A Multicenter, Open-Label Phase 1 Study of U3-1402 in Subjects With Metastatic or Unresectable Non-small Cell Lung Cancer

Who is this study for? Patients with Non-Small Cell Lung Cancer
What treatments are being studied? U3-1402
Status: Recruiting
Location: See all (37) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This study was designed to evaluate safety and antitumor activity of HER3-DXd in two parts: Dose Escalation and Dose Expansion. In Dose Escalation, HER3-DXd was evaluated in participants with metastatic or unresectable NSCLC with epidermal growth factor receptor (EGFR) activating mutation after disease progression during/after EGFR tyrosine kinase inhibitor (TKI) therapy. In Dose Expansion, HER3-DXd will be evaluated in participants with metastatic or unresectable NSCLC with EGFR activating mutation or squamous or non-squamous NSCLC (ie, without EGFR-activating mutations) with disease progression during/after systemic treatment for locally advanced or metastatic disease. In addition, HER3-DXd will be evaluated in participants with locally advanced or metastatic NSCLC whose tumors harbor a KRAS-G12C mutation after progression on the most recent line of therapy (Cohort 5).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Has locally advanced or metastatic NSCLC, not amenable to curative surgery or radiation

• Has at least one measurable lesion per RECIST version 1.1

• Has Eastern Cooperative Oncology Group performance status of 0 or 1 at Screening

• Has histologically or cytologically documented adenocarcinoma NSCLC

• Has acquired resistance to EGFR TKI according to the Jackman criteria (PMID: 19949011)

∙ Historical confirmation that the tumor harbors an epidermal growth factor receptor (EGFR) mutation known to be associated with EGFR tyrosine kinase inhibitor (TKI) sensitivity (including G719X, exon 19 deletion, L858R, L861Q)

‣ Has experienced clinical benefit from an EGFR TKI, followed by systemic progression of disease \[Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1\] or World Health Organization (WHO)\] while on continuous treatment with an EGFR TKI

• Is currently receiving and able to discontinue erlotinib, gefinitib, afatinib, or osimertinib

• Has been receiving erlotinib, gefitinib, afatinib, or osimertinib for at least 6 weeks with well-controlled related toxicities less than Grade 3 in severity at the time of Screening

• Has radiological documentation of disease progression while receiving continuous treatment with erlotinib, gefitinib, afatinib, or osimertinib

• Is willing to provide archival tumor tissue from a biopsy performed within 6 months of progression during treatment with erlotinib, gefitinib, afatinib, or osimertinib OR has at least one lesion, not previously irradiated, amenable to core biopsy and is willing to undergo screening tumor biopsy

• Demonstrates absence of EGFR T790M mutation if treated with erlotinib, gefitinib, or afatinib. No EGFR mutation testing is required if treated with osimertinib.

• Has received systemic therapy for locally advanced or metastatic disease including at least 1 platinum-based chemotherapy regimen

• Has documented radiological disease progression during/after most recent treatment regimen for locally-advanced or metastatic disease

• For Cohorts 1, 2, 3a, and 3b: Is willing to provide archival tumor tissue from a biopsy performed within 6 months of consent and performed after progression during/after treatment with most recent cancer therapy regimen OR has at least 1 lesion, not previously irradiated, amenable to core biopsy and is willing to undergo tumor biopsy. Tumor tissue must be of sufficient quantity as defined in the laboratory manual and contain adequate tumor tissue content as confirmed by haematoxylin and eosin (H\&S) staining at central laboratory.

‣ For Cohort 4: Neither archival tumor tissue nor core tumor biopsy will be collected

• Has histologically or cytologically documented:

∙ Cohort 1: Adenocarcinoma NSCLC

‣ Cohorts 3a, 3b, and 4: NSCLC (including any histology other than small-cell or combined small cell and non-small cell)

• Has documentation of radiological disease progression following one or more lines of EGFR TKI treatment. Participants with EGFR T790M mutation following treatment with erlotinib, gefitinib afatinib, or dacomitinib must have received and have documentation of radiological disease progression following treatment with osimertinib unless unable or unwilling.

• Has documentation of EGFR-activating mutation(s) detected from tumor tissue: G719X, exon deletion 19, L858R, or L861Q. Participants with other EGFR-activating mutations may be eligible following discussion with the Sponsor.

• Has histologically or cytologically documented squamous or non-squamous NSCLC (ie, without EGFR-activating mutations).

