This is a phase I/IIa, open-label, dose-escalation and expansion study to evaluate the safety, tolerability, PK and preliminary anti-tumor activity of H002 when given orally in patients with EGFR mutation-positive locally advanced or metastatic non-small cell lung cancer (NSCLC). The study will contain two parts: Part A is dose escalation phase (i.e., Phase I) and Part B is dose expansion phase (i.e., Phase IIa).
Part A (Dose Escalation Phase) Approximately 36 subjects will be enrolled, based on the "3+3" design for dose escalation and safety evaluation requirements. The total number of subjects will depend upon the number of dose escalations necessary. Part B (Dose Expansion Phase) Up to 20 subjects will be enrolled in each expansion arm, the total number of subjects will depend upon the number of dose expansions (expansions may be at more than one dose depending upon emerging data).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
76
Small molecule, Capsule
Harbin Medical University Cancer Hospital
Haerbin, Heilongjiang, China
NOT_YET_RECRUITINGThe First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China
RECRUITINGUnion Hospital Affiliated to Tongji Medical College Huazhong University of Science and Technology
DOSE ESCALATION PHASE:Incidence of dose-limiting toxicities (DLTs) at Cycle 0 and Cycle1. Incidence and severity of treatment-emergent adverse events (TEAEs), with severity determined according to National Cancer Institute (NCI) CTCAE v5.0.
To evaluate the safety and tolerability of H002 and to determine the maximal tolerable dose (MTD), or if possible, a dose/exposure predicted to result in optimal biological dose (OBD) or recommended phase II dose (RP2D).
Time frame: At the end of Cycle 1 (include 4 days in Cycle 0 and 21 days in Cycle1)
DOSE EXPANSION PHASE:Objective Response Rate (ORR)
To obtain a preliminary evaluation of the anti-tumor activity at the selected dose(s) of H002 when given orally as determined according to RECIST v1.1.
Time frame: [Time Frame: Up to approximately 30 months]
DOSE EXPANSION PHASE:To evaluate the incidence and severity of TEAEs, with severity determined according to NCI CTCAE v5.0.
To evaluate the safety at the selected dose(s) of H002 when given orally.
Time frame: Up to approximately 30 months
Peak Plasma Concentration (Cmax)
To evaluate the pharmacokinetic (PK) characteristics of H002 when given orally following single and multiple doses.
Time frame: Up to approximately 30 months
Time to reach maximum concentration (Tmax)
To evaluate the pharmacokinetic (PK) characteristics of H002 when given orally following single and multiple doses.
Time frame: Up to approximately 30 months
Area under the plasma concentration versus time curve (AUC)
To evaluate the pharmacokinetic (PK) characteristics of H002 when given orally following single and multiple doses.
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Wuhan, Hubei, China
Hunan Cancer Hospital
Changsha, Hunan, China
RECRUITINGShanghai Chest Hospital
Shanghai, Shanghai Municipality, China
RECRUITINGWest China Hospital, Sichuan University
Chengdu, Sichuan, China
RECRUITINGZhejiang Cancer Hospital
Hangzhou, Zhejiang, China
RECRUITINGThe First Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
RECRUITINGTime frame: Up to approximately 30 months
Time for half the drug concentration to be eliminated(t1/2)
To evaluate the pharmacokinetic (PK) characteristics of H002 when given orally following single and multiple doses.
Time frame: Up to approximately 30 months
DOSE ESCALATION PHASE:Objective Response Rate (ORR)
To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: Up to approximately 30 months
Disease control rate (DCR)
To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: Up to approximately 30 months
Duration of response (DOR)
To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: Up to approximately 30 months
Progression-free survival (PFS)
To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: Up to approximately 30 months
Time to progression (TTP)
To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: Up to approximately 30 months
Overall survival (OS)
To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: Up to approximately 30 months