Patient case: 48-year-old male with Lung adenocarcinoma. Genetic variant: MET Amplification. Other conditions: Emphysema.

Clinical trial: Study of a c-Met Inhibitor PLB1001 in Patients With PTPRZ1-MET Fusion Gene Positive Recurrent High-grade Gliomas

Summary: This phase I, open-label, dose-escalation study was conducted to determine the maximum tolerated dose (MTD), recommended phase II dose (RP2D), dose-limiting toxicities (DLTs), pharmacokinetics (PK) profile, and preliminary antitumor activity of single and multiple doses of PLB1001 in Patients with PTPRZ1-MET fusion gene positive recurrent high-grade Gliomas.

Detailed description: This is a Phase I, open-label study of PLB1001 administered orally to patients with PTPRZ1-MET fusion gene positive recurrent high-grade Gliomas. The aim of dose-escalation study is to estimate the MTD and to identify the dose-limiting toxicity(DLT) and the recommended phase II dose (RP2D) for PLB1001 single agent as well as to determine the PK/PD profile. Aprox. 20 patients will be enrolled in this study.
  PLB1001 is a potent selective c-Met inhibitor. PLB1001 acts on cancer by blocking abnormal cMET-mediated signaling (including PTPRZ1-MET fusion gene), leading to profound tumor growth inhibition in xenografts of PTPRZ1-MET fusion gene positive glioblastoma tumor.

Eligibility: Inclusion Criteria:
  -  Signed Informed Consent Form
  -  Age≥18 years
  -  Histologically or cytologically confirmed recurrent high-grade glioma after concurrent or adjuvant chemoradiotherapy
  -  Prior treatment with temozolomide
  -  Must have evidence of PTPRZ1-MET fusion gene positivity from the results of molecular pre-screening evaluations
  -  At least one measurable lesion as per RANO
  -  No evidence of recent haemorrhage on baseline MRI of the brain
  -  Stable or decreasing dose of corticosteroids within 5 days prior to the first dose
  -  Major surgery within 4 weeks prior to first dose of PLB1001
  -  Previous anti-cancer and investigational agents within 4 weeks before first dose of PLB1001. If previous treatment is a monoclonal antibody, then the treatment must be discontinued at least 6 weeks before first dose of PLB1001
  -  Pregnant or nursing women
  -  Involved in other clinical trials <30 days prior to first dose
  -  Prior therapy with gamma knife or other focal high-dose radiotherapy is allowed, but the patient must have subsequent histologic documentation of recurrence, unless the recurrence is a new lesion outside the irradiated field
  -  Karnofsky performance status ≥ 50%
  Exclusion Criteria:
  -  Previous or current treatment with a c-Met inhibitor or HGF-targeting therapy
  -  The subject is unable to undergo MRI scan (e.g. has pacemaker)
  -  Clinically significant, uncontrolled heart diseases： Unstable angina; History of documented congestive heart failure (New York Heart Association functional classification> II); Uncontrolled hypertension defined by a Systolic Blood Pressure (SBP) ≥ 145 mm Hg and/or Diastolic Blood Pressure (DBP) ≥85 mm Hg; Arrhythmias.
  -  Active peptic ulcer disease or gastritis
  -  Adverse events from prior anti-cancer therapy that have not resolved to Grade ≤ 1, except for alopecia
  -  Major surgery within 4 weeks prior to first dose of PLB1001
  -  Previous anti-cancer and investigational agents within 4 weeks before first dose of PLB1001. If previous treatment is a monoclonal antibody, then the treatment must be discontinued at least 6 weeks before first dose of PLB1001
  -  Pregnant or nursing women
  -  Involved in other clinical trials <30 days prior to first dose

Relevance to patient case: not relevant