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A Study of CS3007 in Subjects With Gastrointestinal Stromal Tumor

Primary Purpose

Gastrointestinal Stromal Tumors

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
CS3007 (BLU-285)
Sponsored by
CStone Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastrointestinal Stromal Tumors

Eligibility Criteria

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

Inclusion criteria:

  1. For phase I study, the subject must have histologically or cytologically confirmed unresectable or metastatic GIST that progressed after imatinib and at least one additional TKI treatment, or who cannot tolerate the standard treatment or have D842V mutation in the PDGFRα gene.
  2. For phase II study:

    i) Group 1: Chinese subjects with unresectable GIST harboring D842V mutation in PDGFRα gene.

    ii) Group 2: Chinese third-line and fourth-line or later subjects with unresectable GIST that has progressed after standard treatment and/or do not tolerate standard treatment, and do not have a known D842V mutation in the PDGFRα gene.

  3. Subjects with at least one measurable lesion as defined per RECIST v1.1
  4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to

Exclusion Criteria

  1. Subject has any of the laboratory results that meet exclusion criteria
  2. Subjects who have previously received antineoplastic medication, including Chinese herbal drugs or Chinese medicine products with antineoplastic indications, for less than 5 half-lives or 14 days, whichever is shorter, prior to the first dose of the investigational product.
  3. The subject received neutrophil growth factor support within 14 days prior to the first dose of investigational product.
  4. Subjects received treatment with a strong inhibitor or strong or moderate inducer of cytochrome P450 (CYP) 3A4 within 14 days prior to the first dose of study drug, or requires continuous intake of above medications or foods during study period.
  5. Subject received a major surgery (not including minor procedures, e.g., central venous catheterization, tumor needle biopsy, feeding tube placement) within 14 days prior to the first dose of investigational product.
  6. Diagnosis of any other malignancy within 1 year prior to the first dose of investigational product or the subject is under treatment for another malignancy.
  7. Corrected QT interval > 450 msec calculated using Fridericia's formula.
  8. Subject has history of seizure (e.g. epilepsy) or requires antiepileptic medication treatment.
  9. History of cerebrovascular accident or transient ischemic attack within one year prior to the first dose of the investigational product.
  10. Known risk of intracranial hemorrhage, e.g., history of cerebral aneurysm or subdural or subarachnoid hemorrhage.
  11. With primary brain malignancy or brain metastasis.
  12. With clinically significant, uncontrolled cardiovascular disease, including congestive heart failure of New York Heart Association (NYHA) class II, III or IV, myocardial infarction or unstable angina in the past 6 months, or uncontrolled hypertension.
  13. Unwilling or unable to comply with scheduled visits, treatment plan, laboratory tests or other study procedures/restrictions.
  14. With previous or current clinically significant disorder, medical condition, history of surgery, physical issue or laboratory finding, which, in the investigator's judgment, might affect the subject's safety, change the absorption, distribution, metabolism or excretion of the investigational product, or interfere with the evaluation of study result.

Sites / Locations

  • Beijing Cancer Hospital
  • Chinese PLA General Hospital
  • The First Affiliated Hospital of Chongqing Medical University
  • Fujian Medical University Union Hospital
  • The First Affiliated Hospital of Sun Yat-Sen University
  • The Sixth Affiliated Hospital of Sun Yat-Sen University
  • Harbin Medical University Cancer Hospital
  • Wuhan Union Hospital Tongji Medical College Huazhong University of Science and Technology
  • The First Affiliated Hospital of Nanchang Medical University
  • Liaoning Cancer Hospital & Institute
  • Fudan University Shanghai Cancer Center
  • Fudan University Zhongshan Hospital (General Surgery Department)
  • Fudan University Zhongshan Hospital (Internal Tumor Department)
  • Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine
  • Xinjiang Medical University Cancer Hospital
  • The First Affiliated Hospital Zhe Jiang University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CS3007(BLU-285)

Arm Description

Outcomes

Primary Outcome Measures

Phase I: Recommended Phase II dose (RP2D), incidence of dose limiting toxicities (DLT) in Cycle 1, incidence and severity of adverse events and serious adverse events and changes in vital signs, clinical laboratory results and ECG findings
Phase II: ORR based on mRESIST 1.1

Secondary Outcome Measures

Full Information

First Posted
December 9, 2019
Last Updated
April 25, 2023
Sponsor
CStone Pharmaceuticals
Collaborators
Blueprint Medicines Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT04254939
Brief Title
A Study of CS3007 in Subjects With Gastrointestinal Stromal Tumor
Official Title
A Phase I/II Clinical Study of Avapritinib in Chinese Subjects With Unresectable or Metastatic Gastrointestinal Stromal Tumor
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
August 15, 2019 (Actual)
Primary Completion Date
April 30, 2020 (Actual)
Study Completion Date
April 11, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CStone Pharmaceuticals
Collaborators
Blueprint Medicines Corporation

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 study is an open-label, multicenter, phase I/II study to evaluate the safety, PK and clinical efficacy of avapritinib in Chinese subjects with unresectable or metastatic GIST. The study consists of two parts: dose escalation (phase I) and dose expansion (phase II).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastrointestinal Stromal Tumors

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
65 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CS3007(BLU-285)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
CS3007 (BLU-285)
Intervention Description
A modified "3+3" dose escalation design will be adopted. Each group will enroll 3-6 subjects. Avapritinib will be administered orally at the starting of 200 mg QD. A cycle consists of 28 consecutive days.
Primary Outcome Measure Information:
Title
Phase I: Recommended Phase II dose (RP2D), incidence of dose limiting toxicities (DLT) in Cycle 1, incidence and severity of adverse events and serious adverse events and changes in vital signs, clinical laboratory results and ECG findings
Time Frame
at the end of Cycle 1 (each cycle is 28 days) for RP2D and DLT; during every cycle through 30 days after the last dose of study drug, an average of approximately 24 months, for other measures
Title
Phase II: ORR based on mRESIST 1.1
Time Frame
At Cycle 3 (each cycle is 28 days) Day 1, then every 2 cycles until Cycle 13, they every 3 cycles through study completion, disease progression or patient discontinuation from the study (whichever comes first), an average of approximately 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: For phase I study, the subject must have histologically or cytologically confirmed unresectable or metastatic GIST that progressed after imatinib and at least one additional TKI treatment, or who cannot tolerate the standard treatment or have D842V mutation in the PDGFRα gene. For phase II study: i) Group 1: Chinese subjects with unresectable GIST harboring D842V mutation in PDGFRα gene. ii) Group 2: Chinese third-line and fourth-line or later subjects with unresectable GIST that has progressed after standard treatment and/or do not tolerate standard treatment, and do not have a known D842V mutation in the PDGFRα gene. Subjects with at least one measurable lesion as defined per mRECIST v1.1 Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. Exclusion Criteria Subject has any of the laboratory results that meet exclusion criteria Subjects who have previously received antineoplastic medication, including Chinese herbal drugs or Chinese medicine products with antineoplastic indications, for less than 5 half-lives or 14 days, whichever is shorter, prior to the first dose of the investigational product. The subject received neutrophil growth factor support within 14 days prior to the first dose of investigational product. Subjects received treatment with a strong inhibitor or strong or moderate inducer of cytochrome P450 (CYP) 3A4 within 14 days prior to the first dose of study drug, or requires continuous intake of above medications or foods during study period. Subject received a major surgery (not including minor procedures, e.g., central venous catheterization, tumor needle biopsy, feeding tube placement) within 14 days prior to the first dose of investigational product. Diagnosis of any other malignancy within 1 year prior to the first dose of investigational product or the subject is under treatment for another malignancy. Corrected QT interval > 450 msec calculated using Fridericia's formula. Subject has history of seizure (e.g. epilepsy) or requires antiepileptic medication treatment. History of cerebrovascular accident or transient ischemic attack within one year prior to the first dose of the investigational product. Known risk of intracranial hemorrhage, e.g., history of cerebral aneurysm or subdural or subarachnoid hemorrhage. With primary brain malignancy or brain metastasis. With clinically significant, uncontrolled cardiovascular disease, including congestive heart failure of New York Heart Association (NYHA) class II, III or IV, myocardial infarction or unstable angina in the past 6 months, or uncontrolled hypertension. Unwilling or unable to comply with scheduled visits, treatment plan, laboratory tests or other study procedures/restrictions. With previous or current clinically significant disorder, medical condition, history of surgery, physical issue or laboratory finding, which, in the investigator's judgment, might affect the subject's safety, change the absorption, distribution, metabolism or excretion of the investigational product, or interfere with the evaluation of study result.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lin SHEN, MD
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Cancer Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Chinese PLA General Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
The First Affiliated Hospital of Chongqing Medical University
City
Chongqing
State/Province
Chongqing
Country
China
Facility Name
Fujian Medical University Union Hospital
City
Fuzhou
State/Province
Fujian
Country
China
Facility Name
The First Affiliated Hospital of Sun Yat-Sen University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
The Sixth Affiliated Hospital of Sun Yat-Sen University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
Harbin Medical University Cancer Hospital
City
Harbin
State/Province
Heilongjiang
Country
China
Facility Name
Wuhan Union Hospital Tongji Medical College Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
The First Affiliated Hospital of Nanchang Medical University
City
Nanchang
State/Province
Jiangxi
Country
China
Facility Name
Liaoning Cancer Hospital & Institute
City
Shenyang
State/Province
Liaoning
Country
China
Facility Name
Fudan University Shanghai Cancer Center
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Fudan University Zhongshan Hospital (General Surgery Department)
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Fudan University Zhongshan Hospital (Internal Tumor Department)
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Xinjiang Medical University Cancer Hospital
City
Urumqi
State/Province
Xinjiang
Country
China
Facility Name
The First Affiliated Hospital Zhe Jiang University
City
Hangzhou
State/Province
Zhejiang
Country
China

12. IPD Sharing Statement

Learn more about this trial

A Study of CS3007 in Subjects With Gastrointestinal Stromal Tumor

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