A Study to Assess the Efficacy and Safety of WSD0922-FU in Patients With EGFRm+ Advanced Non-small Cell Lung Cancer

NCT ID: NCT06631989

Last Updated: 2025-08-29

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-04

Study Completion Date

2027-12-31

Brief Summary

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This study is a multicenter, open label, single-arm phase I/II clinical trial of WSD0922-FU for patients with locally advanced or metastatic non-small cell lung cancer whose disease has progressed with thrid-generation EGFR-TKI .

Detailed Description

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WSD0922-FU is a potent reversible inhibitor of both the single EGFRm+ and dual EGFRm+/C797S+ receptor forms of EGFR with selectivity margin over wild-type EGFR. This study aims to explore the safety, tolerability, pharmacokinetic characteristics and efficacy of WSD0922-FU in patients with non-small cell lung cancer (NSCLC) with C797S mutation after first-line third-generation EGFR-TKI resistance.

Conditions

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EGFR Mutation Positive Advanced Non-Small Cell Lung Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Part A (Dose escalation and expansion study) ; Part B (single-arm extension study).
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose escalation (WSD0922-FU)

Patients receive WSD0922-FU PO QD on C0D1 to C0D3, then BID on C1D1 to C1D21. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT, MRI, and blood sample collection on study.

Group Type EXPERIMENTAL

WSD0922-FU

Intervention Type DRUG

Procedure: Biospecimen Collection - blood samples Undergo collection of blood samples

Procedure: Computed Tomography and/or Magnetic Resonance Imaging Undergo CT and/or MRI

Drug: WSD0922-FU Given PO

Dose expansion (WSD0922-FU)

Patients receive WSD0922-FU PO BID on C1D1 to C1D21 using dosage selected from Dose escalation. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT, MRI, and blood sample collection on study.

Group Type EXPERIMENTAL

WSD0922-FU

Intervention Type DRUG

Procedure: Biospecimen Collection - blood samples Undergo collection of blood samples

Procedure: Computed Tomography and/or Magnetic Resonance Imaging Undergo CT and/or MRI

Drug: WSD0922-FU Given PO

Dose extension (WSD0922-FU)

Patients receive WSD0922-FU PO BID on C1D1 to C1D21 using RP2D. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT, MRI, and blood sample collection on study.

Group Type EXPERIMENTAL

WSD0922-FU

Intervention Type DRUG

Procedure: Biospecimen Collection - blood samples Undergo collection of blood samples

Procedure: Computed Tomography and/or Magnetic Resonance Imaging Undergo CT and/or MRI

Drug: WSD0922-FU Given PO

Interventions

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WSD0922-FU

Procedure: Biospecimen Collection - blood samples Undergo collection of blood samples

Procedure: Computed Tomography and/or Magnetic Resonance Imaging Undergo CT and/or MRI

Drug: WSD0922-FU Given PO

Intervention Type DRUG

Other Intervention Names

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WSD0922

Eligibility Criteria

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Inclusion Criteria

* Age 18-75 years old (including the threshold value), gender is not limited;
* Locally advanced or metastatic NSCLC confirmed by pathology;
* Patients who have been genetically tested to carry EGFR sensitive mutations;
* Blood samples must be provided for testing and must be taken during or after disease progression following the last EGFR TKI inhibitor treatment;
* Must have a minimum life expectancy of \>= 3 months;
* At least one measurable tumor lesion according to RECIST version 1.1; Previous radiotherapy-treated lesions cannot be used as target lesions unless imaging studies show clear progression of the lesions.
* Physical Status (ECOG PS) score was 0-1;
* Have full organ function;
* Eligible patients (male and female) who are fertile must agree to use a reliable contraceptive method ;
* Subjects are required to give informed consent to this study before the experiment and sign a written informed consent voluntarily.

Exclusion Criteria

* Received chemotherapy, radiotherapy, biological therapy, targeted therapy, endocrine therapy, immunotherapy, or other anti-tumor drug treatments within 4 weeks before the first administration of the study drug.
* Have previously received more than one EGFR-TKI inhibitor;
* Received other unlisted clinical study drugs or treatments within 4 weeks before the first administration.
* Received major organ surgery (excluding puncture biopsy) or significant trauma within 4 weeks before the first administration, or require elective surgery during the trial period.
* Used strong CYP3A4 inhibitors or strong CYP3A4 inducers within 7 days before the first use of the study drug.
* Known active brain metastasis or progression evidence.
* Other primary malignant tumors within 2 years before the first administration of the study drug.
* Adverse reactions from previous anti-tumor treatments have not recovered to NCI-CTCAE v5.0 grade ≤1 (except for toxicities judged by the researcher to have no safety risks, such as hair loss, grade 2 peripheral neurotoxicity, and stable thyroid function after hormone replacement therapy).
* Skin/pressure ulcers, chronic leg ulcers, known active gastric ulcers, or non-healing wounds.
* History of severe allergies, or allergies to any active or inactive ingredients of the study drug;
* Severe infections requiring intravenous antibiotic infusion or hospitalization at the time of screening; or uncontrollable active infections within 4 weeks before administration;
* Known active or suspected autoimmune diseases; or known active ocular diseases (such as active wet age-related macular degeneration, diabetic retinopathy with macular edema);
* Human immunodeficiency virus (HIV) (HIV1/2 antibody) positive, syphilis spirochete antibody positive .
* Patients with interstitial lung disease.
* History of severe cardiovascular diseases.
* Unable to orally swallow medication, or there is a condition that significantly affects gastrointestinal absorption as judged by the researcher;
* Clinical intervention is required for pleural effusion, ascites (excluding subjects who do not need drainage and have been stable for more than 2 weeks after drainage).
* Known alcohol or drug dependence.
* Mental disorders or poor compliance;
* Pregnant or lactating women;
* The investigator believes that the subject has other reasons that make them unsuitable for participating in this clinical study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wayshine Biopharm, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Caicun Zhou, MD

Role: PRINCIPAL_INVESTIGATOR

Shanghai East Hospital

Locations

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Anhui Provincial Hospital

Hefei, Anhui, China

Site Status RECRUITING

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status RECRUITING

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

He'nan Cancer Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Shandong Cancer Hospital

Jinan, Shandong, China

Site Status RECRUITING

Shanghai Chest Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai East Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Sichuan Provincial Cancer Hospital

Chengdu, Sichuan, China

Site Status RECRUITING

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Taizhou Hospital of Zhejiang Province

Taizhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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lily liu, MD

Role: CONTACT

+8613818880308

Wei Zhong, PhD

Role: CONTACT

1-951-547-4692

Facility Contacts

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Principal Investigator

Role: primary

86-551-65327766

Principal Investigator

Role: primary

86-10-67781331

Principal Investigator

Role: primary

86-20-87331952

Principal Investigator

Role: primary

86-371-65861505

Principal Investigator

Role: primary

86-531-87984777

Principal Investigator

Role: primary

86-21-62821990

Anwen Xiong, MD

Role: primary

Principal Investigator

Role: primary

02165115006

Principal Investigator

Role: primary

86-28-85420305

Principal Investigator

Role: primary

02223353454

Principal Investigator

Role: primary

86 -571-87236697

Principal Investigator

Role: primary

86-576-85112241

Other Identifiers

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WSD0922-102

Identifier Type: -

Identifier Source: org_study_id

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