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G1T38, a CDK 4/6 Inhibitor, in Combination With Osimertinib in EGFR-Mutant Non-Small Cell Lung Cancer

Phase 1b/2 Safety, Pharmacokinetic, and Efficacy Study of G1T38 in Combination With Osimertinib in Patients With EGFR Mutation-Positive Metastatic Non-Small Cell Lung Cancer (NSCLC)

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03455829
Enrollment
30
Registered
2018-03-07
Start date
2018-03-29
Completion date
2022-02-14
Last updated
2023-05-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Carcinoma, Non-Small-Cell Lung, Lung Cancer, Non-small Cell Lung Cancer

Keywords

Lung Cancer, Non-small Cell Lung Cancer, CDK 4/6 Inhibitor, EGFR-Positive, EGFR Mutation- Positive, T790M, EGFR Mutant, lerociclib

Brief summary

This was a study to investigate the potential clinical benefit of G1T38 as an oral therapy in combination with osimertinib in patients with EGFR mutation-positive metastatic non-small cell lung cancer. The study was an open-label design, planned to consist of 2 parts: a safety, pharmacokinetic, and dose-finding portion (Part 1), and a randomized portion (Part 2). Both parts were to include 3 study phases: Screening Phase, Treatment Phase, and Survival Follow-up Phase. The Treatment Phase began on the day of first dose with study treatment and completes at the Post-Treatment Visit. Approximately, 144 patients were planned to be enrolled in the study.

Detailed description

Part 2, the Phase 2 part of the study, was not conducted due to changes in corporate strategy. There were no safety signals identified in Phase 1/Part 1 that would have precluded the conduct of Part 2. As a result, 30 out of the planned 144 patients were enrolled. All tumor assessments were conducted by the Investigators or site radiologist. In order to reduce the burden to the patients, data of overall survival (OS) were no longer required (since 29 January 2020). No OS analysis was conducted for Part 1 due to limited data in Part 1. PK data for Cohorts 4 (150 BID) and 5 (200 BID) were not analyzed as they were deemed unnecessary, as the PK data from Cohorts 1-3 were sufficient to achieve the secondary study objective of assessing the effect of osimertinib on PK parameters of G1T38.

Interventions

DRUGG1T38

CDK 4/6 inhibitor

DRUGOsimertinib

EGFR TKI; 80 mg

Sponsors

G1 Therapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Confirmed EGFR mutation for non-small cell lung cancer associated with EGFR TKI sensitivity * For Part 2, EGFR T790M mutation-positive tumor status * Left ventricular ejection fraction (LVEF) ≥ institution's lower limit of the reference range * For Part 1, evaluable or measurable disease as defined by RECIST, Version 1.1 * For Part 2, measurable disease as defined by RECIST, Version 1.1 * ECOG performance status 0 to 1 * Adequate organ function

Exclusion criteria

* Prior treatment with EGFR TKI within 9 days of first study dose * For Part 1, prior treatment with more than 2 prior lines of chemotherapy for advanced NSCLC * For Part 2, prior treatment with osimertinib or other T790M active EGFR TKI * For Part 2, prior chemotherapy for advanced NSCLC * Active uncontrolled/symptomatic CNS metastases, carcinomatous meningitis, or leptomeningeal disease * Investigational drug within 3 months or 5 half-lives, whichever is longer, of first study dose * Concurrent radiotherapy, radiotherapy within 28 days of first study dose, previous radiotherapy to the target lesion sites, or prior radiotherapy to \> 25% of bone marrow * Prior hematopoietic stem cell or bone marrow transplantation

Design outcomes

Primary

MeasureTime frameDescription
Dose Limiting ToxicityCycle 1 Day -16 to Cycle 1 Day 28The percentage of patients experiencing DLTs in Part 1 of the study in each cohort, including: * Grade 4 neutropenia * ≥ Grade 3 neutropenic infection/febrile neutropenia * Grade 4 thrombocytopenia * ≥ Grade 3 thrombocytopenia with bleeding * ≥ Grade 3 nonhematologic toxicity (additional criteria for nausea, vomiting, diarrhea, or fatigue: lasting \> 5 days with maximal medical management) * Liver function test abnormalities meeting Hy's Law criteria (aspartate aminotransferase \[AST\] or alanine aminotransferase \[ALT\] ≥ 3 × upper limit of normal \[ULN\] and total bilirubin ≥ 2 × ULN).

