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Phase 1/2 Study of HS-10376 in Patients With Non-Small Cell Lung Cancer

Primary Purpose

Advanced Non-Small-Cell Lung Cancer

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
HS-10376
Sponsored by
Jiangsu Hansoh Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Non-Small-Cell Lung Cancer focused on measuring NSCLC, Non-Small Cell Lung Cancer, HS-10376, EGFR/HER2 Exon 20 insertion mutation

Eligibility Criteria

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

Inclusion Criteria:

  1. Men or women greater than or equal to 18 years
  2. Locally advanced or metastatic NSCLC patients confirmed by histology or cytology, for which standard treatment is invalid, unavailable or intolerable
  3. Pathological, tumor tissue samples can be used to test EGFR/HER2 Exon 20 insertion mutation by central laboratory for subjects
  4. At least one measurable lesion in accordance with RECIST 1.1
  5. Eastern Cooperative Oncology Group (ECOG) performance status: 0~1
  6. Estimated life expectancy >12 weeks
  7. Reproductive-age women agree to use adequate contraception and cannot breastfeed while participating in this study and for a period of 6 months after the last dose. Likewise, men also consent to use adequate contraceptive method within the same time limit.
  8. Females must have the evidence of non-childbearing potential
  9. Signed and dated Informed Consent Form

Exclusion Criteria:

  1. Treatment with any of the following:

    • Previous or current treatment with EGFR Exon 20 insertion inhibitors, HER2 Exon 20 insertion inhibitors or EGFR/HER2 Exon 20 insertion inhibitors
    • Any cytotoxic chemotherapy, anticancer Chinese medicine and targeted small molecule inhibitors within 14 days of the first dose of HS-10376
    • Any investigational agents and large molecule antibodies within 28 days of the first dose of HS-10376
    • Local radiotherapy for palliation within 2 weeks of the first dose of HS-10376, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks of the first dose of HS-10376
    • Major surgery (including craniotomy, thoracotomy, or laparotomy, etc.) within 4 weeks of the first dose of HS-10376
  2. Inadequate bone marrow reserve or serious organ dysfunction
  3. Uncontrolled pleural, ascites or pericardial effusion
  4. Untreated, symptomatic or active central nervous system metastases
  5. Severe or poorly controlled hypertension
  6. Immunodeficiency disease and active infectious disease
  7. Refractory nausea, vomiting, or chronic gastrointestinal diseases, or inability to swallow oral medications
  8. History of hypersensitivity to any active or inactive ingredient of HS-10376 or to drugs with a similar chemical structure or drugs belonging to the same category of HS-10376
  9. The subject who is unlikely to comply with study procedures, restrictions, or requirements judged by the investigator
  10. The subject whose safety cannot be ensured or study assessments would be interfered judged by the investigator
  11. Pregnant women, breastfeeding women or woman who has a child-bearing plan during the study
  12. History of neuropathy or mental disorders, including epilepsy and dementia

Sites / Locations

  • Tianjin Medical University Cancer Institute and HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HS-10376

Arm Description

Phase 1a:Dose Escalation:Subjects with advanced NSCLC will be enrolled in dose escalation cohorts. Dose escalation of HS-10376 will be done to determine maximum tolerated dose. Phase 1b:Dose Expansion:Depending on data obtained from the dose escalation part, dose expansion may proceed with multiple cohorts in subjects with advanced NSCLC having a EGFR/HER2 Exon 20 insertion mutation. Phase 2:Subjects with locally advanced or metastatic EGFR Exon 20 insertion NSCLC will be enrolled in phase 2 part to evaluate the efficacy and sufficient safety of HS-10376 as monotherapy.

Outcomes

Primary Outcome Measures

To determine the maximum tolerated dose (MTD)-Part Ia
Number of participants with dose limiting toxicity
To evaluate clinical activity/efficacy of HS-10376 by assessment of objective response rate-Phase Ib/II
Objective response rate (ORR) assessed by Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1)

Secondary Outcome Measures

Number of participants with treatment related adverse events
Number of participants with treatment related adverse events.
Observed maximum plasma concentration (Cmax) after single dose of HS-10376
In the study of single-dose, Cmax will be obtained following administration of a single oral dose of HS-10376
Time to reach maximum plasma concentration (Tmax) after single dose of HS-10376
In the study of single-dose, Tmax will be obtained following administration of a single oral dose of HS-10376
Apparent terminal half-life (T1/2) after single dose of HS-10376
Apparent terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by λz.
Duration of response (DOR)
DOR assessed by RECIST 1.1 criteria
Disease Control Rate (DCR)
DCR assessed by RECIST 1.1 criteria
Progression-free survival (PFS)
PFS assessed by RECIST 1.1 criteria
Overall survival (OS)

Full Information

First Posted
June 23, 2022
Last Updated
June 27, 2022
Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05435274
Brief Title
Phase 1/2 Study of HS-10376 in Patients With Non-Small Cell Lung Cancer
Official Title
A Phase 1/2, Multicenter Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of HS-10376 Monotherapy in Patients With Advanced Non-small-Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
September 30, 2021 (Actual)
Primary Completion Date
October 7, 2024 (Anticipated)
Study Completion Date
October 7, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Hansoh Pharmaceutical 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
No

