This is a phase Ib, multi-center, open label study evaluating the safety and efficacy of CT053PTSA in combination with gefitinib in patients with EGFR mutation, T790M negative NSCLC who have progressed after EGFR TKI treatment.
This study is being carried out in two parts, part 1 and part 2. Part 1: This is the dose-escalation part. The primary purpose of the part 1 portion is to determine the dose limiting toxicity (DLT) and maximum tolerated dose (MTD), and recommend the appropriate doses of CT053PTSA in combination with gefitinib for further studies. Part 2: This is the expansion part. The part 2 portion of this study will continue to evaluate the safety and efficacy of the combination of CT053PTSA and gefitinib , at the appropriate doses recommended in Part 1, in patients with EGFR mutation, T790M negative NSCLC.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
158
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China
Part 1(dose-escalation part): Maximum Tolerated Dose (MTD)
The maximum tolerated dose (MTD) of the CT053PTSA and gefitinib combination will be determined according to incidence of dose-limiting toxicity (DLT) assessed by NCI CTCAE v4.03
Time frame: Cycle 1 Day 1 to Cycle 1 Day 28
Part 2(expansion part): Overall Response Rate
Overall response rate (ORR), defined as a partial response (PR) or complete response (CR) occurring at any point post-treatment according to Response Evaluation Criteria in Solid Tumors as assessed by RECIST v1.1
Time frame: up to approximately 36 months
Number of patients with adverse events (AEs) as a measure of safety and tolerability
Safety and tolerability will be assessed through AEs, via monitoring changes in physical examination, clinical laboratory parameters, vital signs and ECGs
Time frame: up to approximately 36 months
Disease Control Rate (DCR)
DCR, proportion of patients with best overall response of CR, PR or SD
Time frame: up to approximately 36 months
Progression-free Survival (PFS)
PFS, defined as time from date of treatment to disease progression or death due to any cause
Time frame: up to approximately 36 months
Duration of Response (DOR)
DOR, defined as time from the first documented CR or PR to first documented progression or death due to any cause
Time frame: up to approximately 36 months
Overall Survival (OS)
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OS, defined as time from date of treatment to death due to any cause
Time frame: up to approximately 60 months
Maximum observed plasma concentration (Cmax)
to assess the pharmacokinetic profile
Time frame: Cycle 1 Day1 and Day 28
Time of maximum observed plasma concentration (Tmax)
to assess the pharmacokinetic profile
Time frame: Cycle 1 Day1 and Day 28
Area under the plasma concentration time curve (AUC)
to assess the pharmacokinetic profile
Time frame: Cycle 1 Day1 and Day 28