Um estudo de BH-30643 em indivíduos com NSCLC localmente avançado ou metastático contendo mutações de EGFR e/ou HER2 (SOLARA)
Um estudo aberto, multicêntrico e primeiro em humanos de fase 1/2 sobre segurança, tolerabilidade, farmacocinética e atividade antitumoral de BH-30643 em indivíduos com NSCLC localmente avançado ou metastático contendo mutações de EGFR e/ou HER2 (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.
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Descrição detalhada
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.
Tipo de estudo
Tipo de estudo
Inscrição (Estimado)
Inscrição
Estágio
Estágio
- Fase 2
- Fase 1
Contactos e Locais
Contato de estudo
Contato de estudo
- Nome: Sponsor Contact
- Número de telefone: (858) 732-3880
- E-mail: clinicaltrials@bhtherapeutics.com
Locais de estudo
-
-
Victoria
-
Heidelberg, Victoria, Austrália, 3084
- Recrutamento
- Austin Health
-
Melbourne, Victoria, Austrália, 3000
- Recrutamento
- Peter MacCallum Cancer Centre
-
-
-
-
Alberta
-
Edmonton, Alberta, Canadá, T6G1Z2
- Recrutamento
- Cross Cancer Institute
-
-
Ontario
-
Toronto, Ontario, Canadá, M5G 2C4
- Recrutamento
- Princess Margaret Cancer Centre
-
-
-
-
-
Kent Ridge, Cingapura, 119074
- Recrutamento
- National University Hospital
-
Singapore, Cingapura, 168583
- Recrutamento
- National Cancer Centre - Singapore
-
-
-
-
-
Seoul, Coréia do Sul, 05505
- Recrutamento
- Asan Medical Center
-
Seoul, Coréia do Sul, 03080
- Recrutamento
- Seoul National University Hospital
-
Seoul, Coréia do Sul, 06351
- Recrutamento
- Samsung Medical Center
-
-
-
-
Arizona
-
Phoenix, Arizona, Estados Unidos, 85054
- Recrutamento
- Mayo Clinic Hospital - Arizona
-
-
California
-
Irvine, California, Estados Unidos, 92697
- Recrutamento
- The Regents of the University of California - Irvine, CA Campus
-
La Jolla, California, Estados Unidos, 92093
- Recrutamento
- UC San Diego Moores Cancer Center
-
Los Angeles, California, Estados Unidos, 90048
- Recrutamento
- Cedars-Sinai Cancer at Cedars Sinai Medical Center
-
Sacramento, California, Estados Unidos, 95817
- Recrutamento
- University of California, Davis Comprehensive Cancer Center
-
Stanford, California, Estados Unidos, 94305
- Recrutamento
- Stanford University Medical Center
-
-
Connecticut
-
New Haven, Connecticut, Estados Unidos, 06520
- Recrutamento
- Yale University - Cancer Center
-
-
District of Columbia
-
Washington D.C., District of Columbia, Estados Unidos, 20007
- Recrutamento
- Georgetown University Medical Center
-
-
Florida
-
Jacksonville, Florida, Estados Unidos, 32224
- Recrutamento
- Mayo Clinic - Florida
-
Orlando, Florida, Estados Unidos, 32827
- Recrutamento
- Sarah Cancer Research Institution - Florida Cancer Specialist
-
Tampa, Florida, Estados Unidos, 33612
- Recrutamento
- Moffitt Cancer Center
-
-
Illinois
-
Chicago, Illinois, Estados Unidos, 60611
- Recrutamento
- Northwestern Medicine - Northwestern Memorial Hospital Galter Pavilion
-
-
Massachusetts
-
Boston, Massachusetts, Estados Unidos, 02215
- Recrutamento
- Dana-Farber Cancer Institute
-
Boston, Massachusetts, Estados Unidos, 02215
- Recrutamento
- Beth Israel Deaconess Medical Center
-
Boston, Massachusetts, Estados Unidos, 02214
- Recrutamento
- Massachusetts General Hospital
-
-
Michigan
-
Detroit, Michigan, Estados Unidos, 48202
- Recrutamento
- Henry Ford Health
-
-
Minnesota
-
Rochester, Minnesota, Estados Unidos, 55905
- Recrutamento
- Mayo Clinic Hospital - Rochester, MN
-
-
New York
-
New York, New York, Estados Unidos, 10065
- Recrutamento
- Memorial Sloan Kettering Cancer Center
-
New York, New York, Estados Unidos, 10016
- Recrutamento
- Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
-
-
North Carolina
-
Durham, North Carolina, Estados Unidos, 27710
- Recrutamento
- Duke Cancer Institute
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Estados Unidos, 19107
- Recrutamento
- Thomas Jefferson University, Sidney Kimmel Cancer Center
-
-
Tennessee
-
Nashville, Tennessee, Estados Unidos, 37203
- Recrutamento
- Sarah Cannon Research Institute, LLC
-
-
Texas
-
Houston, Texas, Estados Unidos, 77030
- Recrutamento
- The University of Texas - M.D. Anderson Cancer Center
-
-
Virginia
-
Fairfax, Virginia, Estados Unidos, 22031
- Recrutamento
- NEXT Virginia
-
-
Washington
-
Seattle, Washington, Estados Unidos, 98109
- Recrutamento
- Fred Hutchinson Cancer Center
-
-
-
-
-
Hong Kong, Hong Kong
- Recrutamento
- Queen Mary Hospital
-
-
New Territories
-
Shatin, New Territories, Hong Kong
- Recrutamento
- Prince of Wales Hospital
-
-
-
-
Chiba
-
Kashiwa, Chiba, Japão, 227-8577
- Recrutamento
- National Cancer Center Hospital East
-
-
Osaka
-
Osakasayama-shi, Osaka, Japão
- Recrutamento
- Kindai University Hospital
-
-
Tokyo
-
Tsukiji, Tokyo, Japão
- Recrutamento
- National Cancer Center Hospital
-
-
-
-
Sarawak
-
Kuching, Sarawak, Malásia, 93586
- Recrutamento
- Sarawak General Hospital
-
-
-
-
-
Taichung, Taiwan, 407219
- Recrutamento
- Taichung Veterans General Hospital
-
Taipei, Taiwan
- Recrutamento
- National Taiwan University Hospital
-
Taipei, Taiwan
- Recrutamento
- National Taiwan University Cancer Center
-
-
Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
-
≥ 18 years or legal adult.
-
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.
-
Has at least 1 measurable target extracranial lesion according to RECIST v1.1.
-
Eastern Cooperative Oncology Group Performance Status ≤ 1.
-
Has a life expectancy of ≥ 3 months.
-
Has adequate hematologic, hepatic, and renal function.
- The above are a summary; other Inclusion Criteria details may apply.
Exclusion Criteria:
-
History of any concurrent malignancy within the previous 2 years.
-
Known other oncogenic driver alterations (eg, moderate or high MET amplification) or histological transformation (eg, to small cell carcinoma, etc.).
-
Unresolved toxicities from prior therapies.
-
Any significant and uncontrolled medical condition, such as infection.
-
Active or history of interstitial lung disease from any cause
-
Clinically significant cardiovascular event within 6 months or significant history of major organ.
- The above are a summary; other Exclusion Criteria details may apply.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Não randomizado
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
|---|---|
|
Experimental: Phase 1 Monotherapy Dose Escalation and Expansion
|
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 |
|
Experimental: Phase 1 Combination Dose Escalation and Expansion
|
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 |
|
Experimental: 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 |
O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Dose-limiting toxicities (DLTs) (Phase 1, Dose Escalation)
Prazo: Within the first 21 days of the first dose of BH-30643.
|
Assess dose-limiting toxicities (DLTs) as defined in the study protocol. |
Within the first 21 days of the first dose of BH-30643.
|
|
Recommended Phase 2 dose (RP2D) (Phase 1, Dose Expansion/Optimization)
Prazo: Within 21 days of last participant dosed during Dose Expansion/Optimization.
|
Determine the RP2D for Phase 2. |
Within 21 days of last participant dosed during Dose Expansion/Optimization.
|
|
Objective Response Rate (ORR) (Phase 2)
Prazo: Approximately 3 years after the first participant dosed.
|
Determine ORR as assessed by Blinded Independent Central Review (BICR). |
Approximately 3 years after the first participant dosed.
|
Medidas de resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Safety
Prazo: From enrollment through study completion, approximately 48 months.
|
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.
|
|
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).
