Assessment of Anti-tumor and Safety in Glumetinib in Patients With c-MET-positive Non-Small Cell Lung Cancer
NCT ID: NCT04270591
Last Updated: 2022-08-01
Study Results
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Basic Information
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RECRUITING
PHASE1/PHASE2
183 participants
INTERVENTIONAL
2019-07-15
2023-12-30
Brief Summary
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Phase Ib (China only):
Approximately 90 patients
Phase Ⅱ (globally):
Approximately 78 evaluable patients; addition of at least 6 patients in Safety Run-in (US only)
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Detailed Description
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Approximately 90 patients with locally advanced or metastatic NSCLC (Stage IIIb, IIIc or IV) including pulmonary sarcomatoid carcinoma (PSC). All patients should carry at least one of the following MET alterations (confirmed by local or central laboratory):
* Patients with METex14 skipping mutation who had previously treated by other MET inhibitor(s)
* Patients with METex14 skipping mutation who had received 3 or more lines prior systemic therapies without MET inhibitor for the advanced NSCLC
* Patients with MET amplification (GCN ≥ 4 or MET/CEP7 ratio ≥ 2)
* Patients with MET over-expression (IHC2+) Phase II - Safety Run-in Population (US only) A minimum of 6 patients who meeting the eligibility for either Phase Ib or Phase II.
Phase II study population (globally) Approximately 78 evaluable patients with locally advanced or metastatic NSCLC (Stage IIIb, IIIc or IV, including PSC) harboring METex14 skipping mutation that have been pre-screened by local or Sponsor-designated central laboratory, who are not eligible for chemotherapy or refuse of chemotherapy after well-informed or have failed one or two prior lines of systemic therapies and have not had prior MET inhibitor for the advanced NSCLC.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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SCC244 300mg
Phase Ib: SCC244 300mg, QD Phase II: SCC244 300mg, QD
Glumetinib
The investigational product will be orally administrated when fasting at dose level of 300mg QD
Interventions
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Glumetinib
The investigational product will be orally administrated when fasting at dose level of 300mg QD
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Male and female patients ≥ 18 years of age (or having reached the age of majority according to local laws and regulations, if the age is \> 18 years).
3. Histologically or cytologically confirmed diagnosis of NSCLC including PSC.
4. Patients with stage IIIb or IIIc NSCLC who are not candidates for definitive surgical resection or concurrent chemoradiation or patients with stage IV NSCLC (AJCC version 8).
5. For Phase Ib study, patients should carry at least one of the following MET alterations (by local or Sponsor-designated central laboratory screening):
* METex14 skipping mutation who had previously treated by other MET inhibitor(s) or
* METex14 skipping mutation who had received 3 or more lines prior systemic therapies without MET inhibitor for the advanced NSCLC or
* MET amplification GCN ≥ 4 or MET/CEP7 ratio ≥ 2) or
* MET over-expression (IHC2+).
6. For Phase II study, patients with METex14 skipping mutation in tumor or ctDNA samples (local testing is acceptable for eligibility, however if the results of the central laboratory is available, the report of the central laboratory shall prevail); all patients in Phase II study will have confirmation of METex14 skipping mutation by Sponsor-designated central laboratory but this result is not necessary for eligibility.
7. Availability of tumor tissue sample (either fresh tumor biopsy or archival tumor tissue sample); for patients of phase II study (not mandatory for safety run-in), if screened and enrolled based on local test results of METex14 skipping, the tumor tissue sample must be available for central laboratory testing before C2D1; if local testing results meet the requirements, patients of phase Ib are exempt from the central laboratory confirm.
8. For Phase II study, patients are not eligible for chemotherapy or refuse chemotherapy after well-informed or have failed one or two prior lines of systemic therapies for the advanced NSCLC.
* Treatment failure is defined as documented disease progression or intolerance to treatment.
* Maintenance therapy given after first line chemotherapy will be considered as part of the first line if given to patients with documented response or stable disease before starting the maintenance therapy.
