A Phase 2 Study of Poziotinib in Patients With Non-Small Cell Lung Cancer (NSCLC), Locally Advanced or Metastatic, With EGFR or HER2 Exon 20 Insertion Mutation (ZENITH20)
This is a Phase 2, open-label, multi-center study to evaluate the efficacy and the safety/tolerability of poziotinib in seven participant cohorts for up to 603 previously treated and treatment-naïve NSCLC participant. Cohorts 3 and 4 were added with Amendment 1 and three additional cohorts were added with Amendment 2 (Cohorts 5, 6 and 7).
• Participant must be willing and capable of giving written Informed Consent, adhering to dosing and visit schedules, and meeting all study requirements
• Participant has histologically or cytologically confirmed locally advanced or metastatic non-small cell lung cancer (NSCLC) that is not amenable to treatment with curative intent
• Prior treatment status:
‣ Cohorts 1 and 2: Participant has had at least one prior systemic treatment for locally advanced or metastatic NSCLC
⁃ Cohorts 3 and 4: Participant is treatment-naïve for locally advanced or metastatic NSCLC and eligible to receive first-line treatment with poziotinib as determined by the Investigator. Adjuvant/neo-adjuvant therapies (chemotherapy, radiotherapy, or investigational agents) are permissible as long as they end at least 15 days prior to study entry.
⁃ Cohort 5: Participants who meet the criteria for enrollment in Cohorts 1 to 4, but the enrollment in the respective cohort has been closed
⁃ Cohort 6: Participant with EGFR mutation-positive NSCLC who progressed while on treatment with first-line osimertinib
⁃ Cohort 7: Participant has had at least one prior systemic treatment for locally advanced or metastatic NSCLC
• Specific mutations:
‣ Cohort 1 and 3: Documented EGFR exon 20 insertion mutation
⁃ Cohort 2 and 4: Documented HER2 exon 20 insertion mutation
⁃ Cohort 5: Documented EGFR or HER2 exon 20 insertion mutations
⁃ Cohort 6: Documented acquired EGFR mutation (tested after osimertinib progression)
⁃ Cohort 7: Documented EGFR or HER2 activating mutations
• Participant has adequate organ function at Baseline