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IN10018 Combination Therapy in Advanced EGFR Mutation-positive NSCLC

Phase 1
Recruiting
Conditions
NSCLC
Interventions
Registration Number
NCT05994131
Lead Sponsor
InxMed (Shanghai) Co., Ltd.
Brief Summary

This is a multicenter, open-label, phase Ib/II clinical study to evaluate the safety, tolerability, pharmacokinetics and antitumor efficacy of IN10018 in combination with third-generation EGFR-TKI (Furmonertinib is the proposed) in previously-treated or naïve advanced EGFR-mutation positive NSCLC.

Detailed Description

This study includes 2 parts: Phase Ib-Dose Confirmation and Phase II-Dose Expansion. And 3 cohorts are set up in this study as cohort 1 to enroll subjects currently accepting third-generation EGFR-TKI (Furmonertinib is proposed) as first-line treatment, cohort 2 to enroll subjects who previously accepted third-generation EGFR-TKI treatment and 1-2 lines chemotherapy, and cohort 3 to enroll treatment-naive advanced EGFR mutation-positive NSCLC subjects.

The phase Ib-dose confirmation part will be conducted in cohort 2 and aim to determine the recommended phase II dose (RP2D) of IN10018 in combination with Furmonertinib. Phase II-Dose Expansion part will be conducted in cohort 1-3 and further explore the antitumor efficacy, safety and PK of IN10018 in combination with Furmonertinib in subjects with previously-treated or naïve advanced EGFR mutation-positive NSCLC.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
110
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental Group in cohort 1, cohort 2, and cohort 3IN10018IN10018+Furmonertinib
Experimental Group in cohort 1, cohort 2, and cohort 3FurmonertinibIN10018+Furmonertinib
Control Group in cohort 3FurmonertinibFurmonertinib
Primary Outcome Measures
NameTimeMethod
Recommended phase II dose (RP2D) of IN10018 in combination with third-generation EGFR-TKI in subjects with advanced EGFR mutation-positive NSCLC.3 years

Evaluate the number of patients with dose-limited toxicities (DLTs); Determine the RP2D of IN10018 in combination with third-generation EGFR-TKI in subjects with advanced NSCLC.

ORR of IN10018 in combination with third-generation EGFR-TKI in subjects with advanced EGFR mutation-positive NSCLC.3 years

Defined as the proportion of subjects with complete response (CR) or partial response (PR)

Tumor Shrinkage Rate (TSR) of IN10018 in combination with third-generation EGFR-TKI in cohort 3 of advanced treatment-naive EGFR mutation-positive NSCLC.3 years

Defined as the percentage of subjects with the best shrinkage rate of target lesions ≥ 70% and simultaneously with a best response of partial response (PR) or complete response (CR).

Secondary Outcome Measures
NameTimeMethod
DCR of IN10018 in combination with third-generation EGFR-TKI in advanced EGFR mutation-positive NSCLC.3 years

Defined as the proportion of patients with CR, PR, or stable disease (SD).

PFS of IN10018 in combination with third-generation EGFR-TKI in advanced EGFR mutation-positive NSCLC.3 years

Defined as the time from the first dose of study treatment/randomization to first documentation of disease progression or to death due to any cause, whichever comes first.

Number of patients with adverse event3 years

The number of participants who experienced AEs is presented.

PK: AUC of IN10018 following single dose administration and at steady state3 years

Area under the concentration-time curve (AUC)

PK:Ctrough of IN10018 following single dose administration and at steady state3 years

Trough concentration (Ctrough)

PK:t1/2 of IN10018 following single dose administration and at steady state3 years

Elimination half-life (t1/2).

DOR of IN10018 in combination with third-generation EGFR-TKI in advanced EGFR mutation-positive NSCLC.3 years

Defined as the time from start of the first documentation of CR or PR to the first documentation of disease progression or to death due to any cause, whichever comes first.

OS of IN10018 in combination with third-generation EGFR-TKI in advanced EGFR mutation-positive NSCLC.3 years

Defined as the time from the first dose of study treatment/randomization to the date of death due to any cause.

PK: Cmax of IN10018 following single dose administration and at steady state3 years

Maximum concentration (Cmax)

PK:Tmax of IN10018 following single dose administration and at steady state3 years

Time to Cmax (Tmax)

PK:CL/F of IN10018 following single dose administration and at steady state3 years

apparent clearance (CL/F)

PK:Vd/F of IN10018 following single dose administration and at steady state3 years

Apparent volume of distribution (Vd/F)

Trial Locations

Locations (1)

Shanghai Pulmonary Hospital

🇨🇳

Shanghai, China

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