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RecruitingInterventionalPhase 1

A Phase I Open-label, Multi-dose, Dose Escalation and Dose Expansion Study of the Oral EGFR Inhibitor PLB1004 in Non-Small Cell Lung Cancer

NCT ID: NCT06046495Sponsor: Avistone Biotechnology Co., Ltd.Last updated: 2025-04-23

Summary

This is a Phase I, multicenter, open-label, dose escalation and dose expansion study to assess the safety and pharmacokinetic profile of PLB1004, a mono-anilino-pyrimidine compound, given alone in NSCLC patients with EGFR exon 20 insertion mutations,uncommon mutations, classical mutations (Ex19del and L858R), and drug-resistant mutation (T790M). Patients will be enrolled and dosed according to the most current protocol. This study is made of two Parts. Part 1 includes a dose escalation into 7 cohorts and patient allocation to these cohorts will be via slot allocation. Each cohort has a minimum of 3 and a maximum of 6 patients for a total of 21 - 42 patients. The patient population of the dose escalation phase will include patients with advanced NSCLC harboring EGFR classical mutations or Ex20ins mutations, or uncommon mutations. Part 2 includes an expansion phase and the expansion phase will explore one or more dose levels of PLB1004 in NSCLC patients with EGFR Ex20ins mutations, classical mutations, or uncommon mutations.

Arms & interventions

  • DrugPLB1004

    PLB1004 will be orally self-administered by the patient as a mono-therapy.

Outcome measures

Primary

  • Safety profile of PLB1004 per CTCAE v5.0

    Time frame: Up to 2 years

Secondary

  • To define the DLTs and MTD

    Time frame: Up to 3 years

  • Area Under the Curve (AUC) of PLB1004

    Time frame: Approximately 28 days.

  • Maximum plasma concentration (Cmax) of PLB1004

    Time frame: Approximately 28 days.

  • Time to maximum plasma concentration (Tmax) of PLB1004

    Time frame: Approximately 28 days.

  • Overall Response Rate (ORR)

    Time frame: Up to 3 years

  • Progression-Free Survival (PFS)

    Time frame: Up to 3 years

  • Overall Survival (OS)

    Time frame: Up to 3 years

  • Disease Control Rate (DCR)

    Time frame: Up to 3 years

  • Duration of Response (DOR)

    Time frame: Up to 3 years

  • Change from baseline in corrected QT interval (QTc) using Fridericia formula (QTcF)

    Time frame: Up to 3 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: 1. Ability to understand and willingness to sign a written informed consent document; 2. Male or female adult patients 18 years of age or older; 3. Patients should have recovered from toxicities related to prior anti-tumor therapy; 4. Patients should have recovered from the effects of major surgery; 5. Have a documented EGFR mutation by a local test in tissue or plasma; 6. At least 12 weeks life expectancy; 7. Must have at least one measurable lesion per RECIST v 1.1; 8. Sexually active males and females of childbearing potential must agree to take effective contraceptive measures. Exclusion Criteria: 1. Received radiotherapy within 14 days before enrollment; 2. Have significant or uncontrolled systemic disease; 3. Have significant or uncontrolled cardiovascular disease; 4. Have had other diagnosed malignant diseases that required treatment within the past 3 years besides NSCLC; 5. Currently have or had a history of interstitial lung disease, drug-induced interstitial lung disease, or radiation pneumonia that requires steroid therapy; 6. Have known hypersensitivity to the similar drugs and excipients of PLB1004; 7. Pregnant or lactating women; 8. Have used other experimental drugs within 2 weeks prior to the first dose of PLB1004; 9. Have any condition or illness that could affect the compliance with the protocol.

Study locations (7)

University of California-Davis

Sacramento, California, 95817-1514

Recruiting
Study Director, MD · Contact

Research Site

Louisville, Kentucky, 40202

Recruiting

Nebraska Cancer Specialists

Omaha, Nebraska, 68130

Recruiting
Study Director, MD · Contact

Research Site

New York, New York, 100021

Recruiting

Sarah Cannon Research Institute

Nashville, Tennessee, 37203

Recruiting
Study Director, MD · Contact

Swedish Health Sciences

Seattle, Washington, 98122

Recruiting
Study Director, MD · Contact

Research Site

Seattle, Washington, 98195

Recruiting