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Open-label Study of Surufatinib in Japanese Patients

Primary Purpose

Neuroendocrine Tumors, Non-hematologic Malignancy

Status
Recruiting
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
Surufatinib
Sponsored by
Hutchison Medipharma Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neuroendocrine Tumors

Eligibility Criteria

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

Key Inclusion Criteria:

  1. Histologically or cytologically documented disease as follows:

    1. Part 1: unresectable, locally advanced or metastatic nonhematologic malignancy that is relapsed/refractory to or intolerant of established therapies known to provide clinical benefit
    2. Part 2: locally advanced or metastatic, low (grade 1) or intermediate (grade 2) grade NETs that have been previously treated with at least 1 line of systemic therapy
  2. Has radiologic evidence of progressive tumour within 12 months of study enrolment
  3. Is willing and able to provide informed consent
  4. Is ≥20 years of age
  5. Has measurable lesions according to RECIST Version 1.1
  6. Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  7. Female patients of childbearing potential and male patients with partners of childbearing potential agree to use a highly effective form(s) of contraception

Key Exclusion Criteria:

  1. Women who are pregnant and lactating, or possibly pregnant.
  2. Has a history of interstitial lung disease (ILD)/noninfectious pneumonitis, has current ILD/pneumonitis, or has suspected ILD/pneumonitis that cannot be ruled out by imaging at screening.
  3. Known active viral hepatits
  4. Has an AE due to previous anti-tumour therapy that has not recovered to ≤CTCAE Grade 1, except alopecia and peripheral neurotoxicity with ≤CTCAE Grade 2 caused by platinum chemotherapy
  5. Uncontrollable hypertension, defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg, despite antihypertensive medication
  6. Gastrointestinal disease or condition within 6 months prior to first dose
  7. Has a history or presence of a serious haemorrhage (>30 mL within 3 months) or haemoptysis (>5 mL blood within 4 weeks)
  8. Clinically significant cardiovascular disease.
  9. Brain metastases and/or spinal cord compression untreated with surgery and/or radiotherapy, and without clinical imaging evidence of stable disease (SD) for 14 days or longer; patients requiring steroids within 4 weeks prior to start of study treatment will be excluded.
  10. A high risk of bleeding at screening due to tumour invasion into major vessels, such as pulmonary artery, the superior vena cava, or the inferior vena cava, as determined by investigators.
  11. Has arterial thrombosis or deep venous thrombosis within 6 months prior to first dosing, or thromboembolic events (including stroke and/or transient ischaemic attack) within 12 months prior to first dosing.

Sites / Locations

  • Kyushu University HospitalRecruiting
  • Fukuoka Sanno HospitalRecruiting
  • Kagawa University HospitalRecruiting
  • National Cancer Centre Hospital EastRecruiting
  • Kyoto University Hospital
  • Kyorin University HospitalRecruiting
  • Aichi Cancer CentreRecruiting
  • Kansia Electric Power HospitalRecruiting
  • Hokkaido University HospitalRecruiting
  • Tohoku University HospitalRecruiting
  • National Cancer Centre HospitalRecruiting
  • Yokohama City University HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Surufatinib

Arm Description

Oral surufatinib 300 mg once daily in treatment cycles of 28 days starting at Cycle 1 Day1

Outcomes

Primary Outcome Measures

Part 1: Incidence of treatment-emergent adverse events (TEAEs) graded by the Investigator according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0).
To evaluate surufatinib-related adverse events in patients with NETs
Part 2: Objective response rate. This will be assessed on the proportion of participants with partial response or complete response as determined by the Investigator based on RECIST v1.1
The primary outcome of part 2 will be objective response rate in patients with NETs when treated with surufatinib

