- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04036682
A Phase 1/2 Trial of CLN-081 in Patients With Non-Small Cell Lung Cancer (REZILIENT1)
A Phase 1/2, Open-Label, Multi-Center Trial to Assess Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of CLN-081 in Patients With Locally-Advanced or Metastatic Non-Small Cell Lung Cancer Harboring EGFR Exon 20 Insertion Mutations Who Have Previously Received Platinum-Based Systemic Chemotherapy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a Phase 1/2, open-label, multicenter, first-in-human trial to evaluate the safety and tolerability, PK, PD, and efficacy of CLN-081 in patients with non-small cell lung cancer (NSCLC) harboring epidermal growth factor receptor (EGFR) exon 20 insertion mutations.
This trial is divided into multiple parts: Phase 1 Dose Escalation, Phase 2a Dose Expansion, Module A, Module B, and Module C.
The objectives of the dose escalation and dose expansion parts are to determine the safety, tolerability, recommended Phase 2 dose (RP2D), and preliminary anti-tumor activity of orally administered CLN-081 monotherapy.
The objective of Module A is to preliminarily assess the effect of food on the PK profile of CLN-081.
The objective of Module B is to further characterize the safety and efficacy of CLN-081 monotherapy in patients with EGFR exon 20 insertion mutation NSCLC who have received prior systemic anti-cancer treatment for locally advanced or metastatic disease.
The objective of Module C is to explore the safety, tolerability, and efficacy of CLN-081 monotherapy in patients with EGFR exon 20 insertion mutation NSCLC who have received prior treatment with an agent approved for EGFR exon 20 insertion mutant NSCLC
CLN-081 will be dosed twice daily (BID).
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Shengting Li, MD, PhD
- Phone Number: 617-410-4650
- Email: ClinOps@cullinanoncology.com
Study Contact Backup
- Name: Jackie Bronicki
- Phone Number: 617-410-4650
Study Locations
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Hong Kong, Hong Kong
- Recruiting
- Hong Kong University - Queen Mary Hospital
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Principal Investigator:
- Victor Ho-Fun Lee, MBBS
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Contact:
- Mike Law
- Email: lawhc703@hku.hk
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Careggi, Italy
- Recruiting
- Azienda Ospedaliero Universitaria Careggi
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Contact:
- Francesca Zepponi
- Email: fzepponi.oncclinica@gmail.com
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Principal Investigator:
- Lorenzo Antonuzzo, MD, PhD
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Marche, Italy
- Recruiting
- Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I
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Principal Investigator:
- Rossana Berardi, MD
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Contact:
- Michela Burattini
- Email: burrattini.michela@libero.it
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Meldola, Italy
- Recruiting
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS
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Contact:
- Martina Magnani
- Email: martina.magnani@irst.emr.it
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Principal Investigator:
- Angelo Delmonte, MD
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Milano, Italy
- Recruiting
- IRCCS-Istituto Europeo di Oncologia
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Contact:
- Daniela Brambilla
- Email: daniela.brambilla@ieo.it
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Principal Investigator:
- Antonio Passaro, MD, PhD
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Modena, Italy
- Recruiting
- Azienda Ospedaliero Universitaria Modena
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Contact:
- Elisa Pettorelli
- Email: elisa.pettorelli@unimore.it
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Principal Investigator:
- Michela Maur, MD
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Monza, Italy
- Recruiting
- San Gerardo Hospital
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Principal Investigator:
- Diego Cortinovis, MD
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Contact:
- Alessandra Carbone
- Email: alecarbsc94@gmail.com
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Ravenna, Italy
- Recruiting
- Ospedale Santa Maria delle Croci
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Contact:
- Michela Spreadfico
- Email: michela.spreafico@irst.emr.it
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Principal Investigator:
- Chiara Bennati, MD
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Chiba, Japan
- Recruiting
- National Cancer Center Hospital East
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Contact:
- Yuka Sakamoto
- Email: yusakamo@east.ncc.go.jp
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Principal Investigator:
- Shigeki Umemura, MD, PhD
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Niigata, Japan
- Recruiting
- Niigata Cancer Center
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Contact:
- Yoshihiro Kusama
- Email: kusama.yoshihiro@neues.co.jp
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Principal Investigator:
- Hiroshi Tanaka, MD, PhD
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Osaka, Japan
- Recruiting
- Osaka International Cancer Institute
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Contact:
