A Phase II Study of TY-9591 Tablets in Patients With EGFR-Mutated Non-small Cell Lung Cancer With Brain Metastases
This study is to evaluate the efficacy and safety of TY-9591 in first-line treatment of patients with EGFR-sensitive mutation-positive non-small cell lung cancer with brain metastases compared to Osimertinib.
• Male or female aged ≥18 years and \<80 years.
• Patients diagnosed with NSCLC by histology or cytology, with brain metastases.
• Presence of an activating EGFR-sensitive mutations (including exon 19 deletions, L858R, the above mentioned mutations alone or co-existed with other EGFR-mutated sites).
• No prior systemic antitumor therapy for locally advanced or metastatic NSCLC.
• Stable brain metastases that do not require immediate or planned local treatment for it during the study period.
• At least one measurable lesion according to Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1.
• The ECOG score is 0-1, and there is no deterioration 2 weeks before the study, and the expected survival is not less than 3 months.
• Adequate bone marrow reserve function, and no liver, kidney and coagulation dysfunction.
• Male patients and female patients of reproductive age should take adequate contraceptive measures from signing informed consent to 3 months after the last study drug treatment; Women of childbearing age have negative pregnancy test results within 7 days of the first dose.
⁃ Patients having recovered from all grade ≤ 1 toxicities related to previous anticancer therapies (CTCAE v 5.0) except for alopecia, platinum-therapy-related neuropathy (where ≤2 is allowed) before first dose of study treatment.
⁃ Patients can understand and voluntarily sign the informed consent form.
⁃ Patient able to comply with study requirements.