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The primary objective of this study is to evaluate the safety and tolerability of TY-9591, with dose-escalation stage and dose-expansion stage.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TY-9591 | Experimental | Find maximum tolerated dose of TY-9591 given orally. Escalating doses of TY-9591 starting at 20mg daily. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TY-9591(10mg,40mg) qd. po | Drug | Increased dose cohorts from low dose to MTD(20mg Cohort1, 40mg Cohort2, 80mg Cohort3,120mg Cohort4, 160mg Cohort5, 200mg Cohort6) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicity (DLT) | Incidence of Dose Limiting Toxicity (DLT) | First 29 days of dosing |
| Maximum Tolerated Dose (MTD) | To determine the Maximum Tolerated Dose (MTD) of TY-9591 in subjects with NSCLC | 1year |
| Recommended Phase 2 dose (RP2D) | Recommended Phase 2 dose (RP2D) of TY-9591 in subjects with NSCLC | through study completion, an average of 2.5 years |
| Overall Response Rate (ORR) | ORR is defined as the proportion of patients with a best overall response of complete response (CR) or partial response (PR) assessment in accordance to Response Evaluation Criteria in Solid Tumors (RECIST 1.1) | At least 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | Cmax of TY-9591 following single dose | pharmacokinetics(PK) blood samples are collected at pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10,12, 24, 48, 72,96,120,144,168 and 192 hours post-dose. |
| Tmax |
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Inclusion Criteria:
18-75years old, male or female.
Histological or cytological confirmation diagnosis of NSCLC
At least one measurable lesion according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1.
Life expectancy of at least 3 months.
Eastern Cooperative Oncology Group (ECOG) performance score 0 or 1.
Documentation of disease progression while on previous continuous treatment with first-line EGFR TKI; patients must have confirmation of tumor EGFR activating mutations (exon 19 del, or exon 21 ) and T790M mutation status
Adequate bone marrow reserve or organ function as demonstrated by any of the following laboratory values:
a.Neutrophils (absolute value) ≥ 1.5×10^9/L; b.Hemoglobin ≥ 90 g/L; c.Platelet ≥ 80×10^9/L; d.Serum total bilirubin ≤ 1.5× ULN(for Patients with Gilbert Syndrome, total bilirubin ≤ 3×ULN and bilirubin ≤ 1.5×ULN should be permitted) f. Aspartate aminotransferase(AST)、alanine aminotransferase(ALT) ≤ 2.5×ULN; for patients with hepatic metastases, AST、ALT ≤ 5×ULN; g. International standardized ratio (INR) < 1.5, and activated partial prothrombin time (APTT) < 1.5×ULN;
Female subjects have a negative urine or serum pregnancy.
Provision of signed and dated, written informed consent prior to any study specific procedures, sampling and analyses.
Exclusion Criteria:
Treatment with any of the following:
Any unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE) grade 1 at the time of starting study treatment with the exception of alopecia and grade 2, prior platinum-therapy related neuropathy.
Spinal cord compression or brain metastases unless asymptomatic.
Dysphagia, or active digestive system diseases or previous significant bowel resection or medical conditions potentially affect TY-9591 absorption.
Cardiac function and disease are consistent with the following:
Active human immunodeficiency virus (HIV), syphilis, hepatitis c virus (HCV) or hepatitis b virus (HBV) infection, with the exception of asymptomatic chronic hepatitis b or hepatitis c carriers.
7 .Previous history of interstitial lung disease(ILD)、drug-induced ILD or radiation pneumonitis require steroid treatment, or any evidence of clinically active ILD diseases.
8. Previous allogeneic bone marrow transplant. 9. Hypersensitivity to TY-9591 or similar compounds or excipients. 10.Pregnant or lactating women.
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| Name | Affiliation | Role |
|---|---|---|
| Baohui Han, MD | Shanghai Chest Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Chest Hospital | Shanghai | 201203 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39929334 | Derived | Han B, Liu J, Wu L, Zhao Y, Zhang W, Chen B, He J, Shi J, Liu Y, Zhang Z, Chen X, Wu Y. Safety, Pharmacokinetics, and Efficacy of Asandeutertinib in Advanced EGFR-mutated NSCLC: A Phase 1 Dose-Escalation and Dose-Expansion Study. J Thorac Oncol. 2025 Jun;20(6):763-774. doi: 10.1016/j.jtho.2025.02.003. Epub 2025 Feb 8. |
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|
Tmax of TY-9591 following single dose
| pharmacokinetics(PK) blood samples are collected at pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10,12, 24, 48, 72,96,120,144,168 and 192 hours post-dose. |
| Area Under Curve(AUC) | AUC of TY-9591 following single dose | pharmacokinetics(PK) blood samples are collected at pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10,12, 24, 48, 72,96,120,144,168 and 192 hours post-dose |
| Cmax | Cmax of TY-9591 following multiple dose | The datas should be evaluated multiple times on Cycle 1 day1,8,15, 21 pre-dose; Cycle 2 day1 (at pre-dose, 0.5,1, 2, 3, 4, 6, 8, 10,12, 24 hours post-dose). Each cycle is 21 days |
| Cmin | Cmin of TY-9591 following multiple dose | The datas should be evaluated multiple times on Cycle 1 day1,8,15, 21 pre-dose; Cycle 2 day1 (at pre-dose, 0.5,1, 2, 3, 4, 6, 8, 10,12, 24 hours post-dose). Each cycle is 21 days |
| AUC | AUC of TY-9591 following multiple dose | The datas should be evaluated multiple times on Cycle 1 day1,8,15, 21 pre-dose; Cycle 2 day1 (at pre-dose, 0.5,1, 2, 3, 4, 6, 8, 10,12, 24 hours post-dose). Each cycle is 21 days |
| Progression-free survival (PFS) | PFS is defined as time from date of first dose of study treatment to date of first documented disease progression or death due to any cause determined by by Investigator assessment in accordance to RECIST 1.1 | 10.1 months |
| Duration of Response (DOR) | DOR is defined as the time from first documented response (PR or CR) to the date of first documented disease progression or death due to any cause determined by Investigator assessment in accordance to RECIST 1.1 | 9.7 months |