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En undersøgelse af BH-30643 i forsøgspersoner med lokalt avanceret eller metastatisk NSCLC, der rummer EGFR- og/eller HER2-mutationer (SOLARA)

2. november 2026 opdateret af: BlossomHill Therapeutics

Et fase 1/2 åbent, multicenter, første-i-menneske-studie af sikkerhed, tolerabilitet, farmakokinetik og antitumoraktivitet af BH-30643 hos forsøgspersoner med lokalt avanceret eller metastatisk NSCLC, der rummer EGFR- og/eller HER2-mutationer (SOLARA)

This Phase1/2, open label, multicenter study will assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics and preliminary anti-tumor activity of BH-30643 in patients with NSCLC having EGFR and/or HER2 mutations.

Phase 1 will determine the recommended Phase 2 dose (RP2D) and, if applicable, the maximum tolerated dose (MTD) of BH-30643, both as a monotherapy and in combination with chemotherapy.

Phase 2 will further evaluate the antitumor efficacy and safety in specified cohorts determined by EGFR/HER2 mutation subtypes and/or treatment history at the RP2D, as well as the population PK.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

BH-30643 is a novel, orally available, non-covalent, macrocyclic, mutant selective OMNI-EGFR inhibitor that targets a broad diversity of mutations in the EGFR kinase domain. These include EGFR classical mutations (e.g., ex19del and L858R) as well as less common (atypical) mutations (including G719X, S768I, L861Q, E709X, and beyond). BH-30643 also overcomes a variety of mutations which can cause resistance to previously approved EGFR TKIs (including both C797S and T790M). BH-30643 was designed to be selective over wildtype EGFR and HER2.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

