Ireland
--:--IST
Active, not recruiting Phase 3

TGRX-326 Chinese Phase III for Advanced Non-small Cell Lung Cancer (NSCLC)

NCT06082635 · tracked via the Priya Life Science China tracker
Phase
Phase 3
Started
2023-12-14
Last updated
2025-05-18

Condition(s) studied

Non Small Cell Lung Cancer

Investigational drug(s) / intervention(s)

TGRX-326 →Crizotinib →

TGRX-326: Subjects will be treated with the investigational drug TGRX-326 at 60 mg once a day in 28-day cycles

Crizotinib: Subjects will be treated with the control drug crizotinib at 250 mg twice a day in 28-day cycles

Study summary

This is a multi-center, randomized, open-label, Phase III clinical trial which compares the safety and efficacy of TGRX-326 with crizotinib in patients with ALK-positive advanced or metastatic NSCLC

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Willing to follow the treatment protocol and visit schedule, and participate in the study with the ICF signed; * ≥ 18 years of age on the day of ICF signing, regardless of gender. * Diagnosed as incurable stage IIIB - IV ALK-positive NSCLC; * Providing prior ALK positive test results at screening; * Naïve to ALK-inhibitor; patients could be intolerant or have progressive disease from previous first-line chemotherapy; * Patients could have metastases to central nervous system at screening if the condition is asymptomatic, stable or completely recovered; * At least one measurable lesion; * An ECOG PS score within 0-2; * Adequate bone marrow, liver, kidney, coagulation and pancreatic functions; * Expected survival ≥ 3 months; * Willing to take effective contraceptive measures (for men of reproductive potential and women of reproductive age only) from ICF signing to 6 months after last administration of the investigational drug. Women of reproductive age include women before menopause and within 1 year after menopause; those women must have a negative pregnancy test ≤ 7 days prior to the first dose of the investigational drug. Exclusion Criteria: * Known hypersensitivity to any of the active ingredients or excipients of TGRX-326 or crizotinib pills; or a history of severe allergic reactions; * Having another type of cancer except for lung cancer; * Radiotherapy within 14 days prior to the first dose; * Received other systemic anti-tumor treatment within 4 weeks prior to the first dose, or is within 5 half-lives of the said treatment; received traditional Chinese medicine indicated for anti-tumor purposes within 14 days prior to the first dose; * Major surgery within 4 weeks prior to the first dose; * Spinal cord compression caused by tumor, unless the subject achieves significant pain control and full recovery of neurological function within 4 weeks prior to the first dose. * Abnormal gastrointestinal function that affect absorption within the past 6 months; * History of active pneumonia or clinically significant interstitial pneumonia, or radiation or drug-induced lung disorder with treatment needs; * Cardiac insufficiency; * Abnormal and clinically significant QTc on ECG or need of concomitant use of any drug known to prolong QT interval and cause torsades de pointes; * Uncontrolled hypertension after drug treatment; * Uncontrolled hyperglycaemia, acute attack of cholelithiasis, and susceptibility to acute pancreatitis; * Severe or uncontrolled systemic diseases causing expected intolerance to the investigational drug as judged by the investigator; * Toxic reactions associated with prior surgery and prior antineoplastic therapies that have not recovered and may affect the subject safety as assessed by the investigator. * Clinically significant active bacterial, fungal or viral infections, including a positive result for hepatitis B surface antigen and HBV DNA ≥ ULN, one or more positive results for hepatitis C antibody or HIV antibody, or the presence of any uncontrolled infection. * Use of strong CYP3A4 inducers or inhibitors or CYP3A4 substrates with a narrow therapeutic window within two weeks prior to the first dose of the investigational drug; * Pregnant and breastfeeding female; * Women of childbearing age who are unwilling or unable to use acceptable methods for contraception during the entire treatment period in the trial and within 6 months after the last dose of the investigational drug (women of childbearing age include: any one with menarche, and those who have not received successful artificial sterilization \[hysterectomy, bilateral fallopian tube ligation, or bilateral oophorectomy\] or premenopausal women); a fertile male patient who is unwilling or unable to take effective contraceptive measures, and whose partner is a woman of childbearing age; * Being involved in other clinical studies (except for the non-interventional phase of interventional clinical study, such as survival follow-up period); less than 4 weeks from the end of the dose of other investigational drug to the first dose of the investigational drug or 5 half-lives of the previous drug, whichever is shorter; * Any mental or cognitive disorders which may limit subjects' understanding and implementation of the informed consent form; * Other situations, such as poor compliance, which are considered by the investigator to be not suitable for participation in the study.

Primary outcome measure(s)

  • Progression Free Survival (PFS) by independent review committee (IRC) — Every 8 weeks between Cycle 1 and Cycle 17, and every 12 weeks from Cycle 17 and onwards (every cycle is 28 days); an average of 1.5 years
    PFS defined by the time from randomization to progressive disease or death of any cause; PFS as evaluated by independent review committee (IRC).

Trial sites (1)

FacilityCityRegionStatus
Sun Yat-sen University Cancer Center Guangzhou Guangdong
Official registry record

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.

View NCT06082635 on ClinicalTrials.gov ↗ ← All trials in China