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This is a multicenter, open-label phase 2 study that will enroll KRASG12C mutated patients with locally advanced or metastatic NSCLC, receiving treatment (ABSK043 in combination with Glecirasib) in a 21-day combination cycle.
The study consists of an escalation part and an expansion part. The escalation part will evaluate the safety, tolerability, preliminary efficacy, and PK profile of different doses of ABSK043 in combination with Glecirasib, and the combination regimen recommended for the expansion part. The expansion part will further evaluate the safety, PK profile, and anti-tumor efficacy of ABSK043 in combination with Glecirasib at the one or more recommended dose (s).
Up to 86 patients with locally advanced or metastatic Non-small Cell Lung Cancer (NSCLC) are planned to be enrolled in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental: ABSK043 in combination with Glecirasib | Experimental | This is an open-label phase 2 study with an escalation part and an expansion part. • Escalation Part: up to 50 previously treated patients with KRASG12C mutation. Does Escalation Cohort(Part A): up to 30previously treated patients with KRASG12C mutation. Dose Confirmation Cohort(Part B): up to 20previously treated patients with KRASG12C mutation. • Expansion Part: up to 36 treatment-naïve patients with KRASG12C mutation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ABSK043 in combination with Glecirasib | Drug | Dose escalation cohort( Part A) ABSK043 150 mg BID in combination with Glecirasib 200 mg QD will be selected as the starting dose. Based on the accumulated safety data and PK profile, the Safety Review Committee (SRC), composed of the investigator and the sponsor, may discuss and agree to allow exploration of other possible doses. Dose confirmation cohort (Part B) and Expansion cohort Patients in dose confirmation cohort and expansion cohort will receive the recommended dose in dose escalation cohort and be evaluated for safety and preliminary anti-tumor activity. All patients will continue to receive combination therapy every 21 days until disease progression, death, loss to follow-up, withdrawal of consent, intolerable toxicity, investigator decision to discontinue treatment, or end of the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of DLT | Dose-limiting toxicities | At the end of Cycle 1 (each cycle is 21 days) |
| AEs | Adverse events | From the time the patient signs the informed consent form throughout the study and up to 90 days after the last dose of ABSK043 or 30 days after the last dose of Glecirasib, whichever occurs first, up to 30 months. |
| SAEs | Serious adverse events (SAEs) | From the time the patient signs the informed consent form throughout the study and up to 90 days after the last dose of ABSK043 or 30 days after the last dose of Glecirasib, whichever occurs first, up to 30 months. |
| AESIs AESIs | Adverse events of special interest (AESIs) | From the time the patient signs the informed consent form throughout the study and up to 90 days after the last dose of ABSK043 or 30 days after the last dose of Glecirasib, whichever occurs first, up to 30 months. |
| ORR | objective response rate | From date of enrolment#Cycle1 Day1# until disease progression, death, loss to follow-up, withdrawal of consent, intolerable toxicity, investigator's decision to discontinue treatment, or end of study, whichever comes first, assessed up to 50 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | Maximum observed concentration | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months |
| AUC |
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Inclusion Criteria:
Prior to any protocol- specific procedures are performed, the patient should understand and voluntarily sign and date the written informed consent form.
Gender was not limited patients aged ≥18 years at the time of signing the informed consent.
Histologically or cytologically confirmed locally advanced, unresectable, or metastatic non-small cell lung cancer (NSCLC).
For patients in the dose-escalation cohort (Part A) of the escalation part:
Patients must have experienced disease progression following at least one line of prior standard systemic therapy, but no more than two lines of systemic therapy.
For patients in the dose confirmation cohort (Part B) of the escalation part :
For patients in the expansion cohort of the expansion part :
Tumor tissue or blood test report confirmed KRASG12C mutation.
Patients must have at least one measurable lesion as defined by RECIST v1.1.
Eastern Cooperative Oncology Group (ECOG) performance status of 0~1.