Secondary Outcome Measures

Observed plasma concentrations of surufatinib which will be assessed by the Cmax, tmax, AUC, Cmin and CL/F
Blood sampling will be taken to measure levels of the study drug
Progression Free Survival (PFS) which is defined as the time from randomization to the first occurrence of disease progression as determined by the investigator based on RECIST v1.1, or death from any cause, whichever occurs first
The duration between the enrollment date and the first disease progression (PD) or death (whichever comes first).
Duration of Response (DOR) which will be defined as the time from the first response to disease progression documented after treatment initiation or death, whichever occurs first. DOR will include CR, CR plus CRi, overall response (OR), and CR plus CRh.
The duration between the date the criteria for complete response or partial response was first measured (first record shall prevail) and the date of disease recurrence or progression as objectively recorded

Full Information

First Posted
September 20, 2021
Last Updated
February 1, 2022
Sponsor
Hutchison Medipharma Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05077384
Brief Title
Open-label Study of Surufatinib in Japanese Patients
Official Title
An Open-Label Study of Surufatinib in Japanese Patients With Neuroendocrine Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Recruiting
Study Start Date
September 2, 2021 (Actual)
Primary Completion Date
November 24, 2023 (Anticipated)
Study Completion Date
May 10, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hutchison Medipharma Limited