* Prior neoadjuvant/adjuvant systematic therapies will count as one prior line of treatment, provided that disease recurred within 12 months of completion of neoadjuvant/adjuvant therapy.
9. For Phase II study, at least one measurable lesion as per RECIST 1.1. (A previously irradiated site lesion may only be counted as a target lesion if there is clear sign of progression since the irradiation.)
10. ECOG Performance Status (PS): 0-1.
11. Adequate bone marrow reserve, renal and liver function:
* Absolute neutrophil count ≥ 1.5 × 109/L;
* Hemoglobin ≥ 9 g/dL;
* Platelet count ≥ 75 × 109/L;
* Serum total bilirubin ≤ ULN (≤ 3 × ULN for patients with Gilbert's syndrome);
* Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 × ULN (≤ 5.0 × ULN for patients with hepatic metastasis);
* Creatinine clearance (calculated\* or measured value\*\*) ≥ 50 mL/min
* For calculated creatinine clearance (Ccr) value, the eligibility should be determined using the Cockcroft-Gault formula:
* Male Ccr (mL/mim) = body weight (kg) x (140-age)/\[72 x creatinine (mg/dL)\]
* Female Ccr (mL/min) = male Ccr x 0.85 \*\* A measured value
* International normalized ratio (INR) \< 1.3 (or \< 3.0 if on anticoagulation)
Exclusion Criteria
1. Patients with targetable activating EGFR mutation, ALK rearrangement, ROS1 rearrangement, BRAF mutation or NTRK fusion that have available standard of care therapies.
2. Patients who have symptomatic CNS metastasis which is neurologically unstable or those who have CNS disease requiring increase in the dose of steroid. (Note: Patients with controlled CNS metastasis can participate in the trial. Before entering the study, patients should have finished radiotherapy, or have received operation for CNS tumor metastasis at least two weeks before. Patients' neurological function must be in a stable state; no new neurological deficit is found during clinical examination and no new problem is found during CNS imaging examinations. If patients need to use steroids to treat CNS metastasis, the therapeutic dose of steroid should be stable for ≥ 3 months at least two weeks prior to entering the study with treatment dose no more than dexamethasone 4 mg daily or an equivalent dose of steroids.)
3. Prior exposure to MET-directed therapy (except patients harboring METex14 skipping in Phase Ib study).
4. Evidence of past or current primary malignancies other than NSCLC (except for non-melanoma skin cancer, in situ breast cancer or in situ cervical carcinoma and superficial bladder cancer, or other cancer curatively treated and with no evidence of disease for at least 5 years).
5. Subjects with clinically significant cardiovascular disease, including:
* NYHA Class III or higher congestive heart failure;
* History or current evidence of serious uncontrolled ventricular arrhythmias requiring drug therapy;
* Acute myocardial infarction, severe or unstable angina pectoris, coronary artery or peripheral artery bypass graft received within 6 months prior to the first dose;
* Left ventricular ejection fraction (LVEF) \< 50%;
* Fridericia's corrected QT interval (QTcF) \> 460 ms on ECG conducted during screening;
* Congenital long QT syndrome, or any known history of torsade de pointes (TdP), or family history of unexplained sudden death;
* Clinically uncontrolled hypertension (after standard antihypertensive treatment, systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg);
6. Any unresolved toxicities from prior therapy greater than CTCAE grade 1 at the time of starting study treatment with the exception of alopecia and grade 2 prior neuropathy.
7. Known HIV infection with a history of acquired immunodeficiency syndrome (AIDS)-defining opportunity infection within the past 12 months; active hepatitis B and hepatitis C. Patients whose test results meet one of the following will not be enrolled:
* for patients in China and Japan, confirmed HIV antibody positive. For patients in the US, patients with a history of HIV but no history of AIDS or an AIDS-defining opportunistic infection are allowed to be enrolled;
* serum HBsAg positive and HBV DNA\>200 IU/ml or 1000 copies/mL;
\- For patients in Japan, whose results are HBsAg antigen negative; however, when HBsAb or HBcAb positive, the patients whose HBV DNA \< 200 IU/ml or 1000 copies/mL could be enrolled.
* serum HCV antibody and HCV RNA positive.
8. Anticancer therapy (including chemotherapy, targeted therapy, biotherapy, hormone therapy or other investigational agents) within 4 weeks or 5 times of half-lives (whichever is shorter) prior to the first dose of the study drug or who have not recovered from the side effect of such therapy.
9. Radical radiation therapy (including radiation therapy for over 25% bone marrow) within 4 weeks prior to the first dose of the investigational product or received local palliative radiation therapy for bone metastases within 2 weeks.
10. Major surgery or had significant traumatic injury within 28 days prior to the first dose of the investigational product.
11. Patients who have to receive treatment (definite strong CYP3A4 inhibitor or inducer \[appendix 6\]; in addition, herbals/supplements containing St. John's wart \[Hypericum perforatum L.\] and Sevillia orange etc. should also be avoided.) that is prohibited during the study and those who cannot discontinue drugs (e.g. antiarrhythmic agent) that may lead to QTc interval prolongation or torsade de pointes. Additionally, patients who have to receive treatment of strong inhibitor for CYP2C8 and/or CYP2C9 \[appendix 6\] and substrates or inhibitor for transporter \[appendix 7\] will be excluded in safety run-in part of the study.
12. Any diseases or medical conditions, at the investigator's discretion, that may be unstable or influence their safety or study compliance, including organ transplantation, abuse of psychotropic medication, alcohol abuse or history of drug abuse.
13. Other serious illness or medical conditions at the investigator's discretion, that may influence study results, including but not limited to serious infection, diabetes, cardiovascular and cerebrovascular diseases or lung disease.
14. Patients with a history of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis which required steroid treatment or any evidence of clinically active ILD.
15. Pregnant or breast-feeding patients. Pregnancy refers to the state of a woman between fertilization and the end of pregnancy confirmed by positive laboratory hCG test (\> 5 mIU/mL). Breast-feeding woman can become eligible for this study if she stops breast-feeding, however, cannot restart the breast-feeding on/after the completion of the study treatment.
16. Man and woman with childbearing potential (WOCBP refer to appendix 3) not using effective contraception (refer to appendix 3) during the trial and within 6 months after the end of treatment
18 Years
80 Years
ALL
No
Sponsors
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Haihe Biopharma Co., Ltd.
INDUSTRY
Responsible Party
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Principal Investigators
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James Zhou, MD
Role: STUDY_DIRECTOR
Haihe Biopharma
Locations
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Norton Cancer Institute
Louisville, Kentucky, United States
The Oncology Institute of Hope & Innovation
Louisville, Kentucky, United States
Anhui Province Hospital
Hefei, Anhui, China
The Chest Hospital of Anhui Province
Hefei, Anhui, China
Beijing Cancer Hospital
Beijing, Beijing Municipality, China
Beijing Cancer Hospita
Beijing, Beijing Municipality, China
Peking Union Medical College Hospital
Beijing, Beijing Municipality, China
Union Medical College Hospital Affiliated to Fujian Medical University
Fuzhou, Fujian, China
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China
Cancer Hospital Affiliated to Guangxi Medical University
Nanning, Guangxi, China
Hainan Cancer Hospital
Haikou, Hainan, China
Cancer Hospital Affiliated to Harbin Medical University
Harbin, Heilongjiang, China
Henan Province Cancer Hospital
Zhengzhou, Henan, China
Hubei Cancer Hospital
Wuhan, Hubei, China
Wuhan Union Hospital
Wuhan, Hubei, China
Xiangya Hospital Central South University
Changsha, Hunan, China
Jiangsu Cancer Hospital
Nanjing, Jiangsu, China
Jiangsu Province People's Hospital
Nanjing, Jiangsu, China
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, China
First Hospital of Jilin University
Changchun, Jilin, China
Liaoning Cancer Hospital
Shenyang, Liaoning, China
Affiliated Hospital of Hebei University
Baoding, Shandong, China
Shandong University Qilu Hospital
Jinan, Shandong, China
Changhai Hospital
Shanghai, Shanghai Municipality, China
Fudan university Shanghai cancer center
Shanghai, Shanghai Municipality, China
The Chest Hospital of Shanghai
Shanghai, Shanghai Municipality, China
West China Hospital of Sichuan University
Chengdu, Sichuan, China
Tianjin Cancer Hospital
Tianjin, Tianjin Municipality, China
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, China
The First Affiliated Hospital,College of of Medicine, Zhejiang University
Hangzhou, Zhejiang, China
Zhejiang Province Cancer Hospital
Hangzhou, Zhejiang, China
Hunan Province Cancer Hospital
Changsha, , China
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, , China
Ehime University Hospital
Ehime, , Japan
Kyushu University Hospital
Fukuoka, , Japan
Kanagawa Cancer Center
Kanagawa, , Japan
Niigata Cancer Center Hospital
Niigata, , Japan
Kindai University Hospital
Osaka, , Japan
Osaka International Cancer Institute
Osaka, , Japan
Hokkaido University Hospital
Sapporo, , Japan
Shizuoka Cancer Center
Shizuoka, , Japan
National Cancer Center Hospital East
Tokyo, , Japan
National Cancer center
Tokyo, , Japan
Tottori University Hospital
Tottori, , Japan
Countries
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Central Contacts
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Facility Contacts
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Jaspreet Singh, Grewal
Role: primary
Stephen, Huang
Role: primary
Lejie Cao
Role: primary
Xuhong Min
Role: primary
Ziping Wang
Role: primary
Jian Fang
Role: primary
Li Zhang
Role: primary
Xiaoyan Lin
Role: primary
Chengzhi Zhou
Role: primary
Qitao Yu
Role: primary
Wen Dong
Role: primary
Yan Yu
Role: primary
Yanqiu Zhao
Role: primary
Yanping Hu
Role: primary
Xiaorong Dong
Role: primary
Min Li
Role: primary
Meiqi Shi
Role: primary
Yongqian Shu
Role: primary
Wei Zhang
Role: primary
Jiuwei Cui
Role: primary
Xiaoling Li
Role: primary
Aimin Zang
Role: primary
Xiuwen Wang
Role: primary
Chong Bai
Role: primary
Jialei Wang
Role: primary
Shun Lu
Role: primary
Lu Li
Role: primary
Dingzhi Huang
Role: primary
Diansheng Zhong
Role: primary
Jianying Zhou
Role: primary
Yiping Zhang
Role: primary
Lin Wu
Role: primary
Xingya Li
Role: primary
Naoyuki Nogami
Role: primary
Isamu Okamoto
Role: primary
Terufumi Kato
Role: primary
Hiroshi Tanaka
Role: primary
Hidetoshi Hayashi, Dr
Role: primary
Kazumi Nishino
Role: primary
Jun Sakakibara
Role: primary
Haruki Kobayashi
Role: primary
Koichi Goto
Role: primary
Yuki Shinno
Role: primary
Masahiro Kodani
Role: primary
References
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Drilon AE CD, Ou S-H. Efficacy and safety of crizotinib in patients (pts) with dvanced MET exon 14-altered non-small cell lung cancer (NSCLC). J Clin Oncol. 2016; 34:suppl; abstr 108.
6. Felip E HL, Patel JD. Tepotinib in patients with advanced non-small cell lung cancer harboring MET exon 14-skipping mutations: Phase II trial. . J Clin Oncol. 2018; 36:suppl; abstr 9016.
Yin L, Lu Y. [MET Exon 14 Skipping Mutations in Non-small Cell Lung Cancer]. Zhongguo Fei Ai Za Zhi. 2018 Jul 20;21(7):553-559. doi: 10.3779/j.issn.1009-3419.2018.07.09. Chinese.
Vuong HG, Ho ATN, Altibi AMA, Nakazawa T, Katoh R, Kondo T. Clinicopathological implications of MET exon 14 mutations in non-small cell lung cancer - A systematic review and meta-analysis. Lung Cancer. 2018 Sep;123:76-82. doi: 10.1016/j.lungcan.2018.07.006. Epub 2018 Jul 6.
