Efficacy and Safety of JMT101 Combined With Afatinib (or Osimertinib) in Patients With Non-Small Cell Lung Cancer
A Phase Ib,Open Label,Multi-center Study to Assess the Efficacy and Safety of JMT101 Combined With Afatinib (or Osimertinib) in Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer With EGFR Exon 20 Insertion Mutations
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The objective of the trial is to evaluate the safety and efficacy of JMT101 combined with EGFR-TKIs (afatinib or osimertinib) in patients with locally advanced or metastatic NSCLC with EGFR exon 20 insertion mutations.
This study consists of two parts (Stage I and Stage II). Stage I was a dose escalation study, and Stage II was a dose expansion study.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Xiugao Yang
- Phone Number: 8021-60677906
- Email: yangxiugao@mail.ecspc.com
Study Contact Backup
- Name: Rong Hu
- Phone Number: 8021-60673935
- Email: hurong@mail.ecspc.com
Study Locations
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-
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Beijing, China
- Recruiting
- Chinese PLA General Hospital
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Changsha, China
- Recruiting
- Hunan Cancer Hospital
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Chengdu, China
- Recruiting
- West China Hospital of Sichuan University
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Contact:
- Feng Luo
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Fuzhou, China
- Recruiting
- Fujian Cancer Hospital
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Contact:
- Wu Zhuang
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Hangzhou, China
- Recruiting
- Zhejiang Cancer Hospital
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Nanjing, China
- Recruiting
- Jiangsu Province Hospital of Chinese Medicine
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Contact:
- Qian Wang
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Nanjing, China
- Recruiting
- Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School
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Contact:
- Liyun Miao
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Shanghai, China
- Recruiting
- Shanghai Chest Hospital, Shanghai Jiaotong University
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Taiyuan, China
- Recruiting
- Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences)
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Contact:
- Junping Zhang
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Taiyuan, China
- Recruiting
- Shanxi Province Cancer Hospital
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Wuhan, China
- Recruiting
- Union Hospital, affiliated with TongJi Medical College, HuaZhong University of Science and Technology
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Contact:
- Xiaorong Dong
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Guangdong
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Guangzhou, Guangdong, China, 510060
- Recruiting
- Sun Yat-sen University Cancer Center
-
Contact:
- Li Zhang
- Phone Number: 8020-87343458
- Email: zhangli@sysucc.org.cn
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-
Hebei
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Shijiazhuang, Hebei, China, 050000
- Recruiting
- The Fourth Hospital of Hebei Medical University
-
Contact:
- Da Jiang
- Phone Number: 80311-86095588
- Email: jiangda139@163.com
-
Contact:
- Mingxia Wang
- Phone Number: 80311-66696233
- Email: hb4thgcp@126.com
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Pathologically or cytologically confirmed, locally advanced or metastatic NSCLC, harboring an EGFR exon 20 insertion mutation. ( non-irradiable, non-operable);
- No previous treatment or first-line treatment failed NSCLC;
- At least 1 measurable lesion according to RECIST 1.1;
- ECOG score 0 or 1;
Exclusion Criteria:
- Previously treated with EGFR antibody;
- Symptomatic brain metastasis;
- Interstitial pneumopathy;
- Known hypersensitivity to any ingredient of JMT101, afatinib, osimertinib or their excipients;
- Receiving an investigational product in another clinical study within 4 weeks;
- History of serious systemic diseases;
- History of serious autoimmune diseases;
- Pregnancy or lactating women.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dose Escalation Cohort
Two dose levels of JMT101 combined with afatinib or osimertinib will be tested according to the "3 + 3" dose-escalation design. The dose-limiting toxicity (DLT) will be assessed from the first administration to the end of the first cycle (28 days). |
IV infusion Q2W for 4 weeks (28-day cycles)
Other Names:
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Experimental: Dose Expansion Cohort
Once the effective dose has been determined, an expansion cohort will be opened to evaluate the efficacy and safety of the selected dose.
|
IV infusion Q2W for 4 weeks (28-day cycles)
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence of adverse events (defined by the Common Terminology Criteria for Adverse Events version 5.0 (CTCAE V5.0)).
Time Frame: From enrollment until 30 days after the last dose
|
From enrollment until 30 days after the last dose
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate (ORR) Assessed by Blinded Independent Review Committee (IRC) per RECIST Version 1.1
Time Frame: From first dose to disease progression or end of study, an average of 1 year
|
From first dose to disease progression or end of study, an average of 1 year
|
|
|
Disease control rate (DCR).
Time Frame: From first dose to disease progression or end of study, an average of 1 year
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From first dose to disease progression or end of study, an average of 1 year
|
|
|
Progression free survival (PFS).
Time Frame: From first dose to disease progression or end of study, an average of 1 year
|
From first dose to disease progression or end of study, an average of 1 year
|
|
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Overall survival (OS).
Time Frame: From first dose to death or end of study, an average of 1 year
|
From first dose to death or end of study, an average of 1 year
|
|
|
Area under the concentration curve from time 0 to the concentration at last time point (AUC0-last) of JMT101.
Time Frame: From enrollment until 30 days after the last dose
|
From enrollment until 30 days after the last dose
|
|
|
Maximum measured plasma concentration (Cmax) of JMT101.
Time Frame: From enrollment until 30 days after the last dose
|
From enrollment until 30 days after the last dose
|
|
|
Time to maximum plasma concentration (Tmax) of JMT101.
Time Frame: From enrollment until 30 days after the last dose
|
From enrollment until 30 days after the last dose
|
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Half-life (T1/2) of JMT101.
Time Frame: From enrollment until 30 days after the last dose
|
From enrollment until 30 days after the last dose
|
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Immunogenicity profile of JMT101.
Time Frame: From enrollment until 30 days after the last dose
|
Blood samples will be collected from subjects post treatment for assessment to detect the presence of anti-drug antibodies and neutralizing antibodies.
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From enrollment until 30 days after the last dose
|
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Potential biomarkers detected in plasma circulating tumor DNA.
Time Frame: From enrollment up to disease progression, an average of 1 year
|
From enrollment up to disease progression, an average of 1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Osimertinib
- Afatinib
Other Study ID Numbers
Other Study ID Numbers
- JMT101-CSP-001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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