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A Phase Ib/II Clinical Trial to Evaluate the Safety and Efficacy of HLX208+HLX10 in NSCLC With BRAF V600E Mutation

Primary Purpose

Non Small Cell Lung Cancer

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
HLX208+HLX10
Sponsored by
Shanghai Henlius Biotech
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 HLX208, HLX10, BRAF V600E mutation

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: ≥18 and ≤75 years old of age (in phase Ib study) or ≥18 and ≤80 years old of ag (in phase II study) at the time of informed consent. Signed written informed consent. BRAF V600E mutant advanced solid tumors (in phase Ib study) or advanced NSCLC (in phase II study) patients with positive PD-L1 expression (TPS or TC≥1%). Previous failure of standard therapy, intolerance to standard therapy, lack of standard therapy, or currently unsuitable for standard therapy. Prior systemic anti-neoplastic therapy (chemotherapy, radiotherapy, targeted therapy, or traditional Chinese medicine with anti-neoplastic indications) must have been ≥ 2 weeks from the first dose in this study with treatment-related AE resolved to NCI-CTCAE Grade ≤ 1 (except for alopecia) Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1. Expected survival time ≥ 3 months. At least one measurable target lesion per RECIST v1.1 (brain metastasis could not be considered as the only measurable lesion). With normal major organ functions (no blood transfusions or treatment with colony-stimulating factor within 14 days prior to the first dose in this study). Be able to swallow and retain oral medication and must not have any clinically significant gastrointestinal abnormalities that may alter absorption such as malabsorption syndrome or major resection of the stomach or bow Fertile subjects (male or female) must agree to take effective contraceptive measures from the time of signing the ICF until 90 days after the last dose of HLX208 or 6 months after the last dose of HLX10. Female subjects of childbearing potential must complete a pregnancy test with a negative result within 7 days prior to the first dose. Exclusion Criteria: For subjects in phase II study: previous treatment with BRAF inhibitors or MEK inhibitors or previous treatment with T cell co-stimulation or immune checkpoint therapy. Known EGFR mutations or ALK rearrangements (except in subjects with EGFR mutations whose disease has progressed after previous EGFR inhibitor treatment). Received strong CYP3A inhibitors or inducers treatment within 1 week prior to the first dose of investigational product. Received major surgery within 28 days prior to the first dose of investigational product. A major surgery is defined as a surgery that takes at least 3 weeks of postoperative recovery before receiving treatment in this study. With uncontrolled pleural effusion, pericardial effusion, or ascites. With symptomatic brain or meningeal metastases (unless the patient has been treated for >3 months, there is no evidence of progression on imaging within 4 weeks prior to the first dose, and the tumor-related clinical symptoms are stable). With active pulmonary tuberculosis. Patients with previous and current interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-related pneumonitis, or severe impaired pulmonary function that may interfere with the detection and management of suspected drug-related pulmonary toxicity. With any serious infection requiring systemic anti-infective therapy within 14 days prior to the first dose of the investigational product. History of other malignant tumors (except for cured carcinoma in situ of the cervical or basal cell carcinoma of the skin) within two years prior to the first dose of investigational product. Being positive (+) for hepatitis B surface antigen (HBsAg) or positive (+) for hepatitis B core antibody (HBcAb), and with hepatitis B virus deoxyribonucleic acid (HBV-DNA) ≥ 2500 copies/mL or 500 IU/mL. Being positive (+) for HCV RNA. Being positive (+) human immunodeficiency virus (HIV) antibody. History of serious cardiovascular and cerebrovascular diseases. Systemic treatment with corticosteroids (> 10 mg/day prednisone or equivalent) or other immunosuppressive agents within 14 days prior to the first dose of the investigational product or during the study. In the absence of active autoimmune disease, subjects are allowed to use inhaled or topical steroids, or adrenal hormone replacement therapy at an effective dose equivalent to ≤10 mg/day prednisone. Known active or suspected autoimmune diseases. Subjects with autoimmune related hypothyroidism receiving thyroid hormone replacement therapy are allowed to participate in the study. Subjects with stable type 1 diabetes receiving insulin therapy are allowed to participate in the study. Known alcohol of or drug abuse. Pregnant or lactating women. Received live vaccine within 28 days prior to the first dose of investigational product. Have other conditions not suitable for inclusion as judged by the investigator.

Sites / Locations

  • Shanghai Chest Hospital, Shanghai Jiao Tong University, School of MedicineRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HLX208 combined HLX10

Arm Description

For the phase Ib study, HLX208 is administered orally at two dose levels of 600mg BID or 900 mg BID. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks. For the phase II study, HLX208 is administered orally with the RP2D dose. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks.

Outcomes

Primary Outcome Measures

MTD (for phase Ib study)
The maximum tolerated dose of HLX208 combined with HLX10.
DLT (for phase Ib study)
The proportion of patients experiencing dose limiting toxicity (DLT) events.
ORR (for phase II study)
Objective response rate assessed by the investigator per RECIST 1.1.

Secondary Outcome Measures

PFS
Progression-Free-Survival
DCR
Disease-Control-Rate
DOR
Duration of Overall Response
TTR
Time to Tumor Response
12-month OS rate
12-month OS rate
6-month OS rate
6-month OS rate
OS
Overall-Survival
12-month PFS rate
12-month PFS rate
6-month PFS rate
6-month PFS rate
SAE
The proportion of patients experiencing SAE.
AUC0-T
Area under the concentration-time curve from time 0 to the last concentration measurable time point.
AUC0-∞
Area under the concentration-time curve from time 0 to infinity.
Cmax
Peak Plasma Concentration.
Tmax
Time to first occurrence of Cmax
t1/2
Elimination half-life
AUCss
Area under the steady-state concentration-time curve

Full Information

First Posted
November 15, 2022
Last Updated
April 6, 2023
Sponsor
Shanghai Henlius Biotech
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1. Study Identification

Unique Protocol Identification Number
NCT05641493
Brief Title
A Phase Ib/II Clinical Trial to Evaluate the Safety and Efficacy of HLX208+HLX10 in NSCLC With BRAF V600E Mutation
Official Title
A Phase Ib/II Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of HLX208 (BRAF V600E Inhibitor) Combined With Serplulimab(HLX10, Anti-PD-1 Antibody) in Advanced NSCLC Patients With BRAF V600E Mutation.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 28, 2023 (Actual)
Primary Completion Date
March 4, 2025 (Anticipated)
Study Completion Date
February 27, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Henlius Biotech

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
An open-label, multicenter phase Ib/II clinical study to evaluate safety, tolerability, pharmacokinetics, and efficacy of HLX208 (BRAF V600E Inhibitor) combined with HLX10 (anti-PD-1 monoclonal antibody)in advanced NSCLC patients with BRAF V600 mutation.
Detailed Description
This is an open-label, multicenter phase Ib/II clinical study to evaluate safety, tolerability, pharmacokinetics, and efficacy of HLX208 (BRAF V600E Inhibitor) combined with HLX10 (anti-PD-1 monoclonal antibody)in advanced NSCLC patients with BRAF V600 mutation. For the phase Ib study, HLX208 is administered orally at two dose levels of 600mg BID or 900 mg BID. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks. For the phase II study, HLX208 is administered orally with the RP2D dose. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks.

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
HLX208, HLX10, BRAF V600E mutation

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HLX208 combined HLX10
Arm Type
Experimental
Arm Description
For the phase Ib study, HLX208 is administered orally at two dose levels of 600mg BID or 900 mg BID. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks. For the phase II study, HLX208 is administered orally with the RP2D dose. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks.
Intervention Type
Combination Product
Intervention Name(s)
HLX208+HLX10
Intervention Description
HLX208 is a BRAF V600E inhibitor ,and HLX10 is an anti-PD-1 monoclonal antibody.
Primary Outcome Measure Information:
Title
MTD (for phase Ib study)
Description
The maximum tolerated dose of HLX208 combined with HLX10.
Time Frame
From first dose to the end of Cycle 1 (each cycle is 3 weeks).
Title
DLT (for phase Ib study)
Description
The proportion of patients experiencing dose limiting toxicity (DLT) events.
Time Frame
From first dose to the end of Cycle 1 (each cycle is 3 weeks).
Title
ORR (for phase II study)
Description
Objective response rate assessed by the investigator per RECIST 1.1.
Time Frame
up to approximately up to 24 months
Secondary Outcome Measure Information:
Title
PFS
Description
Progression-Free-Survival
Time Frame
approximately up to 36 months
Title
DCR
Description
Disease-Control-Rate
Time Frame
approximately up to 24 months
Title
DOR
Description
Duration of Overall Response
Time Frame
approximately up to 24 months
Title
TTR
Description
Time to Tumor Response
Time Frame
approximately up to 24 months
Title
12-month OS rate
Description
12-month OS rate
Time Frame
12 months
Title
6-month OS rate
Description
6-month OS rate
Time Frame
6 months
Title
OS
Description
Overall-Survival
Time Frame
approximately up to 48 months
Title
12-month PFS rate
Description
12-month PFS rate
Time Frame
12 months
Title
6-month PFS rate
Description
6-month PFS rate
Time Frame
6 months
Title
SAE
Description
The proportion of patients experiencing SAE.
Time Frame
approximately up to 48 months
Title
AUC0-T
Description
Area under the concentration-time curve from time 0 to the last concentration measurable time point.
Time Frame
From First administration of HLX 208 to 12 weeks.
Title
AUC0-∞
Description
Area under the concentration-time curve from time 0 to infinity.
Time Frame
From First administration of HLX 208 to 12 weeks.
Title
Cmax
Description
Peak Plasma Concentration.
Time Frame
From First administration of HLX 208 to 12 weeks.
Title
Tmax
Description
Time to first occurrence of Cmax
Time Frame
From First administration of HLX 208 to 12 weeks.
Title
t1/2
Description
Elimination half-life
Time Frame
From First administration of HLX 208 to 12 weeks.
Title
AUCss
Description
Area under the steady-state concentration-time curve
Time Frame
From First administration of HLX 208 to 12 weeks.
Other Pre-specified Outcome Measures:
Title
Association of biomarkers with efficacy
Description
Association of efficacy with biomarkers including PD-L1 expression, BRAF V600E mutation abundance, MSI status and TMB status.
Time Frame
approximately up to 48 months