675

Fase

  • Fase 2
  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Victoria
      • Heidelberg, Victoria, Australien, 3084
        • Rekruttering
        • Austin Health
      • Melbourne, Victoria, Australien, 3000
        • Rekruttering
        • Peter MacCallum Cancer Centre
    • Alberta
      • Edmonton, Alberta, Canada, T6G1Z2
        • Rekruttering
        • Cross Cancer Institute
    • Ontario
      • Toronto, Ontario, Canada, M5G 2C4
        • Rekruttering
        • Princess Margaret Cancer Centre
    • Arizona
      • Phoenix, Arizona, Forenede Stater, 85054
        • Rekruttering
        • Mayo Clinic Hospital - Arizona
    • California
      • Irvine, California, Forenede Stater, 92697
        • Rekruttering
        • The Regents of the University of California - Irvine, CA Campus
      • La Jolla, California, Forenede Stater, 92093
        • Rekruttering
        • UC San Diego Moores Cancer Center
      • Los Angeles, California, Forenede Stater, 90048
        • Rekruttering
        • Cedars-Sinai Cancer at Cedars Sinai Medical Center
      • Sacramento, California, Forenede Stater, 95817
        • Rekruttering
        • University of California, Davis Comprehensive Cancer Center
      • Stanford, California, Forenede Stater, 94305
        • Rekruttering
        • Stanford University Medical Center
    • Connecticut
      • New Haven, Connecticut, Forenede Stater, 06520
        • Rekruttering
        • Yale University - Cancer Center
    • District of Columbia
      • Washington D.C., District of Columbia, Forenede Stater, 20007
        • Rekruttering
        • Georgetown University Medical Center
    • Florida
      • Jacksonville, Florida, Forenede Stater, 32224
        • Rekruttering
        • Mayo Clinic - Florida
      • Orlando, Florida, Forenede Stater, 32827
        • Rekruttering
        • Sarah Cancer Research Institution - Florida Cancer Specialist
      • Tampa, Florida, Forenede Stater, 33612
        • Rekruttering
        • Moffitt Cancer Center
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60611
        • Rekruttering
        • Northwestern Medicine - Northwestern Memorial Hospital Galter Pavilion
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02215
        • Rekruttering
        • Dana-Farber Cancer Institute
      • Boston, Massachusetts, Forenede Stater, 02215
        • Rekruttering
        • Beth Israel Deaconess Medical Center
      • Boston, Massachusetts, Forenede Stater, 02214
        • Rekruttering
        • Massachusetts General Hospital
    • Michigan
      • Detroit, Michigan, Forenede Stater, 48202
        • Rekruttering
        • Henry Ford Health
    • Minnesota
      • Rochester, Minnesota, Forenede Stater, 55905
        • Rekruttering
        • Mayo Clinic Hospital - Rochester, MN
    • New York
      • New York, New York, Forenede Stater, 10065
        • Rekruttering
        • Memorial Sloan Kettering Cancer Center
      • New York, New York, Forenede Stater, 10016
        • Rekruttering
        • Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
    • North Carolina
      • Durham, North Carolina, Forenede Stater, 27710
        • Rekruttering
        • Duke Cancer Institute
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forenede Stater, 19107
        • Rekruttering
        • Thomas Jefferson University, Sidney Kimmel Cancer Center
    • Tennessee
      • Nashville, Tennessee, Forenede Stater, 37203
        • Rekruttering
        • Sarah Cannon Research Institute, LLC
    • Texas
      • Houston, Texas, Forenede Stater, 77030
        • Rekruttering
        • The University of Texas - M.D. Anderson Cancer Center
    • Virginia
      • Fairfax, Virginia, Forenede Stater, 22031
        • Rekruttering
        • NEXT Virginia
    • Washington
      • Seattle, Washington, Forenede Stater, 98109
        • Rekruttering
        • Fred Hutchinson Cancer Center
      • Hong Kong, Hong Kong
        • Rekruttering
        • Queen Mary Hospital
    • New Territories
      • Shatin, New Territories, Hong Kong
        • Rekruttering
        • Prince of Wales Hospital
    • Chiba
      • Kashiwa, Chiba, Japan, 227-8577
        • Rekruttering
        • National Cancer Center Hospital East
    • Osaka
      • Osakasayama-shi, Osaka, Japan
        • Rekruttering
        • Kindai University Hospital
    • Tokyo
      • Tsukiji, Tokyo, Japan
        • Rekruttering
        • National Cancer Center Hospital
    • Sarawak
      • Kuching, Sarawak, Malaysia, 93586
        • Rekruttering
        • Sarawak General Hospital
      • Kent Ridge, Singapore, 119074
        • Rekruttering
        • National University Hospital
      • Singapore, Singapore, 168583
        • Rekruttering
        • National Cancer Centre - Singapore
      • Seoul, Sydkorea, 05505
        • Rekruttering
        • Asan Medical Center
      • Seoul, Sydkorea, 03080
        • Rekruttering
        • Seoul National University Hospital
      • Seoul, Sydkorea, 06351
        • Rekruttering
        • Samsung Medical Center
      • Taichung, Taiwan, 407219
        • Rekruttering
        • Taichung Veterans General Hospital
      • Taipei, Taiwan
        • Rekruttering
        • National Taiwan University Hospital
      • Taipei, Taiwan
        • Rekruttering
        • National Taiwan University Cancer Center

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • ≥ 18 years or legal adult.

  • Pathologically confirmed diagnosis of locally advanced or metastatic NSCLC with EGFR or HER2 mutations in the kinase domain of exons 18, 19, 20, or 21.

  • Has at least 1 measurable target extracranial lesion according to RECIST v1.1.

  • Eastern Cooperative Oncology Group Performance Status ≤ 1.

  • Has a life expectancy of ≥ 3 months.

  • Has adequate hematologic, hepatic, and renal function.

    • The above are a summary; other Inclusion Criteria details may apply.

Exclusion Criteria:

  • History of any concurrent malignancy within the previous 2 years.

  • Known other oncogenic driver alterations (eg, moderate or high MET amplification) or histological transformation (eg, to small cell carcinoma, etc.).

  • Unresolved toxicities from prior therapies.

  • Any significant and uncontrolled medical condition, such as infection.

  • Active or history of interstitial lung disease from any cause

  • Clinically significant cardiovascular event within 6 months or significant history of major organ.

