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Non-small Cell Lung CancerPhase 1/2NCT05552781

H002 in Patients With EGFR Mutation Locally Advanced or Metastatic NSCLC

A Phase 1/2 study testing H002 capsule in people with Non-small Cell Lung Cancer, run by RedCloud Bio at 8 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a phase I/IIa, open-label, dose-escalation and expansion study to evaluate the safety, tolerability, PK and preliminary anti-tumor activity of H002 when given orally in patients with EGFR mutation-positive locally advanced or metastatic non-small cell lung cancer (NSCLC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-small Cell Lung Cancer
What is being tested?
H002 capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
76 participants
Where
8 sitesChina
Study dates
26 Aug 2022to 28 Feb 2025
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males or females aged ≥ 18 years at time of signing informed consent form (ICF).
  • Histological or cytological confirmed diagnosis of unresectable locally advanced or metastatic NSCLC.
  • Subjects must have NSCLC harboring one or more active EGFR mutations known to be associated with EGFR-TKI sensitivity (including, but not limited to Del19 and L858R).
  • Part A: All subjects may provide tumor sample to central laboratory to analyze the EGFR mutation status according to their own willingness;
  • Part B: All subjects must provide tumor sample to central laboratory to analyze the EGFR mutation status. And subjects must have NSCLC harboring EGFR C797S mutation.
  • Note: Tumor sample can be either an archival sample or a sample obtained by pretreatment biopsy prior to H002 treatment.
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  • • Part A: Subjects have received the best treatment available as determined by the physician and must have radiological documented disease progression on the last treatment administered prior to enrolling in the study.
  • Part B: Subjects have received at least one previous EGFR-TKI treatment and have radiological documented disease progression on the previous continuous EGFR-TKI treatment. In addition, subjects may have received other antitumor treatments and must have radiological documented disease progression on the last treatment administered prior to enrolling in the study.
  • Presence of at least one measurable lesion according to RECIST v1.1 per investigator assessment.
  • ECOG performance status of 0-1.
  • Life expectancy ≥ 12 weeks.
  • Adequate hematologic and organ function per protocol.
  • Women of childbearing potential (WOCBP) and fertile males with WOCBP partners must use highly effective contraception per protocol throughout the study. WOCBP must have a negative serum and/or urine pregnancy test result within 7 days prior to the first dose of H002.
  • Signed ICF, and this must be obtained before the performance of any protocol-specific procedures.

Who cannot join

  • Treatment with any of the following:
  • Prior treatment with an EGFR-TKI within 8 days or approximately 5 × t1/2 prior to the first dose of H002, whichever is longer; Prior treatment with immunotherapy or biotherapy within 4 weeks prior to the first dose of H002; Radiotherapy (palliative radiotherapy is completed at least 2 weeks prior to the first dose of H002 can be enrolled) within 4 weeks prior to the first dose of H002; Herbal therapy that has anti-tumor effects within 2 weeks prior to the first dose of H002; Mitomycin and nitrosourea within 6 weeks prior to the first dose of H002; Oral fluorouracil such as tegafur and capecitabine within 2 weeks prior to the first dose of H002; Chemotherapy (except for mitomycin, nitrosourea, and fluorouracil oral drugs), or other anti-tumor drugs for the treatment of NSCLC within 4 weeks or approximately 5 × t1/2 prior to the first dose of H002, whichever is longer.
  • Subjects with EGFR exon 20 insertion mutations only.
  • Prior marketed and/or investigational treatment for EGFR C797S mutation (including, but not limited to BTP-661411, TQB3804 and BLU-945).
  • Is currently participating and receiving investigational therapy or using an investigational device, or has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks or 5 × t1/2 of the investigational product, whichever is longer, prior to the first dose of H002.
  • Is expected to require any other form of anti-tumor therapy while on study.
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  • Unresolved toxicity greater than CTCAE v5.0 Grade 1 from prior anti-tumor therapy.
  • ≥ CTCAE v5.0 Grade 2 skin toxicity at screening.
  • Treatment with strong inhibitors and strong inducers of CYP3A4 within 2 weeks prior to the first dose of H002, or anticipation of need for such drugs during study treatment.
  • Uncontrollable pleural effusion, ascites, or pericardial effusion.
  • Subjects who have symptomatic brain metastases, meningeal metastasis or spinal cord compression.
  • Subjects who have a chronic or active infection that required systemic treatment within 2 weeks prior to the first dose of H002.
  • Subjects who have gastrointestinal disorders that will affect oral administration or the investigator judges that the absorption of H002 will be interfered.
  • History of hypersensitivity to active or inactive excipients of H002 or drugs with a similar chemical structure or class to H002.
  • Subjects who received a diagnosis of, and/or tested positive at screening for human immunodeficiency virus (HIV).
  • Subjects with active hepatitis B.
  • Presence or history of malignancy other than NSCLC with the exception of some certain early-stage cancers.
  • Subjects who have clinically significant cardiovascular diseases that occurred within 6 months prior to the first dose of H002, include but not limited to QTc interval ≥ 450 msec (male) or ≥ 470 msec (female).
  • Major surgery or significant traumatic injury occurring within 4 weeks prior to the first dose of H002 or anticipation of need for a major surgery during the study.
  • Medical history of ILD.
  • Medical history of severe eye disease without recovery to CTCAE v5.0 Grade 0 or 1.
  • Severe gastrointestinal disease within 4 weeks prior to the first dose of H002 and did not recover to ≤ CTCAE v5.0 Grade 2.
  • Has any bleeding tendency or coagulopathy within 6 months prior to the first dose of H002.
  • Administration of a live, attenuated vaccine within 4 weeks prior to the first dose of H002 or anticipation of need for such a vaccine during the study.
  • Female subjects in pregnancy or lactation.
  • Any other circumstances that would, in the investigator's judgment, prevent the subject's participation in the clinical study due to safety concerns or compliance with clinical study procedures.

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

China8 sites, 8 recruiting
  • Hunan Cancer Hospital

    Changsha, Hunan, 410000

    Lin Wu, Doctor, wulin-calf@vip.163.com

    Jia Li, Doctor, lijia@hnca.org.cn

    Recruiting
  • West China Hospital, Sichuan University

    Chengdu, Sichuan, 610044

    Yongsheng Wang, Doctor, wangys@wchscu.cn

    Yue Chen, Doctor, cy9209@163.com

    Recruiting
  • Harbin Medical University Cancer Hospital

    Haerbin, Heilongjiang, 150081

    Yan Yu, Doctor, gpyuyan@163.com

    Not yet recruiting
  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang, 310000

    Yiping Zhang, Doctor, zhangyp@zjcc.org.cn

    Zhengbo Song, Doctor, songzb@zjcc.org.cn

    Recruiting
  • The First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310003

    Jianying Zhou, Doctor, drzjy@163.com

    Junjun Chen, Doctor, chenjunjun1985@126.com

    Recruiting
  • Shanghai Chest Hospital

    Shanghai, Shanghai Municipality, 20030

    Shun Lu, Doctor, +86 21 2220-0000, Shun_lu@hotmail.com

    Yongfeng Yu, Doctor, +86 21 2220-0000, yuyongfeng212@sina.com

    Recruiting
  • Union Hospital Affiliated to Tongji Medical College Huazhong University of Science and Technology

    Wuhan, Hubei, 430022

    Xiaorong Dong, Doctor, xhzzdxr@126.com

    Ruiguang Zhang, Doctor, zrg27@163.com

    Not yet recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450052

    Mingjun Li, Doctor, didilmj4505@sina.com

    Qianqian Wang, Doctor, wangqqyfy@163.con

    Recruiting

Other trials in China

About this study

Official title: A Phase I/IIa, Open-label, Dose-escalation and Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetic and Preliminary Anti-tumor Activity of H002 in Patients With EGFR Mutation Locally Advanced or Metastatic NSCLC

This is a phase I/IIa, open-label, dose-escalation and expansion study to evaluate the safety, tolerability, PK and preliminary anti-tumor activity of H002 when given orally in patients with EGFR mutation-positive locally advanced or metastatic non-small cell lung cancer (NSCLC).

The study will contain two parts: Part A is dose escalation phase (i.e., Phase I) and Part B is dose expansion phase (i.e., Phase IIa).

Read the detailed description

Part A (Dose Escalation Phase) Approximately 36 subjects will be enrolled, based on the "3+3" design for dose escalation and safety evaluation requirements. The total number of subjects will depend upon the number of dose escalations necessary.

Part B (Dose Expansion Phase) Up to 20 subjects will be enrolled in each expansion arm, the total number of subjects will depend upon the number of dose expansions (expansions may be at more than one dose depending upon emerging data).

Being tested
H002 capsule
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • H002 capsuleDrug

    Also called H002

    Small molecule, Capsule

Study groups in NCT05552781
Study groupRoleWhat they receive
20 mg QD, oralExperimentalH002 20mg QD, orally administered in fasting state, receive a single dose of H002 orally, followed by a 4-day washout period. Then, the same dose of H002 will be administered QD until disease progression or not tolerated.
Receives: Drug: H002 capsule
40 mg QD, oralExperimentalH002 40mg QD, orally administered in fasting state, receive a single dose of H002 orally, followed by a 4-day washout period. Then, the same dose of H002 will be administered QD until disease progression or not tolerated.
Receives: Drug: H002 capsule
80 mg QD, oralExperimentalH002 80mg QD, orally administered in fasting state, receive a single dose of H002 orally, followed by a 4-day washout period. Then, the same dose of H002 will be administered QD until disease progression or not tolerated.
Receives: Drug: H002 capsule
150 mg QD, oraExperimentalH002 150mg QD, orally administered in fasting state, receive a single dose of H002 orally, followed by a 4-day washout period. Then, the same dose of H002 will be administered QD until disease progression or not tolerated.
Receives: Drug: H002 capsule
250 mg QD, oralExperimentalH002 250mg QD, orally administered in fasting state, receive a single dose of H002 orally, followed by a 4-day washout period. Then, the same dose of H002 will be administered QD until disease progression or not tolerated.
Receives: Drug: H002 capsule
350 mg QD, oralExperimentalH002 350mg QD, orally administered in fasting state, receive a single dose of H002 orally, followed by a 4-day washout period. Then, the same dose of H002 will be administered QD until disease progression or not tolerated.
Receives: Drug: H002 capsule

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. DOSE ESCALATION PHASE:Incidence of dose-limiting toxicities (DLTs) at Cycle 0 and Cycle1. Incidence and severity of treatment-emergent adverse events (TEAEs), with severity determined according to National Cancer Institute (NCI) CTCAE v5.0.

    To evaluate the safety and tolerability of H002 and to determine the maximal tolerable dose (MTD), or if possible, a dose/exposure predicted to result in optimal biological dose (OBD) or recommended phase II dose (RP2D).

    Measured: At the end of Cycle 1 (include 4 days in Cycle 0 and 21 days in Cycle1)

  2. DOSE EXPANSION PHASE:Objective Response Rate (ORR)

    To obtain a preliminary evaluation of the anti-tumor activity at the selected dose(s) of H002 when given orally as determined according to RECIST v1.1.

    Measured: [Time Frame: Up to approximately 30 months]

  3. DOSE EXPANSION PHASE:To evaluate the incidence and severity of TEAEs, with severity determined according to NCI CTCAE v5.0.

    To evaluate the safety at the selected dose(s) of H002 when given orally.

    Measured: Up to approximately 30 months

Secondary outcomes (10)
  1. Peak Plasma Concentration (Cmax)

    To evaluate the pharmacokinetic (PK) characteristics of H002 when given orally following single and multiple doses.

    Measured: Up to approximately 30 months

  2. Time to reach maximum concentration (Tmax)

    To evaluate the pharmacokinetic (PK) characteristics of H002 when given orally following single and multiple doses.

    Measured: Up to approximately 30 months

  3. Area under the plasma concentration versus time curve (AUC)

    To evaluate the pharmacokinetic (PK) characteristics of H002 when given orally following single and multiple doses.

    Measured: Up to approximately 30 months

  4. Time for half the drug concentration to be eliminated(t1/2)

    To evaluate the pharmacokinetic (PK) characteristics of H002 when given orally following single and multiple doses.

    Measured: Up to approximately 30 months

  5. DOSE ESCALATION PHASE:Objective Response Rate (ORR)

    To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).

    Measured: Up to approximately 30 months

  6. Disease control rate (DCR)

    To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).

    Measured: Up to approximately 30 months

  7. Duration of response (DOR)

    To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).

    Measured: Up to approximately 30 months

  8. Progression-free survival (PFS)

    To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).

    Measured: Up to approximately 30 months

  9. Time to progression (TTP)

    To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).

    Measured: Up to approximately 30 months

  10. Overall survival (OS)

    To obtain a preliminary evaluation of the anti-tumor activity of H002 when given orally as determined according to response evaluation criteria in solid tumors version 1.1 (RECIST v1.1).

    Measured: Up to approximately 30 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Sep 2022
  2. Study start26 Aug 2022
  3. Primary completion28 Feb 2025 (estimated)
  4. Study completion28 Feb 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
Dose-escalation and Expansion
Masking
None (open label)
Enrolment
76 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05552781
Sponsor's protocol ID
H002-101CN
Status last verified
Apr 2024
First submitted
19 Aug 2022
Last updated
11 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing H002 capsule in people with Non-small Cell Lung Cancer, run by RedCloud Bio at 8 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 11 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Yuying He (+86 10 88018650, yuying.he@rg-pharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

DOSE ESCALATION PHASE:Incidence of dose-limiting toxicities (DLTs) at Cycle 0 and Cycle1. Incidence and severity of treatment-emergent adverse events (TEAEs), with severity determined according to National Cancer Institute (NCI) CTCAE v5.0. (time frame: At the end of Cycle 1 (include 4 days in Cycle 0 and 21 days in Cycle1)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Apr 2024.

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