EGFR-Mutant Non-Small Cell Lung CancerPhase 1/2REACH-EGFRNCT07699328
A Study of VRN110755 in Patients With EGFR-Mutant Non-Small Cell Lung Cancer
A Phase 1/2 study testing VRN110755 in people with EGFR-Mutant Non-Small Cell Lung Cancer, run by Voronoi, Inc at 29 sites in 10 countries.
Trial summary
This first-in-human, Phase 1/2, multicenter, open-label, non-randomized study evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity of VRN110755, a highly selective oral epidermal growth factor receptor (EGFR) inhibitor, in patients with EGFR-mutant non-small cell lung cancer… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- EGFR-Mutant Non-Small Cell Lung Cancer
- What is being tested?
- VRN110755
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 315 participants
- Where
- 29 sitesin 10 countries
- Study dates
- 26 Mar 2024to 1 Oct 2029
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
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
- Adults aged 18 years or older (19 years or older in the Republic of Korea).
- Able to understand, sign, and provide written informed consent.
- Histologically or cytologically confirmed advanced, metastatic, or recurrent predominantly nonsquamous non-small cell lung cancer (NSCLC) with a documented epidermal growth factor receptor (EGFR) mutation.
- At least one measurable extracranial lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
- Documented EGFR mutation determined by tumor tissue or liquid biopsy.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
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- Able to swallow oral capsules and comply with study procedures.
- Women of childbearing potential must have a negative pregnancy test, must not be breastfeeding, and must agree to use effective contraception during the study and for 7 months after the last safety follow-up visit. Men must agree to use effective contraception during the study and for 6 months after the last safety follow-up visit.
- No appropriate standard treatment options are available or standard treatment is not considered feasible, in the opinion of the investigator.
- Participants must meet the disease-specific eligibility criteria for one of the following study groups:
- Phase 1a
- NSCLC with EGFR activating, resistant, uncommon, or complex mutations, including but not limited to exon 19 deletion (Del19), L858R, C797S, or other uncommon EGFR mutations.
- Radiographic disease progression following at least 2 cycles of prior EGFR tyrosine kinase inhibitor (TKI) therapy or discontinuation of prior EGFR TKI therapy because of toxicity, with no remaining standard therapy expected to provide clinical benefit.
- Phase 1b - Cohort A
- NSCLC with EGFR exon 19 deletion or L858R mutation plus a C797X resistance mutation following disease progression after first-line treatment with a third-generation EGFR TKI (including osimertinib, lazertinib, or aumolertinib).
- Phase 1b - Cohort B
- Treatment-naïve NSCLC with common EGFR mutations.
- Phase 1b - Cohort C
- NSCLC with atypical or uncommon EGFR mutations (including G719X, L861Q, S768I, E709X, R776H, L747S, or combinations of these mutations) previously treated with at least one systemic therapy, including an EGFR TKI, with no remaining standard therapy expected to provide clinical benefit.
- Phase 1b - Cohort D
- Treatment-naïve NSCLC with atypical EGFR mutations.
Who cannot join
- Received an investigational anticancer therapy within 14 days or 5 half-lives (whichever is longer) before the first dose of study treatment.
- Unresolved side effects from previous anticancer therapy greater than Grade 1 according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), except for Grade 2 peripheral neuropathy or alopecia.
- Pregnant or breastfeeding, or planning to become pregnant during the study.
- NSCLC with an EGFR or HER2 exon 20 insertion mutation.
- Another active malignancy within the past 3 years, with the exception of adequately treated cancers considered cured.
- Inadequate bone marrow, kidney, or liver function based on protocol-defined laboratory criteria.
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- Active infection requiring systemic antibacterial, antifungal, or antiviral therapy within 14 days before the first dose of study treatment.
- Active hepatitis B or hepatitis C infection, or known human immunodeficiency virus (HIV) infection.
- Receipt of a live vaccine within 4 weeks before the first dose of study treatment.
- Use of strong or moderate cytochrome P450 (CYP) 3A inhibitors or inducers, certain herbal supplements, or other prohibited medications within the protocol-defined washout period.
- Major surgery within 4 weeks before the first dose of study treatment or incomplete recovery from major surgery.
- Receipt of prior anticancer therapy within the protocol-defined washout period, including systemic therapy, immunotherapy, or radiotherapy.