5. Study Description

Brief Summary
HS-10376 is an oral, highly selective, small molecular inhibitor of EGFR/HER2 Exon 20 insertion mutation. This study will evaluate the safety, tolerability, pharmacokinetics and clinical activity of HS-10376 in Chinese advanced Non-Small Cell Lung Cancer (NSCLC) patients.
Detailed Description
This is a phase 1/2, first-in-human, open-label, multicenter study of HS-10376, this study has two parts: phase 1 and phase 2. The phase 1 portion consists of dose escalation and dose expansion, which is aimed to assess the safety and tolerability of HS-10376 in subjects with advanced NSCLC and evaluate the preliminary efficacy of HS-10376. Phase 2 will be conducted to evaluate the efficacy of HS-10376 in subjects with locally advanced or metastatic NSCLC with a EGFR Exon 20 insertion mutation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Non-Small-Cell Lung Cancer
Keywords
NSCLC, Non-Small Cell Lung Cancer, HS-10376, EGFR/HER2 Exon 20 insertion mutation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
380 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
HS-10376
Arm Type
Experimental
Arm Description
Phase 1a:Dose Escalation:Subjects with advanced NSCLC will be enrolled in dose escalation cohorts. Dose escalation of HS-10376 will be done to determine maximum tolerated dose. Phase 1b:Dose Expansion:Depending on data obtained from the dose escalation part, dose expansion may proceed with multiple cohorts in subjects with advanced NSCLC having a EGFR/HER2 Exon 20 insertion mutation. Phase 2:Subjects with locally advanced or metastatic EGFR Exon 20 insertion NSCLC will be enrolled in phase 2 part to evaluate the efficacy and sufficient safety of HS-10376 as monotherapy.
Intervention Type
Drug
Intervention Name(s)
HS-10376
Intervention Description
HS-10376 will be administered orally once daily in a continuous regimen
Primary Outcome Measure Information:
Title
To determine the maximum tolerated dose (MTD)-Part Ia
Description
Number of participants with dose limiting toxicity
Time Frame
From the single dose to the last dose of the first cycle defined as 21 days of multiple dosing (total 28 days)
Title
To evaluate clinical activity/efficacy of HS-10376 by assessment of objective response rate-Phase Ib/II
Description
Objective response rate (ORR) assessed by Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1)
Time Frame
up to 24 months
Secondary Outcome Measure Information:
Title
Number of participants with treatment related adverse events
Description
Number of participants with treatment related adverse events.
Time Frame
From baseline until 28 days after the last dose
Title
Observed maximum plasma concentration (Cmax) after single dose of HS-10376
Description
In the study of single-dose, Cmax will be obtained following administration of a single oral dose of HS-10376
Time Frame
From pre-dose to 120 hours after single dose on Day 1
Title
Time to reach maximum plasma concentration (Tmax) after single dose of HS-10376
Description
In the study of single-dose, Tmax will be obtained following administration of a single oral dose of HS-10376
Time Frame
From pre-dose to 120 hours after single dose on Day 1
Title
Apparent terminal half-life (T1/2) after single dose of HS-10376
Description
Apparent terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by λz.
Time Frame
From pre-dose to 120 hours after single dose on Day 1
Title
Duration of response (DOR)
Description
DOR assessed by RECIST 1.1 criteria
Time Frame
24 months
Title
Disease Control Rate (DCR)
Description
DCR assessed by RECIST 1.1 criteria
Time Frame
24 months
Title
Progression-free survival (PFS)
Description
PFS assessed by RECIST 1.1 criteria
Time Frame
24 months
Title
Overall survival (OS)
Time Frame
24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men or women greater than or equal to 18 years Locally advanced or metastatic NSCLC patients confirmed by histology or cytology, for which standard treatment is invalid, unavailable or intolerable Pathological, tumor tissue samples can be used to test EGFR/HER2 Exon 20 insertion mutation by central laboratory for subjects At least one measurable lesion in accordance with RECIST 1.1 Eastern Cooperative Oncology Group (ECOG) performance status: 0~1 Estimated life expectancy >12 weeks Reproductive-age women agree to use adequate contraception and cannot breastfeed while participating in this study and for a period of 6 months after the last dose. Likewise, men also consent to use adequate contraceptive method within the same time limit. Females must have the evidence of non-childbearing potential Signed and dated Informed Consent Form Exclusion Criteria: Treatment with any of the following: Previous or current treatment with EGFR Exon 20 insertion inhibitors, HER2 Exon 20 insertion inhibitors or EGFR/HER2 Exon 20 insertion inhibitors Any cytotoxic chemotherapy, anticancer Chinese medicine and targeted small molecule inhibitors within 14 days of the first dose of HS-10376 Any investigational agents and large molecule antibodies within 28 days of the first dose of HS-10376 Local radiotherapy for palliation within 2 weeks of the first dose of HS-10376, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks of the first dose of HS-10376 Major surgery (including craniotomy, thoracotomy, or laparotomy, etc.) within 4 weeks of the first dose of HS-10376 Inadequate bone marrow reserve or serious organ dysfunction Uncontrolled pleural, ascites or pericardial effusion Untreated, symptomatic or active central nervous system metastases Severe or poorly controlled hypertension Immunodeficiency disease and active infectious disease Refractory nausea, vomiting, or chronic gastrointestinal diseases, or inability to swallow oral medications History of hypersensitivity to any active or inactive ingredient of HS-10376 or to drugs with a similar chemical structure or drugs belonging to the same category of HS-10376 The subject who is unlikely to comply with study procedures, restrictions, or requirements judged by the investigator The subject whose safety cannot be ensured or study assessments would be interfered judged by the investigator Pregnant women, breastfeeding women or woman who has a child-bearing plan during the study History of neuropathy or mental disorders, including epilepsy and dementia
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Dingzhi Huang
Phone
18622221232
Email
dingzhi72@163.com
Facility Information:
Facility Name
Tianjin Medical University Cancer Institute and Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300181
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dingzhi Huang
Phone
18622221232
Email
dingzhi72@163.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 1/2 Study of HS-10376 in Patients With Non-Small Cell Lung Cancer

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