About this trial
This study, including phase Ib , phase IIa and phase IIb, aims to evaluate the safety, tolerability, PK profile, efficacy and to determine the RP2D of GH21 capsules combined with Osimertinib mesylate tablets in NSCLC patients with EGFR mutations.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects or their legal representatives can understand and voluntarily sign the written ICF (before the start of screening and any study procedures);
Male or female subjects aged ≥18 years;
Phase Ib: patients with disease progression previously at least treated with third-generation EGFR-TKIs and platinum-containing chemotherapy;
Phase IIa and IIb:patients with disease progression previously at least treated with a third-generation EGFR-TKIs (Osimertinib, Furmonertinib Almonertinib etc.).
Disqualifiers
Use of nitrosoureas or mitomycin C within 6 weeks prior to the first dose of the investigational product;
Oral administration of fluorouracils, small molecule targeted drugs, and Chinese herbal medicines or Chinese patent medicines with antitumor indications within 5 half-lives or 2 weeks before the first dose of the investigational product (whichever is shorter);
Small molecule TKI inhibitors within 5 half-lives or 2 weeks prior to the first dose of the investigational product (whichever is shorter);
Local palliative radiotherapy within 2 weeks prior to the first dose of the investigational product;
Trial design
Single group
Treatments tested in this trial
GH21
DrugOral, 15mg BIW/6mg QD
Tagrisso
DrugOral, 80mg QD
Treatment groups
Trial outcomes
Primary outcomes
Number of Participants with Dose Limiting Toxicities
Incidence of dose limiting toxicities (DLTs) in the dose escalation phase. A DLT is defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first treatment cycle. (phase Ib)
Number of Participants with Adverse Events
All patients participating in this study will be assessed for incidence and severity of adverse events (AEs) and serious AEs, including changes in laboratory values, vital signs, electrocardiograms, cardiac imaging and ophthalmological assessments (phase Ib/ IIa)
Progression-Free Survival (PFS) Based on RECIST 1.1 Criteria
PFS is defined as the interval of time between the date of first treatment to the earliest date of disease progression or death which occurs first. (phase IIb)
Secondary outcomes
Objective Response Rate (ORR) Based on RECIST 1.1 Criteria
ORR is defined as the proportion of participants with complete response or partial response (CR+PR). (phase Ib/IIa/IIb)
Duration of Response (DOR) Based on RECIST 1.1 Criteria
DOR is defined as the time from the participant's initial objective response (CR or PR) to study drug therapy, to disease progression or death due to any cause, whichever occurs first. (phase Ib/IIa/IIb)
Disease Control Rate (DCR) Based on RECIST 1.1 Criteria
DCR is defined as the proportion of patients in a clinical trial whose cancer shrinks or remains stable over a certain period.
Overall Survival (OS)
OS is defined as the interval of time between the date of first treatment until death, loss to follow up or termination of the study by the sponsor (phase Ib/IIa/IIb)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.