A Multicenter, Open-label, Phase Ib/II Clinical Trial to Evaluate the Safety, Tolerance, Pharmacokinetics and Anti-tumor Efficacy of IN10018 Combined With Third-generation EGFR-TKI in Patients With Advanced EGFR Mutation-positive NSCLC
Overview
- Phase
- Phase 1
- Intervention
- IN10018
- Conditions
- NSCLC
- Sponsor
- InxMed (Shanghai) Co., Ltd.
- Enrollment
- 110
- Locations
- 1
- Primary Endpoint
- Recommended phase II dose (RP2D) of IN10018 in combination with third-generation EGFR-TKI in subjects with advanced EGFR mutation-positive NSCLC.
- Status
- Recruiting
- Last Updated
- last year
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
Experimental Group in cohort 1, cohort 2, and cohort 3
IN10018+Furmonertinib
Intervention: IN10018
Experimental Group in cohort 1, cohort 2, and cohort 3
IN10018+Furmonertinib
Intervention: Furmonertinib
Control Group in cohort 3
Furmonertinib
Intervention: Furmonertinib
Outcomes
Primary Outcomes
Recommended phase II dose (RP2D) of IN10018 in combination with third-generation EGFR-TKI in subjects with advanced EGFR mutation-positive NSCLC.
Time Frame: 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.
Time Frame: 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.
Time Frame: 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 Outcomes
- DCR of IN10018 in combination with third-generation EGFR-TKI in advanced EGFR mutation-positive NSCLC.(3 years)
- PFS of IN10018 in combination with third-generation EGFR-TKI in advanced EGFR mutation-positive NSCLC.(3 years)
- Number of patients with adverse event(3 years)
- PK: AUC of IN10018 following single dose administration and at steady state(3 years)
- PK:Ctrough of IN10018 following single dose administration and at steady state(3 years)
- DOR of IN10018 in combination with third-generation EGFR-TKI in advanced EGFR mutation-positive NSCLC.(3 years)
- OS of IN10018 in combination with third-generation EGFR-TKI in advanced EGFR mutation-positive NSCLC.(3 years)
- PK: Cmax of IN10018 following single dose administration and at steady state(3 years)
- PK:t1/2 of IN10018 following single dose administration and at steady state(3 years)
- PK:Tmax of IN10018 following single dose administration and at steady state(3 years)
- PK:CL/F of IN10018 following single dose administration and at steady state(3 years)
- PK:Vd/F of IN10018 following single dose administration and at steady state(3 years)