Eine Phase-1/2-Studie von TRI-611 bei ALK-positivem NSCLC
Eine Phase-1/2-Dosis-Eskalations- und Erweiterungsstudie von TRI-611, einem oralen ALK-Molekularkleber-Degrader bei Teilnehmern mit fortgeschrittenem ALK-positivem NSCLC
The goal of this clinical trial is to learn about the safety and recommended dose of TRI-611 when administered to adults with ALK-positive non-small cell lung cancer (NSCLC). The trial will also evaluate the antitumor activity of TRI-611 in adults with ALK-positive NSCLC.
The study will be conducted in two parts. The first part will examine different doses of TRI-611. The second part will look at how well TRI-611 works on ALK-positive NSCLC when administered to three groups of participants that differ based on what type of prior therapy they have received.
In this study participants will:
- Take TRI-611 on a continued basis, provided it is well-tolerated, for as long as their disease is not progressing
- Visit the clinic approximately seven times in the first 3 months and then just once at the start of each 28-day cycle thereafter
- Keep a diary of each time they take the study medication
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
This is a Phase 1/2 dose escalation and dose expansion study designed to evaluate the safety and tolerability of TRI-611, identify the maximum tolerated dose (MTD) and/or the recommended phase 2 dose (RP2D), and evaluate the antitumor activity in participants with ALK-positive NSCLC.
Part 1 of the study consists of a dose escalation to determine the MTD and/or recommended dose(s) of TRI-611 for further exploration in two backfill cohorts.
Following completion of Part 1 of the study, Part 2 of the study will be initiated. The second part of the study is comprised of three cohorts (M1, M2, M3) of participants differentiated based on their previous treatment with ALK TKIs (tyrosine kinase inhibitors). During this part of the study the antitumor activity of TRI-611 will be further explored. See eligibility criteria for more details.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 2
- Phase 1
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: TRIANA Clinical Trials
- E-Mail: medical@trianabio.com
Studienorte
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New South Wales
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Sydney, New South Wales, Australien, 2000
- Rekrutierung
- Royal North Shore Hospital
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Hauptermittler:
- Malinda Itchins, MD
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Westmead, New South Wales, Australien, 2145
- Rekrutierung
- Westmead Hospital
-
Hauptermittler:
- Adnan Nagrial, MD
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Victoria
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Melbourne, Victoria, Australien, 3000
- Rekrutierung
- Peter MacCallum Cancer Centre
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Hauptermittler:
- Ben Solomon, MD
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Lyon, Frankreich, 69008
- Rekrutierung
- Centre Léon Bérard
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Hauptermittler:
- Aurelie Swalduz, MD
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Villejuif, Frankreich, 94800
- Rekrutierung
- Gustave Roussy Institute
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Hauptermittler:
- Anas Gazzah, MD
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California
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San Francisco, California, Vereinigte Staaten, 94158
- Rekrutierung
- UCSF
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Hauptermittler:
- Collin Blakely, MD
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Colorado
-
Aurora, Colorado, Vereinigte Staaten, 80045
- Rekrutierung
- University of Colorado Cancer Center
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Hauptermittler:
- Kyle Concannon, MD
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Kontakt:
- Emily Adam
- Telefonnummer: 303-724-8843
- E-Mail: emily.adam@cuanschutz.edu
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Massachusetts
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Boston, Massachusetts, Vereinigte Staaten, 02114
- Rekrutierung
- Massachusetts General Hospital
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Hauptermittler:
- Jessica Lin, MD
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Kontakt:
- Jessica Lin, MD
- Telefonnummer: 617-724-4000
- E-Mail: jjlin1@mgb.org
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Boston, Massachusetts, Vereinigte Staaten, 02215
- Rekrutierung
- Dana Farber Cancer Center
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Hauptermittler:
- Alice Shaw, MD
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Kontakt:
- Alice Shaw, MD
- Telefonnummer: 877-442-3324
- E-Mail: dfcitopreferrals@dfci.harvard.edu
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Missouri
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St Louis, Missouri, Vereinigte Staaten, 63130
- Rekrutierung
- Washington University Medical Center
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Hauptermittler:
- Saiama Waqar, MD
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Kontakt:
- Gina Vellequette
- Telefonnummer: 314-362-0872
- E-Mail: g.vellequette@wustl.edu
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New York
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New York, New York, Vereinigte Staaten, 10065
- Rekrutierung
- Memorial Sloan-Kettering Cancer Center
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Hauptermittler:
- Alexander Drilon, MD
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Kontakt:
- Memorial Sloan Kettering Cancer Center
- Telefonnummer: 646-608-3758
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North Carolina
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Durham, North Carolina, Vereinigte Staaten, 27710-2000
- Rekrutierung
- Duke University
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Hauptermittler:
- Thomas Stinchcombe, MD
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Ohio
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Cincinnati, Ohio, Vereinigte Staaten, 45221
- Rekrutierung
- University of Cincinnati Cancer Center
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Hauptermittler:
- Jennifer Leddon, MD
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Maumee, Ohio, Vereinigte Staaten, 43537
- Rekrutierung
- Taylor Cancer Research Center
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Hauptermittler:
- John Nemunaitis, MD
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Kontakt:
- Stephanie Ambrose
- Telefonnummer: 567-402-4500
- E-Mail: sambrose@tcrcpt.org
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Pennsylvania
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Pittsburgh, Pennsylvania, Vereinigte Staaten, 15213
- Rekrutierung
- UPMC Hillman Cancer Center
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Hauptermittler:
- Lisa Villaruz, MD
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Tennessee
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Nashville, Tennessee, Vereinigte Staaten, 37203
- Rekrutierung
- SCRI Oncology Partners
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Hauptermittler:
- Melissa Johnson, MD
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Kontakt:
- AskSarah
- Telefonnummer: 844-482-4814
- E-Mail: scri.ddureferrals@scri.com
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Texas
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Houston, Texas, Vereinigte Staaten, 77030
- Rekrutierung
- Oncology Consultants Research (P1 Trials)
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Hauptermittler:
- Julio Peguero, MD
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Kontakt:
- Julio Peguero, MD
- Telefonnummer: 713-600-0071
- E-Mail: jpeguero@oncologyconsultants.com
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Utah
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West Valley City, Utah, Vereinigte Staaten, 84119
- Rekrutierung
- START-Mountain Region
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Hauptermittler:
- José Pacheco, MD
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Kontakt:
- HOPE Team
- Telefonnummer: 801-907-4750
- E-Mail: hopeteam@startresearch.com
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Virginia
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Fairfax, Virginia, Vereinigte Staaten, 22031
- Rekrutierung
- NEXT Virginia
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Hauptermittler:
- Alexander Spira, MD
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Sutton, Vereinigtes Königreich, SM2 5PT
- Rekrutierung
- The Royal Marsden NHS Foundation
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Hauptermittler:
- Anna Minchom, MD
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Pathologically confirmed diagnosis of ALK-positive non-small cell lung cancer (NSCLC)
- Measurable disease per RECIST v1.1
- Adequate bone marrow reserve and organ function
- Part 1: prior treatment with 2 to 3 ALK TKIs [in US only: '2 or more ALK TKIs'], prior treatment with lorlatinib is required but must not have been in the first line
- Part 2 Cohort M1: prior treatment with 2 to 3 ALK TKIs, prior treatment with lorlatinib is required but must not have been in the first line, prior treatment with neladalkib is excluded
- Part 2 Cohort M2: prior treatment with more than 3 ALK TKIs, prior treatment with lorlatinib and neladalkib is required but neither may have been in the first line
- Part 2 Cohort M3: participants without prior ALK TKI treatment
Exclusion Criteria:
- Participant's cancer has any additional driver alterations known to be a mechanism of resistance to ALK TKIs
- For participants with central nervous system (CNS) metastases or spinal cord compression, they must not be associated with progressive neurological symptoms or require increasing doses of corticosteroids to control the CNS disease
- Ongoing treatment with another anticancer treatment or investigational agent
- Known allergy/hypersensitivity to TRI-611 or any of its ingredients
- Major surgery within 4 weeks of receiving the first dose of TRI-611
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Sequenzielle Zuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Part 1: Dose Escalation and Backfill
Prior treatment with 2 to 3 ALK TKIs, prior treatment with lorlatinib is required but must not have been in the first line |
oral ALK molecular glue degrader |
|
