Phase 1 / 2 Multicenter Study of the Safety, Pharmacokinetics, and Preliminary Efficacy of APL-101 in Subjects With Non-Small Cell Lung Cancer With c-Met EXON 14 Skip Mutations and c-Met Dysregulation Advanced Solid Tumors

Who is this study for? Patients with Non-Small Cell Lung Cancer with c-Met EXON 14 Skip Mutations and c-Met Dysregulation Advanced Solid Tumors
What treatments are being studied? APL-101
Status: Recruiting
Location: See all (35) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

To assess: * efficacy of APL-101 as monotherapy for the treatment of NSCLC harboring MET Exon 14 skipping mutations, NSCLC harboring MET amplification, solid tumors harboring MET amplification, solid tumors harboring MET fusion, primary CNS tumors harboring MET alterations, solid tumors harboring wild-type MET with overexpression of HGF and MET * efficacy of APL-101 as an add-on therapy to EGFR inhibitor for the treatment of NSCLC harboring EGFR activating mutations and developed acquired resistance with MET amplification and disease progression after documented CR or PR with 1st line EGFR inhibitors (EGFR-I)

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

• Men and women 18 years of age or older.

• 9 cohorts will be enrolled:

‣ Cohort A1 / Exon 14 NSCLC MET inhibitor naive in first line: Histologically or cytologically confirmed NSCLC with Exon 14 skipping mutations; all histologies; unresectable or metastatic disease (Stage 3b/4); treatment-naive subjects in first line; not received any MET inhibitor and no known MET kinase inhibitor resistance mutations

⁃ Cohort A2 / Exon 14 NSCLC - MET inhibitor naïve: Histologically or cytologically confirmed NSCLC with Exon 14 skipping mutations; all histologies; unresectable or metastatic disease (Stage 3b/4); pretreated subjects refractory to or intolerant of standard therapies with no more than three lines of prior therapy in the unresectable or metastatic setting; not received any MET inhibitor and no known MET kinase inhibitor resistance mutations

⁃ Cohort B / Exon 14 NSCLC MET inhibitor experienced: ENROLLMENT COMPLETED

⁃ Cohort C / MET amplification basket tumor types excluding primary CNS tumors: Any solid tumor type regardless of histology excluding primary CNS tumors, with MET amplification; unresectable or metastatic disease, refractory to or intolerant of standard therapies, or refused standard therapies, or if therapy was unavailable or unfeasible, with no more than 3 prior lines of therapy in the unresectable or metastatic setting; not received any MET inhibitor and no known MET kinase inhibitor resistance mutations

⁃ Cohort C1 / MET amplification and wild-type EGFR NSCLC: NSCLC regardless of histology, harboring MET amplification and wild-type EGFR; unresectable or metastatic disease, previously untreated or treated with no more than 3 prior lines of therapy in the unresectable or metastatic setting; not received any MET inhibitor and no known MET kinase inhibitor resistance mutations

⁃ Cohort C2 / EGFR positive NSCLC with acquired MET amplification (APL-101 Add-on Therapy): Unresectable or metastatic NSCLC regardless of histology, harboring EGFR activating mutations with acquired MET-Amplification as resistance mechanism to the EGFR-I; developed resistance to first-line EGFR-inhibitor therapy after an initial response (documented PR for at least 12 weeks); radiological documentation of disease progression per RECIST on first-line EGFR inhibitor therapy; currently on an EGFR-inhibitor therapy and agrees to receive APL-101 as an add-on therapy during the study; no history of interstitial lung disease (ILD)/pneumonitis, Grade ≥3 liver toxicity or QT prolongation with EGFR-I therapy; not received any MET inhibitor and no known MET kinase inhibitor resistance mutations

⁃ Cohort D / MET fusion basket tumor types excluding primary CNS tumors: any solid tumor type regardless of histology excluding primary CNS tumors; unresectable or metastatic disease, refractory to or intolerant of standard therapies, or refused standard therapies, or if therapy was unavailable or unfeasible, with no more than 3 prior lines of therapy in the unresectable or metastatic setting; not received any MET inhibitor and no known MET kinase inhibitor resistance mutations

⁃ Cohort E / Primary CNS tumors with MET alterations: subjects with primary CNS tumors who meet inclusion criteria of MET dysregulations defined as single or co-occurred MET fusion including PTPRZ1-MET (ZM) fusion, MET Exon 14 skipping mutations, or MET amplification; refractory to or intolerant of standard therapies, or refused standard therapies, or if therapy was unavailable or unfeasible, with no more than 3 prior lines of therapy in the unresectable or metastatic setting; not received any MET inhibitor and no known MET kinase inhibitor resistance mutations; neurological symptoms controlled on a stable/decreasing dose of steroids for at least 2 weeks before C1D1

⁃ Cohort F / Basket tumor types harboring wild-type MET with over-expression of HGF and MET: any solid tumor type regardless of histology harboring wild-type MET with overexpression of HGF and MET; Unresectable or metastatic disease, refractory to or intolerant of standard therapies, or refused standard therapies, or if therapy was unavailable or unfeasible, with no more than 3 prior lines of therapy in the unresectable or metastatic setting; not received any MET inhibitor and no known MET kinase inhibitor resistance mutations

• Treated or untreated asymptomatic parenchymal CNS disease or leptomeningeal disease is allowed.

• Presence of ≥1 measurable lesion (scan done ≤28 days of C1D1) to serve as target lesion according to relevant criteria

• ECOG performance status of 0-1. For subjects with primary CNS tumors, KPS score ≥70.

