About this trial
This study is designed to evaluate safety and antitumor activity of DZD6008 in patients with advanced NSCLC with EGFR mutations. This is the first time the drug is tested in human.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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 sensitizing mutation (Exon19del and/or L858R) from a local CLIA-certified laboratory (or equivalent).
Disqualifiers
Carry any other known EGFR alterations, including but not limited to uncommon EGFR mutations (G719X, S768I, L861Q, exon 20 insertions, etc.), or other driver gene alterations with SOC treatments (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
Sequential
Treatments tested in this trial
DZD6008
DrugDaily dose of DZD6008
Treatment groups
10
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Part A: To assess safety and tolerability
Number of participants with Dose-limiting Toxicities (DLTs)
Part A: To assess safety and tolerability
Number of participants with Adverse events (AEs)/Serious adverse events (SAEs)
Part B: To assess anti-tumor activity
Objective Response Rate (ORR) as assessed by investigators per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Secondary outcomes
Part A: To characterize the plasma concentration of DZD6008 following single and multiple oral dose administration
Total concentrations of DZD6008 in plasma.
Part A: To assess the urine concentration of DZD6008
Total concentrations of DZD6008 in urine.
Part A: To assess cerebrospinal fluid of DZD6008 in participants with brain metastasis at baseline
Total concentrations of DZD6008 in cerebrospinal fluid
Part A: To assess the effect of low-fat food on the plasma concentration of DZD6008
Total concentrations of DZD6008 in plasma.
Sponsors and contacts
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