H002 in Patients With EGFR Mutation Locally Advanced or Metastatic NSCLC

Last updated: April 9, 2024
Sponsor: RedCloud Bio
Overall Status: Active - Recruiting

Phase

1/2

Condition

Non-small Cell Lung Cancer

Treatment

H002 capsule

Clinical Study ID

NCT05552781
H002-101CN
  • Ages > 18
  • All Genders

Study Summary

This is a phase I/IIa, open-label, dose-escalation and expansion study to evaluate the safety, tolerability, PK and preliminary anti-tumor activity of H002 when given orally in patients with EGFR mutation-positive locally advanced or metastatic non-small cell lung cancer (NSCLC).

The study will contain two parts: Part A is dose escalation phase (i.e., Phase I) and Part B is dose expansion phase (i.e., Phase IIa).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Males or females aged ≥ 18 years at time of signing informed consent form (ICF).
  2. Histological or cytological confirmed diagnosis of unresectable locally advanced ormetastatic NSCLC.
  3. Subjects must have NSCLC harboring one or more active EGFR mutations known to beassociated with EGFR-TKI sensitivity (including, but not limited to Del19 and L858R).
  • Part A: All subjects may provide tumor sample to central laboratory to analyzethe EGFR mutation status according to their own willingness;
  • Part B: All subjects must provide tumor sample to central laboratory to analyzethe EGFR mutation status. And subjects must have NSCLC harboring EGFR C797Smutation. Note: Tumor sample can be either an archival sample or a sample obtained bypretreatment biopsy prior to H002 treatment.
  1. • Part A: Subjects have received the best treatment available as determined by thephysician and must have radiological documented disease progression on the lasttreatment administered prior to enrolling in the study. • Part B: Subjects have received at least one previous EGFR-TKI treatment and haveradiological documented disease progression on the previous continuous EGFR-TKItreatment. In addition, subjects may have received other antitumor treatments and musthave radiological documented disease progression on the last treatment administeredprior to enrolling in the study.
  2. Presence of at least one measurable lesion according to RECIST v1.1 per investigatorassessment.
  3. ECOG performance status of 0-1.
  4. Life expectancy ≥ 12 weeks.
  5. Adequate hematologic and organ function per protocol.
  6. Women of childbearing potential (WOCBP) and fertile males with WOCBP partners must usehighly effective contraception per protocol throughout the study. WOCBP must have anegative serum and/or urine pregnancy test result within 7 days prior to the firstdose of H002.
  7. Signed ICF, and this must be obtained before the performance of any protocol-specificprocedures.

Exclusion

Exclusion Criteria:

  1. Treatment with any of the following: Prior treatment with an EGFR-TKI within 8 days or approximately 5 × t1/2 prior to thefirst dose of H002, whichever is longer; Prior treatment with immunotherapy orbiotherapy within 4 weeks prior to the first dose of H002; Radiotherapy (palliativeradiotherapy is completed at least 2 weeks prior to the first dose of H002 can beenrolled) within 4 weeks prior to the first dose of H002; Herbal therapy that hasanti-tumor effects within 2 weeks prior to the first dose of H002; Mitomycin andnitrosourea within 6 weeks prior to the first dose of H002; Oral fluorouracil such astegafur and capecitabine within 2 weeks prior to the first dose of H002; Chemotherapy (except for mitomycin, nitrosourea, and fluorouracil oral drugs), or other anti-tumordrugs for the treatment of NSCLC within 4 weeks or approximately 5 × t1/2 prior to thefirst dose of H002, whichever is longer.
  2. Subjects with EGFR exon 20 insertion mutations only.
  3. Prior marketed and/or investigational treatment for EGFR C797S mutation (including,but not limited to BTP-661411, TQB3804 and BLU-945).
  4. Is currently participating and receiving investigational therapy or using aninvestigational device, or has participated in a study of an investigational agent andreceived study therapy or used an investigational device within 4 weeks or 5 × t1/2 ofthe investigational product, whichever is longer, prior to the first dose of H002.
  5. Is expected to require any other form of anti-tumor therapy while on study.
  6. Unresolved toxicity greater than CTCAE v5.0 Grade 1 from prior anti-tumor therapy.
  7. ≥ CTCAE v5.0 Grade 2 skin toxicity at screening.
  8. Treatment with strong inhibitors and strong inducers of CYP3A4 within 2 weeks prior tothe first dose of H002, or anticipation of need for such drugs during study treatment.
  9. Uncontrollable pleural effusion, ascites, or pericardial effusion.
  10. Subjects who have symptomatic brain metastases, meningeal metastasis or spinal cordcompression.
  11. Subjects who have a chronic or active infection that required systemic treatmentwithin 2 weeks prior to the first dose of H002.
  12. Subjects who have gastrointestinal disorders that will affect oral administration orthe investigator judges that the absorption of H002 will be interfered.
  13. History of hypersensitivity to active or inactive excipients of H002 or drugs with asimilar chemical structure or class to H002.
  14. Subjects who received a diagnosis of, and/or tested positive at screening for humanimmunodeficiency virus (HIV).
  15. Subjects with active hepatitis B.
  16. Presence or history of malignancy other than NSCLC with the exception of some certainearly-stage cancers.
  17. Subjects who have clinically significant cardiovascular diseases that occurred within 6 months prior to the first dose of H002, include but not limited to QTc interval ≥ 450 msec (male) or ≥ 470 msec (female).
  18. Major surgery or significant traumatic injury occurring within 4 weeks prior to thefirst dose of H002 or anticipation of need for a major surgery during the study.
  19. Medical history of ILD.
  20. Medical history of severe eye disease without recovery to CTCAE v5.0 Grade 0 or 1.
  21. Severe gastrointestinal disease within 4 weeks prior to the first dose of H002 and didnot recover to ≤ CTCAE v5.0 Grade 2.
  22. Has any bleeding tendency or coagulopathy within 6 months prior to the first dose ofH002.
  23. Administration of a live, attenuated vaccine within 4 weeks prior to the first dose ofH002 or anticipation of need for such a vaccine during the study.
  24. Female subjects in pregnancy or lactation.
  25. Any other circumstances that would, in the investigator's judgment, prevent thesubject's participation in the clinical study due to safety concerns or compliancewith clinical study procedures.

Study Design

Total Participants: 76
Treatment Group(s): 1
Primary Treatment: H002 capsule
Phase: 1/2
Study Start date:
August 26, 2022
Estimated Completion Date:
February 28, 2025

Study Description

Part A (Dose Escalation Phase) Approximately 36 subjects will be enrolled, based on the "3+3" design for dose escalation and safety evaluation requirements. The total number of subjects will depend upon the number of dose escalations necessary.

Part B (Dose Expansion Phase) Up to 20 subjects will be enrolled in each expansion arm, the total number of subjects will depend upon the number of dose expansions (expansions may be at more than one dose depending upon emerging data).

Connect with a study center

  • Harbin Medical University Cancer Hospital

    Haerbin, Heilongjiang 150081
    China

    Site Not Available

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan 450052
    China

    Active - Recruiting

  • Union Hospital Affiliated to Tongji Medical College Huazhong University of Science and Technology

    Wuhan, Hubei 430022
    China

    Site Not Available

  • Hunan Cancer Hospital

    Changsha, Hunan 410000
    China

    Active - Recruiting

  • Shanghai Chest Hospital

    Shanghai, Shanghai 20030
    China

    Active - Recruiting

  • West China Hospital, Sichuan University

    Chengdu, Sichuan 610044
    China

    Active - Recruiting

  • The First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang 310003
    China

    Active - Recruiting

  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang 310000
    China

    Active - Recruiting

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