• Acceptable organ function

• For all prior anticancer treatment, a duration of 30 days or 5 half-lives of the agents used, whichever is shorter, must have elapsed, and any encountered toxicity must have resolved to levels meeting all the other eligibility criteria prior to the first dose of study treatment. Palliative radiotherapy to non-target lesions should be completed within 2 weeks prior to APL-101 administration.

• Adequate cardiac function

• Women of child-bearing potential must have a negative serum or Beta-hCG at screening or evidence of surgical sterility or evidence of post-menopausal status

⁃ No planned major surgery within 4 weeks of first dose of APL-101

⁃ Expected survival (life expectancy) ≥ 3 months from C1D1

⁃ Provision of sample; e.g. archival or a fresh tumor biopsy sample (if safe and feasible) either from the primary or a metastatic site) or liquid biopsy sample (if tumor tissue is insufficient or lacking, and approved by the sponsor) is required for prospective central lab confirmation for study entry (subjects with previously confirmed molecular status by the Sponsor designated central lab or FDA approved NGS based MET testing may be exempted, subjected to Sponsor approval.

Locations
United States
California
Cedars-Sinai Medical Center - Samuel Oschin Comprehensive Cancer Institute
RECRUITING
Los Angeles
Florida
Moffitt
ACTIVE_NOT_RECRUITING
Tampa
Massachusetts
Dana Farber Cancer Institute
ACTIVE_NOT_RECRUITING
Boston
North Carolina
University of North Carolina
RECRUITING
Chapel Hill
Pennsylvania
Penn State Milton S. Hershey Medical Center
RECRUITING
Hershey
Wisconsin
University of Wisconsin
RECRUITING
Madison
Other Locations
Australia
St Vincents Hospital Melbourne
RECRUITING
Melbourne
Canada
Cross Cancer Institute
RECRUITING
Edmonton
McGill University Health Center - Research Institute
RECRUITING
Montreal
Princess Margaret Hospital
RECRUITING
Toronto
Cancer Care Manitoba
RECRUITING
Winnipeg
France
CHRU de Brest - Hôpital Morvan
RECRUITING
Brest
Centre Leon Berard
RECRUITING
Lyon
Centre d'Essais Precoces en Cancerologie de Marseille
RECRUITING
Marseille
Hopital Bichat - Claude Bernard - AP-HP
RECRUITING
Paris
Gustave Roussy
RECRUITING
Villejuif
Hungary
Orszagos Koranyi Pulmonologiai Intezet
RECRUITING
Budapest
Komarom-Esztergom Varmegyei Szent Borbala Korhaz
RECRUITING
Tatabánya
Italy
IRCCS Azienda Ospedaliero-Universitaria di Bologna - Policlinico di Sant'Orsola
RECRUITING
Bologna
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
RECRUITING
Meldola
IRCCS Ospedale San Raffaele
RECRUITING
Milan
Istituto Europeo di Oncologia
RECRUITING
Milan
Istituto Oncologico Veneto-I.R.C.C.S. - Ospedale Busonera
RECRUITING
Padua
Russian Federation
Private Medical Institution Euromedservice
ACTIVE_NOT_RECRUITING
Saint Petersburg
Singapore
National Cancer Centre Singapore
RECRUITING
Singapore
Spain
Hospital Germans Trias i Pujol
RECRUITING
Badalona
Hospital Clinic Barcelona
RECRUITING
Barcelona
Hospital del Mar
RECRUITING
Barcelona
Institut Catala d'Oncologia - L'Hospitalet
RECRUITING
Barcelona
Hospital Universitario 12 de Octubre
RECRUITING
Madrid
Instituto Valenciano de Oncologia
RECRUITING
Valencia
Taiwan
National Taiwan University Hospital
RECRUITING
Taipei
United Kingdom
University College London Hospital
RECRUITING
London
The Christie NHS Foundation Trust
RECRUITING
Manchester
Royal Marsden Hospital - Surrey
RECRUITING
Surrey Quays
Contact Information
Primary
Emma (Xiaoning) Cai
clinops@apollomicsinc.com
+1 6502094055
Time Frame
Start Date: 2017-09-27
Estimated Completion Date: 2026-11-30
Participants
Target number of participants: 497
Treatments
Experimental: NSCLC Exon 14 Skip Treatment Naive
Cohort A-1: APL-101 Oral Capsules
Experimental: NSCLC Exon 14 Skip Previously Treated
Cohort A-2: APL-101 Oral Capsules
Experimental: NSCLC Exon 14 MET Inhibitor Experienced
Cohort B: APL-101 Oral Capsules
Experimental: Basket of tumor types MET amplification except for primary CNS tumors
Cohort C: APL-101 Oral Capsules
Experimental: NSCLC MET amplification and EGFR wild-type
Cohort C-1: APL-101 Oral Capsules
Experimental: EGFR positive NSCLC MET amplification as an acquired resistance
Cohort C-2: APL-101 Oral Capsules + Standard of Care EGFR Inhibitor
Experimental: Basket of solid tumor with MET gene fusions except for primary CNS tumors
Cohort D: APL-101 Oral Capsules
Experimental: Primary CNS tumors with MET alterations
Cohort E: APL-101 Oral Capsules
Experimental: Basket of tumor types wild-type MET with over-expression of HGF and MET
Cohort F: APL-101 Oral Capsules
Sponsors
Leads: Apollomics Inc.

This content was sourced from clinicaltrials.gov