This Phase Ib/III study evaluates the efficacy and safety of IBI351 in combination with chemotherapy in advanced non-squamous NSCLC with KRAS G12C mutation.
This Phase Ib/III study evaluates the efficacy and safety of IBI351 in combination with chemotherapy. There will be five cohorts of subjects, all of whom have KRAS G12C mutation and have advanced or metastatic NSCLC. Those five cohorts (A, B,C ,D and E) are treated with IBI351, IBI351+Sintilimab,IBI351+pemetrexed+cis-platinum/carboplatin,IBI351+Cetuximab, or IBI351+pemetrexed+cis-platinum/carboplatin respectively. IBI351 is an orally available small molecule inhibitor of KRAS G12C.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
144
recommended dose, po
500mg/m\^2, Q2W, day1, i.v.
500mg/m\^2, Q3W, day1, i.v.
Jilin Province Cancer Hospital
Jilin, Changchun, China
RECRUITINGNumber of participants with dose limiting toxicity
Number of participants with dose limiting toxicity in the dose escalation period
Time frame: 12 months
Evaluate clinical efficacy of IBI351 in combination with other therapeutic agents
Objective response rate per RECIST v1.1
Time frame: 24 months
Safety indicators during the introduction phase for IBI351 combination treatment :
Number of participants with Adverse events (AE), Treatment Emergent Adverse events (TEAE), treatment-related Adverse events (TEAE), TRAE) and the incidence of Serious Adverse events (SAE) (CTCAE v5.0 standard), with abnormal vital signs, abnormal physical exams, abnormal laboratory results and abnormal 12-lead electrocardiogram
Time frame: 24 months
Evaluate plasma peak concentration of IBI351
Cmax
Time frame: 12 months
Evaluate area under the plasma concentration-time curve (AUC) of IBI351
AUC
Time frame: 12 months
Evaluate terminal half-life (t1/2) of IBI351
t1/2
Time frame: 12 months
Evaluate clearance of IBI351 from the plasma
CL/F
Time frame: 12 months
Evaluate distribution of IBI351
V/F
Time frame: 12 months
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AUC=5, Q3W, day1, i.v.
200mg, Q3W, day1, i.v.
75mg/m\^2, Q3W, day1, i.v.
Evaluate clinical efficacy of IBI351 in combination with other therapeutic agents with other index
PFS, DCR,DOR, TTR per RECIST v1.1; OS
Time frame: 24 months
Number of subjects with adverse events of interest
AE
Time frame: 24 months
Number of subjects with treatment-related adverse events
TRAE
Time frame: 24 months
Number of subjects with serious adverse events
SAE
Time frame: 24 months
Number of subjects with treatment-emergent adverse events
TEAE
Time frame: 24 months
Overall Survival
OS
Time frame: 24 months