An Open-Label, Multicenter, Phase 2 Study of the Safety and Efficacy of KRT-232 in Subjects With Relapsed or Refractory Small Cell Lung Cancer (SCLC)
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 入组人数
- 3
- 试验地点
- 33
- 主要终点
- Objective response rate (ORR) of each arm
研究概览
简要总结
This study evaluates KRT-232, a novel oral small molecule inhibitor of MDM2, for the treatment of patients with relapsed or refractory small cell lung cancer.
This study will be conducted in 2 parts. Part 1 will evaluate two treatment arms, each with a different KRT-232 dose. Part 2 will continue the evaluation of the selected treatment arms from Part 1.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologically or cytologically confirmed diagnosis of SCLC documented as TP53WT
- •Disease must be measurable per RECIST Version 1.1
- •Evidence of radiographic progression during or after at least one prior platinum-containing therapy with no curative therapy available. Subjects who have received only one prior line of therapy must not be candidates for platinum-based regimens at relapse.
- •Subjects must have received a checkpoint inhibitor (PD-1 or PD-L1) unless contraindicated if checkpoint inhibitors are approved and available.
排除标准
- •Symptomatic or uncontrolled central nervous system (CNS) metastases.
- •Prior treatment with MDM2 inhibitors
- •Chemotherapy, immune therapy, cytokine therapy, or any investigational therapy within 14 days prior to the first dose of study treatment
- •Grade 2 or higher QTc prolongation (> 480 milliseconds per NCI-CTCAE criteria, version 5.0)
- •History of major organ transplant
研究组 & 干预措施
Arm 1
KRT-232 240 mg by mouth once daily for Days 1-7, off treatment for Days 8-21 (21-day cycles)
干预措施: KRT-232 (Drug)
Arm 2
KRT-232 180 mg by mouth once daily for Days 1-7, off treatment for Days 8-21 (21-day cycles)
干预措施: KRT-232 (Drug)
结局指标
主要结局
Objective response rate (ORR) of each arm
时间窗: 24 weeks
The proportion of subjects achieving partial response or better per RECIST 1.1
次要结局
- Progression-free survival (PFS) of each arm(1 year)
- Duration of response (DOR) of each arm(1 year)
- Disease control rate (DCR) of each arm(24 weeks)
- Overall survival (OS) of each arm(1 year)
