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Phase II Trial of HM61713 for the Treatment of ≥2nd Line T790M Mutation Positive Adenocarcinoma of the Lung

17 de enero de 2021 actualizado por: Hanmi Pharmaceutical Company Limited

A Single Arm, Open-label, Phase 2 Study Evaluating the Efficacy, Safety and PK of HM61713 in Patients With T790M-positive NSCLC After Treatment With an Epidermal Growth Factor Receptor-tyrosine Kinase Inhibitor

The purpose of this study is to evaluate the efficacy, safety and pharmacokinetics of HM61713 in patients with T790M-positive non-small cell lung cancer (NSCLC) after treatment with an epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI).

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Descripción detallada

This is a single-arm, open-label, Phase 2 study to assess the anti-tumor efficacy of oral single agent HM61713 administered to patients with T790M-positive NSCLC after treatment with an EGFR-TKI as measured by objective response rate (ORR).

Tipo de estudio

Intervencionista

Inscripción (Actual)

162

Fase

  • Fase 2

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • Alemania
      • Berlin, Alemania
        • Research Site
      • Homburg, Alemania
        • Research Site
      • Leipzig, Alemania
        • Research Site
      • München, Alemania
        • Research Site
      • Ulm, Alemania
        • Research Site
  • Australia
      • Darlinghurst, Australia
        • Research Site
      • Fitzroy, Australia
        • Research Site
      • Frankston, Australia
        • Research Site
      • Kogarah, Australia
        • Research Site
      • St Albans, Australia
        • Research Site
      • Woolloongabba, Australia
        • Research Site
  • Canadá
      • Toronto, Canadá
        • Research Site
  • Corea, república de
      • Cheongju-si, Corea, república de
        • Research Site
      • Goyang-si, Corea, república de
        • Research Site
      • Hwasun, Corea, república de
        • Research Site
      • Incheon, Corea, república de
        • Research Site
      • Seongnam-si, Corea, república de
        • Research Site 2
      • Seongnam-si, Corea, república de
        • Research Site
      • Seoul, Corea, república de
        • Research Site
      • Seoul, Corea, república de
        • Research Site 2
      • Seoul, Corea, república de
        • Research Site 3
      • Seoul, Corea, república de
        • Research Site 4
      • Seoul, Corea, república de
        • Research Site 5
      • Seoul, Corea, república de
        • Research Site 6
      • Seoul, Corea, república de
        • Research Site 7
      • Seoul, Corea, república de
        • Research Site 8
  • España
      • Barcelona, España
        • Research Site
      • Barcelona, España
        • Research Site 2
      • Barcelona, España
        • Research Site 3
      • Barcelona, España
        • Research Site 4
      • La Coruna, España
        • Research Site
      • Madrid, España
        • Research Site
      • Madrid, España
        • Research Site 2
      • Navarra, España
        • Research Site
      • San Sebastian, España
        • Research Site
      • Valencia, España
        • Research Site
      • Valencia, España
        • Research Site 2
  • Estados Unidos
    • California
      • Beverly Hills, California, Estados Unidos
        • Research Site
      • Burbank, California, Estados Unidos
        • Research Site
      • Los Angeles, California, Estados Unidos
        • Research Site
      • Los Angeles, California, Estados Unidos
        • Research Site 2
      • Montebello, California, Estados Unidos
        • Research Site
      • Orange, California, Estados Unidos
        • Research Site
      • San Diego, California, Estados Unidos
        • Research Site
    • Florida
      • Boca Raton, Florida, Estados Unidos
        • Research Site
    • Hawaii
      • Honolulu, Hawaii, Estados Unidos
        • Research Site
    • Illinois
      • Evanston, Illinois, Estados Unidos
        • Research Site
    • Maryland
      • Bethesda, Maryland, Estados Unidos
        • Research Site
    • Massachusetts
      • Boston, Massachusetts, Estados Unidos
        • Research Site
    • New Hampshire
      • Lebanon, New Hampshire, Estados Unidos
        • Research Site
    • North Carolina
      • Charlotte, North Carolina, Estados Unidos
        • Research Site
    • Washington
      • Washington, Washington, Estados Unidos
        • Research Site
  • Filipinas
      • Cebu, Filipinas
        • Research Site
    • Kalakhang Maynila
      • Makati, Kalakhang Maynila, Filipinas
        • Research Site
    • Manila
      • Pasig, Manila, Filipinas
        • Research Site
    • Metro Manila
      • Manila, Metro Manila, Filipinas
        • Research Site 2
      • Manila, Metro Manila, Filipinas
        • Research Site
  • Italia
      • Bergamo, Italia
        • Research Site
      • Bologna, Italia
        • Research Site
      • Catania, Italia
        • Research Site
      • Milano, Italia
        • Research Site
      • Rome, Italia
        • Research Site
  • Malasia
      • Kuala Lumpur, Malasia
        • Research Site
      • Kuantan, Malasia
        • Research Site
      • Kuching, Malasia
        • Research Site
    • Penang
      • George Town, Penang, Malasia
        • Research Site
  • Taiwán
      • Kaohsiung, Taiwán
        • Research Site
      • Taichung, Taiwán
        • Research Site
      • Tainan, Taiwán
        • Research Site
      • Tainan, Taiwán
        • Research Site 2
      • Taipei, Taiwán
        • Research Site
      • Taipei, Taiwán
        • Research Site 2