- Tatsuya Takeuchi
- Email: takeuchi.tatsuya750@eps.co.jp
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Principal Investigator:
- Nishino Kazumi, MD, PhD
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Osaka, Japan
- Recruiting
- Osaka City General Hospital
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Principal Investigator:
- Haurko Daga
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Contact:
- Ai Kitamoto
- Email: a.kitamoto@csnt.co.jp
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Shizuoka, Japan
- Recruiting
- Shizuoka Cancer Center
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Contact:
- Tomomi Endo
- Email: tom.endo@scchr.jp
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Principal Investigator:
- Haruyasu Murakami, MD, PhD
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Tokyo, Japan
- Recruiting
- National Cancer Center Hospital
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Contact:
- Hiroko Kawaguchi
- Email: hirohara@ncc.go.jp
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Principal Investigator:
- Yuichiro Ohe, MD, PhD
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Tokyo, Japan
- Recruiting
- The Cancer Institute Hospital of Japanese Foundation for Cancer Research
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Contact:
- Yurina Nishizawa
- Email: nishizawa.yurina342@eps.co.jp
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Principal Investigator:
- Satoru Kitazono, MD, PhD
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Goyang-si, Korea, Republic of
- Recruiting
- National Cancer Center
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Contact:
- KyoungSuk Kwon
- Email: kks17@ncc.re.kr
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Principal Investigator:
- Ji-Youn Han, MD, PhD
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Gyeonggi-do, Korea, Republic of
- Recruiting
- Seoul National University Bundang Hospital (SNUBH)
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Principal Investigator:
- Se Hyun Kim, MD
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Contact:
- YeonSeon Jeon
- Email: yseonj30412@gmail.com
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Incheon, Korea, Republic of
- Recruiting
- Inha University Hospital
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Contact:
- Jin MinHee
- Email: rlaskdms2018@gmail.com
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Principal Investigator:
- Jun Hyeok Lim, MD
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Incheon, Korea, Republic of
- Recruiting
- Gachon University Gil Medical Center
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Contact:
- SoHee Choi
- Email: hihi7739@naver.com
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Principal Investigator:
- Hee Kyung Ahn, MD
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Seoul, Korea, Republic of
- Recruiting
- Samsung Medical Center
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Principal Investigator:
- Se-Hoon Lee, MD, PhD
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Contact:
- Jungkyo Kim
- Email: jungkyo224.kim@samsung.com
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Soeul, Korea, Republic of
- Recruiting
- Asan Medical Center (AMC)
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Contact:
- Gyeong Min
- Phone Number: 82-10-9517-2717
- Email: baegyeongmin96@gmail.com
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Principal Investigator:
- Sang-we Kim
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Soeul, Korea, Republic of
- Recruiting
- Korea University Guro Hospital
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Principal Investigator:
- Sung-Yong Lee
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Contact:
- Ye Song Kim
- Phone Number: 82-10-2660-3995
- Email: dnjsepe11@gmail.com
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Suwon-si, Korea, Republic of
- Recruiting
- Ajou University Hospital
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Principal Investigator:
- Hyun Woo Lee
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Contact:
- Ji Eun Seo
- Phone Number: 82-31-219-6317
- Email: dmssl02@aumc.ac.kr
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Suwon-si, Korea, Republic of
- Recruiting
- The Catholic University Of Korea St. Vincent's Hospital
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Principal Investigator:
- Byoung Yong Shim
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Contact:
- EunYeong Lee
- Phone Number: 82-10-3937-0403
- Email: R3557@snubh.org
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Amsterdam, Netherlands, 1066 CX
- Recruiting
- The Netherlands Cancer Institute (NKI)
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Principal Investigator:
- Gerrina Ruiter
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Contact:
- Marianne Mahn
- Email: m.mahn@nki.nl
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Leiden, Netherlands, 2333 ZA
- Recruiting
- Leiden University Medical Center
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Principal Investigator:
- Egbert Smit, MD, PhD
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Contact:
- Kristen Wilkens-Bak
- Email: research-longziekten@lumc.nl
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Singapore, Singapore, 169610
- Recruiting
- National Cancer Centre Singapore
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Principal Investigator:
- Daniel Shao Weng Tan, MBBS, PhD
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Contact:
- Vivian Oo Shiyun Fequira
- Email: oo.shiyun.viviana.fequira@nccs.com.sg
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Singapore, Singapore, 138669
- Recruiting
- Singapore Clinical Research Institute
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Principal Investigator:
- Ross Soo, MBBS
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Contact:
- Sheryl St Chong
- Email: Sheryl_ST_CHONG@nuhs.edu.sg
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A Coruña, Spain
- Recruiting
- University Hospital A Coruna
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Contact:
- Graciela Vanesa Alvarez
- Email: graciela.vanesa.alvarez.benitez@sergas.es
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Principal Investigator:
- Maria Rosario Garcia Campelo, MD
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Barcelona, Spain
- Recruiting
- Hospital Universitario Vall d'Hebron
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Contact:
- Ana Matres Rojo
- Email: amatres@vhio.net
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Principal Investigator:
- Enriqueta Felip Font, MD, PhD
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Barcelona, Spain
- Recruiting
- Hospital Clinic i Provincial de Barcelona
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Contact:
- Anna Clua
- Email: ACLUA@recerca.clinic.cat
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Principal Investigator:
- Laura Mezquita Perez, MD, PhD
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Barcelona, Spain
- Recruiting
- Institut Catala d'Oncologia l'Hospitalet
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Contact:
- Antonio Davila
- Email: adavila@idibell.cat
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Principal Investigator:
- Ernesto Samuel Nadal Alforia, MD, PhD
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Barcelona, Spain
- Recruiting
- Hospital Parc Tauli
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Contact:
- Jose Garcia Ruiz
- Email: JGarciaR@tauli.cat
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Principal Investigator:
- Julia Giner Joaquin, MD
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Barcelona, Spain
- Recruiting
- START Barcelona
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Contact:
- Monica Alemany
- Email: JGarciaR@tauli.cat
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Principal Investigator:
- Tatiana Hernandez, MD
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Las Palmas, Spain
- Recruiting
- Complejo Hospitalario Universitario Insular Materno Infantil
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Contact:
- Elia Garcia Ojeda
- Email: egarcia@zarapicomed.com
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Principal Investigator:
- Delvys Rodriguez Abreu, MD, PhD
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Madrid, Spain
- Recruiting
- Hospital General Universitario Gregorio Maranon (HGUGM)
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Principal Investigator:
- Antonio Calles Blanco, MD
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Contact:
- Cristina Rodriguez Villar
- Email: crisrvillar83.hgugm@gmail.com
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Madrid, Spain
- Recruiting
- Hospital Universitario Puerta de Hierro de Majadahonda
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Contact:
- Carmen Garcia Delgado
- Email: cgarcia@idiphim.org
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Principal Investigator:
- Mariano Provencio Pulla, MD, PhD
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Madrid, Spain
- Recruiting
- University Hospital Quironsalud Madrid
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Principal Investigator:
- Valentina Boni, MD
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Contact:
- Uxue Nunez
- Email: uxnunez@nextoncology.eu
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Málaga, Spain
- Recruiting
- Hospital Regional Universitario de Málaga
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Contact:
- Alicia Medina Ramos
- Email: alicia.medina.eecc@gmail.com
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Principal Investigator:
- Manual Cobo Dols, MD, PhD
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Pamplona, Spain
- Recruiting
- Clinica Universidad de Navarra
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Contact:
- Sara Diaz
- Email: sdiazsanch@unav.es
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Principal Investigator:
- Eduardo Castanon Alvarez, MD
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Valencia, Spain
- Recruiting
- Universitat de Valencia - Hospital Universitari i Politecnic La Fe de Valencia (Hospital La Fe Bulevar Sur)
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Contact:
- Carmina Rodrigo
- Email: carmina_rodrigo@iislafe.es
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Principal Investigator:
- Oscar Juan Vidal, MD, PhD
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Chiayi City, Taiwan
- Recruiting
- Chang Gung Medical Foundation Chiayi Chang Gung Memorial Hospital
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Contact:
- Chien-Ting Hung
- Email: rachel0960407133@gmail.com
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Principal Investigator:
- Yu-Ching Lin, MD, PhD
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Taichung, Taiwan
- Recruiting
- Taichung Veterans General Hospital
