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A Phase III Study of SKB264 for EGFR Mutant NSCLC Patients

Primary Purpose

Non-small Cell Lung Cancer

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
SKB264
Pemetrexed
Carboplatin
Cisplatin
Sponsored by
Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-small Cell Lung Cancer

Eligibility Criteria

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

Inclusion Criteria: Males or females aged ≥18 to ≤75 years at the time of signing the ICF; Histologically or cytologically confirmed non-squamous NSCLC and locally advanced (stage IIIB/IIIC) or metastatic (Stage IV) non-squamous NSCLC not amenable to radical surgery and/or radical concurrent/sequential chemoradiotherapy; EGFR-sensitive mutations; Failure of prior EGFR-TKI therapy; At least one measurable target lesion per RECIST 1.1 as assessed by the investigator; Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1; Expected survival ≥12 weeks; Adequate organ and bone marrow function; Female subjects of childbearing potential and male subjects with partners of childbearing potential who use effective medical contraception from the time of signing the informed consent form until 6 months after the last dose; Subjects voluntarily participate in the study, sign the ICF, and will be able to comply with the protocol-specified visits and relevant procedures Exclusion Criteria: Histologically or cytologically confirmed presence of small cell lung cancer, neuroendocrine carcinoma, and carcinosarcoma components or squamous cell carcinoma components of more than 10%; Other malignancies within 3 years prior to the first dose; History of (noninfectious) interstitial lung disease (ILD)/noninfectious pneumonitis requiring steroid therapy and current ILD/noninfectious pneumonitis; Subjects with active chronic inflammatory bowel disease, GI tract obstruction, severe ulcers, perforation gastrointestinal, abdominal abscess, or acute GI tract bleed; Toxicities from prior anti-tumor therapy not recovering to ≤ Grade 1 (per NCI CTCAE 5.0) or to the level specified in the eligibility criteria; Subjects with human immunodeficiency virus (HIV) test positive or history of acquired immunodeficiency syndrome (AIDS); known active syphilis infection; Prior TROP2-targeted therapy; Prior treatment with any drug therapy targeting topoisomerase I inhibitor, including antibody-drug conjugates (ADCs); Major surgery within 4 weeks prior to the first dose or expected to require major surgery during the study; Subjects who have received live vaccines within 30 days prior to the first dose, or are scheduled to receive live vaccines during the study; Pregnant or lactating women;

Sites / Locations

  • Sun Yat-sen University Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

SKB264 by IV infusion on Days 1 and 15 of each 4-week cycle;

pemetrexed+ carboplatin or on Day 1 of each 3-week cycle, with 4 cycles chemo

Arm Description

Outcomes

Primary Outcome Measures

Progression-free survival (PFS)
PFS assessed by BIRC per RECIST 1.1

Secondary Outcome Measures

Overall survival (OS)
Overall survival (OS)
Progression-free survival (PFS)
PFS assessed by the investigator per RECIST 1.1
Objective response rate(ORR)
ORR assessed by the investigator and BIRC per RECIST 1.1
Disease control rate(DCR)
DCR assessed by the investigator and BIRC per RECIST 1.1
Duration of response(DOR)
DOR assessed by the investigator and BIRC per RECIST 1.1
Time to response(TTR)
TTR assessed by the investigator and BIRC per RECIST 1.1
AEs and SAEs
Incidence and severity of AEs and SAEs (per CTCAE 5.0), and clinically significant abnormal laboratory findings
Mean change from baseline in the European Organisation for Research and Treatment of Cancer (EORTC) 30-item core quality-of-life questionnaire (QLQ-C30)
To assess the impact of SKB264 on disease related symptoms and health related quality of life (HRQoL) in this patient population.
Mean change from baseline in the European Organisation for Research and Treatment of Cancer (EORTC) complementary 13-item quality-of-life questionnaire - lung cancer symptoms questionnaire (QLQ-LC13)
To assess the impact of SKB264 on disease related symptoms and health related quality of life (HRQoL) in this patient population

Full Information

First Posted
April 18, 2023
Last Updated
August 7, 2023
Sponsor
Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.
Collaborators
Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05870319
Brief Title
A Phase III Study of SKB264 for EGFR Mutant NSCLC Patients
Official Title
A Randomized, Open-Label, Multicenter Phase 3 Study to Evaluate SKB264 Monotherapy Versus Pemetrexed in Combination With Platinum in Patients With Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer With EGFR Mutation Who Have Failed to Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR-TKI) Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 26, 2023 (Actual)
Primary Completion Date
May 20, 2025 (Anticipated)
Study Completion Date
September 30, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.
Collaborators
Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
This is a randomized, open-label, multicenter Phase 3 clinical study to evaluate SKB264 monotherapy versus pemetrexed in combination with platinum in subjects with locally advanced or metastatic non-squamous NSCLC with EGFR mutation who have failed to EGFR-TKI therapy.
Detailed Description
This is a randomized, open-label, multicenter Phase 3 clinical study to evaluate SKB264 monotherapy versus pemetrexed in combination with platinum in subjects with locally advanced or metastatic non-squamous NSCLC with EGFR mutation who have failed to EGFR-TKI therapy. The primary objective is to compare the efficacy and safety of SKB264 monotherapy versus pemetrexed in combination with platinum in patients with locally advanced or metastatic non-squamous NSCLC with EGFR mutation who have failed to EGFR-TKI therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
356 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SKB264 by IV infusion on Days 1 and 15 of each 4-week cycle;
Arm Type
Experimental
Arm Title
pemetrexed+ carboplatin or on Day 1 of each 3-week cycle, with 4 cycles chemo
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
SKB264
Intervention Description
intravenous (IV) infusion (Q2W)
Intervention Type
Drug
Intervention Name(s)
Pemetrexed
Intervention Description
500 mg/m2 intravenous (IV) infusion (Q3W)
Intervention Type
Drug
Intervention Name(s)
Carboplatin
Intervention Description
AUC 5 intravenous (IV) infusion (Q3W) 4cycles
Intervention Type
Drug
Intervention Name(s)
Cisplatin
Intervention Description
75 mg/m2 intravenous (IV) infusion (Q3W) 4cycles
Primary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
PFS assessed by BIRC per RECIST 1.1
Time Frame
From baseline until disease progression, death, or other protocol defined reason,up to approximately 36 months
Secondary Outcome Measure Information:
Title
Overall survival (OS)
Description
Overall survival (OS)
Time Frame
From the date of randomization to the date of death due to any cause. Up to 2 years.
Title
Progression-free survival (PFS)
Description
PFS assessed by the investigator per RECIST 1.1
Time Frame
From baseline until disease progression, death, or other protocol defined reason,up to approximately 36 months
Title
Objective response rate(ORR)
Description
ORR assessed by the investigator and BIRC per RECIST 1.1
Time Frame
Up to 2 years
Title
Disease control rate(DCR)
Description
DCR assessed by the investigator and BIRC per RECIST 1.1
Time Frame
Up to 2 years
Title
Duration of response(DOR)
Description
DOR assessed by the investigator and BIRC per RECIST 1.1
Time Frame
From baseline until disease progression, death, or other protocol defined reason, up to approximately 36 months
Title
Time to response(TTR)
Description
TTR assessed by the investigator and BIRC per RECIST 1.1
Time Frame
Up to 2 years
Title
AEs and SAEs
Description
Incidence and severity of AEs and SAEs (per CTCAE 5.0), and clinically significant abnormal laboratory findings
Time Frame
AEs should be observed and recorded from signing the ICF until 30 days after the last dose. AEs occurring 30 days after the last dose are not required to be actively collected by the investigator.
Title
Mean change from baseline in the European Organisation for Research and Treatment of Cancer (EORTC) 30-item core quality-of-life questionnaire (QLQ-C30)
Description
To assess the impact of SKB264 on disease related symptoms and health related quality of life (HRQoL) in this patient population.
Time Frame
Up to 2 years
Title
Mean change from baseline in the European Organisation for Research and Treatment of Cancer (EORTC) complementary 13-item quality-of-life questionnaire - lung cancer symptoms questionnaire (QLQ-LC13)
Description
To assess the impact of SKB264 on disease related symptoms and health related quality of life (HRQoL) in this patient population
Time Frame
Up to 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: Males or females aged ≥18 to ≤75 years at the time of signing the ICF; Histologically or cytologically confirmed non-squamous NSCLC and locally advanced (stage IIIB/IIIC) or metastatic (Stage IV) non-squamous NSCLC not amenable to radical surgery and/or radical concurrent/sequential chemoradiotherapy; EGFR-sensitive mutations; Failure of prior EGFR-TKI therapy; At least one measurable target lesion per RECIST 1.1 as assessed by the investigator; Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1; Expected survival ≥12 weeks; Adequate organ and bone marrow function; Female subjects of childbearing potential and male subjects with partners of childbearing potential who use effective medical contraception from the time of signing the informed consent form until 6 months after the last dose; Subjects voluntarily participate in the study, sign the ICF, and will be able to comply with the protocol-specified visits and relevant procedures Exclusion Criteria: Histologically or cytologically confirmed presence of small cell lung cancer, neuroendocrine carcinoma, and carcinosarcoma components or squamous cell carcinoma components of more than 10%; Other malignancies within 3 years prior to the first dose; History of (noninfectious) interstitial lung disease (ILD)/noninfectious pneumonitis requiring steroid therapy and current ILD/noninfectious pneumonitis; Subjects with active chronic inflammatory bowel disease, GI tract obstruction, severe ulcers, perforation gastrointestinal, abdominal abscess, or acute GI tract bleed; Toxicities from prior anti-tumor therapy not recovering to ≤ Grade 1 (per NCI CTCAE 5.0) or to the level specified in the eligibility criteria; Subjects with human immunodeficiency virus (HIV) test positive or history of acquired immunodeficiency syndrome (AIDS); known active syphilis infection; Prior TROP2-targeted therapy; Prior treatment with any drug therapy targeting topoisomerase I inhibitor, including antibody-drug conjugates (ADCs); Major surgery within 4 weeks prior to the first dose or expected to require major surgery during the study; Subjects who have received live vaccines within 30 days prior to the first dose, or are scheduled to receive live vaccines during the study; Pregnant or lactating women;
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xiaoping Jin, PhD
Phone
86-028-67255165
Email
jinxp@kelun.com
Facility Information:
Facility Name
Sun Yat-sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li Zhang, PHD
Phone
020-87343458
Email
zhangli@sysucc.org.cn

12. IPD Sharing Statement

Learn more about this trial

A Phase III Study of SKB264 for EGFR Mutant NSCLC Patients

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