A Phase Ib/II Clinical Trial to Evaluate the Safety and Efficacy of HLX208+HLX10 in NSCLC With BRAF V600E Mutation

• ClinicalTrials.gov Identifier: NCT05641493
• Recruitment Status: Recruiting
• First Posted: December 7, 2022
• Last Update Posted: April 10, 2023
• Sponsor: Shanghai Henlius Biotech
• Information provided by (Responsible Party): Shanghai Henlius Biotech

Study Description

Brief Summary:

An open-label, multicenter phase Ib/II clinical study to evaluate safety, tolerability, pharmacokinetics, and efficacy of HLX208 (BRAF V600E Inhibitor) combined with HLX10 （anti-PD-1 monoclonal antibody）in advanced NSCLC patients with BRAF V600 mutation.

Condition or disease	Intervention/treatment	Phase
Non Small Cell Lung Cancer	Combination Product: HLX208+HLX10	Phase 1; Phase 2

Detailed Description:

This is an open-label, multicenter phase Ib/II clinical study to evaluate safety, tolerability, pharmacokinetics, and efficacy of HLX208 (BRAF V600E Inhibitor) combined with HLX10 （anti-PD-1 monoclonal antibody）in advanced NSCLC patients with BRAF V600 mutation.

For the phase Ib study, HLX208 is administered orally at two dose levels of 600mg BID or 900 mg BID. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks.

For the phase II study, HLX208 is administered orally with the RP2D dose. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks.

Study Design

• Study Type: Interventional
• Estimated Enrollment: 49 participants
• Allocation: N/A
• Intervention Model: Single Group Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: A Phase Ib/II Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of HLX208 （BRAF V600E Inhibitor） Combined With Serplulimab（HLX10, Anti-PD-1 Antibody） in Advanced NSCLC Patients With BRAF V600E Mutation.
• Actual Study Start Date: February 28, 2023
• Estimated Primary Completion Date: March 4, 2025
• Estimated Study Completion Date: February 27, 2026

Arms and Interventions

Arm	Intervention/treatment
Experimental: HLX208 combined HLX10; For the phase Ib study, HLX208 is administered orally at two dose levels of 600mg BID or 900 mg BID. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks. For the phase II study, HLX208 is administered orally with the RP2D dose. And HLX10 is administered intravenously at a fixed dose of 300mg every 3 weeks.	Combination Product: HLX208+HLX10; HLX208 is a BRAF V600E inhibitor ,and HLX10 is an anti-PD-1 monoclonal antibody.

Outcome Measures

Primary Outcome Measures :

1. MTD (for phase Ib study) [ Time Frame: From first dose to the end of Cycle 1 (each cycle is 3 weeks). ]
   The maximum tolerated dose of HLX208 combined with HLX10.
2. DLT (for phase Ib study) [ Time Frame: From first dose to the end of Cycle 1 (each cycle is 3 weeks). ]
   The proportion of patients experiencing dose limiting toxicity (DLT) events.
3. ORR (for phase II study) [ Time Frame: up to approximately up to 24 months ]
   Objective response rate assessed by the investigator per RECIST 1.1.

Secondary Outcome Measures :

1. PFS [ Time Frame: approximately up to 36 months ]
   Progression-Free-Survival
2. DCR [ Time Frame: approximately up to 24 months ]
   Disease-Control-Rate
3. DOR [ Time Frame: approximately up to 24 months ]
   Duration of Overall Response
4. TTR [ Time Frame: approximately up to 24 months ]
   Time to Tumor Response
5. 12-month OS rate [ Time Frame: 12 months ]
   12-month OS rate
6. 6-month OS rate [ Time Frame: 6 months ]
   6-month OS rate
7. OS [ Time Frame: approximately up to 48 months ]
   Overall-Survival
8. 12-month PFS rate [ Time Frame: 12 months ]
   12-month PFS rate
9. 6-month PFS rate [ Time Frame: 6 months ]
   6-month PFS rate
10. SAE [ Time Frame: approximately up to 48 months ]
    The proportion of patients experiencing SAE.
11. AUC0-T [ Time Frame: From First administration of HLX 208 to 12 weeks. ]
    Area under the concentration-time curve from time 0 to the last concentration measurable time point.
12. AUC0-∞ [ Time Frame: From First administration of HLX 208 to 12 weeks. ]
    Area under the concentration-time curve from time 0 to infinity.
13. Cmax [ Time Frame: From First administration of HLX 208 to 12 weeks. ]
    Peak Plasma Concentration.
14. Tmax [ Time Frame: From First administration of HLX 208 to 12 weeks. ]
    Time to first occurrence of Cmax
15. t1/2 [ Time Frame: From First administration of HLX 208 to 12 weeks. ]
    Elimination half-life
16. AUCss [ Time Frame: From First administration of HLX 208 to 12 weeks. ]
    Area under the steady-state concentration-time curve

Other Outcome Measures:

1. Association of biomarkers with efficacy [ Time Frame: approximately up to 48 months ]
   Association of efficacy with biomarkers including PD-L1 expression, BRAF V600E mutation abundance, MSI status and TMB status.

