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Phase II Trial to Evaluate the Efficacy and Safety of HM61713 as the 1st-line NSCLC Anticancer Therapy

Phase 2
Completed
Conditions
Non Small Cell Lung Cancer
Interventions
Registration Number
NCT02444819
Lead Sponsor
Hanmi Pharmaceutical Company Limited
Brief Summary

A multi-center, single-arm. Phase 2 exploratory trial to evaluate the efficacy and safety of HM61713 as the 1st-line anticancer agent in none-small cell lung cancer patients with EGFR mutation

Detailed Description

HM-EMSI-201 study targets NSCLC patients with EGFR mutations by HM61713 anticancer drug as the first-line therapy.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
33
Inclusion Criteria
  • Aged at least 19 years at the time of signing informed consent
  • Cytologically or histologically confirmed, advanced or metastatic NSCLC which is not amenable to curative surgery (Stage IIIb or IV)
  • Documented EGFR mutations (excluding exon 20 insertion)
  • At least one lesion that can be used as a measurable lesion per RECIST version 1.1
  • Performance status under 1 per ECOG score
  • Life expectancy of at least 12 weeks
  • Adequate hematological and biological functions
  • Provide voluntary consent to participate the study and sign the written consent form
Exclusion Criteria
  • Treatment of chemotherapy, biological therapy or immunotherapy for anticancer therapies of stage IIIb or IV NSCLC (excluding adjuvant/neoadjuvant chemotherapy, radiotherapy or radiochemotherapy prior to more than 6 months from the first dose of study treatment
  • History of treatment with an EGFR targeting small molecule or antibodies
  • Any non-study related significant surgical procedures requires general anesthesia or breathing apparatus within the past 4 weeks of the first dose of study treatment (excluding video-assisted thoracoscopic surgery or open-and-closed surgery prior to the past 2 weeks of the first dose of study treatment)
  • History of any other malignancy within 5 years of study participation (other than curatively treated cervical cancer in situ, non-melanoma skin cancer, superficial bladder tumors unless it has been definitively treated with no evidence of relapse or recurrence within the past 3 years)
  • Clinically significant uncontrolled conditions of infectious disease including active infection that requires parenteral antibiotics (except when conditions are definitively treated or controlled)
  • Spinal cord compression, leptomeningeal carcinomatosis, symptomatic or uncontrolled brain metastasis
  • Presence or history of ILD or pulmonary fibrosis
  • NYHA class III or IV cardiac insufficiency, uncontrolled hypertension, experienced unstable angina pectoris or cardiac infarction within 6 months, uncontrolled cardiac arrhythmia or clinically significant abnormal cardiovascular activities
  • LVEF < 40%
  • Presence or history of pancreatitis or serum amylase > 1.5xULN
  • Inability to swallow the formulated product or gastrointestinal tract abnormalities which would preclude administration or absorption of study medication
  • Mental or congenital disabilities (e.g. dementia or epilepsy) which would preclude understanding of informed consent or following the study protocol
  • History of hypersensitivities to investigational drug or related similar class drugs
  • Pregnant or breast feeding
  • Unwillingness of adequate contraception during study treatment and at least 2 months after treatment
  • Unwillingness of following procedures of study protocol or follow-up assessments; Unable to follow up for long term for psychological, social, family problem or geographical reasons
  • History of treatment with other investigational drugs or investigational medical devices prior to 28 days of the first dose of study treatment
  • In the opinion of the investigator, the patient is an unsuitable candidate to the study
  • ECG finding of QTcF > 450 msec at rest

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
HM61713HM61713Subjects who entered the study will be administered HM61713 800 mg per day.
Primary Outcome Measures
NameTimeMethod
Objective response rateAt baseline and every 6 weeks until disease progression or withdrawal from study, expected average 1 year

To obtain a assessment of anti-tumor activity of HM61713 by evaluation of tumor response using RECIST version 1.1

Secondary Outcome Measures
NameTimeMethod
Progression-free survivalAt baseline and every 6 weeks until disease progression or withdrawal from study, expected average 1 year

To obtain a assessment of anti-tumor activity of HM61713 by evaluation of tumor response using RECIST version 1.1

Time to progressionAt baseline and every 6 weeks until disease progression or withdrawal from study, expected average 1 year

To obtain a assessment of anti-tumor activity of HM61713 by evaluation of tumor response using RECIST version 1.1

Disease control rateAt baseline and every 6 weeks until disease progression or withdrawal from study, expected average 1 year

To obtain a assessment of anti-tumor activity of HM61713 by evaluation of tumor response using RECIST version 1.1

Quality of life questionnaireAt baseline and every visit, expected average 1 year
overall survivalAt baseline and every 6 weeks until disease progression or withdrawal from study, expected average 1 year

To obtain a assessment of anti-tumor activity of HM61713 by evaluation of tumor response using RECIST version 1.1

Maximum decrease in tumor sizeAt baseline and every 6 weeks until disease progression or withdrawal from study, expected average 1 year

To obtain a assessment of anti-tumor activity of HM61713 by evaluation of tumor response using RECIST version 1.1

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