4. Oversight

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

5. Study Description

Brief Summary
This is a phase 1/2, open-label, multi-centre study of surufatinib in patients with unresectable, locally advanced, or recurrent nonhematologic malignancies who do not respond or are intolerant to standard of care.
Detailed Description
The purpose of this study is to evaluate the tolerability and efficacy of surufatinib in Japanese patients. The study will be conducted in 2 parts: Part 1 - evaluation of tolerability and safety of surufatinib and confirmation of the recommended clinical dose in Japanese patients with nonhematologic malignancies Part 2 - evaluation of antitumor activity and confirmation of tolerability of surufatinib in Japanese patients with NETs All patients will be treated with oral surufatinib 300 mg QD in treatment cycles of 28 days starting on Cycle 1 Day 1.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neuroendocrine Tumors, Non-hematologic Malignancy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
34 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Surufatinib
Arm Type
Experimental
Arm Description
Oral surufatinib 300 mg once daily in treatment cycles of 28 days starting at Cycle 1 Day1
Intervention Type
Drug
Intervention Name(s)
Surufatinib
Other Intervention Name(s)
HMPL-012, sulfatinib
Intervention Description
Surufatinib 300 mg oral once daily
Primary Outcome Measure Information:
Title
Part 1: Incidence of treatment-emergent adverse events (TEAEs) graded by the Investigator according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0).
Description
To evaluate surufatinib-related adverse events in patients with NETs
Time Frame
Up to 2 years
Title
Part 2: Objective response rate. This will be assessed on the proportion of participants with partial response or complete response as determined by the Investigator based on RECIST v1.1
Description
The primary outcome of part 2 will be objective response rate in patients with NETs when treated with surufatinib
Time Frame
Up to 2 years
Secondary Outcome Measure Information:
Title
Observed plasma concentrations of surufatinib which will be assessed by the Cmax, tmax, AUC, Cmin and CL/F
Description
Blood sampling will be taken to measure levels of the study drug
Time Frame
Up to 2 years
Title
Progression Free Survival (PFS) which is defined as the time from randomization to the first occurrence of disease progression as determined by the investigator based on RECIST v1.1, or death from any cause, whichever occurs first
Description
The duration between the enrollment date and the first disease progression (PD) or death (whichever comes first).
Time Frame
Up to 2 years
Title
Duration of Response (DOR) which will be defined as the time from the first response to disease progression documented after treatment initiation or death, whichever occurs first. DOR will include CR, CR plus CRi, overall response (OR), and CR plus CRh.
Description
The duration between the date the criteria for complete response or partial response was first measured (first record shall prevail) and the date of disease recurrence or progression as objectively recorded
Time Frame
Up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Histologically or cytologically documented disease as follows: Part 1: unresectable, locally advanced or metastatic nonhematologic malignancy that is relapsed/refractory to or intolerant of established therapies known to provide clinical benefit Part 2: locally advanced or metastatic, low (grade 1) or intermediate (grade 2) grade NETs that have been previously treated with at least 1 line of systemic therapy Has radiologic evidence of progressive tumour within 12 months of study enrolment Is willing and able to provide informed consent Is ≥20 years of age Has measurable lesions according to RECIST Version 1.1 Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Female patients of childbearing potential and male patients with partners of childbearing potential agree to use a highly effective form(s) of contraception Key Exclusion Criteria: Women who are pregnant and lactating, or possibly pregnant. Has a history of interstitial lung disease (ILD)/noninfectious pneumonitis, has current ILD/pneumonitis, or has suspected ILD/pneumonitis that cannot be ruled out by imaging at screening. Known active viral hepatits Has an AE due to previous anti-tumour therapy that has not recovered to ≤CTCAE Grade 1, except alopecia and peripheral neurotoxicity with ≤CTCAE Grade 2 caused by platinum chemotherapy Uncontrollable hypertension, defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg, despite antihypertensive medication Gastrointestinal disease or condition within 6 months prior to first dose Has a history or presence of a serious haemorrhage (>30 mL within 3 months) or haemoptysis (>5 mL blood within 4 weeks) Clinically significant cardiovascular disease. Brain metastases and/or spinal cord compression untreated with surgery and/or radiotherapy, and without clinical imaging evidence of stable disease (SD) for 14 days or longer; patients requiring steroids within 4 weeks prior to start of study treatment will be excluded. A high risk of bleeding at screening due to tumour invasion into major vessels, such as pulmonary artery, the superior vena cava, or the inferior vena cava, as determined by investigators. Has arterial thrombosis or deep venous thrombosis within 6 months prior to first dosing, or thromboembolic events (including stroke and/or transient ischaemic attack) within 12 months prior to first dosing.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jennifer Lees, PhD
Phone
+61 1800559724
Email
ausmedinfo@hutch-med.com
First Name & Middle Initial & Last Name or Official Title & Degree
Chris Tucci
Email
christucci@hutch-med.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Kauh, MD
Organizational Affiliation
Hutchison Medipharma Limited
Official's Role
Study Director
Facility Information:
Facility Name
Kyushu University Hospital
City
Fukuoka
ZIP/Postal Code
812-0054
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Unit
Facility Name
Fukuoka Sanno Hospital
City
Fukuoka
ZIP/Postal Code
814-0001
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Unit
Facility Name
Kagawa University Hospital
City
Kagawa
ZIP/Postal Code
761-0793
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Unit
Facility Name
National Cancer Centre Hospital East
City
Kashiwa-shi
ZIP/Postal Code
277-8577
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Office
Facility Name
Kyoto University Hospital
City
Kyoto
ZIP/Postal Code
606-8507
Country
Japan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Unit
Facility Name
Kyorin University Hospital
City
Mitaka
ZIP/Postal Code
181-8611
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Unit
Facility Name
Aichi Cancer Centre
City
Nagoya
ZIP/Postal Code
464-8681
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Office
Facility Name
Kansia Electric Power Hospital
City
Osaka
ZIP/Postal Code
553-0003
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Unit
Facility Name
Hokkaido University Hospital
City
Sapporo
ZIP/Postal Code
060-8648
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Unit
Facility Name
Tohoku University Hospital
City
Sendai
ZIP/Postal Code
890-8574,
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Office
Facility Name
National Cancer Centre Hospital
City
Tokyo
ZIP/Postal Code
104-004
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Office
Facility Name
Yokohama City University Hospital
City
Yokohama
ZIP/Postal Code
236-0004
Country
Japan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Clinical Trials Unit

12. IPD Sharing Statement

Plan to Share IPD
No

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Open-label Study of Surufatinib in Japanese Patients

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