- Symptomatic or uncontrolled central nervous system (CNS) metastases or spinal cord compression requiring increasing doses of corticosteroids. Participants with treated and stable CNS metastases or asymptomatic CNS disease may be eligible.
- Requirement for systemic corticosteroid therapy exceeding the protocol-defined limit.
- Clinically significant cardiovascular disease, including prolonged QT interval, clinically significant arrhythmias, recent myocardial infarction, unstable angina, congestive heart failure, uncontrolled hypertension, reduced left ventricular ejection fraction, or use of medications known to prolong the QT interval.
- History of interstitial lung disease, noninfectious pneumonitis requiring steroid treatment, or current interstitial lung disease or pneumonitis.
- Inability to swallow oral capsules or gastrointestinal disorders that may interfere with absorption of study treatment.
- Known allergy or hypersensitivity to VRN110755 or any of its components.
- Alcohol or drug abuse within the previous 2 years or any medical, psychological, or social condition that, in the opinion of the investigator, would interfere with study participation or interpretation of study results.
- Use of proton pump inhibitors, histamine-2 receptor antagonists, or locally acting antacids within the protocol-defined washout period or inability to comply with protocol requirements for acid-reducing medications.
- For Phase 1b and Phase 2 only: Presence of another targetable oncogenic driver alteration with an approved targeted therapy, including MET or HER2 amplification; ALK, ROS1, NTRK, or RET fusion; or BRAF V600E or KRAS G12X mutation.
Trial locations and contacts
29 sites in 10 countries. Contact the study team or a site near you to ask about taking part.
29 sites in 10 countries
South Korea5 sites, 5 recruiting
- Recruiting
Chungbuk National University Hospital
Cheongju-si, North Chungcheong, 28644
Ki Hyeong Lee
- Recruiting
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Yu Jung Kim
- Recruiting
Severance Hospital Yonsei University Health System
Seoul, 03722
Min Hee Hong
- Recruiting
Samsung Medical Center
Seoul, 06351
Se-Hoon Lee
- Recruiting
The Catholic University of Korea, St. Vincent's Hospital
Suwon, Gyeonggi-do, 16247
Byoung Yong Shim
Taiwan5 sites, 5 recruiting
- Recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756
Jen-Yu Hung
- Recruiting
Taichung Veterans General Hospital
Taichung, 407219
Tsung-Ying Yang
- Recruiting
National Taiwan University Hospital
Taipei, 10002
Chia-Chi Lin
- Recruiting
Taipei Medical University Hospital
Taipei, 11031
Chao-Hua Chiu
- Recruiting
Taipei Veterans General Hospital
Taipei, 112201
Yung-Hung Luo
Malaysia4 sites, 4 recruiting
- Recruiting
Hospital Kuala Lumpur
Kuala Lumpur, 50586
Muthukkumaran Thiagarajan
- Recruiting
University Malaya Medical Centre
Kuala Lumpur, 59100
Jiunn Liang Tan
- Recruiting
Hospital Umum Sarawak
Kuching, Sarawak, 93586
Pei Jye Voon
- Recruiting
Institut Kanser Negara
Putrajaya, 62250
Yoke Fui Wong
Spain4 sites, 4 recruiting
- Recruiting
ICO Badalona - Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916
Enric Carcereny Costa
- Recruiting
ICO l'Hospitalet - Hospital Duran i Reynals
L'Hospitalet de Llobregat, Barcelona, 08908
Noelia Vilariño Quintela
- Recruiting
Hospital Universitario 12 de Octubre
Madrid, 28041
Santiago Ponce Aix
- Recruiting
Hospital Regional Universitario de Málaga - Hospital Civil
Málaga, 29011
Manuel Cobo Dols
Australia2 sites, 2 recruiting
- Recruiting
Southern Oncology Clinical Research Unit
Bedford Park, South Australia, 05042
Shawgi Sukumaran
- Recruiting
Monash Medical Centre Clayton
Clayton, Victoria, 3168
Surein Arulananda
France2 sites, 2 recruiting
- Recruiting
Centre Georges François Leclerc
Dijon, Côte-d'Or, 21079
François Ghiringhelli
- Recruiting
AP-HM Hôpital Nord
Marseille, Bouches-du-Rhône, 13915
Pascale Tomasini
Hong Kong2 sites, 2 recruiting
- Recruiting
Prince of Wales Hospital
Hong Kong, 999077
Molly Li
- Recruiting
Queen Mary Hospital
Hong Kong, 999077
Victor Lee
Singapore2 sites, 2 recruiting
- Recruiting
National Cancer Centre Singapore
Singapore, 168583
Aaron Tan
- Recruiting
Tan Tock Seng Hospital
Singapore, 308433
Puey Ling Chia
Thailand2 sites, 2 recruiting
- Recruiting
Songklanagarind Hospital Prince of Songkla University
Hat Yai, Changwat Songkhla, 90100
Sarayut Geater
- Recruiting
Phramongkutklao Hospital
Thung Phaya Thai, Bangkok Metropolis, 10400
Naiyarat Prasongsook
Canada1 site, 1 recruiting
- Recruiting
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
Natasha Leighl
About this study
Official title: A Phase 1/2 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of VRN110755 in Patients With Epidermal Growth Factor Receptor (EGFR) Mutant Non-Small Cell Lung Cancer (NSCLC)
This first-in-human, Phase 1/2, multicenter, open-label, non-randomized study evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity of VRN110755, a highly selective oral epidermal growth factor receptor (EGFR) inhibitor, in patients with EGFR-mutant non-small cell lung cancer (NSCLC).
