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A Study to Evaluate the Efficacy and Safety of Sutetinib Maleate Capsule in Locally Advanced or Metastatic NSCLC

Phase 2
Recruiting
Conditions
Non-small Cell Lung Cancer
Interventions
Drug: Sutetinib Maleate Capsule
Registration Number
NCT06010329
Lead Sponsor
Teligene US
Brief Summary

The main objective of the study will be to evaluate the efficacy of sutetinib maleate capsules in participants with locally advanced or metastatic non-small cell lung cancer NSCLC (uncommon EGFR mutations only).

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 uncommon EGFR mutations.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
66
Inclusion Criteria
  1. Age 18 years old and above, male or female
  2. Histopathological and/or cytopathological confirmation of locally advanced or metastatic NSCLC
  3. Confirmation that the tumor harbors an uncommon epidermal growth factor receptor (EGFR) mutation (tumor tissue biopsy)
  4. At least one measurable lesion
  5. Eastern Cooperative Oncology Group (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

Other inclusion criteria apply for participating in the study.

Exclusion Criteria
  1. Participant ever used the epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR TKI) for anti-tumor therapy prior to enrollment (Cohort 1), or second generation EGFR TKI (Cohort 2)
  2. Any systemic anti-tumor therapy such as chemotherapy and radiation therapy (including curative radiotherapy or spinal radiotherapy portion >30%) used within 3 weeks prior to enrollment; immunotherapy within 4 weeks; any palliative radiotherapy for non-target lesions used to relieve symptoms and traditional Chinese medicines indicated for the tumor within 2 weeks prior to enrollment; Cohort 2: any EGFR TKIs within 5 half-lives.
  3. Use or intake of drugs or foods containing potent inhibitors or inducers of cytochrome P450 isozyme 3A4 (CYP3A4) within 14 days or 5 half-lives, whichever is 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 National Cancer Institute-Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAEv5.0) Grade 1, at the time of screening except for alopecia
  6. Inability to swallow the study medication, any seriously (NCI-CTCAEv5.0 ≥ Grade 3) chronic gastrointestinal disorder, malabsorption syndrome or any other conditions with influence on gastrointestinal absorption
  7. Active central nervous system metastases
  8. Any active infection which has not been controlled at screening

Other exclusion criteria apply for participating in the Study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Single arm, Open labelSutetinib Maleate CapsuleParticipants will receive sutetinib maleate capsule taken orally with (preferred) or without food, at the dose directed by the Investigators, 28 days for a cycle.
Primary Outcome Measures
NameTimeMethod
Objective Response Rate (ORR)Pre-dose up to approximately 32 months post-dose
Secondary Outcome Measures
NameTimeMethod
Duration of Response (DoR)Pre-dose up to approximately 32 months post-dose
Disease Control Rate (DCR)Pre-dose up to approximately 32 months post-dose
Progression Free Survival (PFS)Pre-dose up to approximately 32 months post-dose
Time to Tumor Progression (TTP)Pre-dose up to approximately 32 months post-dose
Time to Response (TTR)Pre-dose up to approximately 32 months post-dose
Time to Treatment Failure (TTF)Pre-dose up to approximately 32 months post-dose
Overall Survival (OS)Pre-dose up to approximately 32 months post-dose
1-year Progression Free SurvivalPre-dose up to 1 year post-dose

Ratio of participants who do not have objective tumor progression or have not died 1 year after the first dose of IP.

1-year SurvivalPre-dose up to 1 year post-dose

Ratio of surviving participants 1 year after the first dose of IP.

Area Under The Curve (AUC) of Sutetinib Maleate CapsulePre-dose up to 24 hours post-dose
Maximum Plasma Concentration (Cmax) of Sutetinib Maleate CapsulePre-dose up to 24 hours post-dose
Minimum Plasma Concentration (Cmin) of Sutetinib Maleate CapsulePre-dose up to 24 hours post-dose
Time to Peak Drug Concentration (Tmax) of Sutetinib Maleate CapsulePre-dose up to 24 hours post-dose
Sutetinib Maleate Capsule half-life (T1/2)Pre-dose up to 24 hours post-dose
Apparent Clearance (CL/f) of Sutetinib Maleate CapsulePre-dose up to 24 hours post-dose
Volume of Distribution (Vz/F) of Sutetinib Maleate CapsulePre-dose up to 24 hours post-dose
Number of Participants Experiencing Adverse Events (AE)Pre-dose up to approximately 32 months post-dose
Number of Participants Experiencing Adverse Drug Reactions (ADR)Pre-dose up to approximately 32 months post-dose
Number of Participants Experiencing Serious Adverse Events (SAE)Pre-dose up to approximately 32 months post-dose
Number of Participants Experiencing Srious Adverse Reactions (SAR)Pre-dose up to approximately 32 months post-dose

Trial Locations

Locations (9)

Oncology Physicians Network Healthcare

🇺🇸

Glendale, California, United States

University of California San Diego Moores Cancer Center

🇺🇸

La Jolla, California, United States

Moffitt Cancer Center

🇺🇸

Tampa, Florida, United States

University Cancer & Blood Center (UCBC) - Athens

🇺🇸

Athens, Georgia, United States

Mission Cancer + Blood - Mission Cancer Foundation

🇺🇸

Des Moines, Iowa, United States

Norton Cancer Institute - Downtown

🇺🇸

Louisville, Kentucky, United States

Northwell Health

🇺🇸

New Hyde Park, New York, United States

Perlmutter Cancer Center - 34th Street

🇺🇸

New York, New York, United States

University of Texas MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

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