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This is a multi-center , open-label, phase 1/2 study to evaluate the safety, efficacy, and pharmacokinetic (PK) characteristics of HYP-6589 in monotherapy in advanced solid tumors and combination with tyrosine kinase inhibitors in patients with advanced NSCLC with target-driven gene positivity.
The study starts with a dose escalation part (Part 1) followed by a dose expansion part (Part 2). The main purpose of this study is to evaluate the safety and tolerability of the drug HYP-6589 and determine the maximum tolerated dose (MTD) (if any) and/or the recommended dose(s) (RD) and preliminary anti-tumor activity. Additional purposes of the study are to evaluate the pharmacokinetics (PK) properties.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test product HYP-6589 | Experimental | HYP-6589 should be administered orally at the recommended dosage |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Test Product HYP-6589 | Drug | HYP-6589 should be administered orally at the recommended dosage |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Escalation (Part One): Incidence and Nature of Dose-Limiting Toxicity (DLT) | Dose-Limiting Toxicity (DLT) will be defined using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. | 24 days during the first 4-week cycle |
| Dose Escalation (Part One): Percentage of participants experiencing treatment-emergent adverse events (TEAEs) | Incidence and severity of adverse events (AEs), serious adverse events (SAEs), and lab abnormalities, according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 | Up to 2 years |
| Dose Escalation (Part One): Other safety indicators | Adverse events (AE), physical examination, vital signs, electrocardiogram (ECG) and laboratory test results that occur during the treatment | Up to 2 years |
| Dose Expansion (Part Two): Objective Response Rate (ORR) | Proportion of participants who have a confirmed Complete Response (CR) or a Partial Response (PR) | Up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Dose Expansion (Part Two): Percentage of participants experiencing treatment-emergent adverse events (TEAEs) | Incidence and severity of adverse events (AEs), serious adverse events (SAEs), and lab abnormalities, according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 | Up to 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Li Zhang, Doctor | Contact | 020-87342288 | zhangli@sysucc.org.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-sen University Cancer Center | Recruiting | Guangzhou | Guangdong | 510060 | China |
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| Dose Expansion (Part Two): Other safety indicators |
Adverse events (AE), physical examination, vital signs, electrocardiogram (ECG) and laboratory test results that occur during the treatment. |
| Up to 2 years |
| Dose Escalation and Expansion: Assessment of HYP-6589 Cmax | Maximum concentration observed (Cmax) observed from the pharmacokinetic profile | Up to 2 years |
| Dose Escalation and Expansion: Assessment of HYP-6589 AUC | Area under the concentration versus time curve calculated using the trapezoidal method | Up to 2 years |
| Dose Escalation and Expansion: Assessment of HYP-6589 T1/2 | The time it takes for half the drug concentration to be eliminated calculated using slope of the terminal line | Up to 2 years |
| Dose Escalation (Part One): Objective Response Rate (ORR) | Proportion of participants who have a confirmed complete response (CR) or a Partial Response (PR) determined by Investigator per the Response Evaluation Criteria in Solid Tumours (RECIST) Version 1.1 | Up to 2 years |
| Dose Escalation and Expansion: Duration Of Response (DOR) assessed by investigator per Response Evaluation Criteria in Solid Tumours (RECIST) Version 1.1 | Duration Of Response (DOR) is defined as the time from the measurement criteria are first met for complete response (CR) /Partial Response (PR) (whichever is first recorded) until the first date that recurrent or progressive disease. | Up to 2 years |
| Dose Escalation and Expansion: Disease Control Rate (DCR) assessed by investigator per RECIST Version 1.1 | Disease Control Rate is defined as the percentage of participants who have achieved CR or PR or have demonstrated stable disease | Up to 2 years |
| Dose Escalation and Expansion: Progression-Free Survival (PFS) assessed by investigator per RECIST Version 1.1 | Progression-Free Survival (PFS) is defined as the time from the date of first administration of HYP-6589 to the date of the first documented disease progression determined by Investigator as per RECIST 1.1 or death from any cause, whichever occurs first | Up to 2 years |
| Dose Escalation and Expansion: Overall Survival (OS) | Overall Survival (OS) is defined as the time from the date of first administration of HYP-6589 to death due to any cause | Up to 2 years |