Description:
This is a study to investigate the potential clinical benefit of G1T38 as an oral therapy in
combination with osimertinib in patients with EGFR mutation-positive metastatic non-small
cell lung cancer.
The study is an open-label design, consists of 2 parts: safety, pharmacokinetic, and
dose-finding portion (Part 1), and randomized portion (Part 2). Both parts include 3 study
phases: Screening Phase, Treatment Phase, and Survival Follow-up Phase. The Treatment Phase
begins on the day of first dose with study treatment and completes at the Post-Treatment
Visit. Approximately, 144 patients will be enrolled in the study.
Title
- Brief Title: G1T38, a CDK 4/6 Inhibitor, in Combination With Osimertinib in EGFR-Mutant Non-Small Cell Lung Cancer
- Official Title: Phase 1b/2 Safety, Pharmacokinetic, and Efficacy Study of G1T38 in Combination With Osimertinib in Patients With EGFR Mutation-Positive Metastatic Non-Small Cell Lung Cancer (NSCLC)
Clinical Trial IDs
- ORG STUDY ID:
G1T38-03
- SECONDARY ID:
2017-004315-39
- NCT ID:
NCT03455829
Conditions
- Carcinoma, Non-Small-Cell Lung
- Lung Cancer
- Non-small Cell Lung Cancer
Interventions
Drug | Synonyms | Arms |
---|
G1T38 | Lerociclib | Part 1: G1T38 + Osimertinib |
Osimertinib | Tagrisso | Part 1: G1T38 + Osimertinib |
Purpose
This is a study to investigate the potential clinical benefit of G1T38 as an oral therapy in
combination with osimertinib in patients with EGFR mutation-positive metastatic non-small
cell lung cancer.
The study is an open-label design, consists of 2 parts: safety, pharmacokinetic, and
dose-finding portion (Part 1), and randomized portion (Part 2). Both parts include 3 study
phases: Screening Phase, Treatment Phase, and Survival Follow-up Phase. The Treatment Phase
begins on the day of first dose with study treatment and completes at the Post-Treatment
Visit. Approximately, 144 patients will be enrolled in the study.
Trial Arms
Name | Type | Description | Interventions |
---|
Part 1: G1T38 + Osimertinib | Experimental | Patients will receive a single oral dose of G1T38 on Cycle 1 Day -16 and on Cycle 1 Day -2. Patients will receive oral osimertinib 80 mg beginning Cycle 1 Days -14. Patients will begin G1T38 once-daily dosing on Cycle 1 Day 1 (in combination with osimertinib 80 mg). | |
Part 2: G1T38 + Osimertinib | Experimental | Patients will be randomized to receive G1T38 at the dose determined in Part 1 in combination with osimertinib 80 mg, each administered once-daily. | |
Part 2: Osimertinib | Active Comparator | Patients will be randomized to receive osimertinib 80 mg once-daily.
At the time of disease progression per RECIST v1.1, patients who were initially randomized to receive osimertinib alone may crossover to receive G1T38 + osimertinib. | |
Eligibility Criteria
Inclusion Criteria:
- Confirmed EGFR mutation for non-small cell lung cancer associated with EGFR TKI
sensitivity
- For Part 2, EGFR T790M mutation-positive tumor status
- Left ventricular ejection fraction (LVEF) ≥ institution's lower limit of the reference
range
- For Part 1, evaluable or measurable disease as defined by RECIST, Version 1.1
- For Part 2, measurable disease as defined by RECIST, Version 1.1
- ECOG performance status 0 to 1
- Adequate organ function
Exclusion Criteria:
- Prior treatment with EGFR TKI within 9 days of first study dose
- For Part 1, prior treatment with more than 2 prior lines of chemotherapy for advanced
NSCLC
- For Part 2, prior treatment with osimertinib or other T790M active EGFR TKI
- For Part 2, prior chemotherapy for advanced NSCLC
- Active uncontrolled/symptomatic CNS metastases, carcinomatous meningitis, or
leptomeningeal disease
- Investigational drug within 3 months or 5 half-lives, whichever is longer, of first
study dose
- Concurrent radiotherapy, radiotherapy within 28 days of first study dose, previous
radiotherapy to the target lesion sites, or prior radiotherapy to > 25% of bone marrow
- Prior hematopoietic stem cell or bone marrow transplantation
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Dose Limiting Toxicity |
Time Frame: | Cycle 1 Day -14 to Cycle 1 Day 28 |
Safety Issue: | |
Description: | All AEs, including clinical laboratory, vitals signs, physical examinations and ECGs will be analyzed in all patients receiving study drug from the signing of the informed consent until 30 days after the last dose of study medication |
Secondary Outcome Measures
Measure: | Tumor response based on RECIST, Version 1.1 |
Time Frame: | 21 months |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of G1T38 and metabolite G1T30: Maximum Plasma Concentration (Cmax) |
Time Frame: | Part 1, Cycle 1 Day -14 to Day -2. Part 2, Cycle 1 Day 15 to Cycle 2 Day 1. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of G1T38 and metabolite G1T30: Area under Curve - plasma concentration (AUC) |
Time Frame: | Part 1, Cycle 1 Day -14 to Day -2. Part 2, Cycle 1 Day 15 to Cycle 2 Day 1. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of G1T38 and metabolite G1T30: Plasma: terminal half life (T1/2) |
Time Frame: | Part 1, Cycle 1 Day -14 to Day -2. Part 2, Cycle 1 Day 15 to Cycle 2 Day 1. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of G1T38 and metabolite G1T30: Plasma - Volume of distribution |
Time Frame: | Part 1, Cycle 1 Day -14 to Day -2. Part 2, Cycle 1 Day 15 to Cycle 2 Day 1. |
Safety Issue: | |
Description: | |
Measure: | PFS using investigator assessment |
Time Frame: | 36 months |
Safety Issue: | |
Description: | |
Measure: | 1-year PFS using investigator assessment and BICR |
Time Frame: | 33 months |
Safety Issue: | |
Description: | |
Measure: | Overall survival (OS) |
Time Frame: | 60 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | G1 Therapeutics, Inc. |
Trial Keywords
- Lung Cancer
- Non-small Cell Lung Cancer
- CDK 4/6 Inhibitor
- EGFR-Positive
- EGFR Mutation- Positive
- T790M
- EGFR Mutant
- lerociclib
Last Updated
June 4, 2021