A Clinica Study of Pyrotinib in Patients of Advanced Non-Small Cell Lung Cancer With HER2 Mutation
A Phase 2 Clinica Study: Efficacy and Safety of Pyrotinib in Patients of Advanced Non-Small Cell Lung Cancer With HER2 Mutation
1 other identifier
interventional
60
1 country
11
Brief Summary
This study is designed to evaluate the efficacy and safety of Pyrotinib in patients of advanced pre-treated Non-small cell lung cancer With HER2 Mutation. To observe objective response rate (ORR) of pyrotinib in NSCLC With HER2 Mutation. To observe Progression free survival (PFS). To assess the overall survival (OS). A secondary aim is to obtain safety information. To explore the relationship between biomarkers and the toxicity/efficacy of Pyrotinib.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Oct 2016
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 13, 2016
CompletedFirst Posted
Study publicly available on registry
July 15, 2016
CompletedStudy Start
First participant enrolled
October 20, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 20, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 20, 2019
CompletedAugust 28, 2025
August 1, 2025
2.7 years
July 13, 2016
August 21, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Objective Response Rate (ORR)
tumor assessment every 6-9 weeks after the initiation of pyrotinib, up to 24 months
Secondary Outcomes (2)
Progression Free Survival (PFS)
up to 24 months
Incidence and Intensity of Adverse Events
From signing informed consent document until 28 days after the last drug administration
Study Arms (1)
pyrotinib treatment
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- ECOG performance status of 0 to 1.
- Life expectancy of more than 3 months.
- At least one measurable lesion exists.(RECIST 1.1).
- Histologically or cytologic confirmed Non-small cell lung cancer, Phase IIIB or IV according to IASLC 2009.
- Failed prior therapies.(RECIST 1.1).
- Confirmed HER2 mutation by Central Laboratory。
- More than one prior Platinum based chemotherapy for advanced and/or metastatic, or recurrent NSCLC in neoadjuvant or adjuvant chemotherapy.
- Required laboratory values including following parameters:
- ANC: ≥ 1.5 x 10\^9/L; Platelet count: ≥ 90 x 10\^9/L; Hemoglobin: ≥ 90 g/L; Total bilirubin: ≤ 1.5 x upper limit of normal (ULN); ALT and AST: ≤2 x ULN or ALT and AST: ≤5x ULN for patients with liver metastasis; BUN and Cr: ≤1.5 x ULN; creatine clearance rate: ≥ 50 mL/min; LVEF: ≥ 50%; QTcF: \< 470 ms for female and \< 450 ms for male.
- Signed informed consent
You may not qualify if:
- Previous therapy with other HER2 inhibitors.
- History of severe hypersensitivity reactions to the excipients of the trial drugs.
- Have clinically significant cavity effusion,such as pleural effusion、 pericardial effusion or ascites and require clinical intervention
- Active brain metastases
- Other malignancy within the past (including primary brain tumor or Leptomeningeal tumor), other than basal cell skin cancer or carcinoma in situ of the cervix
- Persistence of clinically relevant therapy related toxicities from previous therapy (greater than Common Terminology Criteria for Adverse Event(CTCAE) 4.0 grade 1)
- Treatment with surgery, chemotherapy, radiotherapy or other target therapy within the past 4 weeks before start of therapy
- Uncontrolled hypertensin,diabetes.
- unstable angina, history of myocardial infarction in the past 6 months, congestive heart failure\>NYHA II, serious cardiac arrhythmia
- Active infection
- Variety of factors that affect the oral medication (such as unable to swallow, chronic diarrhea, bowel obstruction and other gastrointestinal disorders or abnormalities
- History of immunodeficiency, including HIV-positive, suffering from other acquired, congenital immunodeficiency disease, or history of organ transplantation.
- Subjects had any heart disease, including: (1) angina; (2) requiring medication or clinically significant arrhythmia; (3) myocardial infarction; (4) heart failure; (5) Any heart diseases judged by investigator as unsuitable to participate in the trial.
- Female patients who are pregnancy, lactation or women who are of childbearing potential tested positive in baseline pregnancy test.
- Known history of neurological or psychiatric disease, including epilepsy or dementia.
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, 200433, China
HR-BLTN-II-NSCLC Investigational Site
Beijing, China
HR-BLTN-II-NSCLC Investigational Site
Changsha, China
HR-BLTN-II-NSCLC Investigational Site
Guangzhou, China
HR-BLTN-II-NSCLC Investigational Site
Hangzhou, China
HR-BLTN-II-NSCLC Investigational Site
Harbin, China
HR-BLTN-II-NSCLC Investigational Site
Nanjing, China
HR-BLTN-II-NSCLC Investigational Site
Shanghai, China
HR-BLTN-II-NSCLC Investigational Site
Suzhou, China
HR-BLTN-II-NSCLC Investigational Site
Wuhan, China
HR-BLTN-II-NSCLC Investigational Site
Zhengzhou, China
Related Publications (2)
Mao S, Yang S, Liu X, Li X, Wang Q, Zhang Y, Chen J, Wang Y, Gao G, Wu F, Jiang T, Zhang J, Yang Y, Lin X, Zhu X, Zhou C, Ren S. Molecular correlation of response to pyrotinib in advanced NSCLC with HER2 mutation: biomarker analysis from two phase II trials. Exp Hematol Oncol. 2023 Jun 9;12(1):53. doi: 10.1186/s40164-023-00417-y.
PMID: 37296463DERIVEDZhou C, Li X, Wang Q, Gao G, Zhang Y, Chen J, Shu Y, Hu Y, Fan Y, Fang J, Chen G, Zhao J, He J, Wu F, Zou J, Zhu X, Lin X. Pyrotinib in HER2-Mutant Advanced Lung Adenocarcinoma After Platinum-Based Chemotherapy: A Multicenter, Open-Label, Single-Arm, Phase II Study. J Clin Oncol. 2020 Aug 20;38(24):2753-2761. doi: 10.1200/JCO.20.00297. Epub 2020 Jul 2.
PMID: 32614698DERIVED
MeSH Terms
Interventions
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 13, 2016
First Posted
July 15, 2016
Study Start
October 20, 2016
Primary Completion
June 20, 2019
Study Completion
June 20, 2019
Last Updated
August 28, 2025
Record last verified: 2025-08