This study aimed to evaluate the safety and preliminary efficacy of YK-029A, a novel third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor, in treated or untreated patients with advanced non-small cell lung cancer (NSCLC).
This phase 1/2 study will evaluate the safety, pharmacokinetics, and anti-tumor activity of oral EGFR Inhibitor YK-209A in participants with NSCLC and anti-tumor activity of YK-029A in participants with solid tumors other than NSCLC harboring ex20ins, T790M or rare mutations. The trial will be conducted in three parts: a dose escalation (Part 1), expansion phase (Part 2), followed by an extension phase (Part 3). The objectives of the dose escalation phase (Part 1), is to determine the safety profile of orally administered YK-029A, including the MTD, DLTs, RP2D, pharmacokinetic profile. The primary goal of the expansion component of the trial is to evaluate the anti-tumor activity of YK-029A in nine histologically and molecularly defined cohorts at the RP2D (determined based on dose escalation phase of the trial).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
160
Daily dose of YK-029A
Part 1: Number of Participants that Experience Adverse Events (AEs) and Serious Adverse Events (SAEs) .
To investigate the safety and tolerability of YK-029A when given orally to patients with advanced NSCLC with EGFR T790M.
Time frame: Cycle 1 (Cycle length is equal to [=] 28 days)
Part 1: Number of Participants with Clinically Significant Abnormal Laboratory Values.
To investigate the safety and tolerability of YK-029A when given orally to patients with advanced NSCLC with EGFR T790M.
Time frame: Cycle 1 (Cycle length is equal to [=] 28 days)
Part 1: Number of Participants with First Cycle Dose-Limiting Toxicities (DLTs).
To establish Maximum Tolerated Dose (MTD) (if possible) and Recommended Phase 2 Dose (PR2D) of YK-029A when given orally in patients with advanced NSCLC with EGFR T790M mutations.
Time frame: Cycle 1 (Cycle length is equal to [=] 28 days)
Part 1: DLTs of Orally Administered YK-029A.
Toxicity will be Evaluated According to the NCI CTCAE, Version 5.00. DLT will be defined as any of the events specified in the protocol that are considered by the investigator to be at least possibly related to therapy with study medications.
Time frame: Cycle 1 (Cycle length is equal to [=] 28 days)
Part 1: Number of Participants with First Cycle Dose-Limiting Toxicities (DLTs).
Toxicity will be evaluated according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 5.00. DLT will be defined as any of the events specified in the protocol that are considered by the investigator to be at least possibly related to therapy with study medications.
Time frame: Cycle 1 (Cycle length is equal to [=] 28 days)
Part 1: Maximum Tolerated Dose (MTD) of Orally Administered YK-029A
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Anhui Provincial Cancer Hospital
Hefei, Anhui, China
RECRUITINGAnhui Provincial Hospital
Hefei, Anhui, China
RECRUITINGThe First Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China
RECRUITINGPeople's Hospital of Guangxi Zhuang Autonomous Region
Nanjing, Guangxi, China
RECRUITINGAffiliated Tumor Hospital of Guangxi Medical University
Nanning, Guangxi, China
RECRUITINGAffiliated Cancer Hospital of Harbin Medical University
Harbin, Heilongjiang, China
RECRUITINGHenan Cancer Hospital
Zhengzhou, Henan, China
RECRUITINGThe First Affiliated Hospital of Zhengzhou University
Zhenzhou, Henan, China
RECRUITINGRenmin Hospital of Wuhan University
Wuhan, Hubei, China
RECRUITINGUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
RECRUITING...and 25 more locations
The MTD is the highest dose level at which the participant tolerates treatment without dose-limiting toxicities.
Time frame: Cycle 1 (Cycle length is equal to [=] 28 days)
Part 2: Objective Response Rate (ORR) according to RECIST 1.1 by IRC
Expansion Cohorts 1、2、3 : Confirmed Objective Response Rate (ORR) Assessed by the Independent Review Committee (IRC)
Time frame: Up to 36 months after first dose
Part 3: Objective Response Rate (ORR) according to RECIST 1.1 by IRC
xpansion Cohorts 4、5、6、7、8、9 : Confirmed Objective Response Rate (ORR) Assessed by the Independent Review Committee (IRC)
Time frame: Up to 36 months after first dose
Part 1:Cmax: Maximum Plasma Concentration for YK-029A and its Active Metabolites after a Single Oral Dose.
Time frame: Up to 24 hours; Pre-dose and multiple time points post-dose on Cycle 1 Day 1 (C1D1)
Part1:Tmax: Time to Cmax for YK-029A and its Active Metabolites after a Single Oral Dose.
Time frame: Up to 24 hours; Pre-dose and multiple time points post-dose on C1D1
Part1:AUC24: Area Under the Plasma Concentration-Time Curve from Time 0 to 24 hours for YK-029A and its Active Metabolites after a Single Oral Dose
Time frame: Up to 24 hours; Pre-dose and multiple time points post-dose on C1D1
Part1:AUClast: Area Under the Plasma Concentration-Time Curve from Time 0 to the Time of the Last Quantifiable Concentration for YK-029A and its Active Metabolites after a Single Oral Dose.
Time frame: Up to 24 hours; Pre-dose and multiple time points post-dose on C1D1
Part1:Cmax, ss: Maximum Plasma Concentration for YK-029A and its Active Metabolites at Steady State after Multiple Oral Doses.
Time frame: Up to approximately 168 days; Pre-dose and multiple time points post-dose.
Part1:Tmax, ss: Time to Cmax for YK-029A and its Active Metabolites at Steady State after Multiple Oral Doses.
Time frame: Up to approximately 168 days; Pre-dose and multiple time points post-dose.
AUC24, ss: Area Under the Plasma Concentration-Time Curve from Time 0 to 24 hours for YK-029A and its Active Metabolites at Steady State after Multiple Oral Doses.
Time frame: Up to approximately 168 days; Pre-dose and multiple time points post-dose.
Part2、3:Overall Response Rate (ORR) as Assessed by the investigator.
Time frame: Up to 36 months after first dose.
Part2、3:Duration of Response (DOR)
Duration of response is defined as the time interval from the time that the measurement criteria are first met for CR/PR (whichever is first recorded) until the first date that PD is objectively documented.
Time frame: Up to 36 months after first dose.
Part2、3:Disease Control Rate (DCR)
DCR is defined as the percentage of participants who have achieved CR, PR, or stable disease (SD) (in the case of SD, measurements must have met the SD criteria at least once after study entry at a minimum interval of 42 days) after the initiation of study drug.
Time frame: Up to 36 months after first dose.
Part2、3:Progression Free Survival (PFS)
PFS is defined as the time interval from the date of randomization until the first date at which the criteria for progressive disease (PD) according to RECIST version 1.1 are met or death, whichever occurs first.
Time frame: Up to 36 months after first dose.
Part2、3:Overall Survival (OS)
OS is defined as the interval from the date of randomization until death. OS is defined as the interval from the date of randomization until death. OS is defined as the interval from the date of randomization until death.
Time frame: Up to 36 months after first dose.