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

17 stycznia 2021 zaktualizowane przez: 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).

Przegląd badań

Status

Zakończony

Interwencja / Leczenie

Szczegółowy opis

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).

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

162

Faza

  • Faza 2

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

      • 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
      • Cebu, Filipiny
        • Research Site
    • Kalakhang Maynila
      • Makati, Kalakhang Maynila, Filipiny
        • Research Site
    • Manila
      • Pasig, Manila, Filipiny
        • Research Site
    • Metro Manila
      • Manila, Metro Manila, Filipiny
        • Research Site 2
      • Manila, Metro Manila, Filipiny
        • Research Site
      • Barcelona, Hiszpania
        • Research Site
      • Barcelona, Hiszpania
        • Research Site 2
      • Barcelona, Hiszpania
        • Research Site 3
      • Barcelona, Hiszpania
        • Research Site 4
      • La Coruna, Hiszpania
        • Research Site
      • Madrid, Hiszpania
        • Research Site
      • Madrid, Hiszpania
        • Research Site 2
      • Navarra, Hiszpania
        • Research Site
      • San Sebastian, Hiszpania
        • Research Site
      • Valencia, Hiszpania
        • Research Site
      • Valencia, Hiszpania
        • Research Site 2
      • Toronto, Kanada
        • Research Site
      • Kuala Lumpur, Malezja
        • Research Site
      • Kuantan, Malezja
        • Research Site
      • Kuching, Malezja
        • Research Site
    • Penang
      • George Town, Penang, Malezja
        • Research Site
      • Berlin, Niemcy
        • Research Site
      • Homburg, Niemcy
        • Research Site
      • Leipzig, Niemcy
        • Research Site
      • München, Niemcy
        • Research Site
      • Ulm, Niemcy
        • Research Site
      • Cheongju-si, Republika Korei
        • Research Site
      • Goyang-si, Republika Korei
        • Research Site
      • Hwasun, Republika Korei
        • Research Site
      • Incheon, Republika Korei
        • Research Site
      • Seongnam-si, Republika Korei
        • Research Site 2
      • Seongnam-si, Republika Korei
        • Research Site
      • Seoul, Republika Korei
        • Research Site
      • Seoul, Republika Korei
        • Research Site 2
      • Seoul, Republika Korei
        • Research Site 3
      • Seoul, Republika Korei
        • Research Site 4
      • Seoul, Republika Korei
        • Research Site 5
      • Seoul, Republika Korei
        • Research Site 6
      • Seoul, Republika Korei
        • Research Site 7
      • Seoul, Republika Korei
        • Research Site 8
    • California
      • Beverly Hills, California, Stany Zjednoczone
        • Research Site
      • Burbank, California, Stany Zjednoczone
        • Research Site
      • Los Angeles, California, Stany Zjednoczone
        • Research Site
      • Los Angeles, California, Stany Zjednoczone
        • Research Site 2
      • Montebello, California, Stany Zjednoczone
        • Research Site
      • Orange, California, Stany Zjednoczone
        • Research Site
      • San Diego, California, Stany Zjednoczone
        • Research Site
    • Florida
      • Boca Raton, Florida, Stany Zjednoczone
        • Research Site
    • Hawaii
      • Honolulu, Hawaii, Stany Zjednoczone
        • Research Site
    • Illinois
      • Evanston, Illinois, Stany Zjednoczone
        • Research Site
    • Maryland
      • Bethesda, Maryland, Stany Zjednoczone
        • Research Site
    • Massachusetts
      • Boston, Massachusetts, Stany Zjednoczone
        • Research Site
    • New Hampshire
      • Lebanon, New Hampshire, Stany Zjednoczone
        • Research Site
    • North Carolina
      • Charlotte, North Carolina, Stany Zjednoczone
        • Research Site
    • Washington
      • Washington, Washington, Stany Zjednoczone
        • Research Site
      • Kaohsiung, Tajwan
        • Research Site
      • Taichung, Tajwan
        • Research Site
      • Tainan, Tajwan
        • Research Site
      • Tainan, Tajwan
        • Research Site 2
      • Taipei, Tajwan
        • Research Site
      • Taipei, Tajwan
        • Research Site 2
      • Bergamo, Włochy
        • Research Site
      • Bologna, Włochy
        • Research Site
      • Catania, Włochy
        • Research Site
      • Milano, Włochy
        • Research Site
      • Rome, Włochy
        • Research Site

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

20 lat i starsze (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Wszystko

Opis

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 studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Nie dotyczy
  • Model interwencyjny: Zadanie dla jednej grupy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: HM61713
HM61713 800 mg (2 x 400 mg tablets) once daily (QD)
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.
Inne nazwy:
  • Olmutynib

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Objective response rate (ORR)
Ramy czasowe: 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

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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)
Ramy czasowe: 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)
Ramy czasowe: 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).
Ramy czasowe: 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.
Ramy czasowe: 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

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Śledczy

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

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

31 sierpnia 2015

Zakończenie podstawowe (Rzeczywisty)

8 grudnia 2020

Ukończenie studiów (Rzeczywisty)

8 grudnia 2020

Daty rejestracji na studia

Pierwszy przesłany

22 czerwca 2015

Pierwszy przesłany, który spełnia kryteria kontroli jakości

25 czerwca 2015

Pierwszy wysłany (Oszacować)

30 czerwca 2015

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

22 stycznia 2021

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

17 stycznia 2021

Ostatnia weryfikacja

1 stycznia 2021

Więcej informacji

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

Badania kliniczne na Niedrobnokomórkowego raka płuca

Badania kliniczne na HM61713

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