A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of AST2303 Tablets (ABK3376 Tablets) in Patients With Advanced or Metastatic Non-Small Cell Lung Cancer

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorAllist Pharmaceuticals, Inc.

About this trial

This study is a multicenter, single arm, open label, phase I clinical trial, including dose escalation (phase IA) and dose expansion (phase IB). This study aimed to evaluate the safety, tolerability, PK characteristics and preliminary antitumor activity of ast2303 tablets (abk3376 tablets) in subjects with locally advanced or metastatic non-small cell lung cancer. A safety review committee (SRC) was established in this study, which will review the safety, efficacy, pharmacokinetics and other data obtained from the study, and make decisions on key issues such as dose escalation and dose expansion.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Have fully understood this test and voluntarily sign the informed consent

Age ≥ 18 at the time of signing the informed consent, regardless of gender

Patients with non-small cell lung cancer confirmed by tissue / cytology.

According to recist1.1 criteria, the presence of at least one target lesion without local treatment was assessed by the investigator

Disqualifiers

Previously received antitumor therapy targeting the c797s mutation

Carry any other known driver gene alterations

Have received any systemic anti-tumor treatment (including anti-tumor drugs in clinical research stage) within 2 weeks before the first administration or within 5 half lives of the drug (whichever is longer); Or receiving anti-tumor drugs with long half-life, such as immune checkpoint inhibitors, within 4 weeks before the first administration; Or received cytotoxic drugs with significant delayed toxicity, such as mitomycin C, within 6 weeks before the first administration;

Have received non-specific immunomodulatory agents, traditional Chinese medicine or traditional Chinese medicine preparations with approved anti-tumor indications within 2 weeks before the first administration

Trial design

Design model

Sequential

Treatments tested in this trial

  • AST2303 Tablets(ABK3376 Tablets) ,25mg

    Drug

    Usage and dosage: 25mg, oral on an empty stomach Duration of medication: oral once a day, 21 days as a cycle

  • AST2303 Tablets(ABK3376 Tablets) ,50mg

    Drug

    Usage and dosage: 50mg, oral on an empty stomach Duration of medication: oral once a day, 21 days as a cycle

  • AST2303 Tablets(ABK3376 Tablets) ,75mg

    Drug

    Usage and dosage: 75mg, oral on an empty stomach Duration of medication: oral once a day, 21 days as a cycle

  • AST2303 Tablets(ABK3376 Tablets) ,100mg

    Drug

    Usage and dosage: 100mg, oral on an empty stomach Duration of medication: oral once a day, 21 days as a cycle

  • AST2303 Tablets(ABK3376 Tablets) ,125mg

    Drug

    Usage and dosage: 125mg, oral on an empty stomach Duration of medication: oral once a day, 21 days as a cycle

Treatment groups

120 Participants
are divided into 5 treatment groups
Group A: AST2303 Tablets(ABK3376 Tablets) ,25mgExperimental treatment 1 intervention
Group B: AST2303 Tablets(ABK3376 Tablets) ,50mgExperimental treatment 1 intervention
Group C: AST2303 Tablets(ABK3376 Tablets) ,75mgExperimental treatment 1 intervention
Group D: AST2303 Tablets(ABK3376 Tablets) ,100mgExperimental treatment 1 intervention
Group E: AST2303 Tablets(ABK3376 Tablets) ,125mgExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adverse Event, AE

AE will be classified based on the latest version of the Medical Dictionary for Regulatory Activities (MedDRA) of the International Conference on Harmonisation of Registration Techniques for Medicinal Products for Human Use (ICH), and graded according to CTCAE 5.0.

Time frame
Up to 2 years
2

Serious Adverse Event (SAE)

Time frame
Up to 2 years
3

Adverse Events of Special Concern (AESI)

Time frame
Up to 2 years
4

Objective response rate (ORR)

ORR is defined as the proportion of subjects confirmed as CR or PR to the total number of subjects, and the confirmation of remission is based on a follow-up evaluation conducted at least 28 days apart using the RECIST v1.1 evaluation criteria.

Time frame
Up to 2 years

Secondary outcomes

1

Peak Time (Tmax)

Time frame
Up to 2 years
2

Peak Plasma Concentration (Cmax)

Time frame
Up to 2 years
3

From 0 to the last measurable time point t, the area under the drug time curve (AUC0-t)

Time frame
Up to 2 years

Other outcomes

Sponsors and contacts

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