Eligibility Criteria

• Ages Eligible for Study: 18 Years to 80 Years (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

1. ≥18 and ≤75 years old of age (in phase Ib study) or ≥18 and ≤80 years old of ag (in phase II study) at the time of informed consent.
2. Signed written informed consent.
3. BRAF V600E mutant advanced solid tumors (in phase Ib study) or advanced NSCLC (in phase II study) patients with positive PD-L1 expression (TPS or TC≥1%).
4. Previous failure of standard therapy, intolerance to standard therapy, lack of standard therapy, or currently unsuitable for standard therapy.
5. Prior systemic anti-neoplastic therapy (chemotherapy, radiotherapy, targeted therapy, or traditional Chinese medicine with anti-neoplastic indications) must have been ≥ 2 weeks from the first dose in this study with treatment-related AE resolved to NCI-CTCAE Grade ≤ 1 (except for alopecia)
6. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1.
7. Expected survival time ≥ 3 months.
8. At least one measurable target lesion per RECIST v1.1 (brain metastasis could not be considered as the only measurable lesion).
9. With normal major organ functions (no blood transfusions or treatment with colony-stimulating factor within 14 days prior to the first dose in this study).
10. Be able to swallow and retain oral medication and must not have any clinically significant gastrointestinal abnormalities that may alter absorption such as malabsorption syndrome or major resection of the stomach or bow
11. Fertile subjects (male or female) must agree to take effective contraceptive measures from the time of signing the ICF until 90 days after the last dose of HLX208 or 6 months after the last dose of HLX10. Female subjects of childbearing potential must complete a pregnancy test with a negative result within 7 days prior to the first dose.

Exclusion Criteria:

1. For subjects in phase II study: previous treatment with BRAF inhibitors or MEK inhibitors or previous treatment with T cell co-stimulation or immune checkpoint therapy.
2. Known EGFR mutations or ALK rearrangements (except in subjects with EGFR mutations whose disease has progressed after previous EGFR inhibitor treatment).
3. Received strong CYP3A inhibitors or inducers treatment within 1 week prior to the first dose of investigational product.
4. Received major surgery within 28 days prior to the first dose of investigational product. A major surgery is defined as a surgery that takes at least 3 weeks of postoperative recovery before receiving treatment in this study.
5. With uncontrolled pleural effusion, pericardial effusion, or ascites.
6. With symptomatic brain or meningeal metastases (unless the patient has been treated for >3 months, there is no evidence of progression on imaging within 4 weeks prior to the first dose, and the tumor-related clinical symptoms are stable).
7. With active pulmonary tuberculosis. Patients with previous and current interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-related pneumonitis, or severe impaired pulmonary function that may interfere with the detection and management of suspected drug-related pulmonary toxicity.
8. With any serious infection requiring systemic anti-infective therapy within 14 days prior to the first dose of the investigational product.
9. History of other malignant tumors (except for cured carcinoma in situ of the cervical or basal cell carcinoma of the skin) within two years prior to the first dose of investigational product.
10. Being positive (+) for hepatitis B surface antigen (HBsAg) or positive (+) for hepatitis B core antibody (HBcAb), and with hepatitis B virus deoxyribonucleic acid (HBV-DNA) ≥ 2500 copies/mL or 500 IU/mL.
11. Being positive (+) for HCV RNA.
12. Being positive (+) human immunodeficiency virus (HIV) antibody.
13. History of serious cardiovascular and cerebrovascular diseases.
14. Systemic treatment with corticosteroids (> 10 mg/day prednisone or equivalent) or other immunosuppressive agents within 14 days prior to the first dose of the investigational product or during the study. In the absence of active autoimmune disease, subjects are allowed to use inhaled or topical steroids, or adrenal hormone replacement therapy at an effective dose equivalent to ≤10 mg/day prednisone.
15. Known active or suspected autoimmune diseases. Subjects with autoimmune related hypothyroidism receiving thyroid hormone replacement therapy are allowed to participate in the study. Subjects with stable type 1 diabetes receiving insulin therapy are allowed to participate in the study.
16. Known alcohol of or drug abuse.
17. Pregnant or lactating women.
18. Received live vaccine within 28 days prior to the first dose of investigational product.
19. Have other conditions not suitable for inclusion as judged by the investigator.

Contacts and Locations

Contacts

Contact: Shun Lu, Dr.; 021-22200000; shunlu@sjtu.edu.cn

Locations

China

Shanghai Chest Hospital, Shanghai Jiao Tong University, School of Medicine; Recruiting

Shanghai, China

Contact: Shun Lu, Dr. 021-22200000 shunlu@sjtu.edu.cn

Sponsors and Collaborators

Shanghai Henlius Biotech

Investigators

• Principal Investigator: Shun Lu, Dr.; Shanghai Chest Hospital, Shanghai Jiao Tong University School Of Medicine

More Information

• Responsible Party: Shanghai Henlius Biotech
• ClinicalTrials.gov Identifier: NCT05641493
• Other Study ID Numbers: HLX208-NSCLC203
• First Posted: December 7, 2022
• Last Update Posted: April 10, 2023
• Last Verified: April 2023

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Shanghai Henlius Biotech:

HLX208; HLX10; BRAF V600E mutation

Additional relevant MeSH terms:

Carcinoma, Non-Small-Cell Lung; Carcinoma, Bronchogenic; Bronchial Neoplasms; Lung Neoplasms; Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases