The goal of this clinical trial is to learn about the safety of drug CG001419. It also learn if drug CG001419 works to treat in locally advanced/metastatic adult solid tumours with NTRK gene fusions, NTRK gene point mutations, and NTRK gene amplification or over expression. The main questions it aims to answer are: Phase1:To determind the Maximum Tolerated Dose (MTD) and/or Phase 2 Recommended Dose for Phase 2 (RP2D) of CG001419 administered orally to adult subjects with locally advanced/metastatic solid tumours. To establish the safety and tolerability profile of CG001419. Phase2:To evaluate the efficacy of CG001419 in adult subjects with locally advanced or metastatic solid tumours harbouring oncogenic NTRK fusions, mutations, amplifications or over expression. Participants will Receive treatment with CG001419 until disease progression.
This is an open-label, multicentre, first-in-human (FIH) clinical study designed to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary antitumour efficacy of CG001419 as an oral monotherapy in subjects with locally advanced or metastatic solid tumours. The study comprises two parts: a dose-finding phase (including dose escalation and dose expansion) and an indication expansion phase , as detailed in the study design diagram . Both the dose-finding and indication expansion phases will include a screening period (Days -28 to 1) and a treatment period (from Day 1 of study drug administration).Both the Dose Exploration Phase and the Indication Expansion Phase will include a Screening Period (Days -28 to -1), a Treatment Period (commencing on Day 1 of study drug administration and continuing until the earliest occurrence of disease progression, occurrence of intolerable toxicity, initiation of new antitumour therapy, loss to follow-up, withdrawal of informed consent, death, or sponsor discontinuation), and a follow-up period (encompassing safety and survival follow-up). The study will enrol adult subjects with locally advanced or metastatic solid tumours who have failed standard therapy or are unsuitable for standard treatment. The dose-escalation phase has no NTRK gene/TRK protein status requirements, though tumours with oncogenic NTRK/TRK mutations will be prioritised. The dose-expansion and indication-expansion phases will enrol tumours with oncogenic NTRK/TRK mutations (confirmed by central laboratory testing of tumour tissue or peripheral blood). The indication expansion phase will assign adult subjects with locally advanced or metastatic solid tumours who have failed standard therapy or are unsuitable for standard therapy to one of four distinct cohorts based on NTRK/TRK alteration status and prior exposure to TRK tyrosine kinase inhibitors (TKIs).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
42
For QD administration, a single dose was given each morning. For BID administration, two doses were given 12 hours apart, one in the morning and one in the evening. Treatment Schedule:Repeated dosing was administered in 28-day treatment cycles.
The Cancer Hospital, Chinese Academy of Medical Sciences
Beijing, China
RECRUITINGWest China Hospital of Sichuan University
Chengdu, China
RECRUITINGSun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, China
RECRUITINGThe Sir Run Run Shaw Hospital, Affiliated to Zhejiang University School of Medicine
Hangzhou, China
RECRUITINGZhejiang Provincial Cancer Hospital
Hangzhou, China
RECRUITINGShanxi Provincial Cancer Hospital
Taiyuan, China
RECRUITINGPhase 1: Maximum Tolerated Dose (MTD)
Defined as the highest dose level at which no more than 1/6 of the subjects experience dose-limiting toxicity(DLT) during the DLT assessment period.
Time frame: After the first treatment cycle(each cycle is 28 days), DLT assessment
Phase 1: Recommended Phase 2 Dose (RP2D)
Defined as the optimal Phase II dosing regimen explored and selected based on the comprehensive evaluation of the drug's safety, tolerability, pharmacokinetic profile, and efficacy.
Time frame: Approximately 3 years
Phase1: Incidence of Adverse Events [Safety and Tolerability]
According to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0, evaluate the safety and tolerability of CG001419 at different doses in the treatment of advanced solid tumors.
Time frame: Approximately 3 years
Phase 2: Overall response rate (ORR)
The proportion of subjects whose best overall response is Complete Response(CR) or Partial Response(PR) in the study assessed by Independent Central Review(IRC) according to Response Evaluation Criteria in Solid Tumors(RECIST) v1.1.
Time frame: The entire test cycle, approximately 8 years.
Objective Response Rate (ORR)
The proportion of subjects whose best overall response is CR or PR in the study assessed by investigator according to RECIST v1.1.
Time frame: The entire test cycle, approximately 8 years.
Disease Control Rate(DCR)
Defined as the proportion of subjects assessed by the Independent Central Review (ICR) and the investigator as having a best overall response of CR, PR, or SD according to RECIST v1.1.
Time frame: The entire test cycle, approximately 8 years.
Progression-Free Survival(PFS)
Defined as the time from the first administration of CG001419 to the first occurrence of disease progression or death (whichever occurs first), as assessed by the investigator and the Independent Review Committee (IRC) per RECIST 1.1.
Time frame: The entire test cycle, approximately 8 years.
Overall Survival(OS)
Defined as the time from the first administration of CG001419 to the subject's death.
Time frame: Up to 10 years after the first administration of the last subject.
Cmax
Peak concentration
Time frame: The entire test cycle, approximately 8 years.
Tmax
Time to peak concentration
Time frame: The entire test cycle, approximately 8 years.
AUC0-t
Area under the concentration-time curve from zero to the last quantifiable time point
Time frame: The entire test cycle, approximately 8 years.
AUCinf
Area under the concentration-time curve from zero extrapolated to infinity
Time frame: The entire test cycle, approximately 8 years.
T1/2
Half-life
Time frame: The entire test cycle, approximately 8 years.
CL/F
Apparent clearance
Time frame: The entire test cycle, approximately 8 years.
Vz/F
Apparent volume of distribution
Time frame: The entire test cycle, approximately 8 years.
Cmax,ss
Steady-state peak concentration
Time frame: The entire test cycle, approximately 8 years.
Cmin,ss
Steady-state trough concentration
Time frame: The entire test cycle, approximately 8 years.
Phase 2: Incidence of Adverse Events [Safety and Tolerability]
According to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0, evaluate the safety and tolerability of CG001419 in the treatment of advanced solid tumors.
Time frame: The entire test cycle, approximately 8 years
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