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This study evaluates the safety, tolerability, maximum tolerated dose (MTD), dose-limiting toxicities (DLTs), and recommended phase II dose (RP2D) of Glecirasib in combination with Ivonescimab in patients with previously untreated, KRAS G12C-mutated, locally advanced or metastatic non-small cell lung cancer (NSCLC) with PD-L1 TPS ≥1%. The study includes a Phase I 3+3 dose-escalation stage followed by a Phase II Simon two-stage design to assess preliminary antitumor efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Glecirasib Combined With Ivonescimab | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Glecirasib | Drug | For Phase I Dose Escalation, Glecirasib includes 2 dose cohorts: 600 mg QD and 800 mg QD, respectively, to determine the Glecirasib PR2D dose for the Phase II study. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase I: Maximum Tolerated Dose (MTD) | The MTD is determined using a standard 3+3 dose-escalation design. It is defined as the dose level prior to the dose at which ≥2 out of 3-6 patients experience a Dose-Limiting Toxicity (DLT) within the first 21 days of treatment | 21 days after the first dose. |
| Phase I: Incidence of Dose-Limiting Toxicities (DLTs) | Evaluation of toxicities related to the study drugs, including hematologic and non-hematologic toxicities as defined in the protocol. | 21 days after the first dose. |
| Phase I: Recommended Phase 2 Dose (RP2D) | The RP2D of Glecirasib in combination with Ivonescimab will be selected based on the comprehensive evaluation of the MTD, DLT occurrences, and overall safety data observed during the Phase I escalation phase. This dose will then be utilized in the Phase II Simon's two-stage expansion to further evaluate efficacy and safety. | 21 days after the first dose. |
| Phase II: Objective Response Rate (ORR) | The proportion of patients who achieve a Complete Response (CR) or Partial Response (PR) based on RECIST v1.1. | Assessed up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Disease Control Rate (DCR) | Proportion of patients with CR, PR, or SD. | Up to 24 months |
| Progression-Free Survival (PFS) | Time from the first dose to the first documented disease progression or death from any cause. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhijie Wang, MD | Contact | 010-67781331 | wangzj@cicams.ac.cn |
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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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|
| Ivonescimab | Drug | Administered intravenously at 20 mg/kg, every 3 weeks (Q3W). |
|
|
| Up to 24 months |
| Duration of Response (DOR) | Time from the first documented response (CR or PR) to progression or death. | Up to 24 months |
| Overall Survival (OS) | Time from the first dose to death from any cause | Up to 24 months |
| Incidence of Adverse Events (AEs) | Severity of AEs graded by CTCAE v5.0 | From first dose enrollment through 28 days after the last dose. |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |