About this trial
This is a single-arm, exploratory trial to evaluate the efficacy and safety of neoadjuvant WX-0593 in patients with resectable ALK-positive or ROS1- positive non-small cell lung cancer(NSCLC).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically confirmed non-small cell lung cancer (NSCLC).
ALK-positive or ROS1-positive NSCLC in Stage IB-IIIA (according to the 8th American Joint Committee on Cancer TNM edition), as assessed by investigator.
Complete surgical resection of the primary NSCLC must be deemed achievable, as assessed by a MDT evaluation (which should include a thoracic surgeon, specialized in oncologic procedures).
ECOG Performance Status of 0-1.
Disqualifiers
Prior treatment with any systemic anti-cancer therapy for NSCLC including chemotherapy, biologic therapy, immunotherapy, or any investigational drug.
Prior treatment with ALK TKI or ROS1 TKI.
Prior treatment with local radiotherapy.
Mixed small cell and NSCLC histology.
Trial design
Single group
Treatments tested in this trial
WX-0593 Tablets
Drug60 mg of WX-0593 tablets, once daily for 7 days, followed by 180 mg of WX-0593 tablets, once daily in a 28-days cycle.
Treatment groups
Trial outcomes
Primary outcomes
Major Pathologic Response (MPR) Rate
Major pathologic response (MPR) rate is defined as percentage of residual viable tumor cells histologically detected in the resected primary tumor after surgery ≤10%.
Secondary outcomes
Pathologic Complete Response (pCR) Rate
Pathologic complete response (pCR) rate is defined as the percentage of participants with absence of residual tumor in lung and lymph nodes.
Resectability rate
Resectability rate is defined as the percentage of participants who were able to undergo surgery after neoadjuvant therapy.
R0 Resection rate
R0 Resection rate is defined as the percentage of participants who were able to undergo R0 Resection surgery after neoadjuvant therapy.
Objective Response Rate (ORR)
Objective Response Rate (ORR) is defined as the percentage of participants who have a complete response (CR) or partial response (PR). Responses are according to RECIST 1.1 as assessed by investigator.
Sponsors and contacts
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Pingping Song
Lead sponsor
Shandong Cancer Hospital and Institute
Sponsor institution