A Single Arm, Open-label, Phase 2 Study Evaluating the Efficacy, Safety and PK of HM61713 in Patients With T790M-positive NSCLC After Treatment With an Epidermal Growth Factor Receptor-tyrosine Kinase Inhibitor
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 发起方
- 入组人数
- 162
- 试验地点
- 9
- 主要终点
- Objective response rate (ORR)
研究概览
简要总结
The purpose of this study is to evaluate the efficacy, safety and pharmacokinetics of HM61713 in patients with T790M-positive non-small cell lung cancer (NSCLC) after treatment with an epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI).
详细描述
This is a single-arm, open-label, Phase 2 study to assess the anti-tumor efficacy of oral single agent HM61713 administered to patients with T790M-positive NSCLC after treatment with an EGFR-TKI as measured by objective response rate (ORR).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age: at least 20 years of age
- •Cytologically or histologically confirmed adenocarcinoma of locally advanced or metastatic NSCLC which is not amenable to curative surgery or radiotherapy
- •Radiologically confirmed disease progression after at least one line of treatment with an EGFR-TKI
- •At least one documented EGFR mutation which is known to be related with susceptibility to EGFR-TKIs (including G719X, exon 19 deletion, L858R, and L861Q)
- •World Health Organization (WHO) performance score of 0 to 1 with life expectancy of at least 3 months
- •Centrally confirmed T790M mutation positive tumor status from a tumor sample taken after confirmation of disease progression on the most recent anticancer treatment regimen
- •At least one lesion (excluding the brain), not previously irradiated that can be accurately measured per RECIST version 1.1
- •Adequate hematological and biological function
- •Females of child-bearing potential must agree to use adequate contraception and for 3 months after the last dose of study drug
- •Male patients should be documented to be sterile or agree to use barrier contraception
- •Recovery to ≤ Grade 1 or baseline of any toxicities, except for stable sensory neuropathy ≤ Grade 2 and alopecia
排除标准
- •Known history of hypersensitivity to active or inactive excipients of HM61713 or drugs with a similar chemical structure of HM61713
- •Previous treatment with anticancer therapies, EGFR-TKI, HM61713, or other drugs that target T790M-positive mutant EGFR with sparing of wild-type, investigational agent(s) within 28 days prior to the first administration of study drug, radiotherapy
- •Any non-study related significant surgical procedures within the past 28 days prior to the first administration of study drug
- •Spinal cord compression, leptomeningeal carcinomatosis or active symptomatic brain metastases
- •History of any other malignancy
- •Clinically significant uncontrolled condition(s)
- •Active or chronic pancreatitis
- •Anyone with cardiac abnormalities or history
- •Presence or history of ILD, drug-induced ILD, or presence of radiation pneumonitis
- •Pregnant or breast feeding
- •In the opinion of the investigator, the patient is an unsuitable candidate to receive HM61713
研究组 & 干预措施
HM61713
HM61713 800 mg (2 x 400 mg tablets) once daily (QD)
干预措施: HM61713 (Drug)
结局指标
主要结局
Objective response rate (ORR)
时间窗: At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
To assess the anti-tumor efficacy of HM61713 as measured by objective response rate (ORR).
次要结局
- Disease control rate (DCR), defined as the proportion of patients with a documented CR, PR, and SD during the treatment cycles according to the RECIST version 1.1(At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months)
- Duration of overall tumor response (DR), defined as the interval between the date of the first observation of tumor response (CR or PR) and the date of disease progression or death(At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months)
- Progression-free survival (PFS), defined as the time from first administration of study drug to determination of tumor progression by RECIST version 1.1 or death due to any cause, whichever occurs first(At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months)
- Overall survival (OS), defined as the time from first administration of study drug until death from any cause(From first dose to end of study or date of death from any cause whichever came first, assessed up to 48 months)
- Time to progression (TTP), defined as the time from first administration of study drug to determination of tumor progression by RECIST version 1.1(At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months)
- Tumor shrinkage calculated as absolute change and percentage change from baseline in sum of tumor size at each assessment using RECIST tumor response(At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months)
- Peak concentration (Cmax) of HM61713(Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22))
- Trough plasma concentration (Ctrough) of HM61713(Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22))
- Area under the plasma concentration time curve over the 24-hour dosing interval (AUC) of HM61713(Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22))
- Patient reported outcomes (PROs)(At baseline and every 6 weeks from time of discontinuation, assessed up to 24 months)
- ECG/QTc (absolute values and change from baseline)(Adverse events will be collected from baseline until 28 days after the last dose)
- QTc interval as assessed by digital ECG with central reading. The QT interval will be rate-corrected using 3 methods: QTcF, QTcB and QTcS.(Adverse events will be collected from baseline until 28 days after the last dose)
- Incidence of reported AEs and abnormal laboratory tests (AEs will be assessed using the National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE] version 4).(Adverse events will be collected from baseline until 28 days after the last dose)