    • The above are a summary; other Exclusion Criteria details may apply.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Phase 1 Monotherapy Dose Escalation and Expansion
  • BH-30643 monotherapy for dose escalation
  • BH-30643 monotherapy for dose expansion/optimization at doses determined from dose escalation data

BH-30643 will be provided as either 10 mg or 40 mg capsules or tablets. Subjects will take BH-30643 orally depending on their dose level assignment.

BH-30643 will be provided as either 10 mg or 40 mg capsules. Subjects will take BH-30643 orally depending on their dose level assignment

Eksperimentel: Phase 1 Combination Dose Escalation and Expansion
  • BH-30643 combo therapy with Carboplatin/Pemetrexed for dose escalation
  • BH-30643 combo therapy with Carboplatin/Pemetrexed for dose expansion /optimization at doses determined from dose escalation data

BH-30643 will be provided as either 10 mg or 40 mg capsules or tablets in combo therapy with Carboplatin/Pemetrexed. Subjects will take BH-30643 orally depending on their dose level assignment. Carboplatin/Pemetrexed will be administered according to standard of care

Eksperimentel: Phase 2

BH-30643 administered at the RP2D dose determined in Phase 1

BH-30643 will be provided as either 10 mg or 40 mg capsules or tablets. Subjects will take BH-30643 orally depending on their dose level assignment.

BH-30643 will be provided as either 10 mg or 40 mg capsules. Subjects will take BH-30643 orally depending on their dose level assignment

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Dose-limiting toxicities (DLTs) (Phase 1, Dose Escalation)
Tidsramme: Within the first 21 days of the first dose of BH-30643.

Assess dose-limiting toxicities (DLTs) as defined in the study protocol.

Within the first 21 days of the first dose of BH-30643.
Recommended Phase 2 dose (RP2D) (Phase 1, Dose Expansion/Optimization)
Tidsramme: Within 21 days of last participant dosed during Dose Expansion/Optimization.

Determine the RP2D for Phase 2.

Within 21 days of last participant dosed during Dose Expansion/Optimization.
Objective Response Rate (ORR) (Phase 2)
Tidsramme: Approximately 3 years after the first participant dosed.

Determine ORR as assessed by Blinded Independent Central Review (BICR).

Approximately 3 years after the first participant dosed.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Safety
Tidsramme: From enrollment through study completion, approximately 48 months.

Assess incidence and severity of treatment-emergent adverse events (TEAEs), as defined by CTCAE, V5.0 (Phase 1 and Phase 2).

From enrollment through study completion, approximately 48 months.
Area under the plasma concentration-time curve from time zero to time of the last quantifiable concentration (AUClast) of BH-30643 for Single dose (Phase 1).
Tidsramme: Predose and up to 24 hours postdose.

Determine area under the plasma concentration-time curve from time zero to time of the last quantifiable concentration (AUClast) of BH-30643.

Predose and up to 24 hours postdose.
Maximum observed plasma concentration (Cmax) of BH-30643 for Single dose (Phase 1).
Tidsramme: Predose and up to 24 hours postdose.

Determine maximum observed plasma concentration (Cmax) of BH-30643.

Predose and up to 24 hours postdose.
Time to reach Cmax (Tmax) of BH-30643 for Single dose (Phase 1).
Tidsramme: Predose and up to 24 hours postdose.

Determine time to reach Cmax (Tmax) of BH-30643.

Predose and up to 24 hours postdose.
Area under the plasma concentration-time curve at steady state (AUCss) of BH-30643 for multiple doses (Phase 1) at steady state.
Tidsramme: Predose and up to 24 hours postdose.

Determine area under the plasma concentration-time curve at steady state (AUCss) of BH-30643.

Predose and up to 24 hours postdose.
Objective Response Rate (ORR)
Tidsramme: From enrollment until the date of the first documented progression or death from any cause, whichever occurs first, assessed up to study ends or patient discontinue from the study, whichever occurs first (up to approximately 4 years).

The ORR is defined as a complete response (CR) or partial response (PR) per RECIST v1.1 recorded from first treatment until disease progression or start of new anti-cancer therapy. Both CR and PR must be confirmed by repeat assessments performed no less than 4 weeks after the criteria for response are first met.

