Clinical trial • Phase II • Oncology

(R)-6-((3,3-DIFLUORO-1-METHYLPIPERIDIN-4-YL)OXY)-N-(3-ETHYNYL-2-FLUOROPHENYL)-7-METHOXYQUINAZOLIN-4-AMINE-FUMARATE (2:1) for Non-small cell lung cancer

Phase II trial of (R)-6-((3,3-DIFLUORO-1-METHYLPIPERIDIN-4-YL)OXY)-N-(3-ETHYNYL-2-FLUOROPHENYL)-7-METHOXYQUINAZOLIN-4-AMINE-FUMARATE (2:1) for Non-small c…

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-small cell lung cancer
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
28-03-2025
First CTIS Authorization Date
18-07-2025

Trial design

Randomised, open-label, patients randomized to receive dose level a (oral, bid) or dose level b (oral, bid); no active comparator drug specified.-controlled, adaptive Phase II trial across 5 sites in France.

Randomised
Yes
Open Label
Yes
Comparator
Patients randomized to receive dose level A (Oral, BID) or dose level B (Oral, BID); no active comparator drug specified.
Adaptive
True - 1:1 dose optimization (dose level A vs B) to determine RP2D; described as dose optimization rather than detailed adaptive rules in the record.
Biomarker Stratified
True, biomarker: EGFR C797S mutation positive status
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
40

Eligibility

Recruits 40 Vulnerable population selected. "Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling and analyses." Subject information and informed consent forms are available (files include Main_FR, Newborn_FR, Optional Testing_FR, Pregnancy_FR, Re-Consent_FR), indicating consent handled via ICFs; no further details on assent provided in the record..

Pregnancy Exclusion
11. Males and females of reproductive potential who are not using an effective method of birth control.
Vulnerable Population
Vulnerable population selected. "Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling and analyses." Subject information and informed consent forms are available (files include Main_FR, Newborn_FR, Optional Testing_FR, Pregnancy_FR, Re-Consent_FR), indicating consent handled via ICFs; no further details on assent provided in the record.

Inclusion criteria

  • {"criterion_text":"- 1. Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling and analyses.\n- 10. Females should be using adequate contraceptive measures.\n- 11. Male patients should be willing to use barrier contraception i.e., condoms.\n- 12. Patient must be stable on no more than 2 mg of dexamethasone.\n- 2. Male or female aged ≥18 years old.\n- 3. Histological or cytological confirmation diagnosis of NSCLC.\n- 4. Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy.\n- 5. Evidence of radiological disease progression.\n- 6. Documented EGFR mutation\n- 7. Patients must have confirmation of C797S mutation positive status.\n- 8.Eastern Cooperative Oncology Group (ECOG) 0-1.\n- 9. At least one lesion, not previously irradiated and not chosen for biopsy during the study."}

Exclusion criteria

  • {"criterion_text":"- 1 Treatment with more than 2 prior lines of treatment for advanced NSCLC.Treatment with Osimertinib within 8 days of the first dose of study treatment.\n- 10. History of hypersensitivity of WSD0922-FU.\n- 11. Males and females of reproductive potential who are not using an effective method of birth control.\n- 12. Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements.\n- 13. Known intracranial hemorrhage which is unrelated to tumor.\n- 14. Seizures requiring a change.\n- 15. Patient must not take enzyme-inducing anticonvulsants treatment.\n- 2. Any unresolved toxicities from prior therapy greater than CTCAE Grade 1.\n- 3. Symptomatic brain complications that require urgent neurosurgical or medical intervention.\n- 4. Leptomeningeal metastasis.\n- 5.Any evidence of severe or uncontrolled systemic diseases.\n- 6.Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection.\n- 7. Any of the following cardiac criteria: Mean resting corrected QT interval (QTc) > 480 msec, obtained from electrocardiograms (ECGs); Any clinically important abnormalities in rhythm; Any factors that increase the risk of QTc prolongation.\n- 8. Past medical history of ILD, drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD.\n- 9.Inadequate bone marrow reserve or organ function as demonstrated."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- To determine the recommended phase 2 dose [RP2D] and Objective Response Rate (ORR).","definition_or_measurement_approach":"Objective Response Rate (ORR) assessed by RECIST v1.1; determination of RP2D (recommended Phase 2 dose)."}

Secondary endpoints

  • {"endpoint_text":"- 1. To further assess the efficacy of WSD0922-FU in terms of: - Progression Free Survival (PFS) - Duration of Response (DoR) - Disease Control Rate (DCR) - Change in Tumor Size - Overall Survival (OS)","definition_or_measurement_approach":"Efficacy measured using standard oncology endpoints: PFS, DoR, DCR, change in tumor size and OS (no further measurement detail provided in the record)."}

Recruitment

Planned Sample Size
40
Recruitment Window Months
25
Consent Approach
"Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling and analyses." Subject information and informed consent documents exist (Main_FR, Newborn_FR, Optional Testing_FR, Pregnancy_FR, Re-Consent_FR) indicating consent is obtained via written ICFs in French; consent is provided by participants (or as outlined in the relevant ICF); no additional languages or assent details are provided in the record.

Geography

Total Number Of Sites
5
Total Number Of Participants
40

France

Earliest CTIS Part Ii Submission Date
16-06-2025
Latest Decision Or Authorization Date
17-11-2025
Processing Time Days
154
Number Of Sites
5
Number Of Participants
10

Sites

Site Name
Centre Hospitalier Universitaire De Rennes
Department Name
Pneumologie
Contact Person Name
Hervé LENA
Contact Person Email
herve.lena@chu-rennes.fr
Site Name
Centre Hospitalier Et Universitaire De Limoges
Department Name
Pneumologie
Contact Person Name
Thomas EGENOD
Contact Person Email
thomas.egenod@chu-limoges.fr
Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
Services des Maladies respiratoires
Contact Person Name
Rémi VEILLON
Contact Person Email
remi.veillon@chu-bordeaux.fr
Site Name
Centre Hospitalier Intercommunal Toulon / La Seine-Sur-Mer
Department Name
Service d'oncologie pneumologie
Contact Person Name
Clarisse AUDIGIER-VALETTE
Site Name
Centre Francois Baclesse
Department Name
Pneumologie
Contact Person Name
Hubert CURCIO
Contact Person Email
h.curcio@baclesse.unicancer.fr

Sponsor

Primary sponsor

Full Name
Wayshine Biopharm Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Pharmaron (Chengdu) Clinical Services Co. Ltd.
Responsibilities
PK testing
Name
Syneos Health Inc.
Responsibilities
codes 1,11,12,13,5,8
Name
Syneos Health IVH UK Limited
Responsibilities
codes 1,11,12,13,5,8
Name
Bioclinica Inc.
Responsibilities
Independent review committee (IRC)

Third parties

  • {"country":"China","full_name":"Pharmaron (Chengdu) Clinical Services Co. Ltd.","duties_or_roles":"PK testing","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"codes 1,11,12,13,5,8","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Samples logistics","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Burning Rock Dx LLC","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
  • {"country":"China","full_name":"Guangdong Janus Medical Technology Co. Ltd.","duties_or_roles":"codes 10,3,6,7","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Independent review committee (IRC)","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United Kingdom","full_name":"Syneos Health IVH UK Limited","duties_or_roles":"codes 1,11,12,13,5,8","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
WSD0922-FU
Active Substance
(R)-6-((3,3-DIFLUORO-1-METHYLPIPERIDIN-4-YL)OXY)-N-(3-ETHYNYL-2-FLUOROPHENYL)-7-METHOXYQUINAZOLIN-4-AMINE-FUMARATE (2:1)
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Frequency
BID
Maximum Dose
240 mg

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