Liu SY, Gou LY, Li AN, Lou NN, Gao HF, Su J, Yang JJ, Zhang XC, Shao Y, Dong ZY, Zhou Q, Zhong WZ, Wu YL. The Unique Characteristics of MET Exon 14 Mutation in Chinese Patients with NSCLC. J Thorac Oncol. 2016 Sep;11(9):1503-10. doi: 10.1016/j.jtho.2016.05.016. Epub 2016 May 30.
Frampton GM, Ali SM, Rosenzweig M, Chmielecki J, Lu X, Bauer TM, Akimov M, Bufill JA, Lee C, Jentz D, Hoover R, Ou SH, Salgia R, Brennan T, Chalmers ZR, Jaeger S, Huang A, Elvin JA, Erlich R, Fichtenholtz A, Gowen KA, Greenbowe J, Johnson A, Khaira D, McMahon C, Sanford EM, Roels S, White J, Greshock J, Schlegel R, Lipson D, Yelensky R, Morosini D, Ross JS, Collisson E, Peters M, Stephens PJ, Miller VA. Activation of MET via diverse exon 14 splicing alterations occurs in multiple tumor types and confers clinical sensitivity to MET inhibitors. Cancer Discov. 2015 Aug;5(8):850-9. doi: 10.1158/2159-8290.CD-15-0285. Epub 2015 May 13.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12.
Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, Jemal A, Yu XQ, He J. Cancer statistics in China, 2015. CA Cancer J Clin. 2016 Mar-Apr;66(2):115-32. doi: 10.3322/caac.21338. Epub 2016 Jan 25.
Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer J Clin. 2010 Sep-Oct;60(5):277-300. doi: 10.3322/caac.20073. Epub 2010 Jul 7.
Lu S, Yu Y, Zhou J, Li X, Goto K, Min X, Nishino K, Cui J, Wu L, Sakakibara J, Shu Y, Dong X, Li L, Yoneshima Y, Zhou C, Li X, Zhang Y, Huang D, Zang A, Zhang W, Wang X, Zhang L, Bai C, Fang J, Cao L, Zhao Y, Yu Y, Shi M, Zhong D, Li F, Duanmu W, Wang Y. Long-term follow-up results from the GLORY study: phase II study of gumarontinib in East Asian patients with MET exon 14 skipping mutated non-small cell lung cancer. Transl Lung Cancer Res. 2025 Sep 30;14(9):3924-3938. doi: 10.21037/tlcr-2025-638. Epub 2025 Sep 28.
Yu Y, Dong W, Shi Y, Wu R, Yu Q, Ye F, Zhou C, Dong X, Li X, Li Y, Li Z, Wu L, Pan Y, Shen H, Wu D, Xu Z, Wu J, Xu N, Qin Y, Zang A, Zhang J, Zhou J, Zhang X, Zhao Y, Li F, Wang H, Liu Q, Han Z, Li J, Lu S. A pooled analysis of clinical outcome in driver-gene negative non-small cell lung cancer patients with MET overexpression treated with gumarontinib. Ther Adv Med Oncol. 2024 Jul 31;16:17588359241264730. doi: 10.1177/17588359241264730. eCollection 2024.
Yu Y, Zhou J, Li X, Goto K, Min X, Nishino K, Cui J, Wu L, Sakakibara J, Shu Y, Dong X, Li L, Yoneshima Y, Zhou C, Li X, Zhang Y, Huang D, Zang A, Zhang W, Wang X, Zhang L, Bai C, Fang J, Cao L, Zhao Y, Yu Y, Shi M, Zhong D, Li F, Li M, Wu Q, Zhou J, Sun M, Lu S. Gumarontinib in patients with non-small-cell lung cancer harbouring MET exon 14 skipping mutations: a multicentre, single-arm, open-label, phase 1b/2 trial. EClinicalMedicine. 2023 Apr 6;59:101952. doi: 10.1016/j.eclinm.2023.101952. eCollection 2023 May.
Other Identifiers
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SCC244-108
Identifier Type: -
Identifier Source: org_study_id
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