IN10018 Combination Therapy in Treatment-naïve ES-SCLC

Small Cell Lung Cancer Extensive Stage Clinical Trial

Official title:

A Phase Ib/II Clinical Trial to Evaluate the Anti-tumor Efficacy, Safety, Tolerability, and Pharmacokinetics of IN10018 Combined With Anti-PD-1/L1 Antibody and Chemotherapy as First-line Treatment in Extensive-stage Small Cell Lung Cancer

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06030258
• Other study ID #: IN10018-019
• Status: Recruiting
• Phase: Phase 1/Phase 2
• Start date: October 30, 2023
• Est. completion date: October 21, 2025

Study information

• Verified date: August 2023
• Source: InxMed (Shanghai) Co., Ltd.
• Contact: Shu Fang
• Phone: 86-15933968623
• Email: shu.fang[@]inxmed.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a multicenter, open-label, Randomized, phase Ib/II clinical study to evaluate the anti-tumor efficacy, safety, tolerability, and PK of IN10018 in combination with anti-PD-1/L1 monoclonal antibody (Tislelizumab is proposed as the combination drug) and chemotherapy (platinum and etoposide) as the first-line treatment in Extensive-stage small cell lung cancer (ES-SCLC).

Description:

This study consists of 2 parts: 1) Phase Ib-Dose Confirmation part: To assess the PK parameters, safety and recommended phase II dose (RP2D) of IN10018 in combination with anti-PD-1/L1 monoclonal antibody (Tislelizumab is proposed as the combination drug), platinum (carboplatin is proposed as the combination drug) and etoposide as the first-line treatment in ES-SCLC. 2) Phase II-Dose Expansion part: To assess the antitumor efficacy, safety and tolerability in the experimental group of IN10018 in combination with Tislelizumab, carboplatin and etoposide as compared to the control group of Tislelizumab in combination with carboplatin and etoposide as the first-line treatment in ES-SCLC.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 120
• Est. completion date: October 21, 2025
• Est. primary completion date: January 24, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria

1. Male or female aged 18-75 years old at the time of signing informed consent.

2. Be able to understand and be willing to sign informed consent.

3. Histologically confirmed ES-SCLC (according to the Veterans Administration Lung Study Group (VALG) staging system), which is not suitable for locally radical therapy.

4. Has not received any systemic antitumor therapy for ES-SCLC.

5. Has at least one measurable tumor lesion per RECIST 1.1.

6. Has an ECOG performance status of 0 or 1.

7. Estimated life expectancy is more than 3 months.

8. Has adequate organ function of bone marrow, liver, kidney, and coagulation. Relative laboratory tests must be performed within 7 days prior to first dose of study treatment/randomization.

9. AEs due to prior antitumor therapy must be recovered to = Grade 1 (CTCAE v5.0) or a steady state as assessed by investigators

10. Subjects (male and female) with childbearing potential must agree to use contraception during the treatment phase and through 3 months after the last dose of study treatment.

Exclusion Criteria

1. Has known active or untreated central nervous system (CNS) metastases, and/or carcinomatous meningitis.

2. Spinal cord compression without surgery and/or radiation therapy, or previously diagnosed and treated spinal cord compression without evidence that disease has been clinically stable for at least 7 days prior to the first dose of study treatment/randomization.

3. Pleural, pericardial or abdominal effusion that are clinically symptomatic and require puncture or drainage.

4. Symptomatic hypercalcemia.

5. Malignancies other than the study disease within 3 years prior to the first dose of study treatment/randomization.

6. Have received palliative radiotherapy for bone metastasis within 14 days prior to the first dose of study treatment/randomization.

7. Have had allogeneic haematopoietic stem cell transplantation or organ transplantation.

8. History of active autoimmune disease required systemic treatment (including but not limited to drugs for disease control, corticosteroids, or immunosuppressive drugs) within the past 2 years.

9. Have an immunodeficiency disorder or have received systemic steroid therapy (prednisone or equivalent corticosteroid > 10 mg/day) or other immunosuppressants within 7 days prior to the first dose of study treatment/randomization.

10. History of idiopathic pulmonary fibrosis, idiopathic pneumonia and organizing pneumonia, and interstitial pneumonitis or active pneumonia diagnosed per imaging examination at baseline.

11. Have had FAK inhibitors treatment.

12. Has a history of major cardiovascular or cerebrovascular diseases within 6 months prior to the first dose of study treatment/randomization.

