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To evaluate the efficacy and safety of glumetinib combined with osimertinib as the first-line treatment for locally advanced or metastatic NSCLC.
In the Phase II stage, eligible subjects who have passed screening will be randomly assigned in a 1:1:1 ratio into the Group 1, Group 2, and Group 3 to receive study treatment:
In the Phase III stage, eligible subjects who have passed screening will be randomly assigned in a 1:1 ratio into the test group and the control group to receive the study treatments, and the RP3D obtained from Phase II will be used as the dose of glumetinib for the test group.
Randomization stratification factors include: c-MET status (≥2+, ≥75% and 3+, <50% vs 3+, ≥50% or FISH positive), and EGFR-sensitive mutation type (19Del vs L858R).
In both the Phase II and Phase III stages, each treatment cycle is every 3 weeks, with continuous treatment until progressive disease (PD) confirmed by the investigator, intolerable toxicity, withdrawal of informed consent by the subject, loss to follow-up, death, or other criteria for terminating treatment as specified in the protocol, whichever occurs first.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Glumetinib(200 mg) + Osimertinib | Experimental | Group 1: Glumetinib 200 mg oral QD + Osimertinib 80 mg oral QD. |
|
| Glumetinib(300mg) + Osimertinib | Experimental | Group 2: Glumetinib 300 mg oral QD + Osimertinib 80 mg oral QD; |
|
| Osimertinib | Experimental | Group 3: Osimertinib 80 mg oral QD. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Glumetinib Tablets | Drug | An ATP competitive, highly selective MET receptor tyrosine kinase inhibitor |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 2:ORR as assessed by IRC | Up to approximately 30 months after the first participant is enrolled |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 2:ORR as assessed by investigator | Up to approximately 30 months after the first participant is enrolled | |
| phase 2:PFS as assessed by IRC and investigator | Up to approximately 30 months after the first participant is enrolled |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials Information Group officer | Contact | 031169085587 | ctr-contact@cspc.cn |
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Randomized, positive-controlled Phase Ⅱ/Ⅲ
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| Osimertinib Mesylate Tablets | Drug | 3rd EGFR-TKI |
|
| Glumetinib Tablets Placebo | Drug | Placebo |
|
| Phase 3:PFS as assessed by invetigator | Up to approximately 30 months after the first participant is enrolled |
| Phase 3:ORR as assessed by IRC and investigator | Up to approximately 30 months after the first participant is enrolled |
| phase 2/3:OS | Up to approximately 30 months after the first participant is enrolled |
| phase 2/3:DCR as assessed by IRC and investigator | Up to approximately 30 months after the first participant is enrolled |
| phase 2/3:DoR as assessed by IRC and investigator | Up to approximately 30 months after the first participant is enrolled |
| phase 2/3:TTR as assessed by IRC and investigator | Up to approximately 30 months after the first participant is enrolled |
| phase 2/3:Frequency and severity of AEs (NCI CTCAE 5.0) | Up to approximately 30 months after the first participant is enrolled |
| phase 2/3:PK parameters: The plasma concentration of glumetinib | Up to approximately 30 months after the first participant is enrolled |
| phase 2/3:Biomarkers: c-MET expression and amplification levels, tumor-related gene mutations | Up to approximately 30 months after the first participant is enrolled |
| ID | Term |
|---|---|
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C000729633 | glumetinib |
| C000596361 | osimertinib |
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