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Hase 1/2 Study of HS-10375 in Patients With Advanced or Metastatic Non-Small-Cell Lung Cancer(NSCLC)

Primary Purpose

Advanced or Metastatic NSCLC

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
HS-10375
Sponsored by
Jiangsu Hansoh Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced or Metastatic NSCLC focused on measuring Advanced or metastatic NSCLC, EGFR C797S mutation, HS-10375

Eligibility Criteria

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

Inclusion Criteria:

  1. Men or women greater than or equal to 18 years.
  2. Locally advanced or metastatic NSCLC patients confirmed by histology or cytology, for which standard treatment is invalid, unavailable or intolerable .
  3. Pathological, NSCLC tissue samples can be used to test EGFR C797S mutation by central laboratory for Phase 1b and Phase II subjects.
  4. At least one measurable lesion in accordance with RECIST 1.1.
  5. Eastern Cooperative Oncology Group (ECOG) performance status: 0~1.
  6. Estimated life expectancy >12 weeks.
  7. Reproductive-age women agree to use adequate contraception and cannot breastfeed while participating in this study and for a period of 6 months after the last dose. Likewise, men also consent to use adequate contraceptive method within the same time limit.
  8. Females must have the evidence of non-childbearing potential.
  9. Signed and dated Informed Consent Form.

Exclusion Criteria:

  1. Treatment with any of the following:

    • Previous or current treatment with EGFR C797S inhibitors.
    • Any cytotoxic chemotherapy, anticancer Chinese medicine and targeted small molecule inhibitors within 14 days of the first dose of HS-10375.
    • Any investigational agents and large molecule antibodies within 28 days of the first dose of HS-10375.
    • Local radiotherapy for palliation within 2 weeks of the first dose of HS-10375, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks of the first dose of HS-10375.
    • Major surgery (including craniotomy, thoracotomy, or laparotomy, etc.) within 4 weeks of the first dose of HS-10375.
  2. Inadequate bone marrow reserve or serious organ dysfunction.
  3. Uncontrolled pleural, ascites or pericardial effusion.
  4. Known and untreated, or active central nervous system metastases.
  5. Active autoimmune diseases or active infectious disease.
  6. Refractory nausea, vomiting, or chronic gastrointestinal diseases, or inability to swallow oral medications.
  7. History of hypersensitivity to any active or inactive ingredient of HS-10375 or to drugs with a similar chemical structure or drugs belonging to the same category of HS-10375.
  8. The subject who is unlikely to comply with study procedures, restrictions, or requirements judged by the investigator.
  9. The subject whose safety cannot be ensured or study assessments would be interfered judged by the investigator.
  10. Pregnant women, breastfeeding women or woman who has a child-bearing plan during the study.
  11. History of neuropathy or mental disorders, including epilepsy and dementia.

Sites / Locations

  • Sun Yat-sen University Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HS-10375

Arm Description

Experimental: HS-10375(Phase 1a:Dose Escalation) Subjects with advanced or metastatic NSCLC will be enrolled in dose escalation cohorts. Dose escalation of HS-10375 will be done to determine maximum tolerated dose. Experimental: HS-10375(Phase 1b:Dose Expansion) Depending on data obtained from the dose escalation part, dose expansion may proceed with multiple cohorts in subjects with advanced or metastatic NSCLC having a EGFR C797S mutation. Experimental: HS-10375(Phase 2) Subjects with locally advanced or metastatic EGFR C797S mutant NSCLC will be enrolled in phase 2 part to evaluate the efficacy and sufficient safety of HS-10375 as monotherapy.

Outcomes

Primary Outcome Measures

To determine the maximum tolerated dose (MTD)-Part Ia
Number of participants with dose limiting toxicity
To evaluate clinical activity/efficacy of HS-10375 by assessment of objective response rate-Part Ib/II
Objective response rate (ORR) assessed by Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1)

Secondary Outcome Measures

Number of participants with treatment related adverse events
Number of participants with treatment related adverse events
Observed maximum plasma concentration (Cmax) after single dose of HS-10375
In the study of single-dose, Cmax will be obtained following administration of a single oral dose of HS-10375
Time to reach maximum plasma concentration (Tmax) after single dose of HS-10375
In the study of single-dose, Tmax will be obtained following administration of a single oral dose of HS-10375
Apparent terminal half-life (T1/2) after single dose of HS-10375
Apparent terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by λz
Duration of response (DOR)
DOR assessed by RECIST 1.1 criteria
Disease Control Rate (DCR)
DCR assessed by RECIST 1.1 criteria
Progression-free survival (PFS)
PFS assessed by RECIST 1.1 criteria
Overall survival (OS)

Full Information

First Posted
June 23, 2022
Last Updated
June 27, 2022
Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05435248
Brief Title
Hase 1/2 Study of HS-10375 in Patients With Advanced or Metastatic Non-Small-Cell Lung Cancer(NSCLC)
Official Title
A Phase 1/2, Open-label, Multicenter Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of HS-10375 Monotherapy in Patients With Advanced or Metastatic Non-Small-Cell Lung Cancer(NSCLC)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 2, 2022 (Actual)
Primary Completion Date
March 31, 2025 (Anticipated)
Study Completion Date
March 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Hansoh Pharmaceutical 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
HS-10375 is an oral, highly selective, small molecular inhibitor of EGFR C797S. This study will evaluate the safety, tolerability, pharmacokinetics and clinical activity of HS-10375 in Chinese advanced or metastatic NSCLC.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced or Metastatic NSCLC
Keywords
Advanced or metastatic NSCLC, EGFR C797S mutation, HS-10375

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
354 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
HS-10375
Arm Type
Experimental
Arm Description
Experimental: HS-10375(Phase 1a:Dose Escalation) Subjects with advanced or metastatic NSCLC will be enrolled in dose escalation cohorts. Dose escalation of HS-10375 will be done to determine maximum tolerated dose. Experimental: HS-10375(Phase 1b:Dose Expansion) Depending on data obtained from the dose escalation part, dose expansion may proceed with multiple cohorts in subjects with advanced or metastatic NSCLC having a EGFR C797S mutation. Experimental: HS-10375(Phase 2) Subjects with locally advanced or metastatic EGFR C797S mutant NSCLC will be enrolled in phase 2 part to evaluate the efficacy and sufficient safety of HS-10375 as monotherapy.
Intervention Type
Drug
Intervention Name(s)
HS-10375
Intervention Description
HS-10375 will be administered orally once daily in a continuous regimen
Primary Outcome Measure Information:
Title
To determine the maximum tolerated dose (MTD)-Part Ia
Description
Number of participants with dose limiting toxicity
Time Frame
From the single dose to the last dose of the first cycle defined as 21 days of multiple dosing (28 days)
Title
To evaluate clinical activity/efficacy of HS-10375 by assessment of objective response rate-Part Ib/II
Description
Objective response rate (ORR) assessed by Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1)
Time Frame
Time Frame: up to 24 months
Secondary Outcome Measure Information:
Title
Number of participants with treatment related adverse events
Description
Number of participants with treatment related adverse events
Time Frame
From baseline until 28 days after the last dose
Title
Observed maximum plasma concentration (Cmax) after single dose of HS-10375
Description
In the study of single-dose, Cmax will be obtained following administration of a single oral dose of HS-10375
Time Frame
From pre-dose to 120 hours after single dose on Day 1
Title
Time to reach maximum plasma concentration (Tmax) after single dose of HS-10375
Description
In the study of single-dose, Tmax will be obtained following administration of a single oral dose of HS-10375
Time Frame
From pre-dose to 120 hours after single dose on Day 1
Title
Apparent terminal half-life (T1/2) after single dose of HS-10375
Description
Apparent terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by λz
Time Frame
From pre-dose to 120 hours after single dose on Day 1
Title
Duration of response (DOR)
Description
DOR assessed by RECIST 1.1 criteria
Time Frame
24 months
Title
Disease Control Rate (DCR)
Description
DCR assessed by RECIST 1.1 criteria
Time Frame
24 months
Title
Progression-free survival (PFS)
Description
PFS assessed by RECIST 1.1 criteria
Time Frame
24 months
Title
Overall survival (OS)
Time Frame
24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men or women greater than or equal to 18 years. Locally advanced or metastatic NSCLC patients confirmed by histology or cytology, for which standard treatment is invalid, unavailable or intolerable . Pathological, NSCLC tissue samples can be used to test EGFR C797S mutation by central laboratory for Phase 1b and Phase II subjects. At least one measurable lesion in accordance with RECIST 1.1. Eastern Cooperative Oncology Group (ECOG) performance status: 0~1. Estimated life expectancy >12 weeks. Reproductive-age women agree to use adequate contraception and cannot breastfeed while participating in this study and for a period of 6 months after the last dose. Likewise, men also consent to use adequate contraceptive method within the same time limit. Females must have the evidence of non-childbearing potential. Signed and dated Informed Consent Form. Exclusion Criteria: Treatment with any of the following: Previous or current treatment with EGFR C797S inhibitors. Any cytotoxic chemotherapy, anticancer Chinese medicine and targeted small molecule inhibitors within 14 days of the first dose of HS-10375. Any investigational agents and large molecule antibodies within 28 days of the first dose of HS-10375. Local radiotherapy for palliation within 2 weeks of the first dose of HS-10375, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks of the first dose of HS-10375. Major surgery (including craniotomy, thoracotomy, or laparotomy, etc.) within 4 weeks of the first dose of HS-10375. Inadequate bone marrow reserve or serious organ dysfunction. Uncontrolled pleural, ascites or pericardial effusion. Known and untreated, or active central nervous system metastases. Active autoimmune diseases or active infectious disease. Refractory nausea, vomiting, or chronic gastrointestinal diseases, or inability to swallow oral medications. History of hypersensitivity to any active or inactive ingredient of HS-10375 or to drugs with a similar chemical structure or drugs belonging to the same category of HS-10375. The subject who is unlikely to comply with study procedures, restrictions, or requirements judged by the investigator. The subject whose safety cannot be ensured or study assessments would be interfered judged by the investigator. Pregnant women, breastfeeding women or woman who has a child-bearing plan during the study. History of neuropathy or mental disorders, including epilepsy and dementia.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Li Zhang, Master
Phone
13902282893
Email
zhangli@sysucc.org.cn
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
Phone
13902282893
Email
zhangli@sysucc.org.cn

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Hase 1/2 Study of HS-10375 in Patients With Advanced or Metastatic Non-Small-Cell Lung Cancer(NSCLC)

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