This is a Phase 2, open-label, multi-center study to evaluate the efficacy and the safety/tolerability of poziotinib in seven participant cohorts for up to 603 previously treated and treatment-naïve NSCLC participant. Cohorts 3 and 4 were added with Amendment 1 and three additional cohorts were added with Amendment 2 (Cohorts 5, 6 and 7).
The Screening period (Day -30 to Day -1) lasts up to approximately 30 days prior to Cycle 1, Day 1. Participant must meet all Inclusion/Exclusion Criteria to participate in the study. Eligible participants will provide written Informed Consent prior to undergoing any study procedures. Each treatment cycle is 28 calendar days in duration. There will be seven participant cohorts and eligible participants will be enrolled into each cohort in parallel based on EGFR or HER2 exon 20 mutation status and prior treatment status: * Cohort 1: Previously treated participant with EGFR exon 20 insertion mutation positive NSCLC (complete) * Cohort 2: Previously treated participant with HER2 exon 20 insertion mutation positive NSCLC (complete) * Cohort 3: Treatment naïve participant with EGFR exon 20 insertion mutation positive NSCLC (complete) * Cohort 4: Treatment naïve participant with HER2 exon 20 insertion mutation positive NSCLC (fully enrolled) * Cohort 5: Participants who meet the criteria for enrollment in Cohort 1 to 4, but the enrollment in the respective cohort has been closed (closed to enrollment) * Cohort 6: Participants with acquired EGFR mutation who progressed while on treatment with first-line osimertinib (closed to enrollment) * Cohort 7: Participants with EGFR or HER2 activating mutations (closed to enrollment) Toxicity will be assessed based on the grade of the adverse events using CTCAE version 4.03. On Day 1 of each 28-day cycle, the participant's absolute neutrophil count (ANC) must be ≥1.5×10\^9/L and platelet count must be ≥100×10\^9/L before administering poziotinib. All participants will be treated until disease progression (except for first progression in Cohort 5), death, intolerable adverse events (AEs), or other protocol-specified reasons for participant withdrawal.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
648
The poziotinib drug substance is a hydrochloride salt of poziotinib and is formulated as a tablet for oral administration. * Cohorts 1-3: 16 mg QD * Cohort 4: 8 mg BID * Cohort 5: randomized to 8 mg BID or 6 mg BID or 10 mg QD * Cohorts 6 and 7: 8 mg BID
Objective Response Rate (ORR)
The proportion of subjects who achieve Complete Response (CR) and Partial Response (PR) by the best response from the first dose of poziotinib to the end of study.
Time frame: 24 months
Disease Control Rate (DCR)
The proportion of subjects who achieve CR, PR, and Stable Disease (SD) by the best response from the first dose of poziotinib to the end of study.
Time frame: 24 months
Duration of Response (DoR)
Number of days from the date that measurement criteria are first met for CR or PR (whichever status is recorded first) until the first subsequent date that progressive disease or death is documented.
Time frame: 24 months
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Mayo Clinic Hospital
Phoenix, Arizona, United States
Oncology Physician's Network Inc./OPN Healthcare
Arcadia, California, United States
City of Hope
Duarte, California, United States
UCSD -Moores Cancer Center
La Jolla, California, United States
Pacific Shores Medical Group
Long Beach, California, United States
Los Angeles Hematology Oncology Medical Group
Los Angeles, California, United States
USC/Norris Comprehensive Cancer Center
Los Angeles, California, United States
UC Davis Comprehensive Cancer Center
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UCSF Helen Diller Comprehensive Cancer Center at Mt Zion
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