Glumetinib Combined With Osimertinib in the Treatment of Relapsed and Metastatic Non-small Cell Lung Cancer Patients Who Failed to Receive EGFR Inhibitors
Primary Purpose
Negative T790M Mutation and Met Amplification
Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Glumetinib
Sponsored by
About this trial
This is an interventional treatment trial for Negative T790M Mutation and Met Amplification focused on measuring MET amplification, T790
Eligibility Criteria
Inclusion Criteria:
- Can fully understand and sign informed consent form(ICF) voluntarily Male and female patients 18-80 (inclusive) years of age
- Stage: IIIb/IIIc/IV (AJCC version 8)
- ECOG Performance Status (PS): 0-1
- At least one measurable lesion as per RECIST 1.1
Exclusion Criteria:
- Subjects with characterizedALK or ROS1 activating mutations that predict sensitivity to anti-ALK-therapy or anti-ROS1-therapy; T790 mutations is uknown or positive
- Patients who have symptomatic CNS metastasis which is neurologically unstable or those who have CNS disease requiring increase in the dose of steroid. (Note: Patients with controlled CNS metastasis can participate in the trial. Before entering the study, patients should have finished radiotherapy, or have received operation for CNS tumor metastasis at least two weeks before. Patients' neurological function must be in a stable state; no new neurological deficit is found during clinical examination and no new problem is found during CNS imaging examinations. If patients need to use steroids to treat CNS metastasis, the therapeutic dose of steroid should be stable for ≥3 months at least two weeks prior to entering the study.)
- Prior exposure to MET-directed or third generation EGFR inhibitors therapy Anticancer therapy (including chemotherapy, targeted therapy, biotherapy, hormone therapy or other investigational agents) within 4 weeks or 5 times of half-lives (whichever is shorter) prior to the first dose of the study drug or who have not recovered from the side effect of such therapy
- Major surgery or had significant traumatic injury within 28 days prior to the first dose of the investigational product
Sites / Locations
- Beijing Cancer HospitalRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Glumetinib+Osimertinib
Arm Description
The investigational product Glumetinib will be orally administrated when fasting at dose level of 300mg QD and Osimertinib will be orally administrated when fasting at dose level of 80mg QD
Outcomes
Primary Outcome Measures
ORR(Objective response rate)
the sum ratio of partial response and complete response(determined by an Independent Radiology Review Committee (IRRC) according to RECIST Version 1.1)
Secondary Outcome Measures
ORR(Objective response rate, assessed as per investigators)
the sum ratio of partial response and complete response(assessed as per investigators)
DOR(Duration of response)
The time from the partial response and complete response of patient to patient progressive disease or death
OS(Overall survival)
The time from the patient first dose to death
Full Information
NCT ID
NCT04338243
First Posted
March 29, 2020
Last Updated
April 7, 2020
Sponsor
Haihe Biopharma Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04338243
Brief Title
Glumetinib Combined With Osimertinib in the Treatment of Relapsed and Metastatic Non-small Cell Lung Cancer Patients Who Failed to Receive EGFR Inhibitors
Official Title
Open Label, Multicenter Phase Ib / II Study of Glumetinib Combined With Osimertinib in the Treatment of Relapsed and Metastatic Non-small Cell Lung Cancer Patients Who Failed to Receive EGFR Inhibitors
Study Type
Interventional
2. Study Status
Record Verification Date
March 2020
Overall Recruitment Status
Unknown status
Study Start Date
November 18, 2019 (Actual)
Primary Completion Date
December 31, 2020 (Anticipated)
Study Completion Date
December 31, 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Haihe Biopharma Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
To explore the safety and efficacy of Glumetinib combined with Osimertinib in the treatment of relapsed and metastatic non-small cell lung cancer (NSCLC) with failed first-generation or second-generation EGFR inhibitors, negative T790M mutation and met amplification.
