Phase 1/2 Study of HS-10376 in Patients With Non-Small Cell Lung Cancer
Advanced Non-Small-Cell Lung Cancer
About this trial
This is an interventional treatment trial for Advanced Non-Small-Cell Lung Cancer focused on measuring NSCLC, Non-Small Cell Lung Cancer, HS-10376, EGFR/HER2 Exon 20 insertion mutation
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, tumor tissue samples can be used to test EGFR/HER2 Exon 20 insertion mutation by central laboratory for 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 Exon 20 insertion inhibitors, HER2 Exon 20 insertion inhibitors or EGFR/HER2 Exon 20 insertion inhibitors
- Any cytotoxic chemotherapy, anticancer Chinese medicine and targeted small molecule inhibitors within 14 days of the first dose of HS-10376
- Any investigational agents and large molecule antibodies within 28 days of the first dose of HS-10376
- Local radiotherapy for palliation within 2 weeks of the first dose of HS-10376, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks of the first dose of HS-10376
- Major surgery (including craniotomy, thoracotomy, or laparotomy, etc.) within 4 weeks of the first dose of HS-10376
- Inadequate bone marrow reserve or serious organ dysfunction
- Uncontrolled pleural, ascites or pericardial effusion
- Untreated, symptomatic or active central nervous system metastases
- Severe or poorly controlled hypertension
- Immunodeficiency disease and 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-10376 or to drugs with a similar chemical structure or drugs belonging to the same category of HS-10376
- 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
Sites / Locations
- Tianjin Medical University Cancer Institute and HospitalRecruiting
Arms of the Study
Arm 1
Experimental
HS-10376
Phase 1a:Dose Escalation:Subjects with advanced NSCLC will be enrolled in dose escalation cohorts. Dose escalation of HS-10376 will be done to determine maximum tolerated dose. Phase 1b:Dose Expansion:Depending on data obtained from the dose escalation part, dose expansion may proceed with multiple cohorts in subjects with advanced NSCLC having a EGFR/HER2 Exon 20 insertion mutation. Phase 2:Subjects with locally advanced or metastatic EGFR Exon 20 insertion NSCLC will be enrolled in phase 2 part to evaluate the efficacy and sufficient safety of HS-10376 as monotherapy.