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Contact:
- Wen-Ling Chen
- Email: o2143242@gmail.com
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Principal Investigator:
- Tsung-Ying Yang, MD, PhD
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Taichung, Taiwan
- Recruiting
- Chung Shan Medical University Hospital
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Contact:
- Lung-Ying Huang
- Email: cshe1365@csh.org.tw
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Principal Investigator:
- Gee-Chen Chang, MD, PhD
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Taipei, Taiwan
- Recruiting
- Taipei Medical University Hospital
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Contact:
- Chen-chuan Chu
- Email: 226100@h.tmu.edu.tw
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Principal Investigator:
- Chao-Hua Chiu, MD
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Taipei, Taiwan, 10002
- Recruiting
- National Taiwan University Hospital
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Principal Investigator:
- James Chin-Hsin Yang, MD
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Contact:
- Jin-Rong Chen
- Email: s99560145@ntuh.gov.tw
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California
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Anaheim, California, United States, 92801
- Recruiting
- Pacific Cancer Medical Center, Inc
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Contact:
- Elizabeth Brown
- Email: Elizabethg@pacificcancer.com
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Principal Investigator:
- Veena Charu
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Duarte, California, United States, 91010
- Recruiting
- City of Hope Comprehensive Cancer Center
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Principal Investigator:
- Danny Nguyen, MD
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Contact:
- Valeria Estala
- Email: vestala@coh.org
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Irvine, California, United States, 92618
- Recruiting
- City of Hope At Irvine Lennar
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Principal Investigator:
- Danny Nguyen
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Contact:
- Juan Miranda
- Email: jmiranda@coh.org
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Long Beach, California, United States, 90813
- Recruiting
- Pacific Shores Medical Group
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Principal Investigator:
- Danny Nguyen, MD
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Contact:
- Jesse Ruiz
- Email: jesruiz@coh.org
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Florida
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Orlando, Florida, United States, 32804
- Recruiting
- AdventHealth
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Principal Investigator:
- Mark Socinski, MD
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Contact:
- Jeffrey Kettler
- Email: jeffrey.kettler@adventhealth.com
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Recruiting
- Massachusetts General Hospital
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Principal Investigator:
- Zosia Piotrowska, MD
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Contact:
- Olivia Deloney
- Email: odeloney@mgh.harvard.edu
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Michigan
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Ann Arbor, Michigan, United States, 48109
- Recruiting
- University of Michigan Health System - University Hospital
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Principal Investigator:
- Gregory Kalemkerian
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Contact:
- Dhaman Bansal
- Email: shbansl@med.umich.edu
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New Jersey
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Florham Park, New Jersey, United States, 07932
- Recruiting
- Summit Medical Group PA
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Contact:
- Michelle Mackenzie
- Email: mmackenzie@summithealth.com
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Principal Investigator:
- Sarada Gurubhagavatula
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New York
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Mineola, New York, United States, 11501
- Recruiting
- Perlmutter Cancer Center at NYU Langone Hospital - Long Island
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Principal Investigator:
- Vamsidhar Velcheti, MD
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Contact:
- Tomislav Vucetic
- Email: Tomislav.Vucetic@nyulangone.org
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New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center
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Principal Investigator:
- Helena Yu, MD
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Contact:
- Khadeja Moses
- Email: mosesk1@mskcc.org
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New York, New York, United States, 10032
- Recruiting
- Columbia University Irving Medical Center
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Principal Investigator:
- Catherine Shu, MD
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Contact:
- Moury Minhaz
- Email: mm3597@cumc.columbia.edu
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New York, New York, United States, 10016
- Recruiting
- New York University Langone Health
