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BR790 in Combination With Anlotinib in Adult Subjects With Advanced Non-Small Cell Lung Cancer

Primary Purpose

Non-Small Cell Lung Cancer

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
BR790+anlotinib
Sponsored by
Shanghai Gopherwood Biotech Co., Ltd.
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 BR790, Anlotinib, NSCLC, PTPN11, SHP2

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Age ≥18 and ≤75 years old. Subjects with histologically or cytologically confirmed locally advanced or relapsed metastatic driver negative (EGFR, ALK, ROS, etc.) advanced NSCLC,whose disease progressed after at least 2 previous standard therapies. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. Has at least one measurable lesion per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) . Exclusion Criteria: Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Has uncontrolled moderate to massive effusion. Central lung squamous carcinoma along with cavum, or non-small cell lung cancer along with hemoptysis (>50ml/day). Other kinds of malignancies within 5 years or for now. Has not enough organ functional reserve at baseline, which met at least one of the following criteria: ANC<1.5×10^9/L, PLT<100×10^9/L, Hb<100g/L; TBIL>1.5×ULN, ALT or AST>2.5×ULN (without liver metastases) , ALT or AST>5×ULN (with liver metastases);Cr >1.5×ULN, urine protein≥++,or confirmed 24h urine protein≥1.0g;INR >1.5×ULN, PT>1.5ULN or APTT >1.5×ULN. Previous use of other SHP2 inhibitors (such as TNO-155, JAB-3312, JAB-3068, RLY-1971, RMC-4630, etc.) Has used anlotinib before The first assessment of efficacy was PD, or occurred ≥grade 3 adverse reactions with antitumor angiogenesis small-molecule drugs (e.g. Apatinib, surufatinib, fruquintinib, etc.), or less than 6 months after the last antitumor vascular therapy. Has got non remissive toxic reactions derived from previous therapies, which is over level 1 in CTC AE (5.0), alopecia and grade 2 peripheral neuropathy are not included.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    BR790+anlotinib

    Arm Description

    BR790 will be administered orally, variable dose on Day 1 of each 21-day cycle, Anlotinib will be administered as PO fixed dose on Day1-14 of each 21-day cycle

    Outcomes

    Primary Outcome Measures

    Maximum tolerated dose/Recommended Phase Ⅱ Dose(MTD/RP2D)
    To evaluate the MTD/RP2D of BR790 in combination with anlotinib (Part 1)
    Objective Response Rate (ORR)
    To evaluate the objective response rate (ORR) of BR790 in combination with anlotinib. ORR is defined as the proportion of subjects who achieve a Complete Response (CR) or Partial Response (PR) as assessed by RECIST v1.1 (Part 2)

    Secondary Outcome Measures

    Progression-Free Survival (PFS)
    PFS was defined as the time from randomization to documented disease progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) or death due to any cause, whichever occurred first.
    Duration of overall response (DOR)
    DOR is defined as the time from the first documented CR or PR per RECIST v1.1 to disease recurrence or disease progression (PD) whichever occurs first.
    Disease Control Rate(DCR)
    DCR is defined as the proportion of subjects who achieve a Complete Response (CR) 、Partial Response (PR) or Stable Disease (SD) as assessed by RECIST v1.1
    Overall Survival (OS)
    OS is defined as the time from study treatment initiation to death from any cause or last day known to be alive.
    Adverse Events(AEs)
    Incidence, nature, and severity of treatment-emergent AEs and serious AEs, including incidence and severity of findings in laboratory values and vital signs for combination therapy
    Area under the plasma concentration-time curve (AUC)
    Area under the plasma concentration time curve of BR790/anlotinib
    Plasma concentration (Cmax)
    Highest observed plasma concentration of BR790/anlotinib

    Full Information

    First Posted
    January 12, 2023
    Last Updated
    February 8, 2023
    Sponsor
    Shanghai Gopherwood Biotech Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05715398
    Brief Title
    BR790 in Combination With Anlotinib in Adult Subjects With Advanced Non-Small Cell Lung Cancer
    Official Title
    A Multicenter, Open Phase Ⅰ/Ⅱa Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of BR790 in Combination With Anlotinib in Subjects With Advanced Non-small Cell Lung Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    February 2023 (Anticipated)
    Primary Completion Date
    December 2024 (Anticipated)
    Study Completion Date
    December 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shanghai Gopherwood Biotech 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
    This is a Phase Ⅰ/Ⅱa, multi-center, open-label study, aiming to evaluate the safety, tolerability, pharmacokinetic (PK), and efficacy of BR790 in combination with anlotinib in adult participants with advanced NSCLC.
    Detailed Description
    This study is a Phase Ⅰ/Ⅱa, multi-center, open-label study of BR790 in combination with anlotinib with a dose escalation part followed by a dose expansion part in adult subjects with advanced NSCLC. Participants will be treated until disease progression per RECIST v1.1, unacceptable toxicity, or other criteria for withdrawal are met, whichever occurs first.

    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
    BR790, Anlotinib, NSCLC, PTPN11, SHP2

    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
    90 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    BR790+anlotinib
    Arm Type
    Experimental
    Arm Description
    BR790 will be administered orally, variable dose on Day 1 of each 21-day cycle, Anlotinib will be administered as PO fixed dose on Day1-14 of each 21-day cycle
    Intervention Type
    Drug
    Intervention Name(s)
    BR790+anlotinib
    Intervention Description
    BR790 will be administered orally, variable dose on Day 1 of each 21-day cycle, Anlotinib will be administered as PO fixed dose on Day1-14 of each 21-day cycle
    Primary Outcome Measure Information:
    Title
    Maximum tolerated dose/Recommended Phase Ⅱ Dose(MTD/RP2D)
    Description
    To evaluate the MTD/RP2D of BR790 in combination with anlotinib (Part 1)
    Time Frame
    2 years
    Title
    Objective Response Rate (ORR)
    Description
    To evaluate the objective response rate (ORR) of BR790 in combination with anlotinib. ORR is defined as the proportion of subjects who achieve a Complete Response (CR) or Partial Response (PR) as assessed by RECIST v1.1 (Part 2)
    Time Frame
    2 years
    Secondary Outcome Measure Information:
    Title
    Progression-Free Survival (PFS)
    Description
    PFS was defined as the time from randomization to documented disease progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) or death due to any cause, whichever occurred first.
    Time Frame
    2 years
    Title
    Duration of overall response (DOR)
    Description
    DOR is defined as the time from the first documented CR or PR per RECIST v1.1 to disease recurrence or disease progression (PD) whichever occurs first.
    Time Frame
    2 years
    Title
    Disease Control Rate(DCR)
    Description
    DCR is defined as the proportion of subjects who achieve a Complete Response (CR) 、Partial Response (PR) or Stable Disease (SD) as assessed by RECIST v1.1
    Time Frame
    2 years
    Title
    Overall Survival (OS)
    Description
    OS is defined as the time from study treatment initiation to death from any cause or last day known to be alive.
    Time Frame
    2 years
    Title
    Adverse Events(AEs)
    Description
    Incidence, nature, and severity of treatment-emergent AEs and serious AEs, including incidence and severity of findings in laboratory values and vital signs for combination therapy
    Time Frame
    2 years
    Title
    Area under the plasma concentration-time curve (AUC)
    Description
    Area under the plasma concentration time curve of BR790/anlotinib
    Time Frame
    2 years
    Title
    Plasma concentration (Cmax)
    Description
    Highest observed plasma concentration of BR790/anlotinib
    Time Frame
    2 years

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age ≥18 and ≤75 years old. Subjects with histologically or cytologically confirmed locally advanced or relapsed metastatic driver negative (EGFR, ALK, ROS, etc.) advanced NSCLC,whose disease progressed after at least 2 previous standard therapies. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. Has at least one measurable lesion per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) . Exclusion Criteria: Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Has uncontrolled moderate to massive effusion. Central lung squamous carcinoma along with cavum, or non-small cell lung cancer along with hemoptysis (>50ml/day). Other kinds of malignancies within 5 years or for now. Has not enough organ functional reserve at baseline, which met at least one of the following criteria: ANC<1.5×10^9/L, PLT<100×10^9/L, Hb<100g/L; TBIL>1.5×ULN, ALT or AST>2.5×ULN (without liver metastases) , ALT or AST>5×ULN (with liver metastases);Cr >1.5×ULN, urine protein≥++,or confirmed 24h urine protein≥1.0g;INR >1.5×ULN, PT>1.5ULN or APTT >1.5×ULN. Previous use of other SHP2 inhibitors (such as TNO-155, JAB-3312, JAB-3068, RLY-1971, RMC-4630, etc.) Has used anlotinib before The first assessment of efficacy was PD, or occurred ≥grade 3 adverse reactions with antitumor angiogenesis small-molecule drugs (e.g. Apatinib, surufatinib, fruquintinib, etc.), or less than 6 months after the last antitumor vascular therapy. Has got non remissive toxic reactions derived from previous therapies, which is over level 1 in CTC AE (5.0), alopecia and grade 2 peripheral neuropathy are not included.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Baohui Han, professor
    Phone
    18930858216
    Ext
    +86
    Email
    18930858216@163.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Baohui Han
    Organizational Affiliation
    Shanghai Chest Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    BR790 in Combination With Anlotinib in Adult Subjects With Advanced Non-Small Cell Lung Cancer

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