Detailed Description
To explore the safety and efficacy of Glumetinib combined with Osimertinib in the treatment of relapsed and metastatic non-small cell lung cancer (NSCLC) with failed first-generation or second-generation EGFR inhibitors, negative T790M mutation and met amplification.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Negative T790M Mutation and Met Amplification
Keywords
MET amplification, T790
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Model Description
Phase Ib: Glumetinib 300mg Combined With Osimertinib 80mg, Qd ,oral
Masking
None (Open Label)
Allocation
N/A
Enrollment
70 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Glumetinib+Osimertinib
Arm Type
Experimental
Arm Description
The investigational product Glumetinib will be orally administrated when fasting at dose level of 300mg QD and Osimertinib will be orally administrated when fasting at dose level of 80mg QD
Intervention Type
Drug
Intervention Name(s)
Glumetinib
Intervention Description
Phase Ib is a dose escalation study, the initial dose of Glumetinib is 300mg, then will be escalated to 400mg,according to the result of Phase Ib, will confirm the RP2D
Primary Outcome Measure Information:
Title
ORR(Objective response rate)
Description
the sum ratio of partial response and complete response(determined by an Independent Radiology Review Committee (IRRC) according to RECIST Version 1.1)
Time Frame
through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
ORR(Objective response rate, assessed as per investigators)
Description
the sum ratio of partial response and complete response(assessed as per investigators)
Time Frame
through study completion, an average of 1 year
Title
DOR(Duration of response)
Description
The time from the partial response and complete response of patient to patient progressive disease or death
Time Frame
The time from the date of first documented partial response or complete response to progressive disease or death, an average of 6 months
Title
OS(Overall survival)
Description
The time from the patient first dose to death
Time Frame
Through study completion, an average of 1 year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Can fully understand and sign informed consent form(ICF) voluntarily Male and female patients 18-80 (inclusive) years of age
Stage: IIIb/IIIc/IV (AJCC version 8)
ECOG Performance Status (PS): 0-1
At least one measurable lesion as per RECIST 1.1
Exclusion Criteria:
Subjects with characterizedALK or ROS1 activating mutations that predict sensitivity to anti-ALK-therapy or anti-ROS1-therapy; T790 mutations is uknown or positive
Patients who have symptomatic CNS metastasis which is neurologically unstable or those who have CNS disease requiring increase in the dose of steroid. (Note: Patients with controlled CNS metastasis can participate in the trial. Before entering the study, patients should have finished radiotherapy, or have received operation for CNS tumor metastasis at least two weeks before. Patients' neurological function must be in a stable state; no new neurological deficit is found during clinical examination and no new problem is found during CNS imaging examinations. If patients need to use steroids to treat CNS metastasis, the therapeutic dose of steroid should be stable for ≥3 months at least two weeks prior to entering the study.)
Prior exposure to MET-directed or third generation EGFR inhibitors therapy Anticancer therapy (including chemotherapy, targeted therapy, biotherapy, hormone therapy or other investigational agents) within 4 weeks or 5 times of half-lives (whichever is shorter) prior to the first dose of the study drug or who have not recovered from the side effect of such therapy
Major surgery or had significant traumatic injury within 28 days prior to the first dose of the investigational product
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Shun LU, Doctor
Phone
+86-21-22200000
Ext
2153
Email
shun_lu@hotmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yongqian Shu, Doctor
Organizational Affiliation
Jiangsu Province People's Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dingzhi Huang, Doctor
Organizational Affiliation
Tianjin Cancer Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yiping Zhang, Doctor
Organizational Affiliation
Zhejiang Province Cancer Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jianying Zhou, Doctor
Organizational Affiliation
Zhejiang University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Cancer Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ziping Wang, Doctor
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Glumetinib Combined With Osimertinib in the Treatment of Relapsed and Metastatic Non-small Cell Lung Cancer Patients Who Failed to Receive EGFR Inhibitors
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