• Has received prior treatment with anti-PD-1 or anti-PD-L1 antibody-based regimen in the locally advanced or metastatic setting unless unable or unwilling. Participants with NSCLC known to harbor a genomic alteration(s) other than EGFR mutation(s) (eg, ALK or ROS1 fusion) for which treatment is available must have also received prior treatment with at least 1 genotype-directed therapy.

• Sign and date the main study ICF, prior to the start of any study-specific qualification procedures. A separate tissue screening consent will be obtained from all participants.

• Male or female subjects aged ≥18 years (follow local regulatory requirements if the legal age of consent for study participation is \>18 years old)

• Has locally advanced or metastatic NSCLC not amenable to curative surgery or radiation.

• Has histologically or cytologically documented squamous or nonsquamous NSCLC

• Has documentation of KRAS-G12C mutation(s) detected from tumor tissue or liquid biopsy.

• Has received at least two prior systemic therapies for locally advanced or metastatic disease, including 1 selective KRAS-G12C-targeted therapy (e.g., including as part of a clinical trial) (eg, the combination therapy of KRAS G12C-targeted therapy and immuno-oncology therapy can be considered as 2 prior systemic therapies).

• Has documentation of radiological disease progression according to RECIST v1.1 while either on or following the most recent treatment regimen for locally advanced or metastatic disease.

• Has ≥1 measurable lesion on computed tomography (CT) or magnetic resonance imaging (MRI) as per RECIST v1.1 by Investigator assessment that has not been previously irradiated.

• Provides a pretreatment tumor tissue sample of sufficient quantity, as defined in the Study Laboratory Manual.

⁃ ECOG PS 0 or 1 at the time of Screening.

⁃ Has adequate bone marrow reserve and organ function based on local laboratory data within 14 days prior to Cycle 1 Day 1 as specified in the protocol.

⁃ If the participant is a female of childbearing potential, she must have a negative serum pregnancy test at screening and must be willing to use a highly effective birth control upon enrollment, during the Treatment Period, and for 7 months following the last dose of study drug.

⁃ Female subjects must not donate, or retrieve for their own use, ova from the time of screening and throughout the study treatment period, and for at least 7 months after the time of final study drug administration.

⁃ If male, the subject must be surgically sterile or willing to use highly effective birth control upon enrollment, during the treatment period, and for at least 4 months following the last dose of study drug.

⁃ Male subjects must not freeze or donate sperm starting at screening and throughout the study period, and for at least 4 months after the final study drug administration.

⁃ Is willing and able to comply with scheduled visits, drug administration plan, laboratory tests, other study procedures, and study restrictions.

