The goal of this First-In-Human (FIH) Phase I/II trial is to establish the safety profile, determine the Recommended Phase II Dose (RP2D), explore the pharmacokinetic (PK) exposure and pharmacodynamic (PD) properties as well as assess the efficacy of STX-241/PFL-241, a mutant selective Central Nervous System (CNS)-penetrant fourth generation EGFR TKI, in participants with locally advanced or metastatic NSCLC that progressed during or following third generation EGFR TKI such as osimertinib due to C797X double acquired (secondary) mutations.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
171
Film-coated tablet Route of administration: Oral
Sarah Cannon Research Institute (SCRI) (The SCRI Oncology Research Consortium)
Nashville, Tennessee, United States
RECRUITINGOncology Consultants (OC) - Texas Medical Center - Cancer Center
Houston, Texas, United States
RECRUITINGShanghai East Hospital, Tongji University
Shanghai, China
RECRUITINGTianjin Medical University Cancer Institute and Hospital
Tianjin, China
RECRUITINGCentre Léon Bérard
Lyon, France
RECRUITINGCHU Hôpital de la Timone
Marseille, France
RECRUITINGInstitut de Cancérologie de l'Ouest (ICO) - René Gauducheau
Saint-Herblain, France
RECRUITINGInstitut Universitaire du Cancer de Toulouse - Oncopole
Toulouse, France
RECRUITINGGustave Roussy
Villejuif, France
RECRUITINGUniversitätsklinikum Carl Gustav Carus Dresden
Dresden, Germany
RECRUITING...and 6 more locations
Safety: Part 1 and Part 2: Safety: Incidence and severity of treatment emergent adverse events (TEAEs)/serious adverse events (SAEs), according to NCI-CTCAE v5.0 criteria.
Time frame: Screening to Safety Follow-up (30 days post last dose)
Part 1 and Part 2: Tolerability: Incidence of TEAEs/SAEs leading to STX-241 dose reductions, interruptions or discontinuations.
Time frame: Screening to Safety Follow-up (30 days post last dose)
Part 1: Maximum Tolerated Dose (MTD): Incidence of Dose-Limiting Toxicities (DLTs)
Time frame: From first STX-241 intake until 28 days post first dose (28 days post first dose)
Part 1: Optimal Biologically Active Dose (OBD)
Time frame: From the first STX-241 intake up to 24 months
Part 2: Recommended Phase II Dose (RP2D) of STX-241
Time frame: From the first STX-241 intake up to 24 months
Part 2: cORR (Confirmed Overall Response Rate) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 per investigator.
Time frame: Up to 24 months
All Parts: PK exposure parameter: Maximum Plasma Concentration (Cmax)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Time To Maximum Plasma Concentration (Tmax)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Area Under The Plasma Concentration-Time Curve From Time Zero To Dosing Interval (AUC0-tau)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Area Under The Plasma Concentration-Time Curve From Time Zero To Time With Last Measurable Concentration (AUC0-t)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Area Under The Plasma Concentration-Time Curve From Time Zero To Infinity (AUC0-∞)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Terminal Elimination Half-Life (t½)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Apparent Terminal Elimination Rate Constant (λz)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Apparent Clearance (CL/F)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Apparent Volume Of Distribution (Vz/F)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Peak Plasma Concentration (Cmax)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Area Under The Plasma Concentration versus Time Curve (AUC)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
All Parts: PK exposure parameter: Trough Plasma Concentration (Ctrough)
Time frame: Part 1 and Part 2: C1 Day 1, Day 2, Day 15; C2 Day 1; C3 Day 1; - each cycle is 28 days
Part 1: cORR by Investigator Review (IR) in accordance to RECIST version 1.1.
Time frame: Up to 24 months
All parts: DCR (Disease Control Rate) by IR in accordance to RECIST version 1.1.
Time frame: Up to 24 months
All parts: TTR (Time To Response) by IR in accordance to (RECIST version 1.1.
Time frame: Up to 24 months
All parts: DOR (Duration of Response) by IR in accordance to RECIST version 1.1.
Time frame: Up to 24 months
Part 2: PFS (Progression-Free Survival) ( by IR in accordance to RECIST version 1.1.
Time frame: Up to 24 months
Part 2: Overall Survival
Time frame: Up to 24 months
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