13. Have malabsorption syndrome or cannot take study drugs orally.

14. Any active infection requiring systemic therapy within 14 days prior to the first dose of study treatment.

15. Active pulmonary tuberculosis

16. Human immunodeficiency virus (HIV) infection, active hepatitis B infection, or hepatitis C infection.

17. Known hypersensitivity or allergy to IN10018, anti-PD-1/L1 monoclonal antibodies, carboplatin or etoposide or to their drug components.

18. Pregnant or lactating women or are expected to be pregnant or lactating during study treatment.

Related Conditions & MeSH terms

• Lung Neoplasms
• Small Cell Lung Cancer Extensive Stage
• Small Cell Lung Carcinoma

Intervention

Drug:
• IN10018
orally taken once daily
• Tislelizumab
200mg D1, Q3W, intravenously
• Carboplatin
AUC 5 mg/ml/min, D1, Q3W, intravenously
• Etoposide
Etoposide 100 mg/m2, D1-D3, Q3W, intravenously

Locations

Country	Name	City	State
China	Shandong Province Cancer Hospital	Jinan
China	Tianjin Medical University Cancer Institute & Hospital	Tianjin
China	Henan Provincial People's Hospital	Zhengzhou

Sponsors (1)

Lead Sponsor	Collaborator
InxMed (Shanghai) Co., Ltd.

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To identify the Recommended phase II dose (RP2D) of IN10018 in combination with Tislelizumab, Carboplatin and Etoposide in first-line ES-SCLC.	Evaluate proportion of patients suffered with AEs defined as dose-limited toxicities (DLTs) per protocol; and RP2D will be determined per the incidence of AEs defined as DLTs.	Up to 3 years
Primary	Progress free survival (PFS) of IN10018 in combination with Tislelizumab, carboplatin and etoposide as compared to Tislelizumab in combination with carboplatin and etoposide in first-line ES-SCLC per BICR based on RECIST 1.1	Defined as the time from randomization to first documentation of disease progression or to death due to any cause, whichever comes first.	Up to 3 years
Secondary	PFS of IN10018 in combination with Tislelizumab, carboplatin and etoposide as compared to Tislelizumab in combination with carboplatin and etoposide in first-line ES-SCLC per investigator based on RECIST 1.1	Defined as the time from randomization to first documentation of disease progression or to death due to any cause, whichever comes first.	Up to 3 years
Secondary	Objective response rate (ORR) of IN10018 in combination with Tislelizumab, carboplatin and etoposide as compared to Tislelizumab in combination with carboplatin and etoposide in first-line ES-SCLC per BICR and investigator based on RECIST 1.1.	Defined as the proportion of subjects with complete response (CR) or partial response (PR).	Up to 3 years
Secondary	Duration of objective response (DOR) of IN10018 in combination with Tislelizumab, carboplatin and etoposide as compared to Tislelizumab in combination with carboplatin and etoposide in first-line ES-SCLC per BICR and investigator based on RECIST 1.1.	Defined as the time from start of the first documentation of CR or PR to the first documentation of disease progression or to death due to any cause, whichever comes first.	Up to 3 years
Secondary	Disease Control Rate (DCR) of IN10018 in combination with Tislelizumab, carboplatin and etoposide as compared to Tislelizumab in combination with carboplatin and etoposide in first-line ES-SCLC per BICR and investigator based on RECIST 1.1	Defined as the proportion of patients with CR, PR, or stable disease (SD).	Up to 3 years
Secondary	Overall survival (OS) of IN10018 in combination with Tislelizumab, carboplatin and etoposide as compared to Tislelizumab in combination with carboplatin and etoposide in first-line ES-SCLC.	Defined as the time from randomization to the date of death due to any cause.	Up to 3 years
Secondary	Number of patients with adverse event	The number of participants who experienced AEs is presented.	Up to 3 years
Secondary	PK: AUC of IN10018 following single dose administration and at steady state	Area under the concentration-time curve (AUC)	Up to 3 years
Secondary	PK: Cmax of IN10018 following single dose administration and at steady state	Maximum concentration (Cmax)	Up to 3 years
Secondary	PK: Ctrough of IN10018 following single dose administration and at steady state	Trough concentration (Ctrough)	Up to 3 years
Secondary	PK: Tmax of IN10018 following single dose administration and at steady state	Time to Cmax (Tmax)	Up to 3 years
Secondary	PK: t1/2 of IN10018 following single dose administration and at steady state	Elimination half-life (t1/2)	Up to 3 years
Secondary	PK: CL/F of IN10018 following single dose administration and at steady state	apparent clearance (CL/F)	Up to 3 years
Secondary	PK: Vd/F of IN10018 following single dose administration and at steady state	Apparent volume of distribution (Vd/F)	Up to 3 years