About this trial
This study is a single arm study to access the anti-tumor efficacy and safety of Andamertinib plus Anlotinib in patients with locally advanced or metastatic non-small cell lung cancer previously treated with third-generation EGFR-TKI.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Able to understand and voluntarily sign the written informed consent form.
Aged ≥ 18 years, male or female.
Non-small-cell lung cancer (NSCLC) confirmed histologically or cytologically, clinically diagnosed as unresectable and ineligible for curative concurrent chemoradiotherapy, including locally advanced (stage ⅢB/ⅢC), metastatic or recurrent (stage Ⅳ) NSCLC.
Harboring EGFR mutations (including exon19 deletions and exon21 L858R mutation), with documented disease progressed following only one prior line of third-generation EGFR-TKI therapy.
Disqualifiers
Diagnosis of other malignant diseases within 3 years prior to first study drug administration, except for radically treated basal cell carcinoma of the skin, squamous-cell carcinoma of the skin, and/or radically resected carcinoma in-situ.
Presence of any of the following genetic alterations: ALK fusion, ROS1 fusion, BRAF V600 mutation, NTRK fusion, MET exon14 skipping mutation, MET amplification, RET fusion, KRAS G12C mutation, HER2 mutation, NRG1 fusion.
Central squamous-cell carcinoma with high risk of massive hemoptysis.
Toxicities from prior anti-tumour therapy have not recovered to Grade≤1, except for alopecia, fatigue and other toxicities judged by the investigator to carry low safety risk.
Trial design
Single group
Treatments tested in this trial
Andamertinib
DrugAndamertinib: 160mg, QD, Q3W
Anlotinib
DrugAnlotinib: 12mg/10mg, QD, d1-d14, Q3W
Treatment groups
Trial outcomes
Primary outcomes
PFS
Progression-free survival (PFS per RECIST 1.1) is defined as the time from treatment to the date of first documentation of disease progression or death, whichever occurs first
Secondary outcomes
ORR
The proportion of subjects with complete response (CR) and partial response (PR) in total subjects
DCR
The proportion of subjects with complete response (CR), partial response (PR)and stable disease in(SD) in total subjects
DoR
DoR (per RECIST 1.1) is defined as the time from the date for first documented response of complete response (CR) or partial response (PR) to the date of first documented of disease progression or death, whichever occurs first.
OS
Defined as the time from treatment to all-cause death
Sponsors and contacts
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