Description:
CK-101 is a novel, potent, small molecule tyrosine kinase inhibitor (TKI) that selectively
targets mutant forms of the epidermal growth factor receptor (EGFR) while sparing wild-type
(WT) EGFR. The purpose of the study is to evaluate the pharmacokinetic (PK) and safety
profile of oral CK-101; to determine the maximum tolerated dose (MTD) and/or recommended
Phase 2 dose (RP2D) of oral CK-101; to assess the safety and efficacy of CK-101 in
treatment-naive NSCLC patients known to have activating EGFR mutations and previously treated
NSCLC patients known to have the T790M EGFR mutation.
Title
- Brief Title: Phase I/II Study of CK-101 in NSCLC Patients and Other Advanced Solid Tumors
- Official Title: A Phase I/II, Open-Label, Safety, Pharmacokinetic and Efficacy Study of Ascending Doses of Oral CK-101 in Patients With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
CK-101-101
- NCT ID:
NCT02926768
Conditions
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Lung Diseases
- Adenocarcinoma
Interventions
Drug | Synonyms | Arms |
---|
CK-101 | | Daily dose of CK-101 |
Purpose
CK-101 is a novel, potent, small molecule tyrosine kinase inhibitor (TKI) that selectively
targets mutant forms of the epidermal growth factor receptor (EGFR) while sparing wild-type
(WT) EGFR. The purpose of the study is to evaluate the pharmacokinetic (PK) and safety
profile of oral CK-101; to determine the maximum tolerated dose (MTD) and/or recommended
Phase 2 dose (RP2D) of oral CK-101; to assess the safety and efficacy of CK-101 in
treatment-naive NSCLC patients known to have activating EGFR mutations and previously treated
NSCLC patients known to have the T790M EGFR mutation.
Detailed Description
This is a first-in-human, two-part, open-label, safety, pharmacokinetic, and efficacy study
of oral CK-101 administered daily in ascending doses in patients with advanced solid tumor
cancer, followed by a Phase 2 portion at the recommended Phase 2 dose (RP2D) in previously
treated non-small cell lung cancer (NSCLC) patients who have documented evidence of EGFR
T790M mutation and have failed treatment with a first-line EGFR inhibitor.
Trial Arms
Name | Type | Description | Interventions |
---|
Daily dose of CK-101 | Experimental | Daily oral dose of CK-101 | |
Eligibility Criteria
Inclusion Criteria:
- Measureable disease according to RECIST Version 1.1
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Minimum age of 18 years
- Adequate hematological, hepatic and renal function
- Written consent on an Institutional Review Board-approved informed consent form prior
to any study-specific evaluation
- Histologically or cytologically confirmed diagnosis of one of the following:
1. Metastatic or unresectable locally advanced NSCLC with documented evidence that
the tumor harbors one of the two common EGFR mutations known to be associated
with EGFR tyrosine kinase inhibitor (TKI) sensitivity (exon 19 deletion, L858R),
either alone or in combination with other EGFR mutations, determined by PCR-based
testing of the tumor tissue or plasma sample, and without prior exposure to an
EGFR-TKI therapy; OR
2. Metastatic or unresectable locally advanced NSCLC:
1. with documented evidence that the tumor harbors an EGFR mutation known to be
associated with EGFR TKI sensitivity (including G719X, exon 19 deletion,
L858R, L861Q); and
2. with evidence of radiological disease progression while on a previous
continuous treatment with a first-generation EGFR TKI. In addition, other
lines of therapy may have been given. All patients must have evidence of
radiological disease progression on or following the last treatment
administered; and
3. with documented evidence of EGFR T790M mutation determined by PCR-based
testing of the tumor tissue or plasma sample following disease progression
on most recent treatment regimen (irrespective of whether this is EGFR TKI
or chemotherapy).
Exclusion Criteria:
- Active second malignancy or other prior malignancy treated with chemotherapy less than
or equal to 6 months prior to treatment with CK-101
- History of, or evidence of clinically active, interstitial lung disease
- Brain metastases unless asymptomatic, stable and not requiring steroids for at least 2
weeks
- Treatment with prohibited medications
- Any toxicity related to prior treatment must have resolved to Grade 1 or less, with
the exception of alopecia and Grade 2, prior platinum-therapy related neuropathy
- Certain cardiac abnormalities or history
- Non-study related surgical procedures less than or equal to 14 days prior to CK-101
administration
- Females who are pregnant or breastfeeding.
- Refusal to use adequate contraception for fertile patients (females and males)
- Presence of any serious or unstable concomitant systemic disorder incompatible with
the clinical study
- Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to
swallow the formulated product or previous significant bowel resection
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase I: Incidence of dose-limiting toxicities (DLTs) |
Time Frame: | From baseline (first dose) to 28 days after last dose, expected average 6 months |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Phase II: Evaluation of tumor response based on disease control rate as assessed by RECIST 1.1 |
Time Frame: | From baseline (first dose) until disease progression or withdrawal from study, expected average 10 months |
Safety Issue: | |
Description: | |
Measure: | Phase II: Evaluation of tumor response based on duration of response as assessed by RECIST 1.1 |
Time Frame: | From baseline (first dose) until disease progression or withdrawal from study, expected average 10 months |
Safety Issue: | |
Description: | |
Measure: | Phase II: Evaluation of tumor response based on tumor shrinkage as assessed by RECIST 1.1 |
Time Frame: | From baseline (first dose) until disease progression or withdrawal from study, expected average 10 months |
Safety Issue: | |
Description: | |
Measure: | Phase II: Evaluation of tumor response based on progression free survival as assessed by RECIST 1.1 |
Time Frame: | From baseline (first dose) until disease progression or withdrawal from study, expected average 10 months |
Safety Issue: | |
Description: | |
Measure: | Phase I: Change from baseline in QT/QTc interval |
Time Frame: | Cycle 1 Day 1 until disease progression or withdrawal from study, expected average 10 months |
Safety Issue: | |
Description: | |
Measure: | Phase I: Plasma concentrations of CK-101 following dosing with CK-101 as assessed by area under the curve |
Time Frame: | Days 1, 8 and 15 of Cycle 1 and Day 1 of Cycle 2 |
Safety Issue: | |
Description: | |
Measure: | Phase I: Plasma concentrations of CK-101 following dosing with CK-101 as assessed by maximum concentration |
Time Frame: | Days 1, 8 and 15 of Cycle 1 and Day 1 of Cycle 2 |
Safety Issue: | |
Description: | |
Measure: | Phase I: Plasma concentrations of CK-101 following dosing with CK-101 as assessed by elimination half-life |
Time Frame: | Days 1, 8 and 15 of Cycle 1 and Day 1 of Cycle 2 |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Checkpoint Therapeutics, Inc. |
Trial Keywords
- Cancer
- Non Small Cell Lung Cancer
- EGFR sensitivity mutation
- T790M
- NSCLC
- epidermal growth factor receptor
- EGFR
- EGFR inhibitor
Last Updated
August 3, 2021