The study will contain three stages: Phase I includes dose escalation phase (i.e., phase Ia) and dose expansion phase (i.e., phase Ib). Once the dosage regimen is confirmed, the sponsor can decide to start the cohort expansion phase (i.e., phase IIa)
phase Ia (Dose Escalation Phase) Approximately 17-96 subjects will be enrolled, dose escalation will be implemented by combining accelerated escalation with "3+3" design and safety evaluation requirements as specified. The total number of the subjects will depend upon the number of dose escalation necessary. Phase Ib (Dose Expansion Phase): 2 to 3 doses selected from escalation doses, up to 20 subjects (subjects in dose escalation are involved) will be enrolled in each expansion arm, the total number of subjects will depend upon the number of dose expansions, expansions may adjusted depends upon the emerging data. Phase IIa (Cohort Expansion): Approximately 20 subjects will be enrolled in each expansion cohort. Sample size may be adjusted based on emerging data.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
96
PH009-1 will be administered in fasting state
Guangdong Provincial People's Hospital
Guangzhou, Guangdon, China
Dose escalation and dose expansion: Incidence of dose-limiting toxicities (DLTs), 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 PH009-1 and to determine the maximal tolerable dose (MTD), or recommended phase II dose (RP2D).
Time frame: Up to approximately 2 years
Cohort expansion: Objective Response Rate (ORR)
To evaluate the preliminary anti-tumor activity at the selected dose(s) of oral PH009-1 according to RECIST v1.1.
Time frame: Up to approximately 2 years
Cohort expansion: Incidence and severity of AEs, with severity determined according to NCI CTCAE v5.0.
To evaluate the safety at the selected dose(s) of oral PH009-1.
Time frame: Up to approximately 2 years
Peak plasma Concentration (Cmax)
To evaluate the pharmacokinetic (PK) characteristics of PH009-1 when given orally following single and multiple doses
Time frame: Up to approximately 2 years
Time to reach maximum concentration (Tmax)
To evaluate the pharmacokinetic (PK) characteristics of PH009-1 when given orally following single and multiple doses
Time frame: Up to approximately 2 years
Area under the plasma concentration versus time curve (AUC)
To evaluate the pharmacokinetic (PK) characteristics of PH009-1 when given orally following single and multiple doses
Time frame: Up to approximately 2 years
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Disease Control Rate (DCR)
To obtain a preliminary evaluation of the anti-tumor activity of PH009-1 according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: up to approximately 2 years
Dose escalation and expansion: Objective Response Rate (ORR)
To obtain a preliminary evaluation of the anti-tumor activity of PH009-1 according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: Up to approximately 2 years
Duration of Reaponse (DOR)
To obtain a preliminary evaluation of the anti-tumor activity of PH009-1 according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: up to approximately 2 years
Progression-free survival (PFS)
To obtain a preliminary evaluation of the anti-tumor activity of PH009-1 according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: up to approximately 2 years
Time to progression (TTP)
To obtain a preliminary evaluation of the anti-tumor activity of PH009-1 according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: up to approximately 2 years
overall survival (OS)
To obtain a preliminary evaluation of the anti-tumor activity of PH009-1 according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).
Time frame: up to approximately 2 years
The concentration of PH009-1 in cerebrospinal fluid (CSF).
To characterise concentration of PH009-1 in CSF
Time frame: Up to approximately 2 years
The EGFR gene mutation status in circulating tumor deoxyribonucleic acid (ctDNA)
Confirm EGFR mutation status and evaluate the relationship between different EGFR mutations and drug responses.
Time frame: Up to approximately 2 years