NCT04448379

Brief Summary

This study is a Phase Ib, open label, multi-center study of to evaluate the safety and efficacy of JMT101 combined with EGFR-TKIs (Afatinib or Osimertinib) in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) harboring EGFR exon 20 insertion mutations.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
48

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Jun 2020

Typical duration for phase_1

Geographic Reach
1 country

13 active sites

Status
unknown

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

June 16, 2020

Completed
9 days until next milestone

First Posted

Study publicly available on registry

June 25, 2020

Completed
4 days until next milestone

Study Start

First participant enrolled

June 29, 2020

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2021

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2022

Completed
Last Updated

December 28, 2020

Status Verified

July 1, 2020

Enrollment Period

1.5 years

First QC Date

June 16, 2020

Last Update Submit

December 23, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Incidence of adverse events (defined by the Common Terminology Criteria for Adverse Events version 5.0 (CTCAE V5.0)).

    From enrollment until 30 days after the last dose

Secondary Outcomes (10)

  • Objective Response Rate (ORR) Assessed by Blinded Independent Review Committee (IRC) per RECIST Version 1.1

    From first dose to disease progression or end of study, an average of 1 year

  • Disease control rate (DCR).

    From first dose to disease progression or end of study, an average of 1 year

  • Progression free survival (PFS).

    From first dose to disease progression or end of study, an average of 1 year

  • Overall survival (OS).

    From first dose to death or end of study, an average of 1 year

  • Area under the concentration curve from time 0 to the concentration at last time point (AUC0-last) of JMT101.

    From enrollment until 30 days after the last dose

  • +5 more secondary outcomes

Study Arms (2)

Dose Escalation Cohort

EXPERIMENTAL

Two dose levels of JMT101 combined with afatinib or osimertinib will be tested according to the "3 + 3" dose-escalation design. The dose-limiting toxicity (DLT) will be assessed from the first administration to the end of the first cycle (28 days).

Drug: JMT101

Dose Expansion Cohort

EXPERIMENTAL

Once the effective dose has been determined, an expansion cohort will be opened to evaluate the efficacy and safety of the selected dose.

Drug: JMT101

Interventions

JMT101DRUG

IV infusion Q2W for 4 weeks (28-day cycles)

Also known as: Afatinib or Osimertinib
Dose Escalation CohortDose Expansion Cohort

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Pathologically or cytologically confirmed, locally advanced or metastatic NSCLC, harboring an EGFR exon 20 insertion mutation. ( non-irradiable, non-operable);
  • No previous treatment or first-line treatment failed NSCLC;
  • At least 1 measurable lesion according to RECIST 1.1;
  • ECOG score 0 or 1;

You may not qualify if:

  • Previously treated with EGFR antibody;
  • Symptomatic brain metastasis;
  • Interstitial pneumopathy;
  • Known hypersensitivity to any ingredient of JMT101, afatinib, osimertinib or their excipients;
  • Receiving an investigational product in another clinical study within 4 weeks;
  • History of serious systemic diseases;
  • History of serious autoimmune diseases;
  • Pregnancy or lactating women.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, 510060, China

RECRUITING

The Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, 050000, China

RECRUITING

Chinese Pla General Hospital

Beijing, China

RECRUITING

Hunan Cancer Hospital

Changsha, China

RECRUITING

West China Hospital of Sichuan University

Chengdu, China

RECRUITING

Fujian Cancer Hospital

Fuzhou, China

RECRUITING

Zhejiang Cancer Hospital

Hangzhou, China

RECRUITING

Jiangsu Province Hospital of Chinese Medicine

Nanjing, China

RECRUITING

Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School

Nanjing, China

RECRUITING

Shanghai Chest Hospital, Shanghai Jiaotong University

Shanghai, China

RECRUITING

Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences)

Taiyuan, China

RECRUITING

Shanxi Province Cancer Hospital

Taiyuan, China

RECRUITING

Union Hospital, affiliated with TongJi Medical College, HuaZhong University of Science and Technology

Wuhan, China

RECRUITING

Related Publications (1)

  • Zhao S, Zhuang W, Han B, Song Z, Guo W, Luo F, Wu L, Hu Y, Wang H, Dong X, Jiang D, Wang M, Miao L, Wang Q, Zhang J, Fu Z, Huang Y, Xu C, Hu L, Li L, Hu R, Yang Y, Li M, Yang X, Zhang L, Huang Y, Fang W. Phase 1b trial of anti-EGFR antibody JMT101 and Osimertinib in EGFR exon 20 insertion-positive non-small-cell lung cancer. Nat Commun. 2023 Jun 12;14(1):3468. doi: 10.1038/s41467-023-39139-4.

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Interventions

Afatinibosimertinib

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

AmidesOrganic ChemicalsQuinazolinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 16, 2020

First Posted

June 25, 2020

Study Start

June 29, 2020

Primary Completion

December 31, 2021

Study Completion

June 30, 2022

Last Updated

December 28, 2020

Record last verified: 2020-07

Locations