Secondary

MeasureTime frameDescription
Best Overall Tumor Response21 monthsThe percentage of patients who fall into each category of Best overall response (BOR) as defined by Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 guidelines. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. When no imaging/measurement is done, the patient is not evaluable (NE); and if only a subset of lesion measurements are made, usually the case is also considered NE.
Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)Part 1, Cycle 1 Day -16 to Day -2.The observed peak plasma concentration determined from the plasma concentration versus time data.
Progression Free Survival (PFS)36 monthsMedian time (months) and 95% CI from date of first dose of study drug/randomization until date of documented disease progression or death due to any cause. Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 guidelines for tumor assessments were used to determine progression. Progressive Disease (PD) was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).
Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)Part 1, Cycle 1 Day -16 to Day -2.Terminal half-life, defined as 0.693 divided by the terminal phase rate constant by λz , determined by linear regression of at least 3 points on the terminal phase of the log-linear plasma concentration-time curve.
Pharmacokinetics of G1T38: Plasma - Volume of DistributionPart 1, Cycle 1 Day -16 to Day -2.Volume of distribution in the terminal elimination phase, calculated as: Vz/F = (CL/F)/λz
Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityPart 1, Cycle 1 Day -16 to Day -2.Area under the concentration-time curve from time zero extrapolated to infinity using the linear-up log-down trapezoidal rule.

Countries

United States

Participant flow

Participants by arm

ArmCount
Part 1: Cohort 1 Lerociclib at 200 mg QD
Part 1: G1T38/Lerociclib at 200 mg once daily (QD) orally + Osimertinib 80 mg once daily (QD) orally
7
Part 1: Cohort 2 Lerociclib at 300 mg QD
Part 1: G1T38/Lerociclib at 300 mg once daily (QD) orally + Osimertinib 80 mg once daily (QD) orally
6
Part 1: Cohort 3 Lerociclib at 400 mg QD
Part 1: G1T38/Lerociclib at 400 mg once daily (QD) orally + Osimertinib 80 mg once daily (QD) orally
4
Part 1: Cohort 4 Lerociclib at 150 mg BID
Part 1: G1T38/Lerociclib at 150 mg twice daily (BID) orally + Osimertinib 80 mg once daily (QD) orally
7
Part 1: Cohort 5 Lerociclib at 200 mg BID
Part 1: G1T38/Lerociclib at 200 mg twice daily (BID) orally + Osimertinib 80 mg once daily (QD) orally
6
Total30

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyDeath23242
Overall StudyDisease progression00011
Overall StudyStudy terminated and patients did not have progressive disease or died53223

Baseline characteristics

CharacteristicPart 1: Cohort 1 Lerociclib at 200 mg QDPart 1: Cohort 2 Lerociclib at 300 mg QDPart 1: Cohort 3 Lerociclib at 400 mg QDPart 1: Cohort 4 Lerociclib at 150 mg BIDPart 1: Cohort 5 Lerociclib at 200 mg BIDTotal
Age, Continuous62.71 years
STANDARD_DEVIATION 11.265
62.67 years
STANDARD_DEVIATION 8.779
62.75 years
STANDARD_DEVIATION 7.805
61.43 years
STANDARD_DEVIATION 15.757
66.17 years
STANDARD_DEVIATION 3.764
63.10 years
STANDARD_DEVIATION 10.118
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants0 Participants0 Participants1 Participants0 Participants4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants6 Participants3 Participants5 Participants6 Participants23 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants1 Participants0 Participants3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants1 Participants1 Participants0 Participants1 Participants4 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants2 Participants1 Participants3 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants0 Participants1 Participants2 Participants0 Participants8 Participants
Race (NIH/OMB)
White
1 Participants5 Participants2 Participants3 Participants4 Participants15 Participants
Sex: Female, Male
Female
6 Participants3 Participants3 Participants5 Participants4 Participants21 Participants
Sex: Female, Male
Male
1 Participants3 Participants1 Participants2 Participants2 Participants9 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
2 / 73 / 62 / 44 / 72 / 6
other
Total, other adverse events
7 / 76 / 64 / 47 / 76 / 6
serious
Total, serious adverse events
2 / 71 / 61 / 40 / 72 / 6

Outcome results

Primary

Dose Limiting Toxicity

The percentage of patients experiencing DLTs in Part 1 of the study in each cohort, including: * Grade 4 neutropenia * ≥ Grade 3 neutropenic infection/febrile neutropenia * Grade 4 thrombocytopenia * ≥ Grade 3 thrombocytopenia with bleeding * ≥ Grade 3 nonhematologic toxicity (additional criteria for nausea, vomiting, diarrhea, or fatigue: lasting \> 5 days with maximal medical management) * Liver function test abnormalities meeting Hy's Law criteria (aspartate aminotransferase \[AST\] or alanine aminotransferase \[ALT\] ≥ 3 × upper limit of normal \[ULN\] and total bilirubin ≥ 2 × ULN).

Time frame: Cycle 1 Day -16 to Cycle 1 Day 28

Population: Safety analysis set: including all enrolled patients who were administered at least 1 dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: Cohort 1 Lerociclib at 200 mg QDDose Limiting Toxicity0 Participants
Part 1: Cohort 2 Lerociclib at 300 mg QDDose Limiting Toxicity0 Participants
Part 1: Cohort 3 Lerociclib at 400 mg QDDose Limiting Toxicity1 Participants
Part 1: Cohort 4 Lerociclib at 150 mg BIDDose Limiting Toxicity0 Participants
Part 1: Cohort 5 Lerociclib at 200 mg BIDDose Limiting Toxicity0 Participants
Secondary

Best Overall Tumor Response

The percentage of patients who fall into each category of Best overall response (BOR) as defined by Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 guidelines. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. When no imaging/measurement is done, the patient is not evaluable (NE); and if only a subset of lesion measurements are made, usually the case is also considered NE.

Time frame: 21 months

Population: The response evaluable analysis set includes all patients who received study drug, had a measurable lesion (target lesions) at the baseline tumor assessment, and either (i) had at least 1 post-baseline tumor assessment, or (ii) did not have a post-baseline tumor assessment but had clinical progression as noted by the investigator, or died due to disease progression before their first post-baseline tumor scan.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Part 1: Cohort 1 Lerociclib at 200 mg QDBest Overall Tumor ResponseNot Evaluable (NE)1 Participants
Part 1: Cohort 1 Lerociclib at 200 mg QDBest Overall Tumor ResponsePartial Response (PR)2 Participants
Part 1: Cohort 1 Lerociclib at 200 mg QDBest Overall Tumor ResponseProgressive Disease (PD)1 Participants
Part 1: Cohort 1 Lerociclib at 200 mg QDBest Overall Tumor ResponseStable Disease (SD)2 Participants
Part 1: Cohort 1 Lerociclib at 200 mg QDBest Overall Tumor ResponseComplete Response (CR)0 Participants
Part 1: Cohort 2 Lerociclib at 300 mg QDBest Overall Tumor ResponseNot Evaluable (NE)0 Participants
Part 1: Cohort 2 Lerociclib at 300 mg QDBest Overall Tumor ResponseComplete Response (CR)0 Participants
Part 1: Cohort 2 Lerociclib at 300 mg QDBest Overall Tumor ResponsePartial Response (PR)1 Participants
Part 1: Cohort 2 Lerociclib at 300 mg QDBest Overall Tumor ResponseStable Disease (SD)4 Participants
Part 1: Cohort 2 Lerociclib at 300 mg QDBest Overall Tumor ResponseProgressive Disease (PD)1 Participants
Part 1: Cohort 3 Lerociclib at 400 mg QDBest Overall Tumor ResponseNot Evaluable (NE)0 Participants
Part 1: Cohort 3 Lerociclib at 400 mg QDBest Overall Tumor ResponseStable Disease (SD)1 Participants
Part 1: Cohort 3 Lerociclib at 400 mg QDBest Overall Tumor ResponsePartial Response (PR)0 Participants
Part 1: Cohort 3 Lerociclib at 400 mg QDBest Overall Tumor ResponseComplete Response (CR)0 Participants
Part 1: Cohort 3 Lerociclib at 400 mg QDBest Overall Tumor ResponseProgressive Disease (PD)3 Participants
Part 1: Cohort 4 Lerociclib at 150 mg BIDBest Overall Tumor ResponseStable Disease (SD)3 Participants
Part 1: Cohort 4 Lerociclib at 150 mg BIDBest Overall Tumor ResponsePartial Response (PR)1 Participants
Part 1: Cohort 4 Lerociclib at 150 mg BIDBest Overall Tumor ResponseProgressive Disease (PD)2 Participants
Part 1: Cohort 4 Lerociclib at 150 mg BIDBest Overall Tumor ResponseNot Evaluable (NE)1 Participants
Part 1: Cohort 4 Lerociclib at 150 mg BIDBest Overall Tumor ResponseComplete Response (CR)0 Participants
Part 1: Cohort 5 Lerociclib at 200 mg BIDBest Overall Tumor ResponseProgressive Disease (PD)1 Participants
Part 1: Cohort 5 Lerociclib at 200 mg BIDBest Overall Tumor ResponseNot Evaluable (NE)1 Participants
Part 1: Cohort 5 Lerociclib at 200 mg BIDBest Overall Tumor ResponsePartial Response (PR)3 Participants
Part 1: Cohort 5 Lerociclib at 200 mg BIDBest Overall Tumor ResponseStable Disease (SD)0 Participants
Part 1: Cohort 5 Lerociclib at 200 mg BIDBest Overall Tumor ResponseComplete Response (CR)0 Participants
Secondary

Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity

Area under the concentration-time curve from time zero extrapolated to infinity using the linear-up log-down trapezoidal rule.

Time frame: Part 1, Cycle 1 Day -16 to Day -2.

Population: The analysis population included only those patients that received G1T38 on a once daily schedule, that is Cohorts 1-3. Pharmacokinetic data for Cohorts 4 and 5 were not collected due to the twice daily dosing schedule implemented, per recommendation of the Safety Monitoring Committee, for these 2 cohorts.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityG1T38 Cycle 1 Day -16319.6 h*ng/mLStandard Deviation 107
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityG1T38 Cycle 1 Day -2277.4 h*ng/mLStandard Deviation 63.2
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityMetabolite G1T30 Cycle 1 Day -1628.443 h*ng/mLStandard Deviation 17.175
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityMetabolite G1T30 Cycle 1 Day -230.110 h*ng/mLStandard Deviation 11.255
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityMetabolite G1T30 Cycle 1 Day -244.745 h*ng/mLStandard Deviation 13.929
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityG1T38 Cycle 1 Day -16391.0 h*ng/mLStandard Deviation 85.6
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityMetabolite G1T30 Cycle 1 Day -1630.853 h*ng/mLStandard Deviation 10.577
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityG1T38 Cycle 1 Day -2390.0 h*ng/mLStandard Deviation 91
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityMetabolite G1T30 Cycle 1 Day -280.145 h*ng/mLStandard Deviation 66.239
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityG1T38 Cycle 1 Day -2802.3 h*ng/mLStandard Deviation 519
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityMetabolite G1T30 Cycle 1 Day -1653.971 h*ng/mLStandard Deviation 23.638
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) InfinityG1T38 Cycle 1 Day -16715.6 h*ng/mLStandard Deviation 359
Secondary

Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)

The observed peak plasma concentration determined from the plasma concentration versus time data.

Time frame: Part 1, Cycle 1 Day -16 to Day -2.

Population: The analysis population included only those patients that received G1T38 on a once daily schedule, that is Cohorts 1-3. Pharmacokinetic data for Cohorts 4 and 5 were not collected due to the twice daily dosing schedule implemented, per recommendation of the Safety Monitoring Committee, for these 2 cohorts.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)G1T38 Cycle 1 Day -1627.229 ng/mLStandard Deviation 8.936
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)G1T38 Cycle 1 Day -217.257 ng/mLStandard Deviation 1.471
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)Metabolite G1T30 Cycle 1 Day -163.080 ng/mLStandard Deviation 1.301
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)Metabolite G1T30 Cycle 1 Day -22.736 ng/mLStandard Deviation 0.764
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)Metabolite G1T30 Cycle 1 Day -23.853 ng/mLStandard Deviation 1.146
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)G1T38 Cycle 1 Day -1633.375 ng/mLStandard Deviation 12.212
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)Metabolite G1T30 Cycle 1 Day -163.568 ng/mLStandard Deviation 0.633
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)G1T38 Cycle 1 Day -226.400 ng/mLStandard Deviation 2.689
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)Metabolite G1T30 Cycle 1 Day -25.970 ng/mLStandard Deviation 4.369
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)G1T38 Cycle 1 Day -242.700 ng/mLStandard Deviation 25.107
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)Metabolite G1T30 Cycle 1 Day -164.220 ng/mLStandard Deviation 1.717
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax)G1T38 Cycle 1 Day -1643.850 ng/mLStandard Deviation 21.942
Secondary

Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)

Terminal half-life, defined as 0.693 divided by the terminal phase rate constant by λz , determined by linear regression of at least 3 points on the terminal phase of the log-linear plasma concentration-time curve.

Time frame: Part 1, Cycle 1 Day -16 to Day -2.

Population: The analysis population included only those patients that received G1T38 on a once daily schedule, that is Cohorts 1-3. Pharmacokinetic data for Cohorts 4 and 5 were not collected due to the twice daily dosing schedule implemented, per recommendation of the Safety Monitoring Committee, for these 2 cohorts.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)G1T38 Cycle 1 Day -1613.83 hourStandard Deviation 1.95
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)G1T38 Cycle 1 Day -213.59 hourStandard Deviation 2.88
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)Metabolite G1T30 Cycle 1 Day -1611.771 hourStandard Deviation 7.248
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)Metabolite G1T30 Cycle 1 Day -213.722 hourStandard Deviation 8.025
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)Metabolite G1T30 Cycle 1 Day -218.220 hourStandard Deviation 2.027
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)G1T38 Cycle 1 Day -1616.30 hourