search
Back to results

First-In-Human Study of STX-721 in Participants With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Harboring EGFR Exon 20 Insertion Mutations

Primary Purpose

Non-Small Cell Lung Cancer, NSCLC, EGFR/HER2 Exon 20 Insertion Mutation

Status
Not yet recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
STX-721 (Escalated)
STX-721 (2 doses)
STX-721 (RP2D)
Sponsored by
Scorpion Therapeutics, Inc.
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 - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria: Has histologically- or cytologically confirmed diagnosis of NSCLC Stage IIIB/C or IV not eligible for curative intent surgery or chemoradiation. Tumor tissue EGFR exon 20 insertion mutations confirmed by qualified local laboratories. Has new or recent tumor biopsy (collected at screening, if feasible) or archival tumor specimen collected in the past 10 years available for genomic profiling (see lab manual for minimum tissue requirements). Is ≥18 years of age at the time of signing the ICF. Has Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. Key Exclusion Criteria: Has a tumor that is known to harbor concurrent T790M and C797S resistance mutations. Has history (within ≤2 years before screening) of solid tumor or hematological malignancy that is histologically distinct from NSCLC. Has symptomatic brain or spinal metastases. Has toxicities from previous anticancer therapies that have not resolved to baseline levels or to CTCAE Grade ≤1, except for alopecia and peripheral neuropathy. Has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant (e.g., could compromise the participant's well-being) or would prevent, limit, or confound the protocol-specified assessments.

Sites / Locations

  • NEXT Virginia

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Part 1: Dose Escalation

Part 2: RP2D Selection

Part 3: Dose Expansion

Arm Description

Outcomes

Primary Outcome Measures

Part 1 Dose Escalation (MTD): Dose Escalation - Number of participants who experience at least 1 DLT during the first 28 days of treatment
Part 1 Dose Escalation (OBD): Dose Escalation - Number of participants who experience at least 1 DLT during the first 28 days of treatment
Part 2 RP2D Selection: C(max) of STX-721
Part 2 RP2D Selection: AUC(0-inf) of STX-721
Part 2 RP2D Selection: AUC(0-t) of STX-721
Part 2 RP2D Selection: AUC(0-τ) of STX-721
Part 2 RP2D Selection: Change from baseline in circulating tumor DNA (ctDNA) analysis of EGFR mutations
Part 2 RP2D Selection: Change from baseline in EGFR signaling
Part 2 RP2D Selection: Change in absolute value versus time in circulating tumor DNA (ctDNA) analysis of EGFR mutations
Part 2 RP2D Selection: Change in absolute value versus time in EGFR signaling
Part 2 RP2D Selection: Number of participants with confirmed objective response rate (ORR) defined as the percentage of participants with partial response (PR) or complete response (CR) based on RECIST v1.1 per investigator assessment.
Part 3 Dose Expansion: Number of participants with confirmed ORR defined as the percentage of participants with PR or complete response CR based on RECIST v1.1 per investigator assessment.

Secondary Outcome Measures

Full Information

First Posted
September 1, 2023
Last Updated
October 4, 2023
Sponsor
Scorpion Therapeutics, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT06043817
Brief Title
First-In-Human Study of STX-721 in Participants With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Harboring EGFR Exon 20 Insertion Mutations
Official Title
First-In-Human Study of STX-721 in Participants With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Harboring EGFR Exon 20 Insertion Mutations
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
September 25, 2023 (Anticipated)
Primary Completion Date
July 17, 2026 (Anticipated)
Study Completion Date
May 1, 2028 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Scorpion Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Study STX-721-101 is an open label, Phase 1/2 study evaluating the safety, tolerability, pharmacokinetic (PK) exposure, and preliminary antitumor activity of STX-721 in participants with non-small cell lung cancer (NSCLC) carrying EGFR/HER2 exon 20 insertion (ex20ins) mutations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Small Cell Lung Cancer, NSCLC, 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
Non-Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1: Dose Escalation
Arm Type
Experimental
Arm Title
Part 2: RP2D Selection
Arm Type
Experimental
Arm Title
Part 3: Dose Expansion
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
STX-721 (Escalated)
Intervention Description
STX-721 dose will be escalated per Safety Evaluation Team (SET) decision and BLRM-design.
Intervention Type
Drug
Intervention Name(s)
STX-721 (2 doses)
Intervention Description
Participants will receive 2 doses of STX-721.
Intervention Type
Drug
Intervention Name(s)
STX-721 (RP2D)
Intervention Description
Participants will receive the RP2D of STX-721.
Primary Outcome Measure Information:
Title
Part 1 Dose Escalation (MTD): Dose Escalation - Number of participants who experience at least 1 DLT during the first 28 days of treatment
Time Frame
28 days
Title
Part 1 Dose Escalation (OBD): Dose Escalation - Number of participants who experience at least 1 DLT during the first 28 days of treatment
Time Frame
28 days
Title
Part 2 RP2D Selection: C(max) of STX-721
Time Frame
1 year
Title
Part 2 RP2D Selection: AUC(0-inf) of STX-721
Time Frame
1 year
Title
Part 2 RP2D Selection: AUC(0-t) of STX-721
Time Frame
1 year
Title
Part 2 RP2D Selection: AUC(0-τ) of STX-721
Time Frame
1 year
Title
Part 2 RP2D Selection: Change from baseline in circulating tumor DNA (ctDNA) analysis of EGFR mutations
Time Frame
1 year
Title
Part 2 RP2D Selection: Change from baseline in EGFR signaling
Time Frame
1 year
Title
Part 2 RP2D Selection: Change in absolute value versus time in circulating tumor DNA (ctDNA) analysis of EGFR mutations
Time Frame
1 year
Title
Part 2 RP2D Selection: Change in absolute value versus time in EGFR signaling
Time Frame
1 year
Title
Part 2 RP2D Selection: Number of participants with confirmed objective response rate (ORR) defined as the percentage of participants with partial response (PR) or complete response (CR) based on RECIST v1.1 per investigator assessment.
Time Frame
1 year
Title
Part 3 Dose Expansion: Number of participants with confirmed ORR defined as the percentage of participants with PR or complete response CR based on RECIST v1.1 per investigator assessment.
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Has histologically- or cytologically confirmed diagnosis of NSCLC Stage IIIB/C or IV not eligible for curative intent surgery or chemoradiation. Tumor tissue EGFR exon 20 insertion mutations confirmed by qualified local laboratories. Has new or recent tumor biopsy (collected at screening, if feasible) or archival tumor specimen collected in the past 10 years available for genomic profiling (see lab manual for minimum tissue requirements). Is ≥18 years of age at the time of signing the ICF. Has Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. Key Exclusion Criteria: Has a tumor that is known to harbor concurrent T790M and C797S resistance mutations. Has history (within ≤2 years before screening) of solid tumor or hematological malignancy that is histologically distinct from NSCLC. Has symptomatic brain or spinal metastases. Has toxicities from previous anticancer therapies that have not resolved to baseline levels or to CTCAE Grade ≤1, except for alopecia and peripheral neuropathy. Has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant (e.g., could compromise the participant's well-being) or would prevent, limit, or confound the protocol-specified assessments.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
For questions concerning enrollment
Phone
Please email:
Email
clinicaltrials@scorpiontx.com
Facility Information:
Facility Name
NEXT Virginia
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031-2171
Country
United States

12. IPD Sharing Statement

Learn more about this trial

First-In-Human Study of STX-721 in Participants With Locally Advanced or Metastatic Non-Small Cell Lung Cancer Harboring EGFR Exon 20 Insertion Mutations

We'll reach out to this number within 24 hrs