The purpose of the study is to evaluate safety and efficacy of WX-0593 oral tablets in ALK -positive, or ROS1-positive non-small cell lung cancer (NSCLC)
The clinical study is a single-arm, phase II, open label, multicenter design in patients with crizotinib-resistant ALK -positive, or crizotinib-resistant/crizotinib-naive ROS1-positive NSCLC.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
176
tablets, 60 mg→180mg, quaque die(QD)
Confirmed Objective Response Rate (ORR) Assessed By An Independent Review Committee
ORR is defined the percentage of the participants who are confirmed to have achieved complete response (CR) or partial response (PR) per an Independent Review Committee (IRC) using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 after the initiation of study treatment.
Time frame: From frist administration of WX-0593 to the date that the last patients observed for 18 weeks.
Confirmed Objective Response Rate (ORR) Assessed By Investigators
ORR is defined the percentage of the participants who are confirmed to have achieved complete response (CR) or partial response (PR) per Investigators using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 after the initiation of study treatment.
Time frame: From frist administration of WX-0593 to the date that the last patients observed for 18 weeks.
Progression-free survival (PFS)
PFS defined as the time from baseline to first observed disease progression or death from any cause.
Time frame: From frist administration of WX-0593 until firstly recorded disease progression or death (whichever occurs earlier), or to the date that the last patients observed for 18 weeks.
Disease Control Rate (DCR)
DCR is the percentage of patients with best response of CR, PR or Stable Disease (SD).
Time frame: From frist administration of WX-0593 to the date that the last patients observed for 18 weeks.
Duration of Response (DOR)
The DOR is defined as the time from the date of the first response CR/PR (whichever is first recorded) to the date on which progressive disease (PD) is first noted or date of death.
Time frame: From frist administration of WX-0593 to the date that the last patients observed for 18 weeks .
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The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
RECRUITINGOncology Department, Anhui Cancer Hospital
Hefei, Anhui, China
RECRUITINGRespiratory Department, Anhui Cancer Hospital
Hefei, Anhui, China
RECRUITINGCancer Institute and Hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
RECRUITINGChinese PLA General Hospital
Beijing, Beijing Municipality, China
RECRUITINGThoracic Oncology I Department, Beijing Cancer Hospital
Beijing, Beijing Municipality, China
RECRUITINGThoracic Oncology II Department, Beijing Cancer Hospital
Beijing, Beijing Municipality, China
RECRUITINGPeking Union Medical College Hospital
Beijing, Beijing Municipality, China
RECRUITINGBeijing Chest Hospital
Beijing, Beijing Municipality, China
RECRUITINGGeneral Department, Beijing Chest Hospital, Capital Medical University
Beijing, Beijing Municipality, China
RECRUITING...and 31 more locations
Time to Progression (TTP)
Time to Progression
Time frame: From frist administration of WX-0593 to the date that the last patients observed for 18 weeks.
Confirmed Intracranial Objective Response Rate (iORR)
Confirmed iORR is defined as the proportion of the participants who have achieved CR or PR in the brain per a modification of RECIST version 1.1, after the initiation of study treatment, in participants with intracranial brain metastases at baseline.
Time frame: From frist administration of WX-0593 to the date that the last patients observed for 18 weeks.
Overall Survival (OS)
OS is the time from the start of study treatment to the date of death.
Time frame: From frist administration of WX-0593 until death due to any cause, withdraws informed consent, is lost to follow-up or refuses phone visits, or study completion(up to 2.5 years)
Incidence of Adverse Events
Incidence of All Adverse Events, Serious Adverse Events and Treatment-Emergent Adverse Events by CTCAE v4.03
Time frame: the date of written informed consent signed until at least 28 days after the last dose of study drug was administered.
Cssmin
Minimum value of steady plasma-drug concentration for WX-0593
Time frame: Pre-dose on Cycle 1 Day 1, Cycle 1 Day 7, Cycle 1 Day 21, Cycle 2 Day 21, and Cycle 4 Day 21 (each cycle is 21 days)