The primary objective of this study is to evaluate the safety and tolerability of TY-9591, with dose-escalation stage and dose-expansion stage.
* To define the maximum tolerated dose(MTD) and the recommended phase 2 dose (RP2D) * To investigate the pharmacokinetic profile of TY-9591 and its metabolites after single then multiple doses of TY-9591 administered orally once daily * To evaluate the anti-cancer activity of TY-9591 in NSCLC patients with EGFR mutation(ORR、PFS、DoR、DCR、and CBR)
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
105
Increased dose cohorts from low dose to MTD(20mg Cohort1, 40mg Cohort2, 80mg Cohort3,120mg Cohort4, 160mg Cohort5, 200mg Cohort6)
Shanghai Chest Hospital
Shanghai, China
Dose Limiting Toxicity (DLT)
Incidence of Dose Limiting Toxicity (DLT)
Time frame: First 29 days of dosing
Maximum Tolerated Dose (MTD)
To determine the Maximum Tolerated Dose (MTD) of TY-9591 in subjects with NSCLC
Time frame: 1year
Recommended Phase 2 dose (RP2D)
Recommended Phase 2 dose (RP2D) of TY-9591 in subjects with NSCLC
Time frame: through study completion, an average of 2.5 years
Overall Response Rate (ORR)
ORR is defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR) assessment in accordance to Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Time frame: At least 24 weeks
Cmax
Cmax of TY-9591 following single dose
Time frame: pharmacokinetics(PK) blood samples are collected at pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10,12, 24, 48, 72,96,120,144,168 and 192 hours post-dose.
Tmax
Tmax of TY-9591 following single dose
Time frame: pharmacokinetics(PK) blood samples are collected at pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10,12, 24, 48, 72,96,120,144,168 and 192 hours post-dose.
Area Under Curve(AUC)
AUC of TY-9591 following single dose
Time frame: pharmacokinetics(PK) blood samples are collected at pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10,12, 24, 48, 72,96,120,144,168 and 192 hours post-dose
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Cmax
Cmax of TY-9591 following multiple dose
Time frame: The datas should be evaluated multiple times on Cycle 1 day1,8,15, 21 pre-dose; Cycle 2 day1 (at pre-dose, 0.5,1, 2, 3, 4, 6, 8, 10,12, 24 hours post-dose). Each cycle is 21 days
Cmin
Cmin of TY-9591 following multiple dose
Time frame: The datas should be evaluated multiple times on Cycle 1 day1,8,15, 21 pre-dose; Cycle 2 day1 (at pre-dose, 0.5,1, 2, 3, 4, 6, 8, 10,12, 24 hours post-dose). Each cycle is 21 days
AUC
AUC of TY-9591 following multiple dose
Time frame: The datas should be evaluated multiple times on Cycle 1 day1,8,15, 21 pre-dose; Cycle 2 day1 (at pre-dose, 0.5,1, 2, 3, 4, 6, 8, 10,12, 24 hours post-dose). Each cycle is 21 days
Progression-free survival (PFS)
PFS is defined as time from date of first dose of study treatment to date of first documented disease progression or death due to any cause determined by by Investigator assessment in accordance to RECIST 1.1
Time frame: 10.1 months
Duration of Response (DOR)
DOR is defined as the time from first documented response (PR or CR) to the date of first documented disease progression or death due to any cause determined by Investigator assessment in accordance to RECIST 1.1
Time frame: 9.7 months