Experimental: Part 2: Cohort M1
Prior treatment with ALK TKIs, including lorlatinib. Prior treatment with neladalkib is excluded |
oral ALK molecular glue degrader |
|
Experimental: Part 2: Cohort M2
Prior treatment with ALK TKIs, including lorlatinib. Prior treatment with neladalkib is required |
oral ALK molecular glue degrader |
|
Experimental: Part 2: Cohort M3
Participants without prior ALK TKI treatment |
oral ALK molecular glue degrader |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Part 1: Treatment emergent adverse events
Zeitfenster: Within 28 days of the first TRI-611 dose
|
Treatment emergent adverse events (TEAEs) |
Within 28 days of the first TRI-611 dose
|
|
Part 2: Objective response rate (ORR)
Zeitfenster: Approximately 16 weeks after the last participant dosed in Part 2
|
Determine the objective response rate (ORR) based on RECIST v1.1 |
Approximately 16 weeks after the last participant dosed in Part 2
|
|
Part 2: Depth of response (DofR)
Zeitfenster: Approximately 16 weeks after the last participant dosed in Part 2
|
Defined as the greatest percentage reduction in the sum of diameters of target lesions from baseline |
Approximately 16 weeks after the last participant dosed in Part 2
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Part 1: Half-life (t1/2) of TRI-611
Zeitfenster: Pre-dose and up to 24 hours post-dose
|
Determine the t1/2 of TRI-611 |
Pre-dose and up to 24 hours post-dose
|
|
Part 1: Area under the curve (AUC) of TRI-611
Zeitfenster: Pre-dose and up to 24 hours post-dose
|
Determine the AUC of TRI-611 |
Pre-dose and up to 24 hours post-dose
|
|
Part 1: Maximum plasma concentration (Cmax) of TRI-611
Zeitfenster: Pre-dose and up to 24 hours post-dose
|
Determine the Cmax of TRI-611 |
Pre-dose and up to 24 hours post-dose
|
|
Part 1: Minimum plasma concentration (Cmin) of TRI-611
Zeitfenster: Pre-dose and up to 24 hours post-dose
|
Determine the Cmin of TRI-611 |
Pre-dose and up to 24 hours post-dose
|
|
Part 1: ORR
Zeitfenster: Approximately 16 weeks after the last participant dosed in Part 1
|
Determine the ORR based on RECIST v1.1 |
Approximately 16 weeks after the last participant dosed in Part 1
|
|
Part 1: DofR
Zeitfenster: Approximately 16 weeks after the last participant dosed in Part 1
|
Defined as the greatest percentage reduction in the sum of diameters of target lesions from baseline |
Approximately 16 weeks after the last participant dosed in Part 1
|
|
Parts 1&2: Duration of response (DOR)
Zeitfenster: Approximately 5 years after the last participant is dosed with TRI-611
|
Determine the DOR based on RECIST v1.1 |
Approximately 5 years after the last participant is dosed with TRI-611
|
|
Parts 1&2: Disease control rate (DCR)
Zeitfenster: Approximately 16 weeks after the last participant dosed
|
Defined as the number and percentage of participants who have achieved a response or stable disease based on RECIST v1.1 |
Approximately 16 weeks after the last participant dosed
|
|
Parts 1&2: Clinical Benefit Rate (CBR)
Zeitfenster: Approximately 9 months after the last participant is dosed
|
Defined as the number and percentage of participants who have achieved a response or stable disease based on RECIST v1.1 maintained for a minimum of 6 months |
Approximately 9 months after the last participant is dosed
|
|
Parts 1&2: Progression-free survival (PFS)
Zeitfenster: Approximately 5 years after the last participant is dosed with TRI-611
|
Determine PFS based on RECIST v1.1 |
Approximately 5 years after the last participant is dosed with TRI-611
|
|
Parts 1&2: Overall survival (OS)
Zeitfenster: Approximately 5 years after the last participant is dosed with TRI-611
|
Determine OS based on RECIST v1.1 |
Approximately 5 years after the last participant is dosed with TRI-611
|
|
Parts 1&2: Central Nervous System (CNS) objective response rate (ORR)
Zeitfenster: Approximately 16 weeks after the last participant dosed
|
Determine CNS ORR based on modified RECIST (mRECIST v1.1) in participants with CNS metastasis at baseline |
Approximately 16 weeks after the last participant dosed
|
|
Parts 1&2: CNS duration of response (DOR)
Zeitfenster: Approximately 5 years after the last participant is dosed with TRI-611
|
Determine CNS DOR based on mRECIST v1.1 in participants with CNS metastasis at baseline |
Approximately 5 years after the last participant is dosed with TRI-611
|
|
Parts 1&2: Time to intracranial progression (TTP)
Zeitfenster: Approximately 5 years after the last participant is dosed with TRI-611
|
Defined as the time to the date of the first documentation of objective progression of intracranial disease |
Approximately 5 years after the last participant is dosed with TRI-611
|
|
Part 1: Profile changes in tumor ALK-fusion protein levels
Zeitfenster: Approximately 14 days after the last dose of participants in Part 1 that have consented to on-treatment biopsies
|
Assessing treatment-induced modulation of ALK expression only in participants consenting to on-treatment biopsies |
Approximately 14 days after the last dose of participants in Part 1 that have consented to on-treatment biopsies
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- TRI-611-101
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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