The study includes a Phase 1a dose-escalation portion, a Phase 1b dose-expansion portion, and a Phase 2 evaluation. The study is designed to determine the maximum tolerated dose and recommended Phase 2 dose of VRN110755 and to evaluate preliminary and confirmatory antitumor activity in patients with EGFR-mutant NSCLC, including patients with acquired resistance following EGFR tyrosine kinase inhibitor therapy.
Read the detailed description
This is a Phase 1/2, multicenter, open-label, non-randomized, dose-escalation and dose-expansion clinical trial evaluating VRN110755 administered as oral monotherapy once daily in 28-day treatment cycles.
Phase 1a uses a standard 3+3 dose-escalation design to evaluate safety, tolerability, dose-limiting toxicities, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity and to determine the maximum tolerated dose (MTD).
Phase 1b evaluates safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity across molecularly defined EGFR-mutant NSCLC cohorts and determines the recommended Phase 2 dose (RP2D).
Following determination of the RP2D, selected expansion cohorts will continue into the Phase 2 portion to further evaluate the efficacy, safety, tolerability, and pharmacokinetics of VRN110755. The specific Phase 2 cohorts will be selected based on the safety and efficacy data generated during Phase 1b.
Participants remain on treatment until disease progression, unacceptable toxicity, withdrawal of consent, initiation of another anticancer therapy, death, or study completion.
- Conditions
- EGFR-Mutant Non-Small Cell Lung Cancer
- Being tested
- VRN110755
- Keywords
- NSCLC, EGFR, Epidermal Growth Factor Receptor, Non-Small Cell Lung Cancer, EGFR Mutation, C797S, EGFR Tyrosine Kinase Inhibitor Resistance
- 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.
VRN110755Drug
VRN110755 is an investigational highly selective oral EGFR inhibitor supplied as capsules for oral administration. The drug is designed to target activating EGFR mutations and selected resistance mutations, including C797S, in patients with EGFR-mutant NSCLC.
| Study group | Role | What they receive |
|---|---|---|
| Phase 1a Dose Escalation | Experimental | Participants with advanced, metastatic, or recurrent EGFR-mutant non-small cell lung cancer (NSCLC) who have experienced disease progression following prior EGFR tyrosine kinase inhibitor (TKI) therapy and harbor activating, resistant, uncommon, or complex EGFR mutations. Participants receive escalating dose levels of VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity and to determine the maximum tolerated dose (MTD). Receives: Drug: VRN110755 |
| Phase 1b Cohort A | Experimental | Participants with EGFR-mutant NSCLC harboring exon 19 deletion or exon 21 L858R mutations and a C797X resistance mutation following progression on first-line third-generation EGFR TKI therapy, including osimertinib, lazertinib, or aumolertinib. Participants receive VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity and to support selection of the recommended Phase 2 dose. Receives: Drug: VRN110755 |
| Phase 1b Cohort B | Experimental | Treatment-naïve participants with NSCLC harboring common EGFR mutations. Participants receive VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity in patients who have not previously received systemic treatment for EGFR-mutant NSCLC. Receives: Drug: VRN110755 |
| Phase 1b Cohort C | Experimental | Participants with NSCLC harboring atypical or uncommon EGFR mutations, including G719X, L861Q, S768I, E709X, R776H, L747S, or combinations thereof, who have previously received at least one prior systemic therapy, including an EGFR TKI, and have no remaining standard treatment options expected to provide clinical benefit. Participants receive VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity. Receives: Drug: VRN110755 |
| Phase 1b Cohort D | Experimental | Treatment-naïve participants with NSCLC harboring atypical EGFR mutations. Participants receive VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity in patients who have not previously received systemic treatment for EGFR-mutant NSCLC. Receives: Drug: VRN110755 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Estimate of Maximum Tolerated Dose (MTD) of VRN110755
This will be based on dose-limiting toxicities (DLTs) observed during the DLT evaluation period.
Measured: 28 days
Number of participants with dose-limiting toxicities (DLTs) following treatment with VRN110755
Dose-limiting toxicities will be assessed according to protocol-defined DLT criteria during the DLT evaluation period.
Measured: 28 days
Number of participants experiencing treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and adverse events leading to discontinuation
Measured: From first dose until end of study (up to approximately 6 years)
Number of participants with changes in vital signs from baseline following treatment with VRN110755
Vital signs include blood pressure, pulse rate, respiratory rate, body temperature, and oxygen saturation.
Measured: From baseline through End of Treatment (up to approximately 6 years)
Number of participants with changes in laboratory test results from baseline following treatment with VRN110755
Laboratory evaluations include hematology, clinical chemistry, coagulation, and urinalysis assessments.
Measured: From baseline through End of Treatment (up to approximately 6 years)
Number of participants with changes in physical examination findings from baseline following treatment with VRN110755
Physical examinations include complete physical examinations at screening and End of Treatment and symptom-directed physical examinations during study treatment.
Measured: From baseline through End of Treatment (up to approximately 6 years)
Number of participants with changes in ophthalmologic examination findings from baseline following treatment with VRN110755
Ophthalmologic examinations include best corrected visual acuity, intraocular pressure, slit-lamp examination, spectral-domain optical coherence tomography (SD-OCT), confrontation visual fields, and fundoscopic examination.
Measured: From baseline through End of Treatment (up to approximately 6 years)
Number of participants with changes in electrocardiogram (ECG) parameters from baseline following treatment with VRN110755
Electrocardiogram assessments include 12-lead ECG parameters, including QT interval corrected using Fridericia's formula (QTcF).
Measured: From baseline through End of Treatment (up to approximately 6 years)
Number of participants with changes in Eastern Cooperative Oncology Group (ECOG) Performance Status from baseline following treatment with VRN110755
Measured: From baseline through End of Treatment (up to approximately 6 years)
Secondary outcomes (20)
Plasma PK of VRN110755 - Maximum Plasma Concentration (Cmax)
Maximum observed plasma concentration of VRN110755.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Minimum Plasma Concentration (Cmin)
Minimum observed plasma concentration of VRN110755.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Area Under the Plasma Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUClast)
Area under the plasma concentration-time curve from time zero to the last measurable concentration of VRN110755.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Area Under the Plasma Concentration-Time Curve Over the Dosing Interval (AUCτ)
Area under the plasma concentration-time curve over the dosing interval at steady state for VRN110755.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Time to Maximum Plasma Concentration (Tmax)
Time from dosing to the maximum observed plasma concentration of VRN110755.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Terminal Elimination Rate Constant (λz)
Terminal elimination rate constant of VRN110755 estimated from the terminal log-linear portion of the plasma concentration-time curve.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Apparent Terminal Elimination Half-life (t½)
Apparent terminal elimination half-life of VRN110755 estimated from the terminal elimination phase of the plasma concentration-time curve.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Apparent Volume of Distribution During the Terminal Phase (Vz/F)
Apparent volume of distribution during the terminal elimination phase of VRN110755 following oral administration.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Apparent Total Plasma Clearance (CL/F)
Apparent total plasma clearance of VRN110755 following oral administration.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Trough Plasma Concentration (Ctrough)
Plasma concentration of VRN110755 immediately before the next scheduled dose at steady state.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Mean Residence Time Based on AUClast (MRTlast)
Mean residence time of VRN110755 in the body calculated based on AUClast.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Accumulation Ratio (Rac)
Accumulation ratio of VRN110755 following repeated once-daily dosing, calculated using protocol-specified pharmacokinetic parameters.
Measured: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Change from Baseline in Circulating Tumor DNA (ctDNA)
Change from baseline in circulating tumor DNA (ctDNA) levels, including EGFR Del19, L858R, Del19/C797S, L858R/C797S, C797S, and other protocol-specified EGFR mutations.
Measured: Screening, Day 1 of protocol-specified treatment cycles (each cycle is 28 days) and End of Treatment (up to approximately 6 years)
Objective Response Rate (ORR)
The proportion of participants whose best overall response is a confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
Measured: From first dose until end of study (up to approximately 6 years)
Duration of Response (DOR)
Duration of response (DOR), defined as the time from the first documented confirmed complete response or confirmed partial response until disease progression or death from any cause.
Measured: From first dose until end of study (up to approximately 6 years)
Number of participants with Disease Control Rate (DCR)
Disease control rate (DCR), defined as the proportion of participants achieving confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD) according to RECIST Version 1.1.
Measured: From first dose until end of study (up to approximately 6 years)
Progression-Free Survival (PFS)
Progression-free survival (PFS), defined as the time from the first dose of study treatment until documented disease progression or death from any cause.
Measured: From first dose until end of study (up to approximately 6 years)
Overall Survival (OS)
Overall survival (OS), defined as the time from the first dose of study treatment until death from any cause.
Measured: From first dose until end of study (up to approximately 6 years)
Intracranial Objective Response Rate (Intracranial ORR)
The proportion of participants with brain metastases who achieve a confirmed intracranial complete response or partial response according to Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) criteria.
Measured: From first dose until end of study (up to approximately 6 years)
Intracranial Progression-Free Survival (Intracranial PFS)
Intracranial progression-free survival assessed according to Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) criteria in participants with brain metastases.
Measured: From first dose until end of study (up to approximately 6 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2026
- Study start26 Mar 2024
- Primary completion1 Jan 2029 (estimated)
- Study completion1 Oct 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for EGFR-Mutant Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Participants will enroll sequentially into Phase 1a dose-escalation cohorts followed by Phase 1b dose-expansion cohorts and Phase 2 cohorts.
- Masking
- None (open label)
- Enrolment
- 315 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Voronoi, Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Hongryul Jung, PhD, Study director, Voronoi, Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07699328
- Sponsor's protocol ID
- VRN110755_01
- Other IDs
- 2025-523122-40-00, 2025
- Acronym
- REACH-EGFR
- Status last verified
- Nov 2026
- First submitted
- 1 Jul 2026
- Last updated
- 6 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of VRN110755 in Patients With Epidermal Growth Factor Receptor (EGFR) Mutant Non-Small Cell Lung Cancer (NSCLC)
- ClinicalTrials.gov ID
- NCT07699328
- Acronym / sponsor ID
- REACH-EGFR / VRN110755_01
- Conditions
- EGFR-Mutant Non-Small Cell Lung Cancer
- Keywords
- NSCLC, EGFR, Epidermal Growth Factor Receptor, Non-Small Cell Lung Cancer, EGFR Mutation, C797S, EGFR Tyrosine Kinase Inhibitor Resistance
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 315 participants (estimated)
- Lead sponsor
- Voronoi, IncIndustry (pharma, biotech, devices)
- Study start
- 26 Mar 2024 (actual)
- Primary completion
- 1 Jan 2029 (estimated)
- Study completion
- 1 Oct 2029 (estimated)
- First posted
- 13 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This first-in-human, Phase 1/2, multicenter, open-label, non-randomized study evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity of VRN110755, a highly selective oral epidermal growth factor receptor (EGFR) inhibitor, in patients with EGFR-mutant non-small cell lung cancer (NSCLC).
The study includes a Phase 1a dose-escalation portion, a Phase 1b dose-expansion portion, and a Phase 2 evaluation. The study is designed to determine the maximum tolerated dose and recommended Phase 2 dose of VRN110755 and to evaluate preliminary and confirmatory antitumor activity in patients with EGFR-mutant NSCLC, including patients with acquired resistance following EGFR tyrosine kinase inhibitor therapy.
Detailed description
This is a Phase 1/2, multicenter, open-label, non-randomized, dose-escalation and dose-expansion clinical trial evaluating VRN110755 administered as oral monotherapy once daily in 28-day treatment cycles.
Phase 1a uses a standard 3+3 dose-escalation design to evaluate safety, tolerability, dose-limiting toxicities, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity and to determine the maximum tolerated dose (MTD).
Phase 1b evaluates safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity across molecularly defined EGFR-mutant NSCLC cohorts and determines the recommended Phase 2 dose (RP2D).
Following determination of the RP2D, selected expansion cohorts will continue into the Phase 2 portion to further evaluate the efficacy, safety, tolerability, and pharmacokinetics of VRN110755. The specific Phase 2 cohorts will be selected based on the safety and efficacy data generated during Phase 1b.
Participants remain on treatment until disease progression, unacceptable toxicity, withdrawal of consent, initiation of another anticancer therapy, death, or study completion.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 5
- Model description
- Participants will enroll sequentially into Phase 1a dose-escalation cohorts followed by Phase 1b dose-expansion cohorts and Phase 2 cohorts.
| Arm | Type | Receives |
|---|---|---|
| Phase 1a Dose Escalation | Experimental | Drug: VRN110755Participants with advanced, metastatic, or recurrent EGFR-mutant non-small cell lung cancer (NSCLC) who have experienced disease progression following prior EGFR tyrosine kinase inhibitor (TKI) therapy and harbor activating, resistant, uncommon, or complex EGFR mutations. Participants receive escalating dose levels of VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity and to determine the maximum tolerated dose (MTD). |
| Phase 1b Cohort A | Experimental | Drug: VRN110755Participants with EGFR-mutant NSCLC harboring exon 19 deletion or exon 21 L858R mutations and a C797X resistance mutation following progression on first-line third-generation EGFR TKI therapy, including osimertinib, lazertinib, or aumolertinib. Participants receive VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity and to support selection of the recommended Phase 2 dose. |
| Phase 1b Cohort B | Experimental | Drug: VRN110755Treatment-naïve participants with NSCLC harboring common EGFR mutations. Participants receive VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity in patients who have not previously received systemic treatment for EGFR-mutant NSCLC. |
| Phase 1b Cohort C | Experimental | Drug: VRN110755Participants with NSCLC harboring atypical or uncommon EGFR mutations, including G719X, L861Q, S768I, E709X, R776H, L747S, or combinations thereof, who have previously received at least one prior systemic therapy, including an EGFR TKI, and have no remaining standard treatment options expected to provide clinical benefit. Participants receive VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity. |
| Phase 1b Cohort D | Experimental | Drug: VRN110755Treatment-naïve participants with NSCLC harboring atypical EGFR mutations. Participants receive VRN110755 to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity in patients who have not previously received systemic treatment for EGFR-mutant NSCLC. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (21 listed)
- Adults aged 18 years or older (19 years or older in the Republic of Korea).
- Able to understand, sign, and provide written informed consent.
- Histologically or cytologically confirmed advanced, metastatic, or recurrent predominantly nonsquamous non-small cell lung cancer (NSCLC) with a documented epidermal growth factor receptor (EGFR) mutation.
- At least one measurable extracranial lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
- Documented EGFR mutation determined by tumor tissue or liquid biopsy.
Key exclusion criteria (21 listed)
- Received an investigational anticancer therapy within 14 days or 5 half-lives (whichever is longer) before the first dose of study treatment.
- Unresolved side effects from previous anticancer therapy greater than Grade 1 according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE), except for Grade 2 peripheral neuropathy or alopecia.
- Pregnant or breastfeeding, or planning to become pregnant during the study.
- NSCLC with an EGFR or HER2 exon 20 insertion mutation.
- Another active malignancy within the past 3 years, with the exception of adequately treated cancers considered cured.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VRN110755VRN110755 is an investigational highly selective oral EGFR inhibitor supplied as capsules for oral administration. The drug is designed to target activating EGFR mutations and selected resistance mutations, including C797S, in patients with EGFR-mutant NSCLC. | Drug | Phase 1a Dose Escalation, Phase 1b Cohort A, Phase 1b Cohort B, Phase 1b Cohort C, Phase 1b Cohort D |
Primary outcome
Estimate of Maximum Tolerated Dose (MTD) of VRN110755
Time frame: 28 days
This will be based on dose-limiting toxicities (DLTs) observed during the DLT evaluation period.
Number of participants with dose-limiting toxicities (DLTs) following treatment with VRN110755
Time frame: 28 days
Dose-limiting toxicities will be assessed according to protocol-defined DLT criteria during the DLT evaluation period.
Number of participants experiencing treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and adverse events leading to discontinuation
Time frame: From first dose until end of study (up to approximately 6 years)
Number of participants with changes in vital signs from baseline following treatment with VRN110755
Time frame: From baseline through End of Treatment (up to approximately 6 years)
Vital signs include blood pressure, pulse rate, respiratory rate, body temperature, and oxygen saturation.
Number of participants with changes in laboratory test results from baseline following treatment with VRN110755
Time frame: From baseline through End of Treatment (up to approximately 6 years)
Laboratory evaluations include hematology, clinical chemistry, coagulation, and urinalysis assessments.
Number of participants with changes in physical examination findings from baseline following treatment with VRN110755
Time frame: From baseline through End of Treatment (up to approximately 6 years)
Physical examinations include complete physical examinations at screening and End of Treatment and symptom-directed physical examinations during study treatment.
Number of participants with changes in ophthalmologic examination findings from baseline following treatment with VRN110755
Time frame: From baseline through End of Treatment (up to approximately 6 years)
Ophthalmologic examinations include best corrected visual acuity, intraocular pressure, slit-lamp examination, spectral-domain optical coherence tomography (SD-OCT), confrontation visual fields, and fundoscopic examination.
Number of participants with changes in electrocardiogram (ECG) parameters from baseline following treatment with VRN110755
Time frame: From baseline through End of Treatment (up to approximately 6 years)
Electrocardiogram assessments include 12-lead ECG parameters, including QT interval corrected using Fridericia's formula (QTcF).
Number of participants with changes in Eastern Cooperative Oncology Group (ECOG) Performance Status from baseline following treatment with VRN110755
Time frame: From baseline through End of Treatment (up to approximately 6 years)
20 secondary outcomes
Plasma PK of VRN110755 - Maximum Plasma Concentration (Cmax)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Minimum Plasma Concentration (Cmin)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Area Under the Plasma Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUClast)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Area Under the Plasma Concentration-Time Curve Over the Dosing Interval (AUCτ)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Time to Maximum Plasma Concentration (Tmax)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Terminal Elimination Rate Constant (λz)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Apparent Terminal Elimination Half-life (t½)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Apparent Volume of Distribution During the Terminal Phase (Vz/F)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Apparent Total Plasma Clearance (CL/F)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Trough Plasma Concentration (Ctrough)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Mean Residence Time Based on AUClast (MRTlast)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Plasma PK of VRN110755 - Accumulation Ratio (Rac)
Time frame: Predose and up to 24 hours postdose on protocol-specified pharmacokinetic sampling days.
Change from Baseline in Circulating Tumor DNA (ctDNA)
Time frame: Screening, Day 1 of protocol-specified treatment cycles (each cycle is 28 days) and End of Treatment (up to approximately 6 years)
Objective Response Rate (ORR)
Time frame: From first dose until end of study (up to approximately 6 years)
Duration of Response (DOR)
Time frame: From first dose until end of study (up to approximately 6 years)
Number of participants with Disease Control Rate (DCR)
Time frame: From first dose until end of study (up to approximately 6 years)
Progression-Free Survival (PFS)
Time frame: From first dose until end of study (up to approximately 6 years)
Overall Survival (OS)
Time frame: From first dose until end of study (up to approximately 6 years)
Intracranial Objective Response Rate (Intracranial ORR)
Time frame: From first dose until end of study (up to approximately 6 years)
Intracranial Progression-Free Survival (Intracranial PFS)
Time frame: From first dose until end of study (up to approximately 6 years)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Hongryul Jung, PhD study director
Voronoi, Inc
29 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing VRN110755 in people with EGFR-Mutant Non-Small Cell Lung Cancer, run by Voronoi, Inc at 29 sites in 10 countries.
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 21 inclusion and 21 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: looking for participants now, as of the sponsor's last update on 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 29 sites in South Korea, Taiwan, Malaysia, Spain, Australia and 5 more countries. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Trial Information (+82 32 219 7849, information_clinicaltrial_11@voronoi.io), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Estimate of Maximum Tolerated Dose (MTD) of VRN110755 (time frame: 28 days). The study lists 9 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 6 Nov 2026.