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

17 januari 2021 uppdaterad av: 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).

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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).

Studietyp

Interventionell

Inskrivning (Faktisk)

162

Fas

  • Fas 2

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Australien
      • Darlinghurst, Australien
        • Research Site
      • Fitzroy, Australien
        • Research Site
      • Frankston, Australien
        • Research Site
      • Kogarah, Australien
        • Research Site
      • St Albans, Australien
        • Research Site
      • Woolloongabba, Australien
        • Research Site
  • Filippinerna
      • Cebu, Filippinerna
        • Research Site
    • Kalakhang Maynila
      • Makati, Kalakhang Maynila, Filippinerna
        • Research Site
    • Manila
      • Pasig, Manila, Filippinerna
        • Research Site
    • Metro Manila
      • Manila, Metro Manila, Filippinerna
        • Research Site 2
      • Manila, Metro Manila, Filippinerna
        • Research Site
  • Förenta staterna
    • California
      • Beverly Hills, California, Förenta staterna
        • Research Site
      • Burbank, California, Förenta staterna
        • Research Site
      • Los Angeles, California, Förenta staterna
        • Research Site
      • Los Angeles, California, Förenta staterna
        • Research Site 2
      • Montebello, California, Förenta staterna
        • Research Site
      • Orange, California, Förenta staterna
        • Research Site
      • San Diego, California, Förenta staterna
        • Research Site
    • Florida
      • Boca Raton, Florida, Förenta staterna
        • Research Site
    • Hawaii
      • Honolulu, Hawaii, Förenta staterna
        • Research Site
    • Illinois
      • Evanston, Illinois, Förenta staterna
        • Research Site
    • Maryland
      • Bethesda, Maryland, Förenta staterna
        • Research Site
    • Massachusetts
      • Boston, Massachusetts, Förenta staterna
        • Research Site
    • New Hampshire
      • Lebanon, New Hampshire, Förenta staterna
        • Research Site
    • North Carolina
      • Charlotte, North Carolina, Förenta staterna
        • Research Site
    • Washington
      • Washington, Washington, Förenta staterna
        • Research Site
  • Italien
      • Bergamo, Italien
        • Research Site
      • Bologna, Italien
        • Research Site
      • Catania, Italien
        • Research Site
      • Milano, Italien
        • Research Site
      • Rome, Italien
        • Research Site
  • Kanada
      • Toronto, Kanada
        • Research Site
  • Korea, Republiken av
      • Cheongju-si, Korea, Republiken av
        • Research Site
      • Goyang-si, Korea, Republiken av
        • Research Site
      • Hwasun, Korea, Republiken av
        • Research Site
      • Incheon, Korea, Republiken av
        • Research Site
      • Seongnam-si, Korea, Republiken av
        • Research Site 2
      • Seongnam-si, Korea, Republiken av
        • Research Site
      • Seoul, Korea, Republiken av
        • Research Site
      • Seoul, Korea, Republiken av
        • Research Site 2
      • Seoul, Korea, Republiken av
        • Research Site 3
      • Seoul, Korea, Republiken av
        • Research Site 4
      • Seoul, Korea, Republiken av
        • Research Site 5
      • Seoul, Korea, Republiken av
        • Research Site 6
      • Seoul, Korea, Republiken av
        • Research Site 7
      • Seoul, Korea, Republiken av
        • Research Site 8
  • Malaysia
      • Kuala Lumpur, Malaysia
        • Research Site
      • Kuantan, Malaysia
        • Research Site
      • Kuching, Malaysia
        • Research Site
    • Penang
      • George Town, Penang, Malaysia
        • Research Site
  • Spanien
      • Barcelona, Spanien
        • Research Site
      • Barcelona, Spanien
        • Research Site 2
      • Barcelona, Spanien
        • Research Site 3
      • Barcelona, Spanien
        • Research Site 4
      • La Coruna, Spanien
        • Research Site
      • Madrid, Spanien
        • Research Site
      • Madrid, Spanien
        • Research Site 2
      • Navarra, Spanien
        • Research Site
      • San Sebastian, Spanien
        • Research Site
      • Valencia, Spanien
        • Research Site
      • Valencia, Spanien
        • Research Site 2
  • Taiwan
      • Kaohsiung, Taiwan
        • Research Site
      • Taichung, Taiwan
        • Research Site
      • Tainan, Taiwan
        • Research Site
      • Tainan, Taiwan
        • Research Site 2
      • Taipei, Taiwan
        • Research Site
      • Taipei, Taiwan
        • Research Site 2
  • Tyskland
      • Berlin, Tyskland
        • Research Site
      • Homburg, Tyskland
        • Research Site
      • Leipzig, Tyskland
        • Research Site
      • München, Tyskland
        • Research Site
      • Ulm, Tyskland
        • Research Site

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

20 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: HM61713
HM61713 800 mg (2 x 400 mg tablets) once daily (QD)
Läkemedel: 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.
Andra namn:
  • Olmutinib

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Objective response rate (ORR)
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
Tidsram: 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).
Tidsram: 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.
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Hanmi Pharmaceutical Company Limited

Utredare

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

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

31 augusti 2015

Primärt slutförande (Faktisk)

8 december 2020

Avslutad studie (Faktisk)

8 december 2020

Studieregistreringsdatum

Först inskickad

22 juni 2015

Först inskickad som uppfyllde QC-kriterierna

25 juni 2015

Första postat (Uppskatta)

30 juni 2015

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

22 januari 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

17 januari 2021

Senast verifierad

1 januari 2021

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

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

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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