To assess efficacy and safety of oral X-396 (Ensartinib) capsule in Chinese ALK-positive NSCLC patients with brain metastases, eligible patients will be enrolled with objective responses being primary outcome measures.
In this phase Ⅱ, open-label, single arm, multicenter study, efficacy and safety of oral X-396 capsule (Ensartinib) in 37 Chinese ALK-positive NSCLC patients with brain metastases will be assessed. Eligible patients will receive 225mg X-396 capsules once daily and objective responses of brain metastasis based on investigator assessment according to Response Assessment in Neuro-Oncology (RANO) are primary outcome measures.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
27
All consented, enrolled, eligible patients receive X-396 capsules, 225mg once daily.
Cancer Hospital Chinese Academy Of Medical Sciences, Shenzhen Center
Shenzhen, Guangdong, China
Intracranial objective response rate (iORR) based on investigator assessment according to RNAO-BM.
iORR per RANO-BM calculated as the proportion of patients with a best intracranial overall response defined as complete response (CR) or partial response (PR), based on investigator assessment.
Time frame: 12 weeks
Disease control rate based on intracranial response (iDCR) according to RANO-BM.
Defined as the percentage of patients who have achieved intracranial overall response of CR, PR and stable disease (SD), assessed by investigator.
Time frame: 12 weeks
Progression-free survival based on intracranial response (iPFS) according to RANO-BM
Defined as time from first dose of X-396 capsule to intracranial disease progression or death due to any causes, assessed by investigator.
Time frame: 36 months
Time to progression based on intracranial response (iTTP) according to RANO-BM.
Defined as time from first dose of X-396 capsule to intracranial disease progression, assessed by investigator.
Time frame: 36 months
Duration of response based on intracranial response (iDOR) according to RANO-BM.
Defined as time from documentation of intracranial response (CR or PR) to intracranial disease progression or death, assessed by investigator.
Time frame: 36 months
Intracranial objective response rate (iORR) based on intracranial response according to RECIST 1.1
iORR per RECIST 1.1 calculated as the proportion of patients with a best intracranial overall response defined as complete response (CR) or partial response (PR), based on investigator assessment.
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Time frame: 12 weeks
Disease control rate based on intracranial response (iDCR) according to RECIST 1.1
Defined as the percentage of patients who have achieved intracranial overall response of CR, PR and stable disease (SD), assessed by investigator.
Time frame: 12 weeks
Progression-free survival based on intracranial response (iPFS) according to RECIST 1.1
Defined as time from first dose of X-396 capsule to intracranial disease progression or death due to any causes, assessed by investigator.
Time frame: 36 months
Time to progression based on intracranial response (iTTP) according to RECIST 1.1
Defined as time from first dose of X-396 capsule to intracranial disease progression, assessed by investigator.
Time frame: 36 months
Duration of response based on intracranial response (iDOR) according to RECIST 1.1
Defined as time from documentation of intracranial response (CR or PR) to intracranial disease progression or death, assessed by investigator.
Time frame: 36 months
Objective response rate (ORR) based on overall response according to RECIST 1.1.
ORR per RECIST 1.1 calculated as the proportion of patients with a best overall response defined as complete response (CR) or partial response (PR), based on investigator assessment.
Time frame: 12 weeks
Disease control rate based on overall response (DCR) according to RECIST 1.1
Defined as the percentage of patients who have achieved overall response of CR, PR and stable disease (SD), assessed by investigator.
Time frame: 12 weeks
Progression-free survival based on overall response (PFS) according to RECIST 1.1
Defined as time from first dose of X-396 capsule to overall disease progression or death due to any causes, assessed by investigator.
Time frame: 36 months
Time to progression based on overall response (TTP) according to RECIST 1.1
Defined as time from first dose of X-396 capsule to overall disease progression, assessed by investigator.
Time frame: 36 months
Duration of response based on overall response (DOR) according to RECIST 1.1
Defined as time from documentation of overall response (CR or PR) to overall disease progression or death, assessed by investigator.
Time frame: 36 months
Overall survival (OS)
Defined as time from first dose of X-396 to death due to any causes.
Time frame: 36 months
Incidence of patients experiencing adverse events.
Incidence of adverse events occurred during the study (from the timeoint of signing a informed consent form to 30days after the end of trial).
Time frame: 36 months