval 1.3 to 75.1

SECONDARY outcome

Timeframe: Assessed at baseline, then every 2 cycles for the first 26 cycles, and every 3 cycles thereafter until disease progression, up to 3 years post registration, from which 6-month PFS rate is determined

Population: Patients who were eligible and received protocol treatment

Progression free survival is defined as time from treatment start date to date of progression or death from any cause, whichever occurs first. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in NeuroOncology criteria for glioblastoma patients. Please refer to the protocol for detailed definitions of disease progression. 6 month PFS rate was estimated using the Kaplan-Meier method, which can provide a point estimate for any specific time point.

Outcome measures

Outcome measures
Measure
Treatment (Crizotinib)
n=4 Participants
Patients receive crizotinib 250 mg PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Crizotinib: Given PO
6-month Progression-free Survival (PFS) Rate
50 percentage of participants
Interval 22.0 to 100.0

SECONDARY outcome

Timeframe: Assessed at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration

Population: Patients who were eligible and received protocol treatment

PFS was defined as time from treatment start date to date of disease progression or death from any causes, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. Please refer to the protocol for detailed definitions of disease progression.

Outcome measures

Outcome measures
Measure
Treatment (Crizotinib)
n=4 Participants
Patients receive crizotinib 250 mg PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Crizotinib: Given PO
Progression Free Survival (PFS)
4.3 months
Interval 0.53 to
Median PFS 90% CI upper bound could not be determined due to insufficient number of participants with events

Adverse Events

Treatment (Crizotinib)

Serious events: 2 serious events
Other events: 3 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Crizotinib)
n=4 participants at risk
Patients receive crizotinib 250 mg PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Crizotinib: Given PO
Gastrointestinal disorders
Abdominal pain
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Lymphocyte count decreased
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Renal and urinary disorders
Acute kidney injury
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.

Other adverse events

Other adverse events
Measure
Treatment (Crizotinib)
n=4 participants at risk
Patients receive crizotinib 250 mg PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Crizotinib: Given PO
Gastrointestinal disorders
Diarrhea
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Dyspepsia
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Blood and lymphatic system disorders
Anemia
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
General disorders
Edema limbs
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
General disorders
Fatigue
50.0%
2/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
General disorders
Fever
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Skin and subcutaneous tissue disorders
Rash maculo-papular
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Bloating
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Constipation
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Hemorrhoids
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Nausea
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Vomiting
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Alanine aminotransferase increased
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Alkaline phosphatase increased
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Aspartate aminotransferase increased
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Creatinine increased
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Lymphocyte count decreased
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Platelet count decreased
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Weight gain
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
Weight loss
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Investigations
White blood cell decreased
50.0%
2/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Anorexia
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hyperkalemia
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hypoalbuminemia
50.0%
2/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hypocalcemia
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hypokalemia
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hypomagnesemia
50.0%
2/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hyponatremia
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Nervous system disorders
Headache
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Eye disorders
Dry eye
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.
Vascular disorders
Hypertension
25.0%
1/4 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 4 cases that received protocol treatment were monitored for adverse events.

Additional Information

Study Statistician

ECOG-ACRIN Statistical Office

Phone: 617-632-3012

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60