This is a multi-center, randomized, open-label, Phase III clinical trial which compares the safety and efficacy of TGRX-326 with crizotinib in patients with ALK-positive advanced or metastatic NSCLC
This Phase III study aims to evaluate the safety profile and efficacy profile in patients with ALK-positive advanced or metastatic NSCLC and to compare the efficacy and safety of TGRX-326 with that of crizotinib. The primary purpose of this study is to evaluate and compare the efficacy profile of TGRX-326 with crizotinib, with progression-free survival (PFS) as evaluated by independent review committee (IRC) as end point. Secondary objectives include comparing efficacy profile of other endpoints and safety profiles of the investigational drug with crizotinib. Exploratory objective includes the evaluation of population pharmacokinetic (PK) profile of TGRX-326 and efficacy of TGRX-326 in ALK-positive advanced NSCLC patients determined as progressive disease after crizotinib treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
321
Subjects will be treated with the investigational drug TGRX-326 at 60 mg once a day in 28-day cycles
Subjects will be treated with the control drug crizotinib at 250 mg twice a day in 28-day cycles
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China
Progression Free Survival (PFS) by independent review committee (IRC)
PFS defined by the time from randomization to progressive disease or death of any cause; PFS as evaluated by independent review committee (IRC).
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Progression Free Survival (PFS) by investigator
PFS defined by the time from randomization to progressive disease or death of any cause; PFS as evaluated by investigator.
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
One-year Progression Free Survival (PFS)
One-year PFS defined by the time from randomization to progressive disease or death of any cause, with data collection up to 1 year from randomization; one-year PFS as evaluated by investigator or IRC.
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Objective Response Rate (ORR)
ORR defined by the ratio of patients who reached the treatment response; ORR as evaluated by independent review committee (IRC) and investigator
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Duration of Response (DOR)
DOR defined as the duration from first occurence of treatment response to progressive disease/relapse; DOR as evaluated by IRC and investigator
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
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Disease Control Rate (DCR)
DCR defined by the ratio of patients who reached the treatment response or maintained as stable disease; DCR as evaluated by IRC and investigator
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Time to Response (TTR)
TTR defined by the time from the start of treatment to the first ORR; TTR as evaluated by IRC and investigator
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Intracranial Objective Response Rate (IC-ORR)
IC-ORR defined by the ratio of patients who reached the intracranial treatment response; ORR as evaluated by IRC and investigator.
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Intracranial Disease Control Rate (IC-DCR)
IC-DCR defined by the ratio of patients who reached the treatment response intracranially or maintained as stable disease; IC-DCR as evaluated by IRC and investigator
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Intracranial Duration of Response (IC-DOR)
IC-DOR defined as the duration from first occurrence of Intracranial treatment response to progressive disease/relapse; DOR as evaluated by IRC and investigator
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Intracranial Time to Response (IC-TTR)
IC-TTR defined by the time from the start of treatment to the first IC-ORR; TTR as evaluated by IRC and investigator
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Intracranial Progression Free Survival (IC-PFS)
IC-PFS defined by the time from randomization to progressive disease or death of any cause in patients with intracranial lesions; PFS as evaluated by IRC and investigator.
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Overall Survival (OS)
OS defined by the time from randomization to death of any cause
Time frame: Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
Adverse Events (AEs)
To record and analyze subjects with adverse events (AEs)
Time frame: At Screening; Day 1 of every Cycle (each cycle is 28 days) until end of study
Serious Adverse Events (SAEs)
To record and analyze subjects with serious adverse events (SAEs)
Time frame: At Screening; Day 1 of every Cycle (each cycle is 28 days) until end of study