Locations
United States
California
City of Hope
COMPLETED
Duarte
University of California San Diego
NOT_YET_RECRUITING
La Jolla
Pacific Shores Medical Group
WITHDRAWN
Long Beach
Georgia
Winship Cancer Institute of Emory University
RECRUITING
Atlanta
Massachusetts
Dana-Farber Cancer Institute
RECRUITING
Boston
Massachusetts General Hospital
COMPLETED
Boston
Michigan
Henry Ford Hospital
COMPLETED
Detroit
Karmanos Cancer Institute
WITHDRAWN
Detroit
New York
Memorial Sloan-Kettering Cancer Center
COMPLETED
New York
NYU Langone Health - NYU Medical Oncology Associates
WITHDRAWN
New York
Ohio
Gabrail Cancer Center (GCC) - Canton Facility
RECRUITING
Canton
Pennsylvania
University of Pittsburgh Medical Center (UPMC) - Hillman Cancer Center (University of Pittsburgh Cancer Institute (UPCI)
RECRUITING
Pittsburgh
Tennessee
Sarah Cannon Research Institute/Tennesse Oncology
COMPLETED
Nashville
Texas
Oncology Consultants P.A.
RECRUITING
Houston
Washington
Fred Hutchinson Cancer Center
RECRUITING
Seattle
Northwest Medical Specialties
RECRUITING
Tacoma
Other Locations
Japan
National Cancer Center Hospital East (NCCHE) - Kashiwa Campus
RECRUITING
Kashiwa-shi
Kurume University - Kurume University Hospital - Respiratory Diseases Center
RECRUITING
Kurume-shi
Kindai University Hospital
RECRUITING
Osaka
Shizuoka Cancer Center
RECRUITING
Shizuoka
The Cancer Institute Hospital of Japanese Foundation for Cancer Research (JFCR)
RECRUITING
Tokyo
Netherlands
Netherlands Cancer Institute
RECRUITING
Amsterdam
Republic of Korea
Asan Medical Center
COMPLETED
Seoul
Samsung Medical Center
RECRUITING
Seoul
Seoul National University Hospital
RECRUITING
Seoul
Spain
Hospital Universitario Vall d'Hebron
RECRUITING
Barcelona
NEXT Oncology - Hospital Quironsalud Barcelona
RECRUITING
Barcelona
Clinica Universidad Navarra(Madrid)
RECRUITING
Madrid
Hospital General Universitario Gregorio Maranon (HGUGM)
RECRUITING
Madrid
Hospital Ramón y Cajal
RECRUITING
Madrid
Hospital Universitario 12 de Octubre
RECRUITING
Madrid
Hospital Universitario Madrid Sanchinarro - Centro Integral Oncologico Clara Campal (CIOCC)
RECRUITING
Madrid
Hospital Universitario Quirónsalud Madrid
RECRUITING
Madrid
Clínica Universidad de Navarra (Pamplona)
RECRUITING
Pamplona
Taiwan
Chung Shan Medical University Hospital
TERMINATED
Taichung
National Cheng Kung University Hospital
RECRUITING
Tainan City
National Taiwan University Hospital
RECRUITING
Taipei
Contact Information
Primary
(Japan sites) Daiichi Sankyo Contact for Clinical Trial Information
dsclinicaltrial@daiichisankyo.co.jp
+81-3-6225-1111 (M-F 9-5 JST)
Backup
(US sites) Daiichi Sankyo Contact for Clinical Trial Information
CTRinfo_us@daiichisankyo.com
908-992-6400
Time Frame
Start Date: 2017-10-30
Estimated Completion Date: 2026-12-31
Participants
Target number of participants: 309
Treatments
Experimental: Dose Escalation: Cohort 1, 3.2 mg/kg
Participants in the Dose Escalation Cohort 1 will receive HER3-DXd intravenously (IV) once every three weeks at 3.2 mg/kg.
Experimental: Dose Escalation: Cohort 2, 4.8 mg/kg
Participants in Dose Escalation Cohort 2 will receive HER3-DXd intravenously (IV) once every three weeks at 4.8 mg/kg.
Experimental: Dose Escalation: Cohort 3, 5.6 mg/kg
Participants in Dose Escalation Cohort 3 will receive HER3-DXd intravenously (IV) once every three weeks at 5.6 mg/kg.
Experimental: Dose Escalation: Cohort 4, 6.4 mg/kg
Participants in Dose Escalation Cohort 3 will receive HER3-DXd intravenously (IV) once every three weeks at 6.4 mg/kg.
Experimental: Dose Expansion: Cohort 1, EGFR mutant
Participants with adenocarcinoma NSCLC with EGFR mutations in the Dose Expansion Cohort 1 will receive HER3-DXd IV once every three weeks at the established recommended dose for expansion (RDE).
Experimental: Dose Expansion: Cohort 2, EGFR wild-type
Participants with squamous or non-squamous NSCLC without EGFR-activating mutations in the Dose Expansion Cohort 2 will receive HER3-DXd IV once every three weeks at the established recommended dose for expansion (RDE).
Experimental: Dose Expansion: Cohort 3a, EGFR mutant
Randomized participants with NSCLC and EGFR mutations in the Dose Expansion Cohort 3a will receive HER3-DXd IV once every three weeks at the established recommended dose for expansion (RDE) or, if applicable, adjusted RDE (aRDE).
Experimental: Dose Expansion: Cohort 3b, EGFR mutant
Randomized participants with NSCLC and EGFR mutations in the Dose Expansion Cohort 3b will receive HER3-DXd IV once every three weeks following an up-titration regimen (Cycle 1, Day 1: 57% of RDE or aRDE; Cycle 2, Day 1: 86% of RDE or, if applicable aRDE; Cycle 3 and subsequent cycles, Day 1: 114% of RDE or aRDE).
Experimental: Dose Expansion: Cohort 4, EGFR mutant
Participants with NSCLC (including any histology other than small-cell or combined small-cell and non-small cell) with an EGFR-activating mutation will receive HER3-DXd IV at 5.6 mg/kg every 3 weeks.
Experimental: Dose Expansion: Cohort 5, KRAS-G12C mutant NSCLC
Participants with locally advanced or metastatic NSCLC whose tumors harbor a KRAS-G12C mutation and that have progressed on the most recent line of therapy will receive HER3-DXd IV at 5.6 mg/kg every 3 weeks.
Sponsors
Collaborators: Merck Sharp & Dohme LLC
Leads: Daiichi Sankyo

This content was sourced from clinicaltrials.gov

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