- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07710612
A Phase 2 Study of ABSK043 Combined With Osimertinib
A Phase 2, Open-Label Study to Evaluate the Efficacy and Safety of ABSK043 Combined With Osimertinib in Participants With EGFR-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer
Tutkimuksen yleiskatsaus
Tila
Interventio / Hoito
Yksityiskohtainen kuvaus
This is an open-label study with an escalation part and an expansion part. The dose escalation part will evaluate the safety, tolerability of ABSK043 in combination with Osimertinib in previously treated participants with EGFR-mutated and PD-L1 positive locally advanced or metastatic NSCLC. The expansion part will evaluate the efficacy of ABSK043 in combination with Osimertinib as first-line treatment for participants with EGFR-mutated and PD-L1 positive locally advanced or metastatic NSCLC at the one or more recommended dose(s). The safety, tolerability, and PK profile of ABSK043 in combination with Osimertinib will also be further evaluated.
Escalation Part:
The escalation part includes dose escalation cohorts and backfill cohort(s), enrolling a sufficient number with previously treated participants with EGFR-mutated and PD-L1 positive locally advanced or metastatic NSCLC.
Expansion Part:
The expansion part will enroll a sufficient number with treatment-naïve participants with locally advanced or metastatic NSCLC harboring the EGFR mutation and PD-L1 positive expression.
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Vaihe 2
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Zan Chen
- Puhelinnumero: +8613816094024
- Sähköposti: zan.chen@abbisko.com
Opiskelupaikat
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Hangzhou, Kiina
- The First Affiliated Hospital, Zhejiang University School of Medicine
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Päätutkija:
- Jianying Zhou, Doctor
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Ottaa yhteyttä:
- Jianying Zhou, Doctor
- Puhelinnumero: +86571-87236876
- Sähköposti: drzjy@163.com
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Guangdong
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Guangzhou, Guangdong, Kiina
- The First Affiliated Hospital, Sun Yat-sen University
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Ottaa yhteyttä:
- Kejing Tang, Doctor
- Puhelinnumero: +8620-87755766
- Sähköposti: tangkejing@163.com
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Päätutkija:
- Kejing Tang, Doctor
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Heilongjiang
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Harbin, Heilongjiang, Kiina
- Harbin Medical University Cancer Hospital
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Ottaa yhteyttä:
- Yanbin Zhao, Doctor
- Puhelinnumero: +8613904811741 +86451-86298000
- Sähköposti: zhaoyb_gcp@126.com
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Päätutkija:
- Yanbin Zhao, Doctor
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Hubei
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Wuhan, Hubei, Kiina, 430022
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
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Päätutkija:
- Xiaorong Dong, Doctor
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Ottaa yhteyttä:
- Xiaorong Dong, Doctor
- Puhelinnumero: +8613986252286 +8627-85728022
- Sähköposti: xhzzdxr@126.com
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Liaoning
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Shenyang, Liaoning, Kiina, 110001
- The First Hospital of China Medical University
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Ottaa yhteyttä:
- Mingfang Zhao, Doctor
- Puhelinnumero: +8613644055129 +8624-83282888
- Sähköposti: zhaomf618@126.com
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Päätutkija:
- Mingfang Zhao, Doctor
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Kiina
- Shanghai Chest Hospital
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Päätutkija:
- Shun Lu, Doctor
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Ottaa yhteyttä:
- Shun Lu, Doctor
- Puhelinnumero: +8613601813062 +8621-62821990
- Sähköposti: shunlu_shchest@sina.com
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Shanxi
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Taiyuan, Shanxi, Kiina, 030013
- Shanxi Provincial Cancer Hospital
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Ottaa yhteyttä:
- Wei Guo, Doctor
- Puhelinnumero: +86351-4881611
- Sähköposti: guowei812@126.com
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Päätutkija:
- Wei Guo, Doctor
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Inclusion Criteria:
- Aged 18 or above, male or female.
- Participants must understand and voluntarily participate in this study and must have been provided informed consent for study participation.
- NSNLC confirmed by tissue or cytological pathology. NSCLC with a mixed histology is eligible, if adenocarcinoma is the predominant histology.
- Diagnosed locally advanced or metastatic NSCLC
Different requirements for specific cohort:
Dose escalation and backfill cohorts:
- Participants with disease in the adjuvant setting, post chemoradiotherapy setting, locally advanced stage or metastatic stage, who have received at least one prior line of third-generation EGFR-TKI-based monotherapy or combination therapy and experienced disease progression.
- Participants must have received ≥2 prior lines of frontline systemic therapy.
- Documented or central laboratory test report confirms that the tumor is PD-L1 expression positive (TPS/TC≥1%).
- Documented genetic testing report confirms the presence of EGFR alteration(s) in tumor or plasma.
Expansion cohort(s):
- Participants must not have received any other prior systemic cancer therapies in the locally advanced/metastatic setting for locally advanced or metastatic disease.
- Central laboratory test report confirms that the tumor is PD-L1 expression positive (TPS/TC≥1%).
- Documented genetic testing reports confirm the presence of EGFR
- Presence of at least one measurable tumor lesion
- ECOG score 0-1 at screening.
