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The overall objective of this Phase 1 study is to evaluate the safety, Pharmacokinetics (PK), and anti-tumor activity of daily oral dosing with GEC255 tablets in subjects with advanced solid tumor with Kirsten Rat Sarcoma (KRAS) p.G12C mutation. To determine the recommended Phase 2 dose (RP2D) based on assessments of multiple dose escalation and expansion in target cohorts.
This First-in-human dose escalation and expansion study of GEC255 tablets in patients with advanced solid tumors with KRAS p.G12C mutation aims to evaluate the safety, tolerability, PK and preliminary efficacy of orally administered GEC255, to determine the MTD, DLT (if exists) and RP2D, and explore the potential biomarker associated with efficacy or drug resistance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GEC255 treatment | Experimental | Oral tablet(s), once daily in 28-day cycles |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GEC255 tablets | Drug | Part 1: Dose escalation After initial starting dose cohort, daily dosages in subsequent cohorts are determined by cohort review committee. Part 2: Dose expansion Daily oral dosage RP2D based on data from Part 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients experiencing Dose limiting toxicities (DLTs) during the Maximum tolerated dose (MTD) evaluation period for study drug in monotherapy | characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study drug(Part 1) | 28 days |
| Determine the recommended Phase II dose (RP2D) and preliminarily to develop a suitable dosing regimen | Measured by the number of subjects with dose limiting toxicities | 24 months |
| Incidence of Treatment-Emergent Adverse Events | Characterized by type, frequency, severity (as graded by NCI-CTCAE version 5.0), timing, seriousness | 24 months |
| Incidence of vital signs abnormalities | Characterized by type, frequency, severity (as graded by NCI CTCAE version5.0), and timing,seriousness | 24 months |
| Incidence of ECG (PR interval, QRS complex, QT corrected interval prolonged, and QT interval corrected using Fridericia's formula) abnormalities | Characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing | 24 months |
| Incidence of laboratory abnormalities | Characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| All study parts, Area under the plasma concentration-time curve from time zero to time t(AUC0-t) of GEC255 | All study parts, Area under the plasma concentration-time curve from time zero to time t(AUC0-t) of GEC255 | Up to 24 months |
| All study parts,Area under the plasma concentration-time curve from time zero to time infinity(AUC0-∞) of GEC255 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| XinYu Liu, PhD | Contact | +8619941365716 | xyliu@generosbiopharma.com |
| Name | Affiliation | Role |
|---|---|---|
| You Lu, MD | West China Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| China West Hospital | Recruiting | Chengdu | Sichuan | 610000 | China |
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All study parts,Area under the plasma concentration-time curve from time zero to time infinity(AUC0-∞) of GEC255 |
| Up to 24 months |
| All study parts,Area under the plasma concentration-time curve over dosing interval (AUCtau) of GEC255 | All study parts,Area under the plasma concentration-time curve over dosing interval (AUCtau) of GEC255 | Up to 24 months |
| All study parts,Apparent plasma clearance of drug after extravascular administration(CL/F) of GEC255 | All study parts,Apparent plasma clearance of drug after extravascular | Up to 24 months |
| All study parts,Terminal half-life(t½) of GEC255 | All study parts,Terminal half-life(t½) of GEC255 | Up to 24 months |
| All study parts,Apparent Volume of Distribution(VZ/F) of GEC255 | All study parts,Apparent Volume of Distribution(VZ/F) of GEC255 | Up to 24 months |
| All study parts,Maximum concentration (Cmax) of GEC255 | All study parts,Maximum concentration (Cmax) of GEC255 | Up to 24 months |
| All study parts,Time to maximum plasma concentration (Tmax) of GEC255 | All study parts,Time to maximum plasma concentration (Tmax) of GEC255 | Up to 24 months |
| Overall response rate (ORR) per RECIST v1.1, by treatment | Overall response rate is defined as the proportion of patients with a Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) according to RECIST 1.1, and will be summarized along with the corresponding 95% exact binomial confidence interval (CI) | 24 months |
| Disease Control Rate (DCR) per RECIST v1.1 | The disease control rate is calculated as the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease. It will be summarized along with the corresponding 95% exact CI | 24 months |
| Duration of Response (DOR) per RECIST v1.1 | Duration of response is defined as the time from the date of the first documented response (CR or PR), to the date of first documented progression, or death due any cause. Estimates will use Kaplan-Meier method, and median DOR and corresponding 95% CI will be presented | 24 months |
| Progression-free survival (PFS) per RECIST v1.1 | Per RECIST 1.1, PFS is defined as the time from the date of start of treatment to the date of the first documented progression. If patient has not had an event, PFS will be censored at the date of last adequate tumor assessment | 24 months |
| To evaluate Overall Survival (OS) following initiation of GEC255 | OS is defined as the time from the date of start of treatment to the date of the death | 24 months |
| Evaluation of gene mutations profiles | Evaluation of gene mutations profiles including KRAS, STK11, KEAP1 etc in cell-free DNA (cfDNA) samples by Next-generation sequencing (NGS) method at various time points during treatment until disease progression | 24 months |