This is an open-label, two-part study to evaluate the safety, tolerability, pharmacokinetics, and efficacy of SHR-A1811 for injection in subjects with advanced non-small cell lung cancer who have HER2 expression , amplification, or mutation
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
157
Phase 1 Drug: SHR-A1811 There are four pre-defined dose regimens . Subjects will be enrolled with an initial dose Phase 2 Drug: SHR-A1811 Doses will be determined from Phase 1
Shanghai Chest Hospital
Shanghai, Shanghai Municipality, China
Phase 1:Incidence of Adverse Events (AEs) by CTCAE v5.0 of SHR-A1811
Assess safety and tolerability of SHR-A1811 by way of adverse events (CTCAE v5.0)
Time frame: From Day 1 to90 days after last dose ,appropriately to 3 years
Phase 1:Severity of Adverse Events (AEs) by CTCAE v5.0 of SHR-A1811
Assess safety and tolerability of SHR-A1811 by way of adverse events (CTCAE v5.0)
Time frame: From Day 1 to90 days after last dose ,appropriately to 3 years
Phase1: Maximum tolerated dose (MTD)
Incidence rate and category of dose limiting toxicities (DLTs) during the first 21-day cycle of SHR-A1811 treatment
Time frame: 12 months
Phase 1: Recommended Phase 2 dose (RP2D)
RP2D was determined based on the safety, tolerability, PK, immunogenicity data and efficacy information obtained
Time frame: 12 months
Phase2:ObjectiveResponse Rate (ORR)
As assessed by RECIST v1.1 , as assessed by independent review committee (IRC)
Time frame: Subjects were evaluated on tumor imaging every 6 weeks after treatment initiation and every 12 weeks after 54 weeks, until imaging progression, initiation of new antitumor therapy, loss of follow-up, and death,appropriately to 3 years
Phase 1:PK parameter :Tmax of SHRA1811
Time to maximal concentration (Tmax) of SHR-A1811
Time frame: appropriately to 3 years
Phase1:PK parameter: Cmax of SHR-A1811
Maximal concentration (Cmax) of SHR-A1811
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Time frame: appropriately to 3 years
Phase1:PK parameter: AUC0-t of SHR-A1811
AUC computed from time zero to the time of the last quantifiable concentration (AUC0-t) of SHR-A1811
Time frame: appropriately to 3 years
Phase1:Immunogenicity of SHR-A1811
Including anti-drug antibody and/or neutralizing antibody
Time frame: Immunogenicity sample collection time points include: within 30 min before administration of C1D1, C2D1, C3D1, C4D1, C6D1 and C8D1 starting from cycle 11 only in every 3 cycles ,appropriately to 3 years
Phase2:Progression Free Survival (PFS)
As assessed by RECIST v1.1 , as assessed by independent review committee (IRC) and investigator
Time frame: appropriately to 3 years
Phase2:ObjectiveResponse Rate (ORR)
As assessed by RECIST v1.1 , as assessed by investigator
Time frame: appropriately to 3 years
Phase2:Duration of response (DOR)
As assessed by RECIST v1.1 , as assessed by independent review committee (IRC) and investigator
Time frame: appropriately to 3 years
Phase2:Disease control rate (DCR)
As assessed by RECIST v1.1 , as assessed by independent review committee (IRC) and investigator
Time frame: appropriately to 3 years
Phase2:Overall survival (OS)
Time frame: Approximately 5 years after last subject enrolled