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This phase 2 study is designed to evaluate the safety and activity of TH-4000 a hypoxia-activated prodrug, in patients with EGFR-Mutant, T790M-Negative, Advanced NSCLC.
A single arm open label multi-center Phase 2 study in which the pharmacokinetics, safety, tolerability and efficacy of TH-4000 will be assessed in patients with EGFR mutant, T790M negative advanced NSCLC. Patients must have demonstrated progression during EGFR TKI therapy.
Hypoxia PET scans will be obtained in select centers to analyze potential predictors of tumor response.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TH-4000 (Tarloxotinib) | Experimental | TH-4000 (Tarloxotinib), 150 mg/m2 will be administered by IV infusion on Days 1, 8, 15, and 22 of each 28-day cycle until progressive disease (PD) or unacceptable toxicity |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TH-4000 (Tarloxotinib) | Drug | TH-4000 (Tarloxotinib) is a hypoxia-activated prodrug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with response rate as evaluated by RECIST criteria | Approximately 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events (AEs) | Up to 30 days after last dose | |
| Type of adverse events (AEs) | Up to 30 days after last dose | |
| Severity of adverse events (AEs) |
| Measure | Description | Time Frame |
|---|---|---|
| Hypoxic volume as measured by Positron Emission Tomography (PET) hypoxia imaging | Baseline |
Key Eligibility Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stephen Liu | Georgetown University Hospital Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Southern California-Norris | Los Angeles | California | 90033 | United States | ||
| St. Joseph Heritage Healthcare |
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| Up to 30 days after last dose |
| Duration of response (DOR) calculated for all patients achieving an objective response | Approximately 12 months |
| Progression-free survival (PFS) | Approximately 12 months |
| Overall Survival (OS) | Approximately 12 months |
| Time to peak plasma concentration (Tmax) | Time to peak plasma concentration (Tmax), maximum plasma concentration (Cmax), area under concentration-time curve (AUC) | Cycle 1 Day 1 predose and up to 24 hours post dose |
| Maximum plasma concentration (Cmax) | Cycle 1 Day 1 predose and up to 24 hours post dose |
| Area under concentration-time curve (AUC) | Cycle 1 Day 1 predose and up to 24 hours post dose |
| QTc Interval | Screening, Cycle 1 Day 1, 8, 15 & 22, Day 1 of subsequent cycles |
| Santa Rosa |
| California |
| 95403 |
| United States |
| University of Colorado Cancer Center | Aurora | Colorado | 80045 | United States |
| Georgetown University Medical Center | Washington D.C. | District of Columbia | 20007 | United States |
| Walter Reed National Military Medical Center | Bethesda | Maryland | 20889 | United States |
| University of North Carolina Lineberger Cancer Center | Chapel Hill | North Carolina | 27514 | United States |
| University of Pennsylvania-Abramson Cancer Center | Philadelphia | Pennsylvania | 19104 | United States |
| University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania | 15232 | United States |
| Vanderbilt-Ingram Cancer Center (VICC) | Nashville | Tennessee | 37232 | United States |
| UT Southwestern Medical Center | Dallas | Texas | 75235 | United States |
| Swedish Cancer Institute | Seattle | Washington | 98104 | United States |
| Peter MacCullum | Melbourne | Victoria | 3002 | Australia |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D000860 | Hypoxia |
| D002294 | Carcinoma, Squamous Cell |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D018307 | Neoplasms, Squamous Cell |
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