- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02834936
A Clinica Study of Pyrotinib in Patients of Advanced Non-Small Cell Lung Cancer With HER2 Mutation
A Phase 2 Clinica Study: Efficacy and Safety of Pyrotinib in Patients of Advanced Non-Small Cell Lung Cancer With HER2 Mutation
This study is designed to evaluate the efficacy and safety of Pyrotinib in patients of advanced pre-treated Non-small cell lung cancer With HER2 Mutation.
To observe objective response rate (ORR) of pyrotinib in NSCLC With HER2 Mutation. To observe Progression free survival (PFS). To assess the overall survival (OS).
A secondary aim is to obtain safety information.
To explore the relationship between biomarkers and the toxicity/efficacy of Pyrotinib.
Study Overview
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Beijing, China
- HR-BLTN-II-NSCLC Investigational Site
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Changsha, China
- HR-BLTN-II-NSCLC Investigational Site
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Guangzhou, China
- HR-BLTN-II-NSCLC Investigational Site
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Hangzhou, China
- HR-BLTN-II-NSCLC Investigational Site
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Harbin, China
- HR-BLTN-II-NSCLC Investigational Site
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Nanjing, China
- HR-BLTN-II-NSCLC Investigational Site
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Shanghai, China
- HR-BLTN-II-NSCLC Investigational Site
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Suzhou, China
- HR-BLTN-II-NSCLC Investigational Site
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Wuhan, China
- HR-BLTN-II-NSCLC Investigational Site
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Zhengzhou, China
- HR-BLTN-II-NSCLC Investigational Site
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200433
- Shanghai Pulmonary Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ECOG performance status of 0 to 1.
- Life expectancy of more than 3 months.
- At least one measurable lesion exists.(RECIST 1.1).
- Histologically or cytologic confirmed Non-small cell lung cancer, Phase IIIB or IV according to IASLC 2009.
- Failed prior therapies.(RECIST 1.1).
- Confirmed HER2 mutation by Central Laboratory。
- More than one prior Platinum based chemotherapy for advanced and/or metastatic, or recurrent NSCLC in neoadjuvant or adjuvant chemotherapy.
Required laboratory values including following parameters:
ANC: ≥ 1.5 x 10^9/L; Platelet count: ≥ 90 x 10^9/L; Hemoglobin: ≥ 90 g/L; Total bilirubin: ≤ 1.5 x upper limit of normal (ULN); ALT and AST: ≤2 x ULN or ALT and AST: ≤5x ULN for patients with liver metastasis; BUN and Cr: ≤1.5 x ULN; creatine clearance rate: ≥ 50 mL/min; LVEF: ≥ 50%; QTcF: < 470 ms for female and < 450 ms for male.
- Signed informed consent
Exclusion Criteria:
- Previous therapy with other HER2 inhibitors.
- History of severe hypersensitivity reactions to the excipients of the trial drugs.
- Have clinically significant cavity effusion,such as pleural effusion、 pericardial effusion or ascites and require clinical intervention
- Active brain metastases
- Other malignancy within the past (including primary brain tumor or Leptomeningeal tumor), other than basal cell skin cancer or carcinoma in situ of the cervix
- Persistence of clinically relevant therapy related toxicities from previous therapy (greater than Common Terminology Criteria for Adverse Event(CTCAE) 4.0 grade 1)
- Treatment with surgery, chemotherapy, radiotherapy or other target therapy within the past 4 weeks before start of therapy
- Uncontrolled hypertensin,diabetes.
- unstable angina, history of myocardial infarction in the past 6 months, congestive heart failure>NYHA II, serious cardiac arrhythmia
- Active infection
- Variety of factors that affect the oral medication (such as unable to swallow, chronic diarrhea, bowel obstruction and other gastrointestinal disorders or abnormalities
- History of immunodeficiency, including HIV-positive, suffering from other acquired, congenital immunodeficiency disease, or history of organ transplantation.
- Subjects had any heart disease, including: (1) angina; (2) requiring medication or clinically significant arrhythmia; (3) myocardial infarction; (4) heart failure; (5) Any heart diseases judged by investigator as unsuitable to participate in the trial.
- Female patients who are pregnancy, lactation or women who are of childbearing potential tested positive in baseline pregnancy test.
- Known history of neurological or psychiatric disease, including epilepsy or dementia.
- Treatment in another clinical trial within the past 4 weeks before start of therapy
- Any of the other conditions of which researchers believe that the patient is not fit to take part in the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: pyrotinib treatment
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Objective Response Rate (ORR)
Time Frame: tumor assessment every 6-9 weeks after the initiation of pyrotinib, up to 24 months
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tumor assessment every 6-9 weeks after the initiation of pyrotinib, up to 24 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Progression Free Survival (PFS)
Time Frame: up to 24 months
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up to 24 months
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Incidence and Intensity of Adverse Events
Time Frame: From signing informed consent document until 28 days after the last drug administration
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Number of Participants with treatment related Adverse Events as Assessed by CTCAE v4.0
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From signing informed consent document until 28 days after the last drug administration
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Collaborators and Investigators
Publications and helpful links
General Publications
- Mao S, Yang S, Liu X, Li X, Wang Q, Zhang Y, Chen J, Wang Y, Gao G, Wu F, Jiang T, Zhang J, Yang Y, Lin X, Zhu X, Zhou C, Ren S. Molecular correlation of response to pyrotinib in advanced NSCLC with HER2 mutation: biomarker analysis from two phase II trials. Exp Hematol Oncol. 2023 Jun 9;12(1):53. doi: 10.1186/s40164-023-00417-y.
- Zhou C, Li X, Wang Q, Gao G, Zhang Y, Chen J, Shu Y, Hu Y, Fan Y, Fang J, Chen G, Zhao J, He J, Wu F, Zou J, Zhu X, Lin X. Pyrotinib in HER2-Mutant Advanced Lung Adenocarcinoma After Platinum-Based Chemotherapy: A Multicenter, Open-Label, Single-Arm, Phase II Study. J Clin Oncol. 2020 Aug 20;38(24):2753-2761. doi: 10.1200/JCO.20.00297. Epub 2020 Jul 2.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HR-BLTN-Ⅱ-NSCLC
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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Clinical Trials on pyrotinib
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Peking University People's HospitalNot yet recruitingAdvanced Breast Cancer | HER2 + Breast Cancer
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Tianjin Medical University Cancer Institute and...Not yet recruitingEarly Breast Cancer | Locally Advanced Breast Cancer | HR+ Breast Cancer | SHR-A1811 | HER2-Postive Breast Cancer
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RenJi HospitalActive, not recruiting
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Tianjin Medical University Cancer Institute and...UnknownNon Small Cell Lung CancerChina
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Cancer Institute and Hospital, Chinese Academy...RecruitingHER2 Positive Breast Cancer | Pyrotinib TreatmentChina
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Hunan Cancer HospitalJiangsu HengRui Medicine Co., Ltd.Not yet recruitingHER2-positive Breast CancerChina
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Jiangsu HengRui Medicine Co., Ltd.Cancer Institute and Hospital, Chinese Academy of Medical SciencesCompleted
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Peking Union Medical CollegeUnknownBreast Cancer | HER2 Gene MutationChina