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

Primary Purpose

Non Small Cell Lung Cancer

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
HM61713
Sponsored by
Hanmi Pharmaceutical Company Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non Small Cell Lung Cancer focused on measuring NSCLC, EGFR-TKI, non small cell lung cancer, HM61713, T790M-positive, lung cancer, Phase II, Olmutinib

Eligibility Criteria

20 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

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Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HM61713

Arm Description

HM61713 800 mg (2 x 400 mg tablets) once daily (QD)

Outcomes

Primary Outcome Measures

Objective response rate (ORR)
To assess the anti-tumor efficacy of HM61713 as measured by objective response rate (ORR).

Secondary Outcome Measures

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
To assess clinical efficacy of HM61713 regarding disease control rate (DCR).
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
To assess clinical efficacy of HM61713 regarding Duration of overall tumor response (DR).
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
To assess clinical efficacy of HM61713 regarding Progression-free survival (PFS).
Overall survival (OS), defined as the time from first administration of study drug until death from any cause
To assess clinical efficacy of HM61713 regarding Overall survival (OS).
Time to progression (TTP), defined as the time from first administration of study drug to determination of tumor progression by RECIST version 1.1
To assess clinical efficacy of HM61713 regarding Time to progression (TTP).
Tumor shrinkage calculated as absolute change and percentage change from baseline in sum of tumor size at each assessment using RECIST tumor response
To assess clinical efficacy of HM61713 regarding tumor shrinkage.
Peak concentration (Cmax) of HM61713
To determine the pharmacokinetic (PK) profile of HM61713.
Trough plasma concentration (Ctrough) of HM61713
To determine the pharmacokinetic (PK) profile of HM61713.
Area under the plasma concentration time curve over the 24-hour dosing interval (AUC) of HM61713
To determine the pharmacokinetic (PK) profile of HM61713.
Patient reported outcomes (PROs)
To assess patient reported outcomes (PROs) of health-related quality of life (HRQoL), disease/treatment-related symptoms of lung cancer, and general health status.
ECG/QTc (absolute values and change from baseline)
To evaluate the effect of HM61713 on the QT interval.
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).
To assess the safety and tolerability of HM61713.
QTc interval as assessed by digital ECG with central reading. The QT interval will be rate-corrected using 3 methods: QTcF, QTcB and QTcS.
To assess the safety and tolerability of HM61713.

Full Information

First Posted
June 22, 2015
Last Updated
January 17, 2021
Sponsor
Hanmi Pharmaceutical Company Limited
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1. Study Identification

Unique Protocol Identification Number
NCT02485652
Brief Title
Phase II Trial of HM61713 for the Treatment of ≥2nd Line T790M Mutation Positive Adenocarcinoma of the Lung
Official Title
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
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Terminated
Why Stopped
Study termination by the Sponsor
Study Start Date
August 31, 2015 (Actual)
Primary Completion Date
December 8, 2020 (Actual)
Study Completion Date
December 8, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hanmi Pharmaceutical Company Limited

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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).
Detailed Description
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).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non Small Cell Lung Cancer
Keywords
NSCLC, EGFR-TKI, non small cell lung cancer, HM61713, T790M-positive, lung cancer, Phase II, Olmutinib

