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| Name | Class |
|---|---|
| Xiangya Hospital of Central South University | OTHER |
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This is a two-phase, multicenter, open phase I clinical study, with phase Ia as dose escalation phase and phase Ib as dose expansion phase, to evaluate the safety tolerability and pharmacokinetic characteristics of BEBT-607 tablets in patients with advanced or metastatic solid tumors associated with KRAS G12C mutation. To evaluate the efficacy of BEBT-607 tablets in the treatment of patients with advanced or metastatic solid tumors with KRAS G12C mutation, and to determine the recommended dose (RP2D) for Phase II clinical trials of BEBT-607 tablets in patients with advanced or metastatic solid tumors with KRAS G12C mutation.
Phase Ⅰa:
The dose escalation plan is to carry out about 6 dose levels. The initial dose of BEBT-607 tablets is set at 100mg/ day, and the subsequent dose groups are first increased by 100%. If a case of drug-related grade 2 non-hematological toxicity or grade 3 hematological toxicity is found and does not reach DLT, the subsequent dose groups are increased by 50%. If one case of dose limiting toxicity(DLT) is found and does not reach maximum tolerated dose(MTD ), the subsequent dose group is increased by 33%(Doses are rounded to multiples of 100mg).The single dose is 1/2 of the total daily dose, and the single administration phase is administered once a day, and the continuous administration phase is administered twice a day (only once on the 28th day of the first cycle).
Phase Ⅰb:
According to the pharmacokinetics, safety and preliminary efficacy results of phase Ⅰa dose escalation phase, one to three cohorts with target dose or tumor species are selected for dose extension trial, and a maximum of 30 subjects are enrolled in each cohort. The subjects receive BEBT-607 tablets twice a day, orally before breakfast and before dinner, respectively. There is a treatment cycle every 28 days (On days 1 and 28 of the first cycle, the drug is administered only once before breakfast). The study process for each subject consisted of three phases: screening, treatment, and follow-up. During treatment, participants are required to undergo safety checks every four weeks from the first dose, tumor assessments every eight weeks, safety follow-up at the end of treatment 28 days after the last dose, efficacy follow-up every eight weeks, and survival follow-up every three months.
Participants will need to understand the requirements and risks of the trial, sign an informed consent form, accept the dosing regimen required by the trial protocol, and follow the investigator's guidance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Monotherapy group 1 | Experimental | BEBT-607 tablets, 100mg/day,50mg each time, are administered once a day in the single administration phase and twice a day in the continuous administration phase (only once on the 28th day of the first cycle) for 28 days. 28 days is as a treatment cycle. |
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| Monotherapy group 2 | Experimental | BEBT-607 tablets, 200mg/day,100mg each time, are administered once a day in the single administration phase and twice a day in the continuous administration phase (only once on the 28th day of the first cycle) for 28 days. 28 days is as a treatment cycle. |
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| Monotherapy group 3 | Experimental | BEBT-607 tablets, 300mg/day,150mg each time, are administered once a day in the single administration phase and twice a day in the continuous administration phase (only once on the 28th day of the first cycle) for 28 days. 28 days is as a treatment cycle. |
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| Monotherapy group 4 | Experimental | BEBT-607 tablets, 400mg/day,200mg each time, are administered once a day in the single administration phase and twice a day in the continuous administration phase (only once on the 28th day of the first cycle) for 28 days. 28 days is as a treatment cycle. |
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| Monotherapy group 5 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BEBT-607Tablets | Drug | PhaseⅠa:100mg,200mg,300mg,400mg,600mg or 800mg/day,50mg,100mg,150mg,200mg,300mg or 400mg each time, once a day in the single administration phase and twice a day in the continuous administration phase (only once on the 28th day of the first cycle) for 28 days,28 days is as a treatment cycle. PhaseⅠb:300mg,400mg or 600mg/day, 150mg,200mg or 300mg each time,twice a day (only once on day 1 and day 28 of the first cycle), continuous administration for 28 days,28 days is as a treatment cycle. |
| Measure | Description | Time Frame |
|---|---|---|
| MTD | Maximum tolerated dose | Phase Ⅰa:Day 2 after the single dose phase, day 1, day 15, and day 28 of the first cycle of the continuous dose phase,assessed up to 4 weeks. |
| DLT | Dose-limiting toxicity | Phase Ⅰa:Day 2 after the single dose phase, day 1, day 15, and day 28 of the first cycle of the continuous dose phase,assessed up to 4 weeks. |
| RDE | Expand the recommended dose | Phase Ⅰa:Day 2 after the single dose phase, day 1, day 15, and day 28 of the first cycle of the continuous dose phase,assessed up to 4 weeks. |
| AE | Adverse event | Phase Ⅰa:From the first administration of the study drug to 28 days after the last administration of the study drug. |
| ORR | Objective response rate | Phase Ⅰb:Every 8 weeks,assessed up to 20 months. |
| PR2D | Recommended Phase II Dose | Phase Ⅰb:Every 8 weeks,assessed up to 20 months. |
| Measure | Description | Time Frame |
|---|---|---|
| PFS | Progression-free survival | From date of administration until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months |
| ORR | Objective response rate |
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Inclusion Criteria:
Age: ≥18 years old, gender unlimited.
Patients with histologically confirmed locally advanced or metastatic solid tumors who have failed standard therapy, are intolerant to standard therapy, or have no standard therapy.
A. For patients with Non Small Cell Lung Cancer(NSCLC), previous first-line treatment has failed (including chemotherapy or immunotherapy or targeted therapy).
B. For patients with colorectal cancer, at least previously experienced a systemic treatment regimen (patients with colorectal cancer and high microsatellite instability must have received at least programmed death 1(PD-1) or programmed cell death-Ligand 1(PD-L1) therapy if clinically applicable).
C. Patients with solid tumors other than NSCLC or colorectal cancer should have received at least systemic therapy and treatment failure.
Patients with stage I b are required to have at least one measurable lesion as defined by Response Evaluation Criteria in Solid Tumors Version 1.1(RECIST1.1). Tumor lesions that have previously received radiotherapy or other local treatment are considered measurable lesions only if disease progression at the treatment site is clearly documented after completion of treatment.
The ECOG score is 0-1, and there is no decline in physical agility in the two weeks before the first medication.
Expected survival is at least 12 weeks.
For patients with KRAS G12C mutation, previously confirmed genomic KRAS GI2C mutation results in tumor tissue specimens and hematological specimens were acceptable.
Good organ and bone marrow function, provided no blood transfusion has been received within 14 days prior to the screening period, and these results should be completed within 7 days prior to initiation of study therapy:
The elution period of macromolecular drugs and intravenous chemotherapy drugs is ≥4 weeks, and the elution period of oral fluorouracil and small-molecule targeted drugs is ≥2 weeks.
For fertile men and women, it is necessary to be willing to use an appropriate contraceptive method 30 days before the first study drug administration and 6 months after the last study drug administration.
Did not participate in clinical trial as a subject within 1 month before participating in this trial.
Remission to baseline severity or national cancer institute common terminology criteria for adverse events(NCI CTCAE) version 5.0≤ level 1 of all acute toxic reactions from previous anticancer treatments or surgical procedures (except for alopecia or other toxicities deemed by the investigator to be of no safety risk to the patient).
Willing to sign informed consent after comprehensive understanding.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kegang Jiang, Master | Contact | +86-18664786382 | kjiang@bebettermed.com | |
| Heli Liu, Ph.D | Contact | +86-13874967285 | heliliu@csu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Heli Liu, Ph.D | Xiangya Hospital of Central South University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xiangya Hospital of Central South University | Recruiting | Changsha | Hunan | 410008 | China |
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| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Phase Ⅰa:
Six dose levels are carried out, and the initial dose of BEBT-607 tablets is set as 100mg/ day. The climbing study is carried out by accelerated titration method combined with "3+3" mode.
Phase Ⅰb:
According to the pharmacokinetics, safety, and preliminary efficacy results of phase Ⅰa , one to three cohorts with target dose or tumor species are selected for dose extension trial, in which participants receive continuous administration of the experimental drug BEBT-607 tablets until disease progression or toxicity became intolerable or patients stopped or died.
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| Experimental |
BEBT-607 tablets, 600mg/day,300mg each time, are administered once a day in the single administration phase and twice a day in the continuous administration phase (only once on the 28th day of the first cycle) for 28 days. 28 days is as a treatment cycle. |
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| Monotherapy group 6 | Experimental | BEBT-607 tablets, 800mg/day,400mg each time, are administered once a day in the single administration phase and twice a day in the continuous administration phase (only once on the 28th day of the first cycle) for 28 days. 28 days is as a treatment cycle. |
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| Monotherapy group 7 | Experimental | BEBT-607 tablets, 300mg/day,150mg each time, are administered twice a day (only once on day 1 and day 28 of the first cycle), continuous administration for 28 days. 28 days is as a treatment cycle. |
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| Monotherapy group 8 | Experimental | BEBT-607 tablets, 400mg/day,200mg each time, are administered twice a day (only once on day 1 and day 28 of the first cycle), continuous administration for 28 days. 28 days is as a treatment cycle. |
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| Monotherapy group 9 | Experimental | BEBT-607 tablets, 600mg/day,300mg each time, are administered twice a day (only once on day 1 and day 28 of the first cycle), continuous administration for 28 days. 28 days is as a treatment cycle. |
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| Phase Ⅰa:Every 4 weeks,assessed up to 4 weeks. |
| DOR | Duration of response | Phase Ⅰa:Every 4 weeks,PhaseⅠb:Every 8 weeks,assessed up to 24 months. |
| DCR | Disease control rate | Phase Ⅰa:Every 4 weeks,PhaseⅠb:Every 8 weeks,assessed up to 24 months. |
| AE | Adverse event | Phase Ⅰb:From the first administration of the study drug to 28 days after the last administration of the study drug. |
| AUC0-t | Area under the plasma concentration time curve from 0 hour to last time of quantifiable concentration after administration | Phase Ⅰa:Day 1 and Day 28 of cycle 1 before administration and within 48 hours after administration (each cycle is 28 days).Phase Ⅰb:Day 1 and Day 28 of cycle 1 before administration and within 24 hours after administration (each cycle is 28 days). |
| Cmax | Peak Plasma Concentration | Phase Ⅰa:Day 1 and Day 28 of cycle 1 before administration and within 48 hours after administration (each cycle is 28 days).Phase Ⅰb:Day 1 and Day 28 of cycle 1 before administration and within 24 hours after administration (each cycle is 28 days). |
| Tmax | Time of peak Plasma Concentration | Phase Ⅰa:Day 1 and Day 28 of cycle 1 before administration and within 48 hours after administration (each cycle is 28 days).Phase Ⅰb:Day 1 and Day 28 of cycle 1 before administration and within 24 hours after administration (each cycle is 28 days). |
| Vss | Apparent volume of distribution | Day 1 and Day 28 of cycle 1 before administration and within 48 hours after administration,Day 15 and Day 27 of cycle 1 before administration (each cycle is 28 days). |
| t1/2 | Half-life of plasma drug concentrations | Phase Ⅰa:Day 1 and Day 28 of cycle 1 before administration and within 48 hours after administration (each cycle is 28 days).Phase Ⅰb:Day 1 and Day 28 of cycle 1 before administration and within 24 hours after administration (each cycle is 28 days). |