This study will treat patients with advanced NSCLC with EGFR or HER2 mutation who have progressed following prior therapy. This is the first time this drug is tested in patients, and so it will help to understand what type of side effects may occur with the drug treatment. It will also measure the levels of drug in the body and preliminarily assess its anti-cancer activity as monotherapy.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
1. Aged at least 18 years old, be able to provide a signed and dated, written informed consent.
2. With documented histological or cytological confirmed locally advanced or metastatic NSCLC with EGFR or HER2 mutations.
3. (ECOG) performance status 0-1.
4. Predicted life expectancy ≥ 12 weeks
5. Patient must have measurable disease according to RECIST 1.1.
6. Patients with brain metastasis (BM) can be enrolled under the condition that BM is previously treated and stable, neurologically asymptomatic and does not require corticosteroid treatment.
7. Adequate organ system function.
8. Part A Dose expansion: Dose expansion cohort 5: NSCLC patients with EGFR Exon20ins, who have not received prior systemic therapy (treatment naïve).
Part B Dose extension:
9. Patients must have histologically or cytologically confirmed locally advanced or metastatic NSCLC with documented EGFR Exon20ins mutation in tumor tissue from a local CLIA-certified laboratory (or equivalent) or Sponsor designated central laboratory prior to the study entry.
10. Patients should have received at least 1 line, but no more than 3 lines of systemic therapy for metastatic/locally advanced disease.
Exclusion Criteria:
1. For part B: Patients who have received prior treatment with Poziotinib or TAK788 or other EGFR/HER2 exon20 insertion inhibitors should be excluded. Prior treatment with currently approved EGFR TKIs for sensitizing or T790M resistance mutations, such as gefitinib, erlotinib, osimertinib, afatinib and dacomitinib, are allowed unless the patient had an objective response and subsequent progression assessed by the investigator.
2. Treatment with EGFR or HER2 antibodies, major surgery (excluding placement of vascular access), or onco-immunotherapy (e.g. immune checkpoint inhibitors PD-1, PD-L1, CTLA-4) within 4 weeks before the first administration of Sunvozertinib.
3. Any cytotoxic chemotherapy, investigational agents or other anticancer drugs from a previous treatment regimen or clinical study within 14 days before the first administration.
4. Radiotherapy with a limited field of radiation for palliation within 1 week of the first dose or with a wide field of radiation which must be completed within 4 weeks before the first administration.
5. Receiving (or unable to stop using) medications or herbal supplements known to be potent inhibitors or inducers of CYP3A within 1-2 weeks before the first administration.
6. Any unresolved toxicities from prior therapy greater than CTCAE grade 1 at the time of starting Sunvozertinib with the exception of alopecia and grade 2 prior platinum-therapy related neuropathy.
7. Spinal cord compression or leptomeningeal metastasis.
8. As judged by the investigator, any evidence of severe or uncontrolled systemic diseases, which would jeopardize compliance with the protocol, or active infection including hepatitis B, hepatitis C, human immunodeficiency virus (HIV) and COVID-19 (per local practice).
9. Any of the following cardiac criteria: (1) Mean resting corrected QT interval (QTc) \> 470 msec obtained from 3 electrocardiograms (ECGs); (2) Any clinically significant abnormalities in rhythm, conduction or morphology of resting ECG, e.g., complete left bundle branch block, third degree heart block, and second-degree heart block, PR interval \> 250 msec. (3) Any factors that increase the risk of QTF prolongation, such as heart failure, hypokalemia, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age in first degree relatives or any concomitant medication known to prolong the QT interval; (4) Prior history of atrial fibrillation within 6 months of first administration of Sunvozertinib, except prior drug treatment related and recovered.
10. Past medical history of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis which required steroid treatment, or any evidence of clinically active interstitial lung disease.
11. Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of Sunvozertinib.
12. History of hypersensitivity to active or inactive excipients of Sunvozertinib or drugs with a similar chemical structure or class to Sunvozertinib.
13. Women who are pregnant or breast feeding.
14. Involvement in the planning and conduct of the study.
15. Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements.
Primary outcome measure(s)
Part A Dose Escalation: Dose Limiting Toxicities (DLTs). — The DLT observation period is defined as the 28 days after the first multiple dose (up to 36 days from baseline). To evaluate the safety and tolerability and defined the maximum tolerated dose (MTD) of sunvozertinib.
DLT was evaluated in the DLT observation frame.
Part B: Objective Response Rate (ORR) According to RECIST 1.1 by an Independent Review Committee (IRC). — through the study completion, an average of around 1 year for part B To evaluate anti-tumor activity of Sunvozertinib in advanced NSCLC patients with EGFR Exon20 insertion at defined dose(s) by assessment of Objective Response Rate (ORR).
Trial sites (124)
Facility
City
Region
Status
University of California, San Diego (UCSD) - Moores Cancer Center
La Jolla
California
University of California Irvine Medical Center (UCIMC) - Chao Family Comprehensive Cancer Center
Orange
California
Innovative Clinical Research Institute, LLC
Whittier
California
University of Colorado Hospital - Anschutz Cancer Pavilion
Aurora
Colorado
H. Lee Moffitt Cancer Center & Research Institute
Tampa
Florida
Dana-Farber Cancer Institute
Boston
Massachusetts
Michigan Center of Medical Research
Farmington Hills
Michigan
Northwell Health - Centers for Advanced Medicine
New Hyde Park
New York
Laura and Isaac Perlmutter Cancer Center
New York
New York
Icahn School of Medicine at Mount Sinai
New York
New York
The Ohio State University Comprehensive Cancer Center
Columbus
Ohio
Virginia Cancer Specialists
Fairfax
Virginia
Fundacion Respirar - Consultorios Medicos Dr. Doreski
Cabildo
Argentina
CEMIC Centro de Educación Médica e Investigaciones Clínicas - Hospital Universitario sede Saavedra
Ciudad Autónoma Buenos Aires
Argentina
Centro Medico Austral OMI
Ciudad Autónoma Buenos Aires
Argentina
Diabaid
Ciudad Autónoma Buenos Aires
Argentina
Fundacion CENIT Para La Investigacion en Neurociencias
Ciudad Autónoma Buenos Aires
Argentina
Instituto Argentino de Diagnositco y Tratamiento S.A.
Ciudad Autónoma Buenos Aires
Argentina
Instituto Medico de la Fundacion de Estudios Clínicos
Ciudad Autónoma Buenos Aires
Argentina
Centro de Investigación Pergamino SA
Pergamino
Argentina
Clinica Viedma S.A
Viedma
Argentina
Blacktown Hospital
Blacktown
Australia
Chris O'Brien Lifehouse
Camperdown
Australia
Austin Hospital
Heidelberg
Australia
St George Hospital
Kogarah
Australia
Peter MacCallum Cancer Centre - East Melbourne
North Melbourne
Australia
Linear Cancer trials
Perth
Australia
Southern Medical Day Care Centre
Wollongong
Australia
Princess Margaret Cancer Centre
Toronto
Canada
Fundación Arturo López Pérez
Providencia
Chile
Orlandi Oncología - Centro Médico Health & Care
Santiago
Chile
SAGA
Santiago
Chile
James Lind Centro De Investigacion Del Cancer
Temuco
Chile
Beijing Cancer Hospital
Beijing
China
Beijing Chest Hospital,Capital Medical University
Beijing
China
Peking Union Medical College Hospital
Beijing
China
Jilin Cancer Hospital
Changchun
China
Hunan Cancer Hospital
Changsha
China
West China Hospital of Sichuan University
Chengdu
China
Chongqing Cancer Hospital
Chongqing
China
+ 84 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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