A Multinational Study Assessing an Oral EGFR Inhibitor, DZD6008 in Patients Who Have Advanced NSCLC With EGFR Mutations (TIAN-SHAN1)

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorDizal Pharmaceuticals

About this trial

This study is designed to evaluate safety and anti-tumor activity of DZD6008 in patients with advanced NSCLC with EGFR mutations.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients must be able to provide documented informed consent.

Aged ≥ 18 years.

Histologically or cytologically confirmed diagnosis of NSCLC, locally advanced or metastatic, not suitable for curative therapy.

Documentation of EGFR mutations from a local CLIA-certified laboratory (or equivalent). For Part A monotherapy cohorts and all cohorts of Part B, EGFR sensitizing mutations (Exon19del and/or L858R) are required.

Disqualifiers

Carry other EGFR alterations than T790M and C797X, including but not limited to uncommon EGFR mutations (G719X, S768I, L861Q, exon 20 insertions mutations, etc.)(Part B).

NSCLC with mixed small cell lung cancer (SCLC) or NSCLC with histologic SCLC transformation.

Prior treatment with any of the following: 1)Immunotherapy or other antibody therapy within 4 weeks prior to the first administration; 2)Any cytotoxic chemotherapy, investigational drugs or other anticancer drugs from a previous treatment regimen or clinical study within 14 days prior to the first administration; 3)Radiotherapy with a limited field of radiation for palliation within 7 days of the first dose, radiation to more than 30% of the bone marrow or with a wide field of radiation within 28 days before screening; 4)Currently receiving or unable to stop drug or herbal supplements known to be potent inhibitors or inducers of cytochrome P450 (CYP)3A4. A washout period of at least 2 weeks for strong inhibitors and 3 weeks for strong inducers is required prior to the first study drug administration; 5)currently receiving or unable to stop drugs known to be CYP3A4 sensitive substrate with a narrow therapeutic index. A washout period of at least 14 days is required prior to the first study drug administration; 6)currently receiving or unable to stop drugs known to be proton pump inhibitors. A washout period of at least 7 days is required prior to the first study drug administration; 7)major surgery within 4 weeks of the first administration of DZD6008 or anticipated during the study period.

Any unresolved toxicities from prior anti-cancer therapy greater than CTCAE Grade 1.

Trial design

Design model

Sequential

Treatments tested in this trial

  • DZD6008

    Drug

    Daily dose of DZD6008

  • Sunvozertinib

    Drug

    Daily dose of Sunvozertinib

Treatment groups

140 Participants
are divided into 13 treatment groups

13

Treatment groups

See each treatment group below.

Group A: Experimental: Part A Dose Escalation monotherapy cohorts (20 mg once daily [QD])Experimental treatment 1 intervention
Group B: Experimental: Part A Dose Escalation monotherapy cohorts (40 mg QD)Experimental treatment 1 intervention
Group C: Experimental: Part A Dose Escalation monotherapy cohorts (60 mg QD)Experimental treatment 1 intervention
Group D: Experimental: Part A Dose Escalation monotherapy cohorts (90 mg QD)Experimental treatment 1 intervention
Group E: Experimental: Part A Dose Escalation monotherapy cohorts (120 mg QD)Experimental treatment 1 intervention
Group F: Experimental: Part A Dose Escalation monotherapy cohorts (150 mg QD)Experimental treatment 1 intervention
Group G: Experimental: Experimental: Part A Dose Escalation Combination cohorts (Combination dose 1)Experimental treatment 2 interventions
Group H: Experimental: Experimental: Part A Dose Escalation Combination cohorts (Combination dose 2)Experimental treatment 2 interventions
Group I: Experimental: Part A Dose Escalation Combination cohorts (Combination dose 3)Experimental treatment 2 interventions
Group J: Experimental: Part B Dose Expansion cohort A1 (selected dose 1)Experimental treatment 1 intervention
Group K: Experimental: Experimental: Part B Dose Expansion cohort A2 (selected dose 2)Experimental treatment 1 intervention
Group L: Experimental: Experimental: Part B Dose Expansion cohort B1 (selected dose 1)Experimental treatment 1 intervention
Group M: Experimental: Experimental: Part B Dose Expansion cohort B2 (selected dose 2)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Part A: To assess safety and tolerability

Number of participants with Dose-limiting Toxicities (DLTs)

Time frame
21 days after the first multiple dose
2

Part A: To assess safety and tolerability

Number of participants with Adverse events (AEs)/Serious adverse events (SAEs)

Time frame
Through the study completion, an average of around 1 year
3

Part B: To assess anti-tumor activity

Objective Response Rate (ORR) assessed by investigators per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

Time frame
Through the study completion, an average of around 1 year

Secondary outcomes

1

Part A: To characterize the plasma concentration of DZD6008 following single and multiple oral dose administration

Total concentrations of DZD6008 in plasma

Time frame
From first dosing to cycle 7 day 1, each cycle is 21 days
2

Part A: To characterize the plasma concentration of sunvozertinib and metabolite DZ0753 following single and multiple oral dose administration

Total concentrations of sunvozertinib and metabolite DZ0753 in plasma (combination cohorts only)

Time frame
From first dosing to cycle 9 day 1, each cycle is 21 days
3

Part A: To assess the anti-tumor activity

ORR assessed by investigators per RECIST version 1.1

Time frame
Through the study completion, an average of around 1 year
4

Part A: To assess the anti-tumor activity

Duration of Response (DoR) assessed by investigators per RECIST version 1.1

Time frame
Through the study completion, an average of around 1 year

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.