- The expected life expectancy after the first dose is >12 weeks.
Exclusion Criteria:
1. Histological or cytological examinations suggest that NSCLC squamous cells is the predominant histology, or contains small cell lung cancer, neuroendocrine carcinoma, etc.
2. Has a history of interstitial lung disease (ILD)/pneumonitis or active ILD 3. Spinal cord compression and unstable brain metastases. 4.Any unresolved toxicities from prior systemic therapy greater than CTCAE v6.0 Grade 1 at the time of starting study treatment.
5. Participants with obvious and unstable pleural effusion, peritoneal effusion or pericardial effusion .
6. Has a history of other malignant tumors, or currently have other malignant tumors.
7. Participants with known HIV infection.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Yksittäinen ryhmätehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
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Kokeellinen: ABSK043 in combination with Osimertinib
This is an open-label phase 2 study with an escalation part and an expansion part.
|
Three potential dose levels of ABSK043 are prespecified, and Osimertinib will be administered orally at a fixed dose of 80 mg QD in escalation cohort. Patients in dose confirmation cohort and dose expansion cohort will receive the recommended dose in dose escalation cohort and be evaluated for safety and preliminary anti-tumor activity of the combination therapy. |
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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- Incidence of dose-limiting toxicity (DLT)
Aikaikkuna: At the end of Cycle 1 (each cycle is 21 days)
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Escalation Part
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At the end of Cycle 1 (each cycle is 21 days)
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Adverse events(AEs)
Aikaikkuna: From the time the patient signs the informed consent form throughout the study and up to 30 days (± 7 days) after the last dose of ABSK043 or Osimertinib, up to 30 months.
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Escalation Part
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From the time the patient signs the informed consent form throughout the study and up to 30 days (± 7 days) after the last dose of ABSK043 or Osimertinib, up to 30 months.
|
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Serious adverse events (SAEs)
Aikaikkuna: From the time the patient signs the informed consent form throughout the study and up to 30 days (± 7 days) after the last dose of ABSK043 or Osimertinib, up to 30 months.
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Escalation Part
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From the time the patient signs the informed consent form throughout the study and up to 30 days (± 7 days) after the last dose of ABSK043 or Osimertinib, up to 30 months.
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Adverse events of special interest (AESIs)
Aikaikkuna: From the time the patient signs the informed consent form throughout the study and up to 30 days (± 7 days) after the last dose of ABSK043 or Osimertinib, up to 30 months.
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Escalation Part
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From the time the patient signs the informed consent form throughout the study and up to 30 days (± 7 days) after the last dose of ABSK043 or Osimertinib, up to 30 months.
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Progression-free survival at 12 month
Aikaikkuna: From the time patients receive the first dose of study drug to 12 months,assessed up to 5 years.
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Expansion Part
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From the time patients receive the first dose of study drug to 12 months,assessed up to 5 years.
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Maximum observed concentration(Cmax)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Area under the concentration-time curve area under the concentration-time curve area under the concentration-time curve (AUC)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Elimination half-life(t1/2)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Apparent volume of distribution(Vz/F)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Apparent oral clearance(CL/F)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Maximum observed concentration after multiple doses(Cmax,ss)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Minimum observed concentration after multiple doses(Cmin,ss)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Area under the concentration-time curve after multiple doses(AUCtau,ss)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Accumulation ratio(AR)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Time to maximum observed concentration(tmax)
Aikaikkuna: From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Escalation Part
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From the date of enrolment #Cycle1 Day1 to EOT visit and assessed up to 10 months.
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Progression-Free Survival (PFS)
Aikaikkuna: From treatment start up to 5 years
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Escalation Part
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From treatment start up to 5 years
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Objective response rate (ORR)
Aikaikkuna: From treatment start up to 5 years
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Defined as the proportion of participants achieving confirmed complete response (CR) or partial response (PR), as assessed by the investigator according to RECIST v1.1.
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From treatment start up to 5 years
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Duration of response (DOR)
Aikaikkuna: From treatment start up to 5 years
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Defined as the time (months) from the first documented objective response to the investigator-assessed radiographic disease progression (PD) according to RECIST v1.1 or death from any cause, whichever occurs first.
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From treatment start up to 5 years
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Disease control rate (DCR)
Aikaikkuna: From treatment start up to 5 years
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Defined as the proportion of participants achieving confirmed complete remission (CR) or partial remission (PR), or stable disease (SD), as assessed by the investigator according to RECIST v1.1.
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From treatment start up to 5 years
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Time to progression (TTP)
Aikaikkuna: From treatment start up to 5 years
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Defined as the time (months) from the first dose of study drug until the onset of radiographic disease progression (PD) as assessed by the investigator according to RECIST v1.1.
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From treatment start up to 5 years
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Overall survival (OS)
Aikaikkuna: From treatment start up to 7 years
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Defined as the time (months) from the first administration of study drug to death due to any cause.
|
From treatment start up to 7 years
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Yhteistyökumppanit ja tutkijat
Sponsori
Yhteistyökumppanit
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- ABSK043-203
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