The Open-Label, Multicenter Phase Ib/II Clinical Study Evaluating the Safety and Efficacy of Vebreltinib Combined With Furmonertinib in Locally Advanced or Metastatic NSCLC Patients With c-Met Amplification After EGFR-TKI Failure

Status: Recruiting
Location: See all (12) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The goal of phase Ib study was to evaluate efficacy and tolerability of the combination of vebreltinib and furmonertinib in patients with locally advanced or metastatic non-small cell lung cancer with c-met amplification after failure of EGFR-TKI treatment; to determine the maximum tolerated dose (MTD), and to evaluate the dose-limiting toxicity (DLT) and (recommended Phase 2 dose) RP2D of vebreltinib with furmonertinib. The goal of phase II study was to evaluate efficacy \[overall response rate (ORR), progression-free survival (PFS), and so on\] of vebreltinib and furmonertinib in patients with locally advanced or metastatic non-small cell lung cancer with c-met amplification after failure of EGFR-TKI treatment.

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

• Fully aware this study and voluntary to sign the informed consent form, and willing and able to comply with the study procedure.

• Aged ≥18 years, male or female.

• Patients with histologically or cytologically confirmed unresectable and non-suitable for radical surgery, or concurrent chemoradiotherapy , locally advanced or metastatic (stage IIIB, IIIC or IV) NSCLC;

• Documented EGFR sensitive mutations (exon 19 deletion or exon 21 L858R mutation).

• Disease progression after prior EGFR-TKI therapy. Participants must meet both of the following 2 criteria:

⁃ (1) ≤1 prior chemotherapy regimen allowed besides EGFR-TKI. Combination with anti-angiogenic therapy or PD-1/PD-L1 inhibitors are allowed during EGFR-TKI targeted therapy or chemotherapy.

⁃ (2) Objective clinical benefit documented during previous EGFR-TKI therapy, defined by either partial or complete radiological response, or durable stable disease should be greater than 6 months after initiation of EGFR-TKI.

⁃ 6\. After the last line of treatment before enrollment, progression is confirmed, and blood tests confirm c-Met amplification, or re-biopsy and genetic testing confirm c-Met amplification. Any of the following criteria define c-Met amplification.

• For tumor tissue samples, FISH detection shows GCN ≥5 and/or MET/CEP7 ≥2 (FISH results from local testing institutions/central laboratories are acceptable);

• Tissue (wax blocks from pleural effusion centrifugation, if quality-controlled) or blood NGS testing results confirm c-Met amplification with CN ≥2.3 (NGS results from local testing institutions/central laboratories are acceptable for both tissue and blood).

⁃ 7\. ECOG performance status ≤1. 8. According to RECIST v1.1, the patient must have at least one target lesion as assessed by the investigator.

⁃ 9\. Laboratory test results must meet the following criteria:

• Absolute neutrophil count ≥1.5×10⁹/L (without the use of growth factors within 7 days prior to the start of treatment);

• Hemoglobin ≥90 g/L (without blood transfusion or use of growth factors within 7 days prior to the start of treatment);

• Platelet count ≥75×10⁹/L (without blood transfusion or use of growth factors within 7 days prior to the start of treatment);

• Serum total bilirubin ≤1.5×upper limit of normal (ULN);

• Serum alanine aminotransferase and aspartate aminotransferase ≤3×ULN (for patients with liver metastases, both AST and ALT ≤5×ULN);

• Creatinine clearance (Ccr) ≥60 mL/min.

• International normalized ratio (INR) ≤1.5×ULN;

• Asymptomatic serum amylase ≤Grade 2 (NCI-CTCAE v5.0). For patients with Grade 2 serum amylase abnormalities at the start of the study, it must be confirmed that there are no signs and/or symptoms suggestive of pancreatitis or pancreatic injury (e.g., elevated P-amylase, abnormal pancreatic imaging results);

• Serum lipase ≤1.5×ULN. 10. Men with reproductive potential and women of childbearing potential must agree to use effective contraception from the time of signing the informed consent form until 3 months after the last dose of the study drug. Women of childbearing potential must have a negative serum pregnancy test within ≤7 days prior to the first dose of the study drug. This does not apply to female subjects who have undergone sterilization or are postmenopausal.

⁃ 11\. Expected survival ≥3 months.

Locations
Other Locations
China
Affiliated Hospital of Hebei University
NOT_YET_RECRUITING
Baoding
Baotou Cancer Hospital
RECRUITING
Baotou
Beijing Chest Hospital, Capital Medical University
NOT_YET_RECRUITING
Beijing
Beijing Daxing District People's Hospital
NOT_YET_RECRUITING
Beijing
Peking Union Medical College Hospital
NOT_YET_RECRUITING
Beijing
Peking University Cancer Hospital & Institute
RECRUITING
Beijing
Peking University People's Hospital
NOT_YET_RECRUITING
Beijing
Peking University Third Hospital
NOT_YET_RECRUITING
Beijing
The Second Hospital of Dalian Medical University
NOT_YET_RECRUITING
Dalian
Ordos Central Hospital
NOT_YET_RECRUITING
Neimeng
Peking University Cancer Hospital (Inner Mongolia Campus)
NOT_YET_RECRUITING
Neimeng
Tianjin Medical University Cancer Institute & Hospital
NOT_YET_RECRUITING
Tianjin
Contact Information
Primary
Minglei Zhuo
minglei1978@163.com
+86 88196456
Time Frame
Start Date: 2025-04-08
Estimated Completion Date: 2028-04
Participants
Target number of participants: 42
Treatments
Experimental: phase Ib Dose Escalation
Experimental: phase Ib Dose Expansion
Experimental: phase II
Sponsors
Leads: Peking University Cancer Hospital & Institute

This content was sourced from clinicaltrials.gov

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