Description:
A Phase 1/2, open-label, multicenter study to determine dose, tolerability, safety and
efficacy of poziotinib in Japanese patients non-small cell lung cancer (NSCLC).
Title
- Brief Title: Study of Poziotinib in Japanese Patients With NSCLC
- Official Title: A Phase 1/2 Dose Finding Study of Poziotinib in Japanese Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
Clinical Trial IDs
- ORG STUDY ID:
SPI-POZ-104
- NCT ID:
NCT04402008
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Poziotinib Once Daily Dosing | | Phase 1: Once Daily Dosing |
Poziotinib Twice Daily Dosing | | Phase 1: Twice Daily Dosing |
Poziotinib Once Daily Dosing or Twice Daily Dosing as determined in Phase 1 | | Phase 2: Once Daily Dosing or Twice Daily Dosing |
Purpose
A Phase 1/2, open-label, multicenter study to determine dose, tolerability, safety and
efficacy of poziotinib in Japanese patients non-small cell lung cancer (NSCLC).
Detailed Description
This is a Phase 1/2, open-label, multicenter study in Japanese patients with locally advanced
or metastatic NSCLC. This study will be conducted in two parts. Phase 1 is designed to
observe the maximum tolerated dose (MTD) or maximum administered dose (MAD) of poziotinib
when administered once daily or twice daily. Phase 2 will evaluate the safety and efficacy of
the dose determined in Phase 1. Study participation includes a 30 day screening period, up to
24 months of treatment, and long-term follow-up for a maximum of 24 months after
discontinuation of study treatment.
Phase 1 will enroll up to 36 patients into a dose finding study with two parallel, randomized
dose groups. Each group will undergo a dose-finding scheme using a 3+3 design with the
assessment of dose-limiting toxicities (DLTs) at up to three dose levels. Patients will be
randomized into once daily (QD) or twice daily (BID) dose groups. The DLT assessment will be
conducted in the first cycle of treatment and therefore, poziotinib dose modifications are
not permitted during this cycle. Patients will be hospitalized for the first 2 weeks.
Phase 2 will enroll 40 additional NSCLC patients with EGFR (20 patients) or HER2 (20
patients) exon 20 insertion mutations. Efficacy and safety of the dose and dosing regimen
determined in Phase 1 will be evaluated. All patients will be treated in 28-day cycles for up
to 24 months.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase 1: Once Daily Dosing | Experimental | Dose finding at 8 mg, 12 mg, or 16 mg of poziotinib once daily in 28-day treatment cycles. | - Poziotinib Once Daily Dosing
|
Phase 1: Twice Daily Dosing | Experimental | Dose finding at 4 mg, 6 mg, or 8 mg of poziotinib twice daily in 28-day treatment cycles. | - Poziotinib Twice Daily Dosing
|
Phase 2: Once Daily Dosing or Twice Daily Dosing | Experimental | Once Daily or Twice Daily Dosing as determined in Phase 1 in 28-day treatment cycles.
Cohort 1: EGFR exon 20 insertion mutations
Cohort 2: HER2 exon 20 insertion mutations | - Poziotinib Once Daily Dosing or Twice Daily Dosing as determined in Phase 1
|
Eligibility Criteria
Key Inclusion Criteria:
- Patient must be willing and capable of giving written Informed Consent, adhering to
dosing and visit schedules, and meeting all study requirements
- Previously treated patient with histologically or cytologically confirmed (archival
tissue accepted) locally advanced or metastatic non-small cell lung cancer (NSCLC) and
is not a candidate for definitive therapy
- Phase 1: No test for mutational status is required
- Phase 2: Documented EGFR or HER2 exon 20 insertion mutations (including
duplication mutations) in NSCLC patients
- Prior treatment status:
- Phase 1: Patient with refractory NSCLC to available standard therapies
- Phase 2: Progression after at least one systemic therapy for locally advanced or
metastatic disease
- Patient has measurable NSCLC disease, as per the Response Evaluation Criteria in Solid
Tumors (RECIST, version 1.1). Metastatic lesions in bone, CNS, or in brain cannot be
used for target lesions.
- Patient has recovered from prior systemic therapy for metastatic disease to Grade ≤1
for non-hematologic toxicities (except for Grade ≤2 peripheral neuropathy) and has
adequate hematologic, hepatic, and renal function at Baseline
Key Exclusion Criteria:
- Patient is concurrently receiving chemotherapy, biologics, immunotherapy for cancer
treatment; systemic anti-cancer treatment or investigational treatment should not be
used within 2 weeks prior to Cycle 1, Day 1; local radiation therapy for bone pain may
be allowed
- Patient has used strong inhibitors/inducers of CYP3A4 and CYP2D6 within 1 month prior
to Cycle 1, Day 1
- Patient has had another primary malignancy within 3 years prior to starting study
treatment, except for adequately treated basal or squamous cell carcinoma of the skin
or cancer of the cervix in situ
- Patient is pregnant or breastfeeding
- Phase 2 : Patient has had previous treatment with poziotinib. The currently approved
TKIs that are not considered to be exon 20 insertion-selective are permissible
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 20 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase 1: Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) |
Time Frame: | 28 Days |
Safety Issue: | |
Description: | MTD/MAD will be assessed based on the occurrence of defined dose-limiting toxicities (DLT) and all available safety information during first cycle of treatment. |
Secondary Outcome Measures
Measure: | Phase 2: Disease Control Rate (DCR) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | The proportion of patients who achieve CR, PR, and Stable Disease (SD) by the best response from the first dose of poziotinib to the end of the study. |
Measure: | Phase 2: Duration of Response (DoR) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | The number of days from the date that measurement criteria are first met for CR or PR (whichever status is recorded first) until the first subsequent date that progressive disease or death is documented. |
Measure: | Phase 2: Progression Free Survival (PFS) |
Time Frame: | 24 months |
Safety Issue: | |
Description: | The number of days from the treatment start date to the date of documented disease progression or death. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Spectrum Pharmaceuticals, Inc |
Trial Keywords
- EGFR
- HER2
- Exon 20 insertion mutation
Last Updated
June 15, 2021