Prazo: Predose and up to 24 hours postdose.
|
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.
|
|
Maximum observed plasma concentration (Cmax) of BH-30643 for Single dose (Phase 1).
Prazo: Predose and up to 24 hours postdose.
|
Determine maximum observed plasma concentration (Cmax) of BH-30643. |
Predose and up to 24 hours postdose.
|
|
Time to reach Cmax (Tmax) of BH-30643 for Single dose (Phase 1).
Prazo: Predose and up to 24 hours postdose.
|
Determine time to reach Cmax (Tmax) of BH-30643. |
Predose and up to 24 hours postdose.
|
|
Area under the plasma concentration-time curve at steady state (AUCss) of BH-30643 for multiple doses (Phase 1) at steady state.
Prazo: Predose and up to 24 hours postdose.
|
Determine area under the plasma concentration-time curve at steady state (AUCss) of BH-30643. |
Predose and up to 24 hours postdose.
|
|
Objective Response Rate (ORR)
Prazo: 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).
|
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).
|
|
Disease Control Rate (DCR)
Prazo: 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).
|
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).
|
|
Time to Tumor Response (TTR)
Prazo: 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).
|
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).
|
|
Duration of Response (DOR)
Prazo: 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)
|
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)
|
|
Progression-free Survival (PFS)
Prazo: 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).
|
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).
|
|
Overall Survival
Prazo: 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).
|
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).
|
|
ERTC-QLC-C30
Prazo: From enrollment until the end of treatment, up till patient discontinue from treatment due to any reason (up to approximately 4 years).
|
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).
|
|
NSCLC-SAQ
Prazo: From enrollment until the end of treatment, up till patient discontinues treatment for any reason (up to approximately 4 years).
|
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).
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Início do estudo
Conclusão Primária (Estimado)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
- NSCLC
- EGFR
- Câncer de Pulmão de Células Não Pequenas
- Inibidor de tirosina quinase
- TKI
- Mutação EGFR
- T790M
- NSCLC metastático
- Mutação HER2
- Mutações do domínio quinase EGFR
- G719X
- S768I
- E709X
- L747X
- NSCLC localmente avançado
- Ex19del
- L858R
- Mutação ativadora de EGFR
- C797S
- Mutação resistente ao EGFR
- Mutação clássica de EGFR
- Mutação atípica de EGFR
- Inserção do exon20 do EGFR
- Mutação incomum de EGFR
- BH-30643
- OMNI-EGFR
- Mutação comum do EGFR
- EGFR del E746_A750
- Deleção do Éxon 19
- C797G
- C797X
- G724X
- L718V
- L718X
- L861Q
- S768X
- Inserção no Éxon 19
- L833X
- L861X
- V769X
- V834X
Termos MeSH relevantes adicionais
- Neoplasias por local
- Neoplasias
- Doenças Respiratórias
- Doenças pulmonares
- Neoplasias do Trato Respiratório
- Neoplasias Torácicas
- Neoplasias Pulmonares
- Carcinoma Broncogênico
- Neoplasias Brônquicas
- Carcinoma pulmonar de células não pequenas
- Aminoácidos, peptídeos e proteínas
- Produtos químicos orgânicos
- Compostos heterocíclicos
- Compostos heterocíclicos, 2 anel
- Compostos heterocíclicos, anel fundido
- Complexos de coordenação
- Guanina
- Hipoxantinas
- Purinonas
- Purinas
- Glutamatos
- Aminoácidos, ácido
- Aminoácidos
- Aminoácidos, dicarboxílico
- Pemetrexede
- Carboplatina
Outros números de identificação do estudo
Outros números de identificação do estudo
- BH-30643-01
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .