RecruitingPhase 1

A Multinational Study Assessing an Oral EGFR Inhibitor, DZD6008 in Patients Who Have Advanced NSCLC With EGFR Mutations (TIAN-SHAN1)

A Phase 1, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics, and Anti-tumor Efficacy of DZD6008 in Patients With Advanced Non-small Cell Lung Cancer (NSCLC) With EGFR Mutations (TIAN-SHAN1)

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years and older
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests DZD6008, a drug taken by mouth that targets EGFR, a protein that helps cancer cells grow. It looks at safety and whether the drug fights tumors in adults with advanced non-small cell lung cancer (NSCLC) that has changes in the EGFR gene.

This study is designed to evaluate safety and anti-tumor activity of DZD6008 in patients with advanced NSCLC with EGFR mutations.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Be age 18 or older and able to give written consent.
  • Have NSCLC confirmed by a tissue or cell test. The cancer must have spread nearby or to other parts of the body and not be suitable for treatment meant to cure it.
  • Have EGFR gene changes confirmed by an approved lab. Part A drug-alone groups and all Part B groups require Exon19del and/or L858R changes.
  • Provide enough tumor tissue for testing. For previously treated patients, it must be collected after cancer worsened on the last EGFR-targeted drug; for untreated patients, before study treatment.
  • Meet your group's treatment rules: Part A requires at least one past EGFR-targeted treatment that stopped working or caused side effects you could not tolerate. Part B group A requires one such third-generation treatment; Part B groups B require no prior treatment.
  • Be fully active or able to do light work, with an expected lifespan of at least 12 weeks.
  • Have cancer that can be measured and blood cells and organs that work well enough. Any cancer in the brain must be stable.
  • Men with partners who could become pregnant must use barrier birth control, such as condoms, and not donate sperm during the study and for 3 months after the last dose.

Who can't join

  • Have certain other EGFR gene changes in Part B, or lung cancer that includes or has changed into small cell lung cancer.
  • Have had certain recent cancer treatments, radiation, major surgery, or a live vaccine, or expect major surgery during the study. Required waiting times vary by treatment.
  • Take medicines or herbs that affect how the body handles certain drugs, or proton pump inhibitors for stomach acid, and cannot stop them for the required time.
  • Have side effects from past cancer treatment that are more than mild; pressure on the spinal cord; cancer in the lining around the brain or spinal cord; or another cancer within 2 years.
  • Have a severe or uncontrolled illness, active infection, certain heart rhythm problems or risks, or current or past interstitial lung disease, which can scar or inflame the lungs.
  • Have a condition that prevents the body from absorbing DZD6008 well, or an allergy to any ingredient in DZD6008 or sunvozertinib.
  • Be pregnant or breastfeeding.
  • Help plan or run the study, or be judged by the study doctor as unlikely to follow study steps.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: 1. Patients must be able to provide documented informed consent. 2. Aged ≥ 18 years. 3. Histologically or cytologically confirmed diagnosis of NSCLC, locally advanced or metastatic, not suitable for curative therapy. 4. Documentation of EGFR mutations from a local CLIA-certified laboratory (or equivalent). For Part A monotherapy cohorts and all cohorts of Part B, EGFR sensitizing mutations (Exon19del and/or L858R) are required. 5. Provide adequate amount of pretreatment tumor samples collected after disease progression on the last EGFR TKI treatment. (previously treated patients) or before study treatment (treatment naïve patients). 6. Part A: Failed (progressed or are intolerant) from at least 1 prior EGFR TKI regimen. Cohort A of Part B: Failed 1 prior third-generation EGFR TKI regimen. Cohorts B of Part B: Patients who are treatment naïve. 7. ECOG 0 or 1 with predicted life expectancy ≥ 12 weeks. 8. Patients with brain metastases must have a stable BM status. 9. Measurable disease per RECIST 1.1. 10. Adequate hematopoietic and other organ system functions. 11. Male Patients with female partners of childbearing potential should use barrier contraceptives and refrain from donating sperm during their participation in this study and for 3 months following the last dose of the study drug. Exclusion Criteria: 1. Carry other EGFR alterations than T790M and C797X, including but not limited to uncommon EGFR mutations (G719X, S768I, L861Q, exon 20 insertions mutations, etc.)(Part B). 2. NSCLC with mixed small cell lung cancer (SCLC) or NSCLC with histologic SCLC transformation. 3. Prior treatment with any of the following: 1)Immunotherapy or other antibody therapy within 4 weeks prior to the first administration; 2)Any cytotoxic chemotherapy, investigational drugs or other anticancer drugs from a previous treatment regimen or clinical study within 14 days prior to the first administration; 3)Radiotherapy with a limited field of radiation for palliation within 7 days of the first dose, radiation to more than 30% of the bone marrow or with a wide field of radiation within 28 days before screening; 4)Currently receiving or unable to stop drug or herbal supplements known to be potent inhibitors or inducers of cytochrome P450 (CYP)3A4. A washout period of at least 2 weeks for strong inhibitors and 3 weeks for strong inducers is required prior to the first study drug administration; 5)currently receiving or unable to stop drugs known to be CYP3A4 sensitive substrate with a narrow therapeutic index. A washout period of at least 14 days is required prior to the first study drug administration; 6)currently receiving or unable to stop drugs known to be proton pump inhibitors. A washout period of at least 7 days is required prior to the first study drug administration; 7)major surgery within 4 weeks of the first administration of DZD6008 or anticipated during the study period. 4. Any unresolved toxicities from prior anti-cancer therapy greater than CTCAE Grade 1. 5. Spinal cord compression or leptomeningeal metastasis. 6. Patients with any other malignancy within 2 years of the first administration of study drug. 7. Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses as judged by investigator. 8. Patients with active infection, including but not limited to HBV, HCV, HIV and active infection of COVID-19. 9. Resting QTcF \> 470 msec; Any clinically significant abnormalities in rhythm, conduction or morphology of resting ECG;Any factors that increase the risk of QTc prolongation. 10. Past medical history of ILD or active ILD. 11. Diseases which would preclude adequate absorption of DZD6008. 12. Received a live vaccine within 2 weeks before the first administration of DZD6008. 13. Women who are pregnant or breastfeeding. 14. Hypersensitivity to active or inactive excipients of DZD6008 or sunvozertinib. 15. Involvement in the planning and conduct of the study. 16. Judgment by the investigator that the patient is unlikely to comply with study procedures

Study sites (3)

NY

VA