Expected survival time of ≥3 months.
Patients must have adequate organ and bone marrow function.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yinan Lin | Contact | +86-21-68910052 | clinical@abbisko.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Anhui Medical University | Not yet recruiting | Hefei | Anhui | China |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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Single Group Assignment
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area under the concentration-time curve
| From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| t1/2 t1/2 | elimination half-life | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| Vz/F | apparent volume of distribution | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| CL/F | apparent oral clearance | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| Cmax,ss | maximum observed concentration after multiple doses maximum observed concentration after multiple doses maximum observed concentration after multiple doses | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| Cmin,ss | minimum observed concentration after multiple doses | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| AUCtau,ss | area under the concentration-time curve after multiple doses | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| AR | accumulation ratio | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| tmax | time to maximum observed concentration | From the date of enrolment #Cycle1 Day1# to #Cycle7#, and for patients who discontinue treatment before cycle 7 (C7), PK sampling will be performed at the EOT visit and assessed up to 10 months. |
| DOR DOR | Duration of response | From date of enrolment#Cycle1 Day1# until disease progression, death, loss to follow-up, withdrawal of consent, intolerable toxicity, investigator's decision to discontinue treatment, or end of study, whichever comes first, assessed up to 50 months. |
| PFS | Progression-free survival | From date of enrolment#Cycle1 Day1# until disease progression, death, loss to follow-up, withdrawal of consent, intolerable toxicity, investigator's decision to discontinue treatment, or end of study, whichever comes first, assessed up to 50 months. |
| DCR | Disease control rate | From date of enrolment#Cycle1 Day1# until disease progression, death, loss to follow-up, withdrawal of consent, intolerable toxicity, investigator's decision to discontinue treatment, or end of study, whichever comes first, assessed up to 50 months. |
| TTP | Time to progression | From date of enrolment #Cycle1 Day1# until disease progression, assessed up to 50 months. |
| OS | Overall survival Overall survival Overall survival | From date of enrolment#Cycle1 Day1# until disease progression, death, loss to follow-up, withdrawal of consent, intolerable toxicity, investigator's decision to discontinue treatment, or end of study, whichever comes first, assessed up to 50 months. |
| Beijing Cancer Hospital | Recruiting | Beijing | Beijing Municipality | China |
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| Cancer Hospital Chinese Academy of Medical Sciences | Not yet recruiting | Beijing | Beijing Municipality | China |
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| Fujian Cancer Hospital | Recruiting | Fuzhou | Fujian | China |
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| The First Affiliated Hospital of Sun Yat-sen University | Recruiting | Guangzhou | Guangdong | China |
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| Guangxi Medical University Cancer Hospital & Guangxi Cancer Institude | Not yet recruiting | Nanning | Guangxi | China |
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| Harbin Medical University Cancer Hospital | Recruiting | Harbin | Heilongjiang | China |
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| Henan Cancer Hospital | Not yet recruiting | Zhengzhou | Henan | China |
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| Tongji Hospital Tongji Medical College of Hust | Not yet recruiting | Wuhan | Hubei | China |
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| Hunan Cancer Hospitial | Recruiting | Changsha | Hunan | China |
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| Zhongda Hospital Southeast University | Recruiting | Nanjing | Jiangsu | China |
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| The First Hospital of China Medical University | Recruiting | Shenyang | Liaoning | China |
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| Central Hospital Affiliated to Shangdong First Medical University | Not yet recruiting | Jinan | Shangdong | China |
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| Shanghai Chest Hospital | Recruiting | Shanghai | Shanghai Municipality | China |
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| Shanghai Pulmonary Hospital | Recruiting | Shanghai | Shanghai Municipality | China |
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| The First Affiliated Hospital of Xi'an Jiaotong University | Not yet recruiting | Xi’an | Shanxi | China |
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| West China Hospital Sichuan University | Recruiting | Chengdu | Sichuan | China |
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| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |