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
- Contact Person Email
- clarisse.audigier-valette@ch-toulon.fr
- 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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