Clinical trial NCT02929290: Safety, Efficacy and Pharmacokinetic of BPI-9016M in Patients With c-Met- Dysregulated Advanced NSCLC
Official title: Safety, Efficacy and Pharmacokinetic of BPI-9016M in Patients With c-Met- Dysregulated Advanced NSCLC: A Phase Ib Study,Open-label,Dose-expansion Study
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE1
Conditions: Non-small Cell Lung Cancer
Lead sponsor: Betta Pharmaceuticals Co., Ltd.
Sponsor class: INDUSTRY
First posted: 2016-10-11
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The main objective of this study is to evaluate the safety, tolerability, efficacy and pharmacokinetics of BPI-9016M in patients with c-Met-dysregulated advanced NSCLC. Biomarkers related to the efficacy of BPI-9016M will be investigated.

Detailed description: This study was a multicenter, open, single-arm, Ib-stage expanded clinical study.

Part I：On the basis of Ia-stage dose escalation study, a safe and effective dose of -300 mg, 450 mg, 600 mg and 800 mg was selected to enlarge the enrollment study in patients with c-Met-dysregulated advanced NSCLC, and continuously administered until the disease progressed or could not be tolerated, in order to further evaluate the safety, ttolerability, efficacy and pharmacokinetics of BPI-9016M.

Part II：On the basis of the completed research results of Ia stage and part I, a safe and effective dose of 400 mg twice a day (bid) was selected to conduct an expanded enrollment study in NSCLC patients with MET exon 14 skipping alterations, and continuously administered until the disease progressed or could not be tolerated, in order to further evaluate the safety, ttolerability, efficacy and pharmacokinetics of BPI-9016M.

Eligibility criteria: Inclusion Criteria:

* Histologically or cytologically confirmed, locally advanced or metastatic NSCLC patients, who is not suitable for surgery or radiotherapy
* Evaluable or measurable disease per Response Evaluation Criteria in Solid Tumors(RECIST1.1)
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
* Life expectancy ≥12 weeks
* Must have evidence of positive c-Met protein expression by IHC from either local data or the results of molecular pre-screening evaluations；Must haved evidence of MET exon 14 skipping alterations in blood and/or tissue samples.
* Adequate bone marrow, hepatic, and renal function
* Patients of child bearing potential must agree to take contraception during the study and for 3 months after the last day of treatment
* Signed Informed Consent Form

Exclusion Criteria:

* Prior or current treatment with the type II of c-MET inhibitor or HGF/c-Met antibody therapy
* Confirmed ALK or ROS1 rearrangement
* Prior treatment with targeting agents (Including EGFR tyrosine kinase inhibitors,VEGFR TKIs,the tpye I of MET TKIs, etc.) within 14 days or 5 half-life
* Prior treatment with anticancer agents (Including cytotoxic chemotherapy,radiotherapy, immunotherapy etc.) within 4 weeks
* Brain/meninges metastases unless asymptomatic, stable and not requiring steroids for maintenance
* History of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis which required steroid treatment, or any evidence of clinically active interstitial lung disease, radiological documentation of idiopathic pulmonary fibrosis at baseline; uncontrolled pleural effusion/pericardial effusion
* Any evidence of severe or uncontrolled systemic diseases, including CTCAE 2 or higher active infection, unstable angina pectoris, congestive cardiac failure and severe liver/renal or metabolic disease
* Active infection including hepatitis B, hepatitis C and human immunodeficiency virus (HIV)
* History of organ transplant; had surgery or severe injury within 4 weeks
* Uncontrolled hypertension（Systolic blood pressure≥160mmHg and/or diastolic blood pressure≥100mmHg ）
* Patients unable to swallow orally administered medication, prior surgical procedures affecting absorption.
* Pregnant (positive pregnancy test) or lactating women

Primary outcomes:
measure: Participants with Adverse Events
timeFrame: 18 months
measure: Objective Response Rate
timeFrame: 16 weeks
measure: Disease Control Rate
timeFrame: 16 weeks
Secondary outcomes:
measure: AUCss
timeFrame: 4 weeks
measure: Css-min
timeFrame: 18 months
measure: Progression-Free Survival
timeFrame: 18 months
measure: Overall Survival
timeFrame: 24 months
Other outcomes:
Locations:
city: Hefei
country: China
facility: The Second Affiliated Hospital of Anhui Medical University
state: Anhui
city: Beijing
country: China
facility: Department of Medical Oncology, Cancer Institute/Hospital, Chinese Academy of Medical Sciences
state: Beijing
city: Beijing
country: China
facility: Peking Union Medical College Hospital
state: Beijing
city: Beijing
country: China
facility: Beijing Cancer Hospital
state: Beijing
city: Shijiazhuang
country: China
facility: Fourth Hospital of Hebei Medical University
state: Hebei
city: Harbin
country: China
facility: Affiliated Cancer Hospital of Harbin Medical University
state: Heilongjiang
city: Shenyang
country: China
facility: The First Hospital of China Medical University
state: Liaoning
Study officials:
References: