A Study of HBI-8000 (Tucidinostat) With Pembrolizumab in Non-Small Cell Lung Cancer (HBI-8000)
Primary Purpose
Non Small Cell Lung Cancer
Status
Active
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
HBI-8000 in combination with pembrolizumab
Sponsored by
About this trial
This is an interventional treatment trial for Non Small Cell Lung Cancer focused on measuring HBI-8000, Pembrolizumab, NSCLC
Eligibility Criteria
Inclusion Criteria:
- Histopathologically confirmed diagnosis of NSCLC with PD-L1 expression of ≥1% based on FDA-approved test
- No prior treatment with checkpoint inhibitors or more than one regimen of chemotherapy including epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) mutation directed therapy for advanced or metastatic disease
- Disease must have at least 1 measurable target lesion by RECIST 1.1
- Adequate major organ functions as evidenced by laboratory findings within 14 days prior to first dose
- Eastern Cooperative Oncology Group (ECOG) ≤2 and must have a life expectancy of ≥12 weeks
Exclusion Criteria:
- History of grade ≥3 hypersensitivity reactions to monoclonal antibodies
- Participation in another interventional clinical trial within 28 days or less than 5 half-lives of investigational agent before the first dose
- Recurrent pleural effusion requiring repetitive palliative thoracentesis within 3 months prior to study entry (except patients with a PleurX™ port)
- Active, known or suspected autoimmune disease or history of immune-mediated toxicity leading to discontinuation of previous checkpoint inhibitor treatment should be administered in (neo)adjuvant setting. Exceptions are for type I diabetes mellitus, hyperthyroidism requiring hormone-replacement or skin only disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic therapy
- Active pneumonitis, history of non-infectious pneumonitis that required treatment with steroids, or history of interstitial lung disease
- Received approved live vaccines within 30 days of planned first dose. Intranasal influenza vaccines (e.g. Flu-Mist) are not allowed, however inactivated viral vaccines or vaccines based on subviral component are allowed
- Any condition requiring chronic systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications. And any steroids use within 14 days of first dose except for inhaled or topical steroids.
Note: Other protocol-defined Inclusion/Exclusion criteria may apply
Sites / Locations
- Western Regional Medical Center
- CBCC Global Research, Inc at Comprehensive Blood and Cancer Center
- Hematology Oncology Associates Of The Treasure Coast
- Southeastern Regional Medical Center
- Midewestern Regional Medical Center, LLC
- Cotton O'Neil Clinical Research Center
- Frederick Health-JMSCI
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
HBI-8000 in combination with pembrolizumab
Arm Description
Outcomes
Primary Outcome Measures
Objective response rate (ORR)
The proportion of subjects achieving complete response or partial response according to RECIST v1.1
Secondary Outcome Measures
Duration of response (DoR)
Time from 1st observation of objective response to disease progression
Disease Control Rate (DCR)
The proportion of subjects achieving complete response, partial response or stable disease
Progression-Free Survival (PFS)
Time from the first dose of HBI-8000 to disease progression or death
Safety and tolerability of HBI-8000 when administered in combination with standard dose and regimen of pembrolizumab
Number of participants experiencing treatment-emergent adverse events (TEAEs) graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0
Full Information
NCT ID
NCT05141357
First Posted
November 19, 2021
Last Updated
December 5, 2022
Sponsor
HUYABIO International, LLC.
1. Study Identification
Unique Protocol Identification Number
NCT05141357
Brief Title
A Study of HBI-8000 (Tucidinostat) With Pembrolizumab in Non-Small Cell Lung Cancer
Acronym
HBI-8000
Official Title
A Phase 2 Study to Assess the Safety and Efficacy of HBI-8000 in Combination With Pembrolizumab for Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
Study Type
Interventional
2. Study Status
Record Verification Date
December 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 14, 2022 (Actual)
Primary Completion Date
January 2024 (Anticipated)
Study Completion Date
February 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
HUYABIO International, LLC.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This Phase 2 study evaluates HBI-8000, a histone deacetylase inhibitor (HDACi) in combination with pembrolizumab for the treatment of patients with advanced or metastatic non-small cell lung cancer who possess programmed death ligand 1 (PD-L1) expression Tumor Proportion Score (TPS) of 1% or greater.
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
HBI-8000, Pembrolizumab, NSCLC
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
24 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
HBI-8000 in combination with pembrolizumab
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
HBI-8000 in combination with pembrolizumab
Other Intervention Name(s)
tudicdinostat, Keytruda®, pembrolizumab
Intervention Description
Participants will take 30 mg of HBI-8000 by mouth every 3-4 days on a twice weekly (BIW) schedule. Pembrolizumab will be administered at 400 mg IV every 6 weeks (Q6W) or 200 mg IV every 3 weeks (Q3W) according to Prescribing Information and institution's prescribing practice for pembrolizumab.
Primary Outcome Measure Information:
Title
Objective response rate (ORR)
Description
The proportion of subjects achieving complete response or partial response according to RECIST v1.1
Time Frame
From enrollment until disease progression or unacceptable toxicity, assessed up to 38 months approximately
Secondary Outcome Measure Information:
Title
Duration of response (DoR)
Description
Time from 1st observation of objective response to disease progression
Time Frame
up to 38 months approximately
Title
Disease Control Rate (DCR)
Description
The proportion of subjects achieving complete response, partial response or stable disease
Time Frame
up to 38 months approximately
Title
Progression-Free Survival (PFS)
Description
Time from the first dose of HBI-8000 to disease progression or death
Time Frame
38 months
Title
Safety and tolerability of HBI-8000 when administered in combination with standard dose and regimen of pembrolizumab
Description
Number of participants experiencing treatment-emergent adverse events (TEAEs) graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0
Time Frame
From first enrolled up to 38 months, approximately
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histopathologically confirmed diagnosis of NSCLC with PD-L1 expression of ≥1% based on FDA-approved test
No prior treatment with checkpoint inhibitors or more than one regimen of chemotherapy including epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) mutation directed therapy for advanced or metastatic disease
Disease must have at least 1 measurable target lesion by RECIST 1.1
Adequate major organ functions as evidenced by laboratory findings within 14 days prior to first dose
Eastern Cooperative Oncology Group (ECOG) ≤2 and must have a life expectancy of ≥12 weeks
Exclusion Criteria:
History of grade ≥3 hypersensitivity reactions to monoclonal antibodies
Participation in another interventional clinical trial within 28 days or less than 5 half-lives of investigational agent before the first dose
Recurrent pleural effusion requiring repetitive palliative thoracentesis within 3 months prior to study entry (except patients with a PleurX™ port)
Active, known or suspected autoimmune disease or history of immune-mediated toxicity leading to discontinuation of previous checkpoint inhibitor treatment should be administered in (neo)adjuvant setting. Exceptions are for type I diabetes mellitus, hyperthyroidism requiring hormone-replacement or skin only disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic therapy
Active pneumonitis, history of non-infectious pneumonitis that required treatment with steroids, or history of interstitial lung disease
Received approved live vaccines within 30 days of planned first dose. Intranasal influenza vaccines (e.g. Flu-Mist) are not allowed, however inactivated viral vaccines or vaccines based on subviral component are allowed
Any condition requiring chronic systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications. And any steroids use within 14 days of first dose except for inhaled or topical steroids.
Note: Other protocol-defined Inclusion/Exclusion criteria may apply
Facility Information:
Facility Name
Western Regional Medical Center
City
Goodyear
State/Province
Arizona
ZIP/Postal Code
85338
Country
United States
Facility Name
CBCC Global Research, Inc at Comprehensive Blood and Cancer Center
City
Bakersfield
State/Province
California
ZIP/Postal Code
93309
Country
United States
Facility Name
Hematology Oncology Associates Of The Treasure Coast
City
Port Saint Lucie
State/Province
Florida
ZIP/Postal Code
34952
Country
United States
Facility Name
Southeastern Regional Medical Center
City
Newnan
State/Province
Georgia
ZIP/Postal Code
30265
Country
United States
Facility Name
Midewestern Regional Medical Center, LLC
City
Zion
State/Province
Illinois
ZIP/Postal Code
60099
Country
United States
Facility Name
Cotton O'Neil Clinical Research Center
City
Topeka
State/Province
Kansas
ZIP/Postal Code
66606
Country
United States
Facility Name
Frederick Health-JMSCI
City
Frederick
State/Province
Maryland
ZIP/Postal Code
21702
Country
United States
12. IPD Sharing Statement
Learn more about this trial
A Study of HBI-8000 (Tucidinostat) With Pembrolizumab in Non-Small Cell Lung Cancer
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