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: ≥18 and ≤75 years old of age (in phase Ib study) or ≥18 and ≤80 years old of ag (in phase II study) at the time of informed consent. Signed written informed consent. BRAF V600E mutant advanced solid tumors (in phase Ib study) or advanced NSCLC (in phase II study) patients with positive PD-L1 expression (TPS or TC≥1%). Previous failure of standard therapy, intolerance to standard therapy, lack of standard therapy, or currently unsuitable for standard therapy. Prior systemic anti-neoplastic therapy (chemotherapy, radiotherapy, targeted therapy, or traditional Chinese medicine with anti-neoplastic indications) must have been ≥ 2 weeks from the first dose in this study with treatment-related AE resolved to NCI-CTCAE Grade ≤ 1 (except for alopecia) Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1. Expected survival time ≥ 3 months. At least one measurable target lesion per RECIST v1.1 (brain metastasis could not be considered as the only measurable lesion). With normal major organ functions (no blood transfusions or treatment with colony-stimulating factor within 14 days prior to the first dose in this study). Be able to swallow and retain oral medication and must not have any clinically significant gastrointestinal abnormalities that may alter absorption such as malabsorption syndrome or major resection of the stomach or bow Fertile subjects (male or female) must agree to take effective contraceptive measures from the time of signing the ICF until 90 days after the last dose of HLX208 or 6 months after the last dose of HLX10. Female subjects of childbearing potential must complete a pregnancy test with a negative result within 7 days prior to the first dose. Exclusion Criteria: For subjects in phase II study: previous treatment with BRAF inhibitors or MEK inhibitors or previous treatment with T cell co-stimulation or immune checkpoint therapy. Known EGFR mutations or ALK rearrangements (except in subjects with EGFR mutations whose disease has progressed after previous EGFR inhibitor treatment). Received strong CYP3A inhibitors or inducers treatment within 1 week prior to the first dose of investigational product. Received major surgery within 28 days prior to the first dose of investigational product. A major surgery is defined as a surgery that takes at least 3 weeks of postoperative recovery before receiving treatment in this study. With uncontrolled pleural effusion, pericardial effusion, or ascites. With symptomatic brain or meningeal metastases (unless the patient has been treated for >3 months, there is no evidence of progression on imaging within 4 weeks prior to the first dose, and the tumor-related clinical symptoms are stable). With active pulmonary tuberculosis. Patients with previous and current interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-related pneumonitis, or severe impaired pulmonary function that may interfere with the detection and management of suspected drug-related pulmonary toxicity. With any serious infection requiring systemic anti-infective therapy within 14 days prior to the first dose of the investigational product. History of other malignant tumors (except for cured carcinoma in situ of the cervical or basal cell carcinoma of the skin) within two years prior to the first dose of investigational product. Being positive (+) for hepatitis B surface antigen (HBsAg) or positive (+) for hepatitis B core antibody (HBcAb), and with hepatitis B virus deoxyribonucleic acid (HBV-DNA) ≥ 2500 copies/mL or 500 IU/mL. Being positive (+) for HCV RNA. Being positive (+) human immunodeficiency virus (HIV) antibody. History of serious cardiovascular and cerebrovascular diseases. Systemic treatment with corticosteroids (> 10 mg/day prednisone or equivalent) or other immunosuppressive agents within 14 days prior to the first dose of the investigational product or during the study. In the absence of active autoimmune disease, subjects are allowed to use inhaled or topical steroids, or adrenal hormone replacement therapy at an effective dose equivalent to ≤10 mg/day prednisone. Known active or suspected autoimmune diseases. Subjects with autoimmune related hypothyroidism receiving thyroid hormone replacement therapy are allowed to participate in the study. Subjects with stable type 1 diabetes receiving insulin therapy are allowed to participate in the study. Known alcohol of or drug abuse. Pregnant or lactating women. Received live vaccine within 28 days prior to the first dose of investigational product. Have other conditions not suitable for inclusion as judged by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Shun Lu, Dr.
Phone
021-22200000
Email
shunlu@sjtu.edu.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shun Lu, Dr.
Organizational Affiliation
Shanghai Chest Hospital, Shanghai Jiao Tong University, School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shanghai Chest Hospital, Shanghai Jiao Tong University, School of Medicine
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shun Lu, Dr.
Phone
021-22200000
Email
shunlu@sjtu.edu.cn

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase Ib/II Clinical Trial to Evaluate the Safety and Efficacy of HLX208+HLX10 in NSCLC With BRAF V600E Mutation

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