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Study to Evaluate Sutetinib Maleate Capsule in Locally Advanced or Metastatic Non-small Cell Lung Cancer

Phase 2
Recruiting
Conditions
Non-small Cell Lung Cancer
Interventions
Drug: Sutetinib Maleate Capsule
Registration Number
NCT05168566
Lead Sponsor
Teligene US
Brief Summary

This is a Phase 2b, multicenter, open-label study to evaluate the safety and efficacy of Sutetinib Maleate Capsule in Locally Advanced or Metastatic NSCLC (Non-resistant Uncommon EGFR Mutations Only, Including L861Q, G719X, and/or S768I)

Detailed Description

Sutetinib is an investigational irreversible EGFR tyrosine kinase inhibitor. EGFR is a gene that makes a protein that is involved in cell growth and cell survival. Mutated (changed) forms of the EGFR gene and protein have been found in some types of cancer, including non-small cell lung cancer. These changes may cause cancer cells to grow and spread in the body. The purpose of this study is to explore how effective Sutetinib maleate capsules are for the treatment of patients with locally advanced or metastatic NSCLC with non-resistant uncommon EGFR mutations

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
99
Inclusion Criteria
  1. Age 18 years old and above, male or female.
  2. Histopathological and/or cytopathological confirmation of locally advanced or metastatic NSCLC patients with ≀ 1 prior line of chemotherapy.
  3. Confirmation that the tumor harbors a non-resistant uncommon EGFR mutation (tumor tissue biopsy), including one or more of L861Q, G719X and S768I mutations, excluding any other EGFR sensitive mutations and/or oncogenes..
  4. At least one measurable lesion.
  5. ECOG score of 0, 1, or 2.
  6. A minimum life expectancy of > 3 months.
  7. Adequate bone marrow reserve, hepatic, renal and coagulation function.
  8. Willingness of all subjects of childbearing potential to use acceptable methods of birth control.
Exclusion Criteria
  1. Ever used the epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) for anti-tumor therapy prior to enrollment.
  2. Any systemic anti-tumor therapy such as chemotherapy, immunotherapy and radiation therapy used within 4 weeks prior to enrollment; any palliative radiotherapy for non-target lesions used to relieve symptoms and traditional Chinese medicines indicated for tumor within 2 weeks prior to enrollment.
  3. Use or intake of drugs or foods containing potent inhibitor or inducer of cytochrome P450 isozyme 3A4 (CYP3A4) within 14 days or 5 half-lives, whichever was the longer, prior to enrollment.
  4. Surgical operation (excluding aspiration biopsy) of main organs or a significant injury within 4 weeks prior to enrollment.
  5. Any unresolved toxicities from prior therapy greater than Grade 1 at the time of screening except alopecia.
  6. Inability to swallow the study medication, any seriously chronic gastrointestinal disorder, malabsorption syndrome or any other conditions with influence on gastrointestinal absorption.
  7. Active central nervous system metastases
  8. Previous or current interstitial lung disease, radiation pneumonitis which requires hormone therapy, or drug-related pneumonia, idiopathic interstitial pulmonary fibrosis identified in a baseline CT scan; uncontrolled massive pleural or pericardial effusion.
  9. Any active infection which has not been controlled at screening.
  10. Any serious cardiovascular disease.
  11. History of other serious systemic disease not suitable for clinical trial.
  12. Participation in other interventional clinical trial 4 weeks prior to enrollment or within 5 half-lives from the last dose of investigational product (whichever is longer).
  13. Known alcohol or drug dependence.
  14. Mental disorders or poor compliance.
  15. Previously received solid organ transplantation or hematopoietic stem cell transplantation.
  16. Females who are pregnant or breastfeeding.
  17. Known hypersensitivity to the active ingredients or excipients of the investigational product.
  18. Have any other primary malignant tumors within 3 years (except some low- risk cancers).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Sutetinib Maleate ArmSutetinib Maleate CapsuleSutetinib capsules monotherapy
Primary Outcome Measures
NameTimeMethod
Assessment of Objective response rate (ORR)2 Years

Objective response rate (ORR) assessed by IRC

Secondary Outcome Measures
NameTimeMethod
Assessment of Time to treatment failure (TTF)2 Years
Assessment of Disease control rate (DCR)2 Years
Assessment of Duration of response (DoR)2 Years
Assessment of Time to progressive disease2 Years
Assessment of Time to response2 Years
Assessment of Progression free survival (PFS)2 Years
Assessment of 1-year progression-free survival1 Year
Assessment of Peak Plasma Concentration (Cmax) or Area under the plasma concentration versus time curve (AUC)2 Years
Assessment of 1-year survival1 Years
Assess incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]).2 Years

Safety and tolerability as determined by the incidence of adverse events (AEs), including severe AEs and serious AEs(SAEs)

Assessment of Overall survival (OS)2 Years

Trial Locations

Locations (26)

Linyi Cancer Hospital

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Linyi, Shangdong, China

OPN Healthcare, Inc.

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Glendale, California, United States

University Cancer & Blood Center

πŸ‡ΊπŸ‡Έ

Athens, Georgia, United States

Baptist Health

πŸ‡ΊπŸ‡Έ

Louisville, Kentucky, United States

University of Maryland Medical Center

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

FirstHealth Cancer Center

πŸ‡ΊπŸ‡Έ

Pinehurst, North Carolina, United States

The University of Texas- MD Anderson Cancer Center

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

The First Affiliated Hospital of Bengbu Medical College

πŸ‡¨πŸ‡³

Bengbu, Anhui, China

Cancer Hospital Chinese Academy of Medical Sciences

πŸ‡¨πŸ‡³

Beijing, Beijing, China

Beijing Cancer Hospital

πŸ‡¨πŸ‡³

Beijing, Beijing, China

Peking Union Medical College Hospital

πŸ‡¨πŸ‡³

Beijing, Beijing, China

Beijing Chest Hospital

πŸ‡¨πŸ‡³

Beijing, Beijing, China

The Affiliated Cancer Hospital of Chongqin University

πŸ‡¨πŸ‡³

Chongqing, Chongqing, China

The First Affiliated Hospital of Guangzhou Medical University

πŸ‡¨πŸ‡³

Guangzhou, Guangdong, China

Harbin Medical University Cancer Hospital

πŸ‡¨πŸ‡³

Harbin, Heilongjiang, China

Henan Cancer Hospital

πŸ‡¨πŸ‡³

Zhengzhou, Henan, China

The First Affiliated Hospital of Zhengzhou University

πŸ‡¨πŸ‡³

Zhengzhou, Henan, China

Wuhan Union Hospital of China

πŸ‡¨πŸ‡³

Wuhan, Hubei, China

Hunan Cancer Hospital

πŸ‡¨πŸ‡³

Changsha, Hunan, China

Jiangsu Province Hospital

πŸ‡¨πŸ‡³

Nanjing, Jiangsu, China

Jilin Cancer Hospital

πŸ‡¨πŸ‡³

Changchun, Jilin, China

The First Affiliated Hospital of China Medical University

πŸ‡¨πŸ‡³

Shengyang, Liaoning, China

Shanghai Chest Hospital

πŸ‡¨πŸ‡³

Shanghai, Shanghai, China

Shanghai Pulmonary Hospital

πŸ‡¨πŸ‡³

Shanghai, Shanghai, China

Sichuan Cancer Hospital

πŸ‡¨πŸ‡³

Chengdu, Sichuan, China

Zhejiang Cancer Hospital

πŸ‡¨πŸ‡³

Hangzhou, Zhejiang, China

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