About this trial
This study is to evaluate the efficacy and safety of TY-9591 in first-line treatment of patients with EGFR-sensitive mutation-positive non-small cell lung cancer with brain metastases compared to Osimertinib.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female aged ≥18 years and <80 years.
Patients diagnosed with NSCLC by histology or cytology, with brain metastases.
Presence of an activating EGFR-sensitive mutations (including exon 19 deletions, L858R, the above mentioned mutations alone or co-existed with other EGFR-mutated sites).
No prior systemic antitumor therapy for locally advanced or metastatic NSCLC.
Disqualifiers
Previous treatment with EGFR inhibitor;
Previous treatment with Systematic antitumor therapy (including targeted therapy, biotherapy and immunodrug therapy, etc.);
Previous treatment with standard chemotherapy with 28 days before the first dose of the study drug, and traditional Chinese medicine antitumor therapy within 7 days before the first dose of the study drug;
Previous whole brain radiation therapy (WBRT); Receiving radiation to more than 30% of the bone marrow or with a wide field of radiation that had to be completed within 28 days of the first dose of study treatment; Radiotherapy with a limited field of radiation within 7 days of the first dose of study treatment or palliative radiation therapy for bone metastasis;
Trial design
Parallel
Treatments tested in this trial
TY-9591
DrugThe dose of TY-9591 tablet is 160 mg once daily. A cycle of treatment is defined as 21 days of once daily treatment until meet the of discontinuation criteria.
Osimertinib
DrugThe dose of Osimertinib is 80 mg once daily. A cycle of treatment is defined as 21 days of once daily treatment until meet the of discontinuation criteria.
Treatment groups
Trial outcomes
Primary outcomes
Intracranial Overall Response Rate (iORR)
iORR is defined as the proportion of patients with a best intracranial response of complete response (CR) or partial response (PR) during the study treatment
Intracranial Median Progression Free Survival (iPFS)
iPFS is defined as time from date of first dose of study treatment until the date of first documented intracranial disease progression or death due to any cause
Secondary outcomes
Objective Response Rate (ORR)
ORR is defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR) during the study treatment
Median Progression Free Survival (PFS)
PFS is defined as time from date of first dose of study treatment until the date of first documented disease progression or death due to any cause
Disease Control Rate (DCR)
DCR is defined as the proportion of patients with a best overall response of complete response (CR) , partial response (PR) or Stable disease (SD) ≥6 weeks during the study treatment
Intracranial Disease Control Rate (iDCR)
iDCR is defined as the proportion of patients with a best intracranial response of complete response (CR) , partial response (PR) or Stable disease (SD) ≥6 weeks during the study treatment
Sponsors and contacts
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