From enrollment until the date of the first documented progression or death from any cause, whichever occurs first, assessed up to study ends or patient discontinue from the study, whichever occurs first (up to approximately 4 years).
Disease Control Rate (DCR)
Tidsramme: From enrollment until the date of the first documented progression or death from any cause, whichever occurs first, assessed up to study ends or patient discontinue from the study, whichever occurs first (up to approximately 4 years).

The DCR is defined as the percentage of subjects whose therapeutic intervention has led to a CR, PR, or stable disease (SD).

From enrollment until the date of the first documented progression or death from any cause, whichever occurs first, assessed up to study ends or patient discontinue from the study, whichever occurs first (up to approximately 4 years).
Time to Tumor Response (TTR)
Tidsramme: From first dose to the first occurrence of response, assessed up to the date of first documented progression or death from any cause, whichever occurs first (up to approximately 4 years).

Time to tumor response (TTR) is defined for subjects with a confirmed objective response, as the time from the date of first treatment to the first documentation of objective response (CR or PR) which is subsequently confirmed.

From first dose to the first occurrence of response, assessed up to the date of first documented progression or death from any cause, whichever occurs first (up to approximately 4 years).
Duration of Response (DOR)
Tidsramme: From first occurrence of response until the date of the first documented progression or death from any cause, whichever occurs first, assessed up to study end or patient discontinuation from the study, whichever occurs first (up to approximately 4 years)

The DOR is defined, for subjects with an objective response per RECIST v1.1, as the time from the first documentation of objective tumor response (CR or PR) to the first documentation of objective tumor progression or death due to any cause, whichever occurs first.

From first occurrence of response until the date of the first documented progression or death from any cause, whichever occurs first, assessed up to study end or patient discontinuation from the study, whichever occurs first (up to approximately 4 years)
Progression-free Survival (PFS)
Tidsramme: From enrollment until the date of the first documented progression or death from any cause, whichever occurs first, assessed up to study end or patient discontinuation from the study, whichever occurs first (up to approximately 4 years).

The endpoint PFS is defined as the time from the date of the first treatment to the date of the first documentation of objective progression of disease or death due to any cause, whichever occurs first.

From enrollment until the date of the first documented progression or death from any cause, whichever occurs first, assessed up to study end or patient discontinuation from the study, whichever occurs first (up to approximately 4 years).
Overall Survival
Tidsramme: From enrollment until the date of death from any cause, assessed up to study end or patient discontinuation from the study, whichever occurs first (up to approximately 4 years).

Overall survival is defined as the time from the date of first treatment to the date of death due to any cause.

From enrollment until the date of death from any cause, assessed up to study end or patient discontinuation from the study, whichever occurs first (up to approximately 4 years).
ERTC-QLC-C30
Tidsramme: From enrollment until the end of treatment, up till patient discontinue from treatment due to any reason (up to approximately 4 years).

Change from Baseline in Patient Reported Outcome European Organization for Research and Treatment Quality of Life Questionnaire (ERTC-QLC-C30) at Treatment Cycle 2 and beyond (Phase 2).

From enrollment until the end of treatment, up till patient discontinue from treatment due to any reason (up to approximately 4 years).
NSCLC-SAQ
Tidsramme: From enrollment until the end of treatment, up till patient discontinues treatment for any reason (up to approximately 4 years).

Change from Baseline in Patient Reported Outcome Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ) at Treatment Cycle 2 and beyond (Phase 2).

From enrollment until the end of treatment, up till patient discontinues treatment for any reason (up to approximately 4 years).

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

9. januar 2025

Primær færdiggørelse (Anslået)

31. januar 2029

Studieafslutning (Anslået)

31. juli 2029

Datoer for studieregistrering

Først indsendt

19. november 2024

Først indsendt, der opfyldte QC-kriterier

22. november 2024

Først opslået (Faktiske)

26. november 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

4. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. november 2026

Sidst verificeret

1. november 2025

Mere information

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Ja

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Ingen

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