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AC0010MA is a new, irreversible, Epidermal Growth Factor Receptor (EGFR) mutation selective Tyrosine Kinase Inhibitor. Aim at local advanced or metastatic non-small cell lung cancer patients with EGFR mutation or T790M drug-resistant mutation. The molecular mechanism: by irreversible combining the EGFR-RTKs ATP binding site of cell, selectively suppress the activities of EGFR tyrosine kinase phosphorylation, block the signal transduction pathway of EGFR and inhibit the function of ras/raf/MAPK downstream, thus block the tumor cell growth by EGFR induction, and promotes apoptosis. AC0010MA Maleate Capsules has three characters: 1. Irreversible binding to EGFR; 2. Effectively suppresses the tumor cell with EGFR mutant while has no suppression to EGFR wild-type cell; 3. Efficient suppress the tumor cell with EGFR T790M drug-resistant mutation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| single dose per day (QD) | Experimental | Phase I Arm 1: AC0010MA orally taking once daily, starting from 100 mg per day. |
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| two doses per day (BID) | Experimental | Phase I Arm 2: AC0010MA orally taking twice daily, starting from 200 mg per day (100 mg BID). Arm 2 will be initiated once the drug plasma t1/2 is 10 hours or below in the first dose cohort (100 mg QD). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AC0010MA | Drug | Following Phase I, a protocol amendment will be submitted to the IND to specify the selected dose and dose justification to be used in Phase II. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability, and the maximum tolerated dose (MTD) of AC0010MA determined by incidence of dose limiting toxicity (DLT) | To determine the safety and tolerability and to establish the maximum tolerated dose (MTD) of AC0010MA by incidence of dose limiting toxicity (DLT), defined as Grade 3 or 4 adverse events (AEs) and clinical lab abnormalities occurring within the first 28 days of treatment. | Within the first 28 days of treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of tumor response and duration of response of AC0010MA ((objective response rate, ORR) | To characterize tumor response (objective response rate, ORR) and duration of response of AC0010MA as a criterion for further development of AC0010MA in this patient population. | within the time frame of every 8 weeks (2 cycles) for up to 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vali A. Papadimitrakopoulou, MD | MD Anderson Cancer Center, Houston, TX, USA | Study Director |
| Suresh S. Ramalingam, MD | Emory University School of Medicine, Atlanta, GA, USA | Principal Investigator |
| Heather Wakelee, MD | Stanford University, Palo Alto, CA, USA | Principal Investigator |
| Karen L Reckamp, MD | City of Hope Comprehensive Cancer Center, Duarte, CA, USA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope Comprehensive Cancer Center | Duarte | California | 91010 | United States | ||
| Stanford University |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| C000630672 | abivertinib |
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| Maximum plasma concentration (Cmax) of AC0010MA | To evaluate pharmacokinetic parameter of AC0010MA | Blood samples will be collected at pre-treatment, and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24h post-treatment on Days 1, 8, and 28 in the first treatment cycle (QD and BID) in Phase I |
| Time to Cmax | To evaluate pharmacokinetic parameter of AC0010MA | Blood samples will be collected at pre-treatment, and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24h post-treatment on Days 1, 8, and 28 in the first treatment cycle (QD and BID) in Phase I |
| Terminal half-life (t1/2) | To evaluate pharmacokinetic parameter of AC0010MA | Blood samples will be collected at pre-treatment, and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24h post-treatment on Days 1, 8, and 28 in the first treatment cycle (QD and BID) in Phase I |
| Area under the plasma concentration-time curve | To evaluate pharmacokinetic parameter of AC0010MA | Blood samples will be collected at pre-treatment, and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24h post-treatment on Days 1, 8, and 28 in the first treatment cycle (QD and BID) in Phase I |
| Volume of distribution (V/F) | To evaluate pharmacokinetic parameter of AC0010MA | Blood samples will be collected at pre-treatment, and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24h post-treatment on Days 1, 8, and 28 in the first treatment cycle (QD and BID) in Phase I |
| Plasma Concentration (CL/F) | To evaluate pharmacokinetic parameter of AC0010MA | Blood samples will be collected at pre-treatment, and at 0.5, 1, 2, 3, 4, 6, 8, 12, and 24h post-treatment on Days 1, 8, and 28 in the first treatment cycle (QD and BID) in Phase I |
| Palo Alto |
| California |
| 94304 |
| United States |
| Emory University School of Medicine | Atlanta | Georgia | 30322 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| CEPCM - Hopital Timone | Marseille | 13005 | France |
| Hospital Universitari Vall d'Hebron | Barcelona | 08035 | Spain |
| START-Madrid-FJD | Madrid | 28040 | Spain |
| START-Madrid-CIOCC | Madrid | 28050 | Spain |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |