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NCT03215693 · CITED IN SOURCE DOCUMENTS

X-396 Capsule in Patients With ALK-positive Non-small Cell Lung Cancer Previously Treated With Crizotinib

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
PHASE2
Status at capture
UNKNOWN
Registry last update
2023-08-16

The main purpose of the study is to evaluate safety and efficacy of X-396(Ensartinib) capsule in patients with ALK-positive non-small cell lung cancer previously treated with crizotinib.While exploring the relationship between biomarkers and drug efficacy and safety.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

No posted result sections were captured. Registered plans do not establish that a treatment works.

Who could take part
eligibility Criteria
Inclusion Criteria: * Histologically or cytologically confirmed diagnosis of metastatic non-small cell lung cancer. * Evidence of positive ALK. * Patients must have demonstrated progression during or after crizotinib treatment. * Age 18 years or older at the time of informed consent. * Eastern cooperative oncology group performance status (ECOG PS) of 0-2 * Measurable disease by response evaluation criteria in solid tumors (RECIST) version 1.1 (v1.1). * Asymptomatic CNS metastases do not require the use of steroids or anticonvulsants. * Willingness and ability to comply with the trial and follow-up procedures. * Ability to understand the nature of this trial and give written informed consent. Exclusion Criteria: * Prior use of ALK TKIs with the exception of crizotinib. * Patients currently receiving cancer system therapy. * Use of an investigational drug within 4 weeks prior to the first dose of study drug. * Presence of active gastrointestinal (GI) disease or other condition that will interfere significantly with the absorption, distribution, metabolism, or excretion of study medications. * Patients with a known allergy or delayed hypersensitivity reaction to drugs.
healthy Volunteers
false
minimum Age
18 Years
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    225mg once daily
    intervention Names
    1. Drug: X-396 capsule
    label
    X-396 capsule
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. X-396 capsule
    description
    225mg once daily
    name
    X-396 capsule
    other Names
    1. Ensartinib
    type
    DRUG
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
152
type
ESTIMATED
Registered outcome plans (not posted results)
other Outcomes
  1. description
    OIRR calculated as the ORR (CR+PR) of lesions in the brain for patients who have measureable disease in the brain at baseline.
    measure
    Overall intracranial response rate (OIRR) by independent radiology review and investigator assessment
    time Frame
    24 months
  2. description
    Time to deterioration (TTD) is defined at the time from date of randomization to a worsening of at least 10 points (on a 100 point scale) in each item score of the EORTC C30/LC13
    measure
    Patient reported time to deterioration (TTD) as measured by EORTC C30/LC13 QoL questionnaire
    time Frame
    24 months
primary Outcomes
  1. description
    ORR per RECIST 1.1 calculated as the proportion of patients with a best overall response defined as complete response (CR) or partial response (PR).
    measure
    Objective response rate (ORR) based on independent radiology review
    time Frame
    24 months
secondary Outcomes
  1. description
    ORR per RECIST 1.1 calculated as the proportion of patients with a best overall response defined as complete response (CR) or partial response (PR).
    measure
    ORR based on investigator assessment
    time Frame
    24 months
  2. description
    PFS, defined as time from first dose of X-396 to progression or death due to any cause.
    measure
    Progression-free survival (PFS) as assessed by independent radiology review and investigator
    time Frame
    36 months
  3. description
    OS, defined as time from first dose of X-396 to death due to any cause.
    measure
    Overall survival (OS)
    time Frame
    36 months
Full study description
brief Summary
The main purpose of the study is to evaluate safety and efficacy of X-396(Ensartinib) capsule in patients with ALK-positive non-small cell lung cancer previously treated with crizotinib.While exploring the relationship between biomarkers and drug efficacy and safety.
detailed Description
This is a phase II, multicenter, single-arm study in which the safety and efficacy of X-396(Ensartinib) will be assessed in adult Chinese patients with ALK-positive(rearrangement) non-small cell lung cancer previously treated with crizotinib. Approximately 144 patients with locally advanced or metastatic NSCLC which carry ALK -rearrangement will be enrolled in the study.
Source references
references
  1. citation
    Yang Y, Zhou J, Zhou J, Feng J, Zhuang W, Chen J, Zhao J, Zhong W, Zhao Y, Zhang Y, Song Y, Hu Y, Yu Z, Gong Y, Chen Y, Ye F, Zhang S, Cao L, Fan Y, Wu G, Guo Y, Zhou C, Ma K, Fang J, Feng W, Liu Y, Zheng Z, Li G, Wu N, Song W, Liu X, Zhao S, Ding L, Mao L, Selvaggi G, Yuan X, Fu Y, Wang T, Xiao S, Zhang L. Efficacy, safety, and biomarker analysis of ensartinib in crizotinib-resistant, ALK-positive non-small-cell lung cancer: a multicentre, phase 2 trial. Lancet Respir Med. 2020 Jan;8(1):45-53. doi: 10.1016/S2213-2600(19)30252-8. Epub 2019 Oct 15.
    pmid
    31628085
    type
    DERIVED
Source notices and limitations
    Discovery and provenance
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        llowing trials: eXALT3 Study (N=143) [see Clinical Studies ( 14.1 ) ], Study 101 (NCT01625234, N=98), Study BTP-28311 (NCT02959619, N=35), and Study BTP-42322 (NCT03215693, N=182). Patients received ENSACOVE 225 mg orally once daily, with or without food, until disease progression or unacceptable toxicity. Among 458 patients who
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    Preserved source evidence · Not medical advice