Sunvozertinib (DZD9008) in Pretreated Lung Cancer Patients with EGFR Exon20 Insertion Mutation (WU-KONG6)

NCT ID: NCT05712902

Last Updated: 2024-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-19

Study Completion Date

2025-12-31

Brief Summary

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This is a Phase II, single-arm, multi-center clinical study to evaluate the anti-tumor efficacy, safety, tolerability and pharmacokinetics of Sunvozertinib in participants with locally advanced or metastatic NSCLC carrying EGFR exon 20 insertion mutations whose disease has progressed on prior platinum-based chemotherapy

Detailed Description

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Conditions

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Non-Small Cell Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Daily dose of Sunvozertinib

Group Type EXPERIMENTAL

Sunvozertinib

Intervention Type DRUG

Daily dose of Sunvozertinib

Interventions

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Sunvozertinib

Daily dose of Sunvozertinib

Intervention Type DRUG

Other Intervention Names

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DZD9008

Eligibility Criteria

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Inclusion Criteria

1. Patients must be able to understand the nature of the trial and provide a signed and dated, written informed consent form.
2. Aged at least 18 years old.
3. Histological or cytological confirmed locally advanced or metastatic NSCLC
4. Tumor tissue EGFR exon 20 insertion mutations confirmed by qualified local laboratories or sponsor-designated central laboratories.
5. Participants must exhibit Eastern Cooperative Oncology Group (ECOG) performance status 0 - 1 at ICF signature with no deterioration over the past 2 weeks.
6. Predicted life expectancy ≥ 12 weeks.
7. Patient must have measurable disease according to RECIST 1.1.
8. Patients with brain metastasis (BM) can only be enrolled under the condition that BM is previously treated and stable.
9. Adequate organ system functions.
10. Patients should receive at least one line but no more than three lines of prior systemic therapy (at least one line must contain platinum-based therapy).

Exclusion Criteria

1. Prior malignancy within 2 years requires active treatment, except for adequately treated basal cell skin carcinoma, in situ cervical carcinoma, or other cancer types (to be discussed with Dizal's Study Physician) who has been disease free for \> 2 years with life expectancy \>2 years.
2. Any unresolved toxicities from prior therapy greater than CTCAE grade 1 at the time of starting Sunvozertinib with the exception of alopecia and grade 2 prior platinum-therapy related neuropathy.
3. Spinal cord compression or leptomeningeal metastasis.
4. History of stroke or intracranial hemorrhage within 6 months before first administration of Sunvozertinib.
5. Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses.
6. Active infection including hepatitis B, hepatitis C, human immunodeficiency virus (HIV) and COVID-19.
7. Any of the following cardiac criteria:

* Mean resting corrected QT interval (QTc) \> 470 msec obtained from 3 electrocardiograms (ECGs).
* Any clinically significant abnormalities in rhythm, conduction or morphology of resting ECG, e.g., complete left bundle branch block, third degree heart block, and second-degree heart block, PR interval \> 250 msec.
* Any factors that increase the risk of QTc prolongation, such as heart failure, hypokalemia, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age in first degree relatives or any concomitant medication known to prolong the QT interval .
* Prior history of atrial fibrillation within 6 months of first administration of Sunvozertinib, except prior drug treatment related and recovered.
8. Participants with hemorrhagic diseases such as von Willebrand disease.
9. Past medical 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 or immunotherapy induced immune pneumonia.
10. Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of Sunvozertinib.
11. Prior/concomitant therapy

1. Patients who have received prior Poziotinib, TAK-788, CLN-081 or BDTX-189, furmonertinib or any other EGFR/HER2 exon20ins small molecule inhibitors treatment should be excluded.
2. Other EGFR TKIs, such as gefitinib, erlotinib, osimertinib, afatinib, dacomitinb are not considered EGFR or HER2 Exon20ins small molecule inhibitors, and thus prior treatment with these drugs is allowed unless the patient had an objective response and subsequent progression as assessed by the investigator or treating physician during treatment with that prior TKI.
3. Treatment with antibodies within 4 weeks before first administration of Sunvozertinib.
4. Any cytotoxic chemotherapy, investigational agents or other anticancer drugs from a previous treatment regimen or clinical study within 14 days before first administration of Sunvozertinib.
12. Women who are pregnant or breast feeding.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dizal Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mengzhao Wang

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

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Beijing Cancer Hospital

Beijing, , China

Site Status

Beijing Chest Hospital,Capital Medical University

Beijing, , China

Site Status

Peking Union Medical College Hospital

Beijing, , China

Site Status

Peking University Third Hospital

Beijing, , China

Site Status

Jilin Cancer Hospital

Changchun, , China

Site Status

Hunan Cancer Hospital(The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University

Changsha, , China

Site Status

West China Hospital of Sichuan University

Chengdu, , China

Site Status

Army Medical Center of PLA

Chongqing, , China

Site Status

Chongqing University Cancer Hospital(Chongqing Cancer Hospital)

Chongqing, , China

Site Status

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, , China

Site Status

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, , China

Site Status

Hainan General Hospital

Haikou, , China

Site Status

The First Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, , China

Site Status

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, , China

Site Status

Zhejiang Cancer Hospital (Cancer Hospital of the University of Chinese Academy of Sciences)

Hangzhou, , China

Site Status

Harbin Medical University Cancer Hospital

Harbin, , China

Site Status

The Second Hospital of Anhui Medical University

Hefei, , China

Site Status

The Affiliated Hospital of Inner Mongolia Medical University

Hohhot, , China

Site Status

Jinan Central Hospital (Central Hospital Affiliated to Shandong First Medical University)

Jinan, , China

Site Status

Yunnan Cancer Hospital

Kunming, , China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

The Second Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, , China

Site Status

The First Hospital of China Medical University

Shenyang, , China

Site Status

The Fourth Hospital of Hebei Medical University

Shijiazhuang, , China

Site Status

The First Affiliated Hospital of Soochow University

Suzhou, , China

Site Status

Shanxi Provincial Cancer Hospital

Taiyuan, , China

Site Status

Tianjin Medical University Cancer Institute & Hospital

Tianjin, , China

Site Status

The Affiliated Cancer Hospital of Xinjiang Medical University

Ürümqi, , China

Site Status

Hubei Cancer Hospital

Wuhan, , China

Site Status

Union Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, , China

Site Status

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status

Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital)

Zhengzhou, , China

Site Status

Countries

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China

References

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Wang M, Fan Y, Sun M, Wang Y, Zhao Y, Jin B, Hu Y, Han Z, Song X, Liu A, Tang K, Ding C, Liang L, Wu L, Gao J, Wang J, Cheng Y, Zhou J, He Y, Dong X, Yao Y, Yu Y, Wang H, Sun S, Huang J, Fang J, Li W, Wang L, Ren X, Zhou C, Hu Y, Zhao D, Yang R, Xu F, Huang Y, Pan Y, Cui J, Xu Y, Yang Z, Shi Y. Sunvozertinib for patients in China with platinum-pretreated locally advanced or metastatic non-small-cell lung cancer and EGFR exon 20 insertion mutation (WU-KONG6): single-arm, open-label, multicentre, phase 2 trial. Lancet Respir Med. 2024 Mar;12(3):217-224. doi: 10.1016/S2213-2600(23)00379-X. Epub 2023 Dec 12.

Reference Type DERIVED
PMID: 38101437 (View on PubMed)

Other Identifiers

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DZ2020E0001

Identifier Type: -

Identifier Source: org_study_id