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Principal Investigator:
- Vamsidhar Velcheti, MD
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Contact:
- Tomislav Vucetic
- Email: Tomislav.Vucetic@nyulangone.org
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Ohio
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Canton, Ohio, United States, 44701
- Recruiting
- Gabrail Cancer Center Research
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Principal Investigator:
- Nashat Y Gabrail, MD
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Contact:
- Amanda Rich
- Email: arich@gabrailcancercenter.com
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Oregon
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Portland, Oregon, United States, 97213
- Recruiting
- Providence Cancer Center
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Principal Investigator:
- Rachel E Sanborn, MD
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Contact:
- Lynn Freitas
- Email: Lynn.Freitas@providence.org
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Portland, Oregon, United States, 97225
- Recruiting
- Providence Oncology & Hematology Care Clinic-Westside
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Principal Investigator:
- Rachel Sanborn
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Contact:
- Lynn Freitas
- Email: Lynn.Freitas@providence.org
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- Recruiting
- UPMC Hillman Cancer Center
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Contact:
- Keagan Buttigieg
- Email: kbuttigi@hs.uci.edu
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Principal Investigator:
- Timothy Burns, MD, PhD
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South Carolina
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Charleston, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina
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Principal Investigator:
- John Wrangle, MD
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Contact:
- Jessica Shealor
- Email: shealorj@musc.edu
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Virginia
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Fairfax, Virginia, United States, 22031
- Recruiting
- Virginia Cancer Specialists
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Principal Investigator:
- Alex Spira, MD, PhD
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Contact:
- Karina Castillo Grady
- Email: karina.castillogrady@usoncology.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Histologically or cytologically confirmed locally advanced or metastatic NSCLC (all patients).
- Documented EGFR ex20ins mutation demonstrated by a validated test listed in Section 9.7 and performed in a Clinical Laboratory Improvement Amendments (CLIA)-certified or equivalent laboratory (all patients other than Module A Food Effect PK Assessment Module). Institutions that don't have access to these tests should contact the sponsor for assistance.
Prior treatment in the recurrent/metastatic disease setting including:
- A platinum-based chemotherapy regiment (or other chemotherapy regimen if platinum-based chemotherapy is contra-indicated)
- Any other approved standard therapy that is available to the patient, unless this therapy is contraindicated, intolerable to the patient, or is declined by the patient. In the case of a patient declining such therapy, documentation that the patient has been informed and declined should be documented in the medical record.
- No prior therapy is required for patients enrolled on Module A.
- Prior therapy with an agent approved by the local regulatory authorities for the treatment of EGFR ex20ins mutant NSCLC (Module C only).
- Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST 1.1) (except for patients enrolled on Module A).
- Age ≥ 18 years.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
- Ability to take pills by mouth.
Have the following laboratory values:
- Serum creatinine < 1.5 × upper limit of normal (ULN) or calculated creatinine clearance (CrCl) must be ≥ 50 mL/min/1.73 m2 (if calculated by Cockroft-Gault formula, the actual body weight must be used for CrCl unless body mass index [BMI] >30 kg/m2 then lean body weight must be used).
- Total bilirubin ≤ 1.5 × ULN unless prior history of Gilbert's syndrome.
- AST and ALT ≤ 2.5 × ULN, or ≤ 5 × ULN if due to liver involvement by tumor.
- Hemoglobin ≥ 9.0 g/dL in the absence of transfusion ≤ 14 days prior to the first dose of study drug on C1D1.
- Platelets ≥ 100 × 109 cells/L in the absence of transfusion <14 days prior to the first dose of study drug on Cycle 1 Day 1 (C1D1).
- Absolute neutrophil count ≥ 1.5 ×109 cells/L.
- For Module A patients only: patients must have a negative coronavirus disease 2019 (COVID-19) polymerase chain reaction test prior to enrolment.
- For Module B and Module C patients only: verification of suitable archived tumor tissue available at the participating center for biomarker analysis. A fresh biopsy is required if an archived sample is not available.
- Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria
R6, Phase 1 Expansion, Phase 2a, Module A and Module B Patients Only
Prior treatment with an EGFR ex20ins -targeting drug (eg, including, but not limited to poziotinib, mobocertinib, amivantamab, DZD9008, BDTX-189).
Note: enrolment of patients treated previously with EGFR ex20ins-targeting drugs allowed selectively during accelerated titration dose escalation and Module C only.
Module A Food Effect PK Assessment Module patients only
- Conditions that compromise esophageal or gastrointestinal (GI) function, including esophageal, gastric, pancreatic, hepatobiliary, or small bowel carcinomas, or history of gastric resection.
- Recurrent diarrhea, nausea, or vomiting.
Unable to refrain from or anticipates the use of:
- Any drug, including prescription and non-prescription medications, including drugs that change gastrointestinal motility (eg, loperamide) or gastric pH (eg, antacids, H2 antagonists, proton pump inhibitors), herbal remedies, or vitamin supplements within 14 days prior to the first dosing on Day 1 to follow-up.
- Any drugs known to be inhibitors or inducers of CYP3A enzymes and/or P-glycoprotein (P-gp), including St. John's Wort and grape fruit juice, within 28 days prior to the first dosing and throughout the PK assessment.
- Any allergies to the composition of the high fat meal.
Patients who use tobacco products.
All Patients
- History of COVID-19-related pneumonitis requiring hospitalization.
- History of COVID-19 infection within 4 weeks prior to enrolment, or clinically significant pulmonary symptoms related to prior COVID-19 pneumonitis.
Treatment with any of the following:
- An EGFR TKI ≤ 8 days or 5 × the terminal phase t1/2, whichever is longer, prior to the first dose of study drug on C1D1.
- Systemic anticancer treatment (excluding EGFR-TKIs as described above) within 14 days prior to the first dose of study drug on C1D1.
- Immunotherapy ≤ 28 days prior to the first dose of study drug on C1D1.
- Radiotherapy < 28 days and palliative radiation ≤ 14 days prior to the first dose of study drug on C1D1. If irradiated, lesions must have demonstrated clear-cut progression prior to being eligible for evaluation as target lesions.
- Major surgery (excluding placement of vascular access) ≤ 28 days of the first dose of study drug on C1D1.
- Have any unresolved toxicity of Grade ≥ 2 from previous anti-cancer treatment, except for alopecia and skin pigmentation. Patients with chronic but stable Grade 2 toxicities may be allowed to enroll after agreement between the Investigator and Sponsor.
- Have known or suspected leptomeningeal metastasis. Have known or suspected brain metastases or spinal cord compression, unless the condition has been asymptomatic, treated with surgery and/or radiation (if clinically indicated), and has been stable without requiring escalating corticosteroids or anti-convulsant medications for at least four weeks prior to the first dose of study drug on C1D1.
- Prior therapy with CLN-081.
- Known hypersensitivity to CLN-081 or any drugs similar in structure or class.
- Past medical history of interstitial lung disease, drug-induced interstitial lung disease, treatment-related pneumonitis, or any evidence of clinically active interstitial lung disease.
- Cardiac conditions as follows: Patient has a history of congestive heart failure (CHF) Class III/IV according to the New York Heart Association (NYHA) Functional Classification or serious cardiac arrhythmias requiring treatment.
- Resting QTcF > 470 msec.
- Patient is unable to take drugs po due to disorders or diseases that may affect GI function, including but not limited to inflammatory bowel diseases (eg, Crohn's disease, ulcerative colitis) or malabsorption syndrome, or procedures that may affect gastrointestinal function, such as gastrectomy, enterectomy, or colectomy.
- Have any condition or illness that, in the opinion of the Investigator, might compromise patient safety or interfere with the evaluation of the safety of the drug.
- Pregnant or lactating females; females of child-bearing potential (FOCBP) must have a negative serum pregnancy test at within seven days prior to receiving study drug on C1D1. FOCBP and males with partners of child-bearing potential must agree to use adequate birth control (Section 16.3) throughout their participation and for six months following the last dose of study treatment.
- History of another primary malignancy within 2 years prior to starting study drug on C1D1, except for adequately treated basal or squamous cell carcinoma of the skin or cancer of the cervix in situ.
- Uncontrolled intercurrent illness including, but not limited to, uncompensated respiratory, cardiac, hepatic, or renal disease, active infection (including human immunodeficiency virus (HIV) and active clinical tuberculosis), or renal transplant; ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, active peptic ulcer disease or gastritis, or psychiatric illness/social situations that would limit compliance with study requirements.
- For patients with a history of hepatitis B (HBV), negative PCR test is required. Patients with active hepatitis B (HBV) infection [as defined by a positive hepatitis B serum antigen (HBsAg) test and detectable HBV deoxyribonucleic acid (DNA)]. Patients ineligible due to detectable levels of HBV DNA at baseline may be rescreened for enrolment if their HBV DNA levels become undetectable after treatment with antiviral agents, and upon agreement between the Investigator and Sponsor.
- For patients with a history of hepatitis C, active infection as defined by a reactive hepatitis C virus (HCV) antibody test and detectable HCV ribonucleic acid (RNA).
- Active bleeding disorders.
- The patient is, in the Investigator's opinion, unable or unwilling to comply with the trial procedures.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Phase 1 Dose Escalation (Accelerated Titration)
CLN-081 BID in single patient dose escalation cohorts enrolling NSCLC patients with EGFR exon 20 insertion mutations that either have received or never received prior EGFR TKIs.
|
CLN-081 tablets
Other Names:
|
Experimental: Phase 1 Dose Escalation (Rolling Six)
CLN-081 BID in Rolling Six dose escalation cohorts enrolling NSCLC patients with EGFR exon 20 insertion mutations.
|
CLN-081 tablets
Other Names:
|
Experimental: Module A Food Affect
Single-dose CLN-081 150 mg with and without high fat food intake.
|
CLN-081 tablets
Other Names:
|
Experimental: Module B
CLN-081 BID in NSCLC patients with EGFR exon 20 insertion mutations that have received prior systemic therapy for locally advanced or metastatic disease.
|
CLN-081 tablets
Other Names:
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Experimental: Module C
CLN-081 BID to patients with EGFR exon 20 insertion mutant NSCLC after prior therapy with an agent approved for the treatment of ex20ins mutant NSCLC.
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CLN-081 tablets
Other Names:
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Experimental: Phase 2a Dose Expansion(s)
CLN-081 BID in expansion cohorts that may be opened at doses that meet pre-specified efficacy and safety criteria.
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CLN-081 tablets
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
All Cohorts: The rate and severity of treatment emergent AEs.
Time Frame: 24 months
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24 months
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All Cohorts: The rate and severity of DLTs.
Time Frame: 24 months
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24 months
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Phase 2 Dose Expansion Cohorts: Overall response rate (ORR)
Time Frame: 24 months
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24 months
|
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Module A: Pharmacokinetic (PK) parameter
Time Frame: 24 months
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Maximum Plasma Concentration [Cmax]
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24 months
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Module A: Pharmacokinetic (PK) parameter
Time Frame: 24 months
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Area Under Curve [AUC]
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24 months
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Module B and C: Confirmed overall response rate (ORR) and duration of response (DOR) by independent review committee (IRC)
Time Frame: 24 months
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24 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
All Cohorts: Assessment of maximum concentration (Cmax)
Time Frame: 24 months
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24 months
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All Cohorts: Assessment of area under curve (AUC)
Time Frame: 24 months
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24 months
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All Cohorts: Assessment of time to maximum concentration (tmax)
Time Frame: 24 months
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24 months
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All Cohorts: Assessment of terminal half-life (t1/2)
Time Frame: 24 months
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24 months
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Phase 1 Dose Escalation and Expansion, Phase 2a Dose Expansion, and Module B and C Cohorts: ORR by Investigator assessment
Time Frame: 24 months
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24 months
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Phase 1 Dose Escalation and Dose Expansion, Phase 2a Dose Expansion, and Module B and C Cohorts: DOR (duration of response).
Time Frame: 24 months
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24 months
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Phase 1 Dose Escalation and Dose Expansion, Phase 2a Dose Expansion, and Module B and C Cohorts: DCR (disease control rate)
Time Frame: 24 months
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24 months
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Phase 1 Dose Escalation and Dose Expansion, Phase 2a Dose Expansion, and Module B and C Cohorts: PFS (progression free survival)
Time Frame: 24 months
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24 months
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Phase 1 Dose Escalation and Dose Expansion, Phase 2a Dose Expansion, and Module B and C Cohorts: OS (overall survival)
Time Frame: 24 months
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24 months
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Zosia Piotrowska, MD, Massachusetts General Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CLN-081-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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