EGFR 및/또는 HER2 돌연변이가 있는 국소 진행성 또는 전이성 NSCLC 대상자를 대상으로 한 BH-30643에 대한 연구 (SOLARA)
EGFR 및/또는 HER2 돌연변이가 있는 국소 진행성 또는 전이성 NSCLC 환자를 대상으로 한 BH-30643의 안전성, 내약성, 약동학 및 항종양 활성에 대한 공개 라벨, 다기관, 최초 인간 대상 연구(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.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
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.
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 2 단계
- 1단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Sponsor Contact
- 전화번호: (858) 732-3880
- 이메일: clinicaltrials@bhtherapeutics.com
연구 장소
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Taichung, 대만, 407219
- 모병
- Taichung Veterans General Hospital
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Taipei, 대만
- 모병
- National Taiwan University Hospital
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Taipei, 대만
- 모병
- National Taiwan University Cancer Center
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Seoul, 대한민국, 05505
- 모병
- Asan Medical Center
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Seoul, 대한민국, 03080
- 모병
- Seoul National University Hospital
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Seoul, 대한민국, 06351
- 모병
- Samsung Medical Center
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Sarawak
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Kuching, Sarawak, 말레이시아, 93586
- 모병
- Sarawak General Hospital
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Arizona
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Phoenix, Arizona, 미국, 85054
- 모병
- Mayo Clinic Hospital - Arizona
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California
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Irvine, California, 미국, 92697
- 모병
- The Regents of the University of California - Irvine, CA Campus
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La Jolla, California, 미국, 92093
- 모병
- UC San Diego Moores Cancer Center
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Los Angeles, California, 미국, 90048
- 모병
- Cedars-Sinai Cancer at Cedars Sinai Medical Center
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Sacramento, California, 미국, 95817
- 모병
- University of California, Davis Comprehensive Cancer Center
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Stanford, California, 미국, 94305
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- Stanford University Medical Center
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Connecticut
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New Haven, Connecticut, 미국, 06520
- 모병
- Yale University - Cancer Center
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District of Columbia
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Washington D.C., District of Columbia, 미국, 20007
- 모병
- Georgetown University Medical Center
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Florida
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Jacksonville, Florida, 미국, 32224
- 모병
- Mayo Clinic - Florida
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Orlando, Florida, 미국, 32827
- 모병
- Sarah Cancer Research Institution - Florida Cancer Specialist
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Tampa, Florida, 미국, 33612
- 모병
- Moffitt Cancer Center
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Illinois
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Chicago, Illinois, 미국, 60611
- 모병
- Northwestern Medicine - Northwestern Memorial Hospital Galter Pavilion
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Massachusetts
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Boston, Massachusetts, 미국, 02215
- 모병
- Dana-Farber Cancer Institute
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Boston, Massachusetts, 미국, 02215
- 모병
- Beth Israel Deaconess Medical Center
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Boston, Massachusetts, 미국, 02214
- 모병
- Massachusetts General Hospital
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Michigan
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Detroit, Michigan, 미국, 48202
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- Henry Ford Health
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Minnesota
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Rochester, Minnesota, 미국, 55905
- 모병
- Mayo Clinic Hospital - Rochester, MN
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New York
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New York, New York, 미국, 10065
- 모병
- Memorial Sloan Kettering Cancer Center
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New York, New York, 미국, 10016
- 모병
- Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
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North Carolina
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Durham, North Carolina, 미국, 27710
- 모병
- Duke Cancer Institute
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Pennsylvania
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Philadelphia, Pennsylvania, 미국, 19107
- 모병
- Thomas Jefferson University, Sidney Kimmel Cancer Center
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Tennessee
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Nashville, Tennessee, 미국, 37203
- 모병
- Sarah Cannon Research Institute, LLC
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Texas
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Houston, Texas, 미국, 77030
- 모병
- The University of Texas - M.D. Anderson Cancer Center
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Virginia
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Fairfax, Virginia, 미국, 22031
- 모병
- NEXT Virginia
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Washington
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Seattle, Washington, 미국, 98109
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- Fred Hutchinson Cancer Center
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Kent Ridge, 싱가포르, 119074
- 모병
- National University Hospital
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Singapore, 싱가포르, 168583
- 모병
- National Cancer Centre - Singapore
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Chiba
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Kashiwa, Chiba, 일본, 227-8577
- 모병
- National Cancer Center Hospital East
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Osaka
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Osakasayama-shi, Osaka, 일본
- 모병
- Kindai University Hospital
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Tokyo
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Tsukiji, Tokyo, 일본
- 모병
- National Cancer Center Hospital
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Alberta
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Edmonton, Alberta, 캐나다, T6G1Z2
- 모병
- Cross Cancer Institute
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Ontario
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Toronto, Ontario, 캐나다, M5G 2C4
- 모병
- Princess Margaret Cancer Centre
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Victoria
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Heidelberg, Victoria, 호주, 3084
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- Austin Health
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Melbourne, Victoria, 호주, 3000
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- Peter MacCallum Cancer Centre
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Hong Kong, 홍콩
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- Queen Mary Hospital
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New Territories
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Shatin, New Territories, 홍콩
- 모병
- Prince of Wales Hospital
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
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≥ 18 years or legal adult.
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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.
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Has at least 1 measurable target extracranial lesion according to RECIST v1.1.
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Eastern Cooperative Oncology Group Performance Status ≤ 1.
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Has a life expectancy of ≥ 3 months.
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Has adequate hematologic, hepatic, and renal function.
- The above are a summary; other Inclusion Criteria details may apply.
Exclusion Criteria:
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History of any concurrent malignancy within the previous 2 years.
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Known other oncogenic driver alterations (eg, moderate or high MET amplification) or histological transformation (eg, to small cell carcinoma, etc.).
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Unresolved toxicities from prior therapies.
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Any significant and uncontrolled medical condition, such as infection.
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Active or history of interstitial lung disease from any cause
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Clinically significant cardiovascular event within 6 months or significant history of major organ.
- The above are a summary; other Exclusion Criteria details may apply.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
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실험적: Phase 1 Monotherapy Dose Escalation and Expansion
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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 |
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실험적: Phase 1 Combination Dose Escalation and Expansion
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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 |
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실험적: 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 |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Dose-limiting toxicities (DLTs) (Phase 1, Dose Escalation)
기간: Within the first 21 days of the first dose of BH-30643.
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Assess dose-limiting toxicities (DLTs) as defined in the study protocol. |
Within the first 21 days of the first dose of BH-30643.
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Recommended Phase 2 dose (RP2D) (Phase 1, Dose Expansion/Optimization)
기간: Within 21 days of last participant dosed during Dose Expansion/Optimization.
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Determine the RP2D for Phase 2. |
Within 21 days of last participant dosed during Dose Expansion/Optimization.
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Objective Response Rate (ORR) (Phase 2)
기간: Approximately 3 years after the first participant dosed.
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Determine ORR as assessed by Blinded Independent Central Review (BICR). |
Approximately 3 years after the first participant dosed.
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2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Safety
기간: From enrollment through study completion, approximately 48 months.
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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.
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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).
기간: Predose and up to 24 hours postdose.
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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.
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Maximum observed plasma concentration (Cmax) of BH-30643 for Single dose (Phase 1).
기간: Predose and up to 24 hours postdose.
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Determine maximum observed plasma concentration (Cmax) of BH-30643. |
Predose and up to 24 hours postdose.
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Time to reach Cmax (Tmax) of BH-30643 for Single dose (Phase 1).
기간: Predose and up to 24 hours postdose.
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Determine time to reach Cmax (Tmax) of BH-30643. |
Predose and up to 24 hours postdose.
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Area under the plasma concentration-time curve at steady state (AUCss) of BH-30643 for multiple doses (Phase 1) at steady state.
기간: Predose and up to 24 hours postdose.
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Determine area under the plasma concentration-time curve at steady state (AUCss) of BH-30643. |
Predose and up to 24 hours postdose.
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Objective Response Rate (ORR)
기간: 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).
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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).
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Disease Control Rate (DCR)
기간: 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).
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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).
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Time to Tumor Response (TTR)
기간: 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).
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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).
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Duration of Response (DOR)
기간: 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)
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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)
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Progression-free Survival (PFS)
기간: 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).
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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).
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Overall Survival
기간: 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).
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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).
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ERTC-QLC-C30
기간: From enrollment until the end of treatment, up till patient discontinue from treatment due to any reason (up to approximately 4 years).
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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).
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NSCLC-SAQ
기간: From enrollment until the end of treatment, up till patient discontinues treatment for any reason (up to approximately 4 years).
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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).
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
- NSCLC
- EGFR
- 비소세포폐암
- 티로신 키나제 억제제
- TKI
- EGFR 돌연변이
- T790M
- 전이성 NSCLC
- HER2 돌연변이
- EGFR 키나아제 도메인 돌연변이
- G719X
- S768I
- E709X
- L747X
- 국소적으로 진행된 NSCLC
- Ex19델
- L858R
- EGFR 활성화 돌연변이
- C797S
- EGFR 저항성 돌연변이
- EGFR 고전적 돌연변이
- EGFR 비정형 돌연변이
- EGFR 엑손20 삽입
- EGFR 흔하지 않은 돌연변이
- BH-30643
- OMNI-EGFR
- EGFR 흔한 돌연변이
- EGFR 결실 E746_A750
- 엑손 19 결실
- C797G
- C797X
- G724X
- L718V
- L718X
- L861Q
- S768X
- 엑손 19 삽입
- L833X
- L861X
- V769X
- V834X
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- BH-30643-01
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .