Study Evaluating Hemay020 In Subjects With Advanced Solid Cancer
Phase I Trial Evaluating Pharmacokinetics, Safety and Tolerability of the Irreversible Epidermal Growth Factor Receptor Inhibitor Hemay020 in Patients With Advanced Solid Cancer
1 other identifier
interventional
10
1 country
1
Brief Summary
The purpose of this study is to assess the pharmacokinetics,safety and tolerability of Hemay020 and to determine the recommended dose for future Phase II study as well as to obtain preliminary information on the efficacy of Hemay020 in subjects with solid tumors. The study will be conducted in two parts. Part one, testing will be done on up to 16-31 subjects to determine the safety and tolerability of Hemay 020 in patients with advanced solid tumors. Part two, another 16-24 subjects with advanced or metastatic NSCLC, will be added to the trial to better define the tolerability and preliminary efficacy of Hemay020.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Jul 2015
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 2, 2015
CompletedFirst Posted
Study publicly available on registry
June 10, 2015
CompletedStudy Start
First participant enrolled
July 3, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2017
CompletedMarch 1, 2024
February 1, 2024
2.5 years
June 2, 2015
February 29, 2024
Conditions
Outcome Measures
Primary Outcomes (6)
Number of participants with adverse events
At screening, weekly up to 18 months
Observed maximum concentration of Hemay020
0, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, 144 hours post-dose on day 1 and day 42
Time of maximum concentration of Hemay020
0, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, 144 hours post-dose on day 1 and day 42
Area under the plasma concentration versus time curve of Hemay020
0, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, 144 hours post-dose on day 1 and day 42
Trough Plasma Concentrations of Hemay020
0, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, 144 hours post-dose on day 1 and day 42
Predose plasma concentration
Predose on day 8, 15, 22]
Secondary Outcomes (2)
Disease control rate (complete response rate + partial response rate + stable disease rate) according to RECIST v1.1
At screening, after 4 weeks of treatment
Objective response rate (complete response rate + partial response rate) according to RECIST v1.1
At screening, after 4 weeks of treatment
Study Arms (1)
Hemay020
EXPERIMENTALPart one: Dose Escalation Group Hemay020 capsules will be taken orally in doses of 25mg, 50mg, 100mg, 200mg or 300mg once daily for 28 days. Part two: Extension Group Hemay020 capsules will be taken in two dose groups that assessed by Part one for 28 days.
Interventions
Eligibility Criteria
You may qualify if:
- Male or female subjects aged 18 to 70 years;
- Subjects with histologically or cytologically confirmed diagnosis of solid tumor; and subjects who have failed standard therapy,or no effective therapy available for such patients;
- at least one measurable tumour lesion (non radiation field) as defined by RECIST criteria and measured by CT or MRI techniques;
- Patients have received chemotherapy at least 4 weeks prior to screening and must have recovered from any toxic effects of the treatment to CTCAE≤Grade 1;
- Part 1 Only: ECOG Performance Status of 0,1;
- Life expectancy of at least three (3) months;
- Adequate bone marrow, liver, kidney and coagulation function, meeting the following criteria:
- ANC≥1.5×109/L,HB≥90g/L,PLT≥75×109/L; TBIL≤2×ULN; ALT≤2.5×ULN,AST≤2.5×ULN(ALT≤5×ULN,AST≤5×ULN if liver metastases are present) Serum creatinine≤1.5×ULN INR≤1.5×ULN Patients without gastrointestinal tract disease, which results in malabsorption syndrome, or patients who are unable to take oral medication;
- All female and male subjects must agree and commit to the use of two contraceptive regimen for the duration of the study and for 6 months after the last dose of test article. Female subjects must have a negative serum or urine pregnancy test performed within 72 hours prior to treatment. Male subjects's sexual partner must use two contraceptive regimen.
- Two contraceptive regimens include a medication and non-medication contraceptive regimen;
- Able to understand and sign a written informed consent before study entry;
- Histological or cytological diagnosis of EGFR wild-type (or genetype is not determined) patients, with advanced or metastatic lung cancer after receiving two chemotherapy; or advanced or metastatic patients with EGFR mutation after receiving EGFR-TKI and one chemotherapy.
- ECOG Performance Status of 0,1,2
You may not qualify if:
- Patients with parenteral nutrition; malabsorption syndrome; any condition possibly affecting drug absorption or inability to tolerate oral medications;
- Immunodeficiency history, including human immunodeficiency HIV positive(by ELISA and Western Blot);
- clinically QTc prolongation, ventricular tachycardia, ventricular fibrillation, heart block, myocardial infarction within 1 year, congestive heart failure, symptoms requiring medicine treatment patients with coronary heart disease;
- Left ventricular ejection fraction (LVEF) \<40%;
- active infection (ie, requiring intravenous antibiotic or antiviral agent);
- Organ or system status:
- Patients with brain metastasis untreated surgical resection or radiotherapy, Patients with treated brain metastasis may be excluded if they are neurologically unstable and have been on steroids or receiving steroids less than 4 weeks prior to study;
- Patients with bone marrow metastasis;
- Documented history of interstitial lung disease, drug induced interstitial lung disease, radiation pneumonitis with steroids treatment, any evidence of clinically active interstitial lung disease;
- Idiopathic fibrosis of the lung by CT scan before study entry;
- Presence of clinically significant or uncontrolled disease (ie. unstable or uncompensated respiratory, heart, liver, kidney disease) in the investigator's judgment;
- Any unstable systemic disease(including severe hypertension, unstable angina, congestive heart failure, liver and kidney or metabolic disease)
- Any other malignant cancer within 5 years with the exception of adequately treated cervical cancer in situ or basal and squamous cutaneous cell carcinomas
- Neurological and psychogenic disorders, including epilepsia or dementia;
- Major surgery (not including biopsy) or injury within 4 weeks of treatment day 1;
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sun Yat-Sen University Cancer Centre
Guangzhou, Guangdong, 510060, China
Study Officials
- PRINCIPAL INVESTIGATOR
Haiying Wu, Professor
Sun Yat-sen University Cancer Centre
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 2, 2015
First Posted
June 10, 2015
Study Start
July 3, 2015
Primary Completion
December 31, 2017
Study Completion
December 31, 2017
Last Updated
March 1, 2024
Record last verified: 2024-02