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

20 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Age: at least 20 years of age
  • Cytologically or histologically confirmed adenocarcinoma of locally advanced or metastatic NSCLC which is not amenable to curative surgery or radiotherapy
  • Radiologically confirmed disease progression after at least one line of treatment with an EGFR-TKI
  • At least one documented EGFR mutation which is known to be related with susceptibility to EGFR-TKIs (including G719X, exon 19 deletion, L858R, and L861Q)
  • World Health Organization (WHO) performance score of 0 to 1 with life expectancy of at least 3 months
  • Centrally confirmed T790M mutation positive tumor status from a tumor sample taken after confirmation of disease progression on the most recent anticancer treatment regimen
  • At least one lesion (excluding the brain), not previously irradiated that can be accurately measured per RECIST version 1.1
  • Adequate hematological and biological function
  • Females of child-bearing potential must agree to use adequate contraception and for 3 months after the last dose of study drug
  • Male patients should be documented to be sterile or agree to use barrier contraception
  • Recovery to ≤ Grade 1 or baseline of any toxicities, except for stable sensory neuropathy ≤ Grade 2 and alopecia

Exclusion Criteria:

  • Known history of hypersensitivity to active or inactive excipients of HM61713 or drugs with a similar chemical structure of HM61713
  • Previous treatment with anticancer therapies, EGFR-TKI, HM61713, or other drugs that target T790M-positive mutant EGFR with sparing of wild-type, investigational agent(s) within 28 days prior to the first administration of study drug, radiotherapy
  • Any non-study related significant surgical procedures within the past 28 days prior to the first administration of study drug
  • Spinal cord compression, leptomeningeal carcinomatosis or active symptomatic brain metastases
  • History of any other malignancy
  • Clinically significant uncontrolled condition(s)
  • Active or chronic pancreatitis
  • Anyone with cardiac abnormalities or history
  • Presence or history of ILD, drug-induced ILD, or presence of radiation pneumonitis
  • Pregnant or breast feeding
  • In the opinion of the investigator, the patient is an unsuitable candidate to receive HM61713

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: N / A
  • Modelo Intervencionista: Asignación de un solo grupo
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: HM61713
HM61713 800 mg (2 x 400 mg tablets) once daily (QD)
Droga: HM61713
800 mg QD continuously in 21-day cycles until disease progression determined by investigator assessment per RECIST version 1.1, and as long as, in the investigator"s opinion, they are benefiting from study treatment and they do not meet any of treatment discontinuation criteria.
Otros nombres:
  • Olmutinib

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Objective response rate (ORR)
Periodo de tiempo: At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
To assess the anti-tumor efficacy of HM61713 as measured by objective response rate (ORR).
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Disease control rate (DCR), defined as the proportion of patients with a documented CR, PR, and SD during the treatment cycles according to the RECIST version 1.1
Periodo de tiempo: At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
To assess clinical efficacy of HM61713 regarding disease control rate (DCR).
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Duration of overall tumor response (DR), defined as the interval between the date of the first observation of tumor response (CR or PR) and the date of disease progression or death
Periodo de tiempo: At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
To assess clinical efficacy of HM61713 regarding Duration of overall tumor response (DR).
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Progression-free survival (PFS), defined as the time from first administration of study drug to determination of tumor progression by RECIST version 1.1 or death due to any cause, whichever occurs first
Periodo de tiempo: At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
To assess clinical efficacy of HM61713 regarding Progression-free survival (PFS).
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Overall survival (OS), defined as the time from first administration of study drug until death from any cause
Periodo de tiempo: From first dose to end of study or date of death from any cause whichever came first, assessed up to 48 months
To assess clinical efficacy of HM61713 regarding Overall survival (OS).
From first dose to end of study or date of death from any cause whichever came first, assessed up to 48 months
Time to progression (TTP), defined as the time from first administration of study drug to determination of tumor progression by RECIST version 1.1
Periodo de tiempo: At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
To assess clinical efficacy of HM61713 regarding Time to progression (TTP).
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Tumor shrinkage calculated as absolute change and percentage change from baseline in sum of tumor size at each assessment using RECIST tumor response
Periodo de tiempo: At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
To assess clinical efficacy of HM61713 regarding tumor shrinkage.
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Peak concentration (Cmax) of HM61713
Periodo de tiempo: Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22)
To determine the pharmacokinetic (PK) profile of HM61713.
Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22)
Trough plasma concentration (Ctrough) of HM61713
Periodo de tiempo: Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22)
To determine the pharmacokinetic (PK) profile of HM61713.
Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22)
Area under the plasma concentration time curve over the 24-hour dosing interval (AUC) of HM61713
Periodo de tiempo: Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22)
To determine the pharmacokinetic (PK) profile of HM61713.
Pre-dose (-30 to 0 mins) and 1 hour (± 5 mins), 3, 4, 6 hours (± 10 mins) on Day 1 and Day 15 of Cycle 1 and pre-dose (-30 to 0 mins) only on Day 8 of Cycle 1 and Day 1 of Cycle 2 (Day 22)
Patient reported outcomes (PROs)
Periodo de tiempo: At baseline and every 6 weeks from time of discontinuation, assessed up to 24 months
To assess patient reported outcomes (PROs) of health-related quality of life (HRQoL), disease/treatment-related symptoms of lung cancer, and general health status.
At baseline and every 6 weeks from time of discontinuation, assessed up to 24 months
ECG/QTc (absolute values and change from baseline)
Periodo de tiempo: Adverse events will be collected from baseline until 28 days after the last dose
To evaluate the effect of HM61713 on the QT interval.
Adverse events will be collected from baseline until 28 days after the last dose
Incidence of reported AEs and abnormal laboratory tests (AEs will be assessed using the National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE] version 4).
Periodo de tiempo: Adverse events will be collected from baseline until 28 days after the last dose
To assess the safety and tolerability of HM61713.
Adverse events will be collected from baseline until 28 days after the last dose
QTc interval as assessed by digital ECG with central reading. The QT interval will be rate-corrected using 3 methods: QTcF, QTcB and QTcS.
Periodo de tiempo: Adverse events will be collected from baseline until 28 days after the last dose
To assess the safety and tolerability of HM61713.
Adverse events will be collected from baseline until 28 days after the last dose

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Hanmi Pharmaceutical Company Limited

Investigadores

  • Investigador principal: Keunchil Park, M.D., Ph.D, Sungkyunkwan University, Samsung Medical Center, Seoul, Republic of Korea
  • Investigador principal: Pasi A. Jänne, M.D., Ph.D, Dana-Farber Cancer Institute, Boston, MA, USA

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

31 de agosto de 2015

Finalización primaria (Actual)

8 de diciembre de 2020

Finalización del estudio (Actual)

8 de diciembre de 2020

Fechas de registro del estudio

Enviado por primera vez

22 de junio de 2015

Primero enviado que cumplió con los criterios de control de calidad

25 de junio de 2015

Publicado por primera vez (Estimar)

30 de junio de 2015

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

22 de enero de 2021

Última actualización enviada que cumplió con los criterios de control de calidad

17 de enero de 2021

Última verificación

1 de enero de 2021

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • HM-EMSI-202
  • 2015-001435-21 (Número EudraCT)

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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