The purpose of the study is to evaluate safety, pharmacokinetics and efficacy of AB-106 monotherapy in the treatment of advanced NSCLC.
This is a Phase II, multicenter, single-arm, open label study of AB-106 in the Chinese patients with advanced NSCLC harboring ROS1 fusion gene.The study will be divided into two stages. First stage (Stage I) is to determine the clinical optimal dose of AB-106, which will be evaluated at two dose levels (400 mg QD and 600mg QD), and the safety, tolerability and pharmacokinetics of AB-106 will be evaluated at the same time; Second stage (Stage II) is to evaluate the efficacy and safety of AB-106 at the clinical optimal dose determined from Stage I. It is expected that 6 patients with advanced NSCLC harboring ROS1 fusion will be enrolled in the first stage. About 167 patients with ROS1 fusion will be enrolled in the second stage and divided into two treatment cohorts (Cohort A \& Cohort B). It is planned to enroll about 106 ROS1-TKI treatment naïve patients in Cohort A and about 67 crizotinib pre-treated patients in Cohort B. AB-106 will be administered 600mg once daily in 21-day cycles. Patients will continue with the study treatment until progression of disease as determined by the investigator. The frequency of tumor assessments is once every 2 treatment cycles through Cycle 9, then every 3 treatment cycles through Cycle 27 and every 4 treatment cycles thereafter.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
173
Stage 1: 400mg QD for 3 patients and 600mg QD for 3 patients Stage 2: 600mg QD
Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, China
Best overall response (BOR) by IRC
Best overall response (BOR) based on independent radiology review by Independent Review Committee(IRC) according to RECIST 1.1
Time frame: 6 months
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Time frame: 25 months
Rate of ECG QT Interval prolongation patients in all patients
After the medicine, the number of patients with ECG QT Interval and the rate of patients with clinical significant
Time frame: 25 months
Maximum Plasma Concentration [Cmax]
The Cmax of Cycle1Day1 and Cycle1Day15 will be assessed, (each cycle is 21 days)
Time frame: Day 1 to Cycle1Day15
Area under the curve from time zero to τ (dose interval τ is 24 h in this study) [AUCτ]
The AUCτ of Cycle1Day1 and Cycle1Day15 will be assessed, (each cycle is 21 days)
Time frame: Day 1 to Cycle1Day15
Average plasma concentration at steady state over dosing interval [Cav]
The Cav of Cycle1Day1 and Cycle1Day15 will be assessed, (each cycle is 21 days)
Time frame: Day 1 to Cycle1Day15
Trough plasma concentration [Ctrough]
The Cthrough of Cycle1Day1 and Cycle1Day15 will be assessed, (each cycle is 21 days)
Time frame: Day 1 to Cycle1Day15
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Time to reach maximum plasma concentration [Tmax]
The Tmax of Cycle1Day1 and Cycle1Day15 will be assessed, (each cycle is 21 days)
Time frame: Day 1 to Cycle1Day15
Duration of Response(DOR)
Duration of Response(DOR) based on independent radiology review by Independent Review Committee(IRC) and investigator according to RECIST 1.1
Time frame: 25 months
Time to Response(TTR)
Time to Response(TTR) based on independent radiology review by Independent Review Committee(IRC) and investigator according to RECIST 1.1
Time frame: 6 months
Time to Progress(TTP)
Time to Progress(TTP) based on independent radiology review by Independent Review Committee(IRC) and investigator according to RECIST 1.1 OS defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive.
Time frame: 25 months
Progression free Survival(PFS)
Progression free Survival(PFS) based on independent radiology review by Independent Review Committee(IRC) and investigator according to RECIST 1.1
Time frame: 25 months
Intracranial best overall response (IBOR)
Intracranial Best overall response (BOR) based on independent radiology review by Independent Review Committee(IRC) and Investigator according to RANO for intracranial lesion
Time frame: 25 months
Duration of intracranial response (IDOR)
Duration of intracranial response (IDOR) based on independent radiology review by Independent Review Committee(IRC) and Investigator according to RANO for intracranial lesion
Time frame: 25 months
Overall Survival(OS)
OS defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive.
Time frame: 51 months