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A Study of JAB-21822 in Adult Patients With Advanced Solid Tumors Harboring KRAS p.G12C Mutation in China

Phase 1
Active, not recruiting
Conditions
NSCLC
Solid Tumor
Interventions
Registration Number
NCT05009329
Lead Sponsor
Jacobio Pharmaceuticals Co., Ltd.
Brief Summary

To assess safety, tolerability, PK, efficacy and determine recommended phase 2 dose (RP2D) of JAB-21822 (glecirasib) administered in adult participants with KRAS p.G12C-mutant advanced solid tumors.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
311
Inclusion Criteria
  1. Written informed consent
  2. Advanced (metastatic or unresectable) KRAS p.G12C mutant solid tumors, with failure or absence of standard treatment
  3. Subject must be ≥18 years
  4. Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
  5. Subjects with life expectancy ≥3 months.
  6. Subjects must have at least one measurable lesion as defined by RECIST v1.1.
  7. There was no serious organ dysfunction in the screening stage
  8. Male or female subjects of reproductive age agree to use adequate contraception
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Exclusion Criteria
  1. History of intestinal disease or major gastric surgery or inability to swallow oral medications
  2. Other active cancer
  3. Previously treated with KRAS G12C inhibitor
  4. Active infection including hepatitis B, hepatitis C and human immunodeficiency virus (HIV)
  5. Impaired heart function or clinically significant heart disease
  6. Pregnant or breast-feeding
  7. Previous allogeneic bone marrow transplant or organ transplant
  8. Intended study subjects who were unable to abstain from alcohol during medication
  9. Other unqualified conditions judged by the investigators
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Phase 1 Dose ExplorationJAB-21822Dose escalation of JAB-21822 to determine maximum tolerated dose.
Phase IIa Dose ExpansionJAB-21822Patients with KRAS p.G12C mutant advanced non small cell lung cancer or other solid tumors will be enrolled and treated at the monotherapy RP2D to evaluate the safety and preliminary efficacy.
Phase IIbJAB-21822Patients with KRAS p.G12C mutant advanced non small cell lung cancer will be enrolled and treated at the monotherapy RP2D to evaluate the safety and efficacy.
Primary Outcome Measures
NameTimeMethod
Number of participants with adverse eventsup to 3 years

Patients will be assessed for incidence and severity of adverse events (AEs) according to NCI-CTCAE criteria

Incidence of dose limiting toxicities (DLTs) in the dose escalation phasefirst 21 days

Number of participants with dose limiting toxicities

Overall response rate (ORR) by IRC (independent review committee)up to 3 years

ORR is defined as the proportion of participants with complete response and partial response (CR+PR) per RECIST v 1.1

Secondary Outcome Measures
NameTimeMethod
Overall response rate (ORR) by investigatorup to 3 years

ORR is defined as the proportion of participants with complete response and partial response (CR+PR) per RECIST v 1.1

Disease Control Rate ( DCR )up to 3 years

DCR is defined as percentage of participants with complete response (CR), partial response (PR), and stable disease(SD) per RECIST v1.1

Peak Plasma Concentration (Cmax)up to 3 years

Cmax of JAB-21822 will be measured by using plasma PK samples

Duration of response ( DOR )up to 3 years

DOR is defined as the time from the participant's initial objective response (CR or PR) to study drug therapy, to disease progression or death due to any cause, whichever occurs first.

Progression-free survival (PFS)up to 3 years

PFS is defined as the interval of time between the date of first treatment to the earliest date of disease progression or death per RECIST v1.1, which occurs first

Time to response (TTR)up to 3 years

Time from patient randomization (first treatment) to first response per RECIST 1.1 criteria

Trial Locations

Locations (1)

Beijing Cancer Hospital

🇨🇳

Beijing, Beijing, China

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