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
162 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HM61713
Arm Type
Experimental
Arm Description
HM61713 800 mg (2 x 400 mg tablets) once daily (QD)
Intervention Type
Drug
Intervention Name(s)
HM61713
Other Intervention Name(s)
Olmutinib
Intervention Description
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.
Primary Outcome Measure Information:
Title
Objective response rate (ORR)
Description
To assess the anti-tumor efficacy of HM61713 as measured by objective response rate (ORR).
Time Frame
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Secondary Outcome Measure Information:
Title
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
Description
To assess clinical efficacy of HM61713 regarding disease control rate (DCR).
Time Frame
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Title
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
Description
To assess clinical efficacy of HM61713 regarding Duration of overall tumor response (DR).
Time Frame
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Title
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
Description
To assess clinical efficacy of HM61713 regarding Progression-free survival (PFS).
Time Frame
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Title
Overall survival (OS), defined as the time from first administration of study drug until death from any cause
Description
To assess clinical efficacy of HM61713 regarding Overall survival (OS).
Time Frame
From first dose to end of study or date of death from any cause whichever came first, assessed up to 48 months
Title
Time to progression (TTP), defined as the time from first administration of study drug to determination of tumor progression by RECIST version 1.1
Description
To assess clinical efficacy of HM61713 regarding Time to progression (TTP).
Time Frame
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Title
Tumor shrinkage calculated as absolute change and percentage change from baseline in sum of tumor size at each assessment using RECIST tumor response
Description
To assess clinical efficacy of HM61713 regarding tumor shrinkage.
Time Frame
At baseline and every 6 weeks from time of first dose until date of progression, assessed up to 12 months
Title
Peak concentration (Cmax) of HM61713
Description
To determine the pharmacokinetic (PK) profile of HM61713.
Time Frame
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)
Title
Trough plasma concentration (Ctrough) of HM61713
Description
To determine the pharmacokinetic (PK) profile of HM61713.
Time Frame
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)
Title
Area under the plasma concentration time curve over the 24-hour dosing interval (AUC) of HM61713
Description
To determine the pharmacokinetic (PK) profile of HM61713.
Time Frame
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)
Title
Patient reported outcomes (PROs)
Description
To assess patient reported outcomes (PROs) of health-related quality of life (HRQoL), disease/treatment-related symptoms of lung cancer, and general health status.
Time Frame
At baseline and every 6 weeks from time of discontinuation, assessed up to 24 months
Title
ECG/QTc (absolute values and change from baseline)
Description
To evaluate the effect of HM61713 on the QT interval.
Time Frame
Adverse events will be collected from baseline until 28 days after the last dose
Title
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).
Description
To assess the safety and tolerability of HM61713.
Time Frame
Adverse events will be collected from baseline until 28 days after the last dose
Title
QTc interval as assessed by digital ECG with central reading. The QT interval will be rate-corrected using 3 methods: QTcF, QTcB and QTcS.
Description
To assess the safety and tolerability of HM61713.
Time Frame
Adverse events will be collected from baseline until 28 days after the last dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Keunchil Park, M.D., Ph.D
Organizational Affiliation
Sungkyunkwan University, Samsung Medical Center, Seoul, Republic of Korea
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Pasi A. Jänne, M.D., Ph.D
Organizational Affiliation
Dana-Farber Cancer Institute, Boston, MA, USA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Beverly Hills
State/Province
California
Country
United States
Facility Name
Research Site
City
Burbank
State/Province
California
Country
United States
Facility Name
Research Site 2
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Research Site
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Research Site
City
Montebello
State/Province
California
Country
United States
Facility Name
Research Site
City
Orange
State/Province
California
Country
United States
Facility Name
Research Site
City
San Diego
State/Province
California
Country
United States
Facility Name
Research Site
City
Boca Raton
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Honolulu
State/Province
Hawaii
Country
United States
Facility Name
Research Site
City
Evanston
State/Province
Illinois
Country
United States
Facility Name
Research Site
City
Bethesda
State/Province
Maryland
Country
United States
Facility Name
Research Site
City
Boston
State/Province
Massachusetts
Country
United States
Facility Name
Research Site
City
Lebanon
State/Province
New Hampshire
Country
United States
Facility Name
Research Site
City
Charlotte
State/Province
North Carolina
Country
United States
Facility Name
Research Site
City
Washington
State/Province
Washington
Country
United States
Facility Name
Research Site
City
Darlinghurst
Country
Australia
Facility Name
Research site
City
Fitzroy
Country
Australia
Facility Name
Research Site
City
Frankston
Country
Australia
Facility Name
Research Site
City
Kogarah
Country
Australia
Facility Name
Research Site
City
St Albans
Country
Australia
Facility Name
Research Site
City
Woolloongabba
Country
Australia
Facility Name
Research Site
City
Toronto
Country
Canada
Facility Name
Research Site
City
Berlin
Country
Germany
Facility Name
Research Site
City
Homburg
Country
Germany
Facility Name
Research Site
City
Leipzig
Country
Germany
Facility Name
Research Site
City
München
Country
Germany
Facility Name
Research Site
City
Ulm
Country
Germany
Facility Name
Research Site
City
Bergamo
Country
Italy
Facility Name
Research Site
City
Bologna
Country
Italy
Facility Name
Research Site
City
Catania
Country
Italy
Facility Name
Research Site
City
Milano
Country
Italy
Facility Name
Research Site
City
Rome
Country
Italy
Facility Name
Research Site
City
Cheongju-si
Country
Korea, Republic of
Facility Name
Research Site
City
Goyang-si
Country
Korea, Republic of
Facility Name
Research Site
City
Hwasun
Country
Korea, Republic of
Facility Name
Research Site
City
Incheon
Country
Korea, Republic of
Facility Name
Research Site 2
City
Seongnam-si
Country
Korea, Republic of
Facility Name
Research Site
City
Seongnam-si
Country
Korea, Republic of
Facility Name
Research Site 2
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site 3
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site 4
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site 5
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site 6
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site 7
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site 8
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site
City
Seoul
Country
Korea, Republic of
Facility Name
Research Site
City
George Town
State/Province
Penang
Country
Malaysia
Facility Name
Research Site
City
Kuala Lumpur
Country
Malaysia
Facility Name
Research Site
City
Kuantan
Country
Malaysia
Facility Name
Research Site
City
Kuching
Country
Malaysia
Facility Name
Research Site
City
Makati
State/Province
Kalakhang Maynila
Country
Philippines
Facility Name
Research Site
City
Pasig
State/Province
Manila
Country
Philippines
Facility Name
Research Site 2
City
Manila
State/Province
Metro Manila
Country
Philippines
Facility Name
Research Site
City
Manila
State/Province
Metro Manila
Country
Philippines
Facility Name
Research Site
City
Cebu
Country
Philippines
Facility Name
Research Site 2
City
Barcelona
Country
Spain
Facility Name
Research Site 3
City
Barcelona
Country
Spain
Facility Name
Research Site 4
City
Barcelona
Country
Spain
Facility Name
Research Site
City
Barcelona
Country
Spain
Facility Name
Research Site
City
La Coruna
Country
Spain
Facility Name
Research Site 2
City
Madrid
Country
Spain
Facility Name
Research Site
City
Madrid
Country
Spain
Facility Name
Research Site
City
Navarra
Country
Spain
Facility Name
Research Site
City
San Sebastian
Country
Spain
Facility Name
Research Site 2
City
Valencia
Country
Spain
Facility Name
Research Site
City
Valencia
Country
Spain
Facility Name
Research Site
City
Kaohsiung
Country
Taiwan
Facility Name
Research Site
City
Taichung
Country
Taiwan
Facility Name
Research Site 2
City
Tainan
Country
Taiwan
Facility Name
Research Site
City
Tainan
Country
Taiwan
Facility Name
Research Site 2
City
Taipei
Country
Taiwan
Facility Name
Research Site
City
Taipei
Country
Taiwan

12. IPD Sharing Statement

Learn more about this trial

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

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