X-396 Capsule in Patients With ALK-positive Non-small Cell Lung Cancer Previously Treated With Crizotinib
Study Details
Study Description
Brief Summary
The main purpose of the study is to evaluate safety and efficacy of X-396(Ensartinib) capsule in patients with ALK-positive non-small cell lung cancer previously treated with crizotinib.While exploring the relationship between biomarkers and drug efficacy and safety.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Detailed Description
This is a phase II, multicenter, single-arm study in which the safety and efficacy of X-396(Ensartinib) will be assessed in adult Chinese patients with ALK-positive(rearrangement) non-small cell lung cancer previously treated with crizotinib. Approximately 144 patients with locally advanced or metastatic NSCLC which carry ALK -rearrangement will be enrolled in the study.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: X-396 capsule 225mg once daily |
Drug: X-396 capsule
225mg once daily
Other Names:
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Outcome Measures
Primary Outcome Measures
- Objective response rate (ORR) based on independent radiology review [24 months]
ORR per RECIST 1.1 calculated as the proportion of patients with a best overall response defined as complete response (CR) or partial response (PR).
Secondary Outcome Measures
- ORR based on investigator assessment [24 months]
ORR per RECIST 1.1 calculated as the proportion of patients with a best overall response defined as complete response (CR) or partial response (PR).
- Progression-free survival (PFS) as assessed by independent radiology review and investigator [36 months]
PFS, defined as time from first dose of X-396 to progression or death due to any cause.
- Overall survival (OS) [36 months]
OS, defined as time from first dose of X-396 to death due to any cause.
Other Outcome Measures
- Overall intracranial response rate (OIRR) by independent radiology review and investigator assessment [24 months]
OIRR calculated as the ORR (CR+PR) of lesions in the brain for patients who have measureable disease in the brain at baseline.
- Patient reported time to deterioration (TTD) as measured by EORTC C30/LC13 QoL questionnaire [24 months]
Time to deterioration (TTD) is defined at the time from date of randomization to a worsening of at least 10 points (on a 100 point scale) in each item score of the EORTC C30/LC13
Eligibility Criteria
Criteria
Inclusion Criteria:
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Histologically or cytologically confirmed diagnosis of metastatic non-small cell lung cancer.
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Evidence of positive ALK.
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Patients must have demonstrated progression during or after crizotinib treatment.
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Age 18 years or older at the time of informed consent.
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Eastern cooperative oncology group performance status (ECOG PS) of 0-2
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Measurable disease by response evaluation criteria in solid tumors (RECIST) version 1.1 (v1.1).
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Asymptomatic CNS metastases do not require the use of steroids or anticonvulsants.
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Willingness and ability to comply with the trial and follow-up procedures.
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Ability to understand the nature of this trial and give written informed consent.
Exclusion Criteria:
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Prior use of ALK TKIs with the exception of crizotinib.
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Patients currently receiving cancer system therapy.
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Use of an investigational drug within 4 weeks prior to the first dose of study drug.
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Presence of active gastrointestinal (GI) disease or other condition that will interfere significantly with the absorption, distribution, metabolism, or excretion of study medications.
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Patients with a known allergy or delayed hypersensitivity reaction to drugs.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Beijing Cancer Hospital | Beijing | China | ||
2 | Beijing Chest Hospital,Capital Medical University | Beijing | China | ||
3 | Department of Medical Oncology, Cancer Institute/Hospital, Chinese Academy of Medical Sciences | Beijing | China | ||
4 | Peking Union College Hospital | Beijing | China |
Sponsors and Collaborators
- Betta Pharmaceuticals Co., Ltd.
Investigators
- Study Chair: Li Zhang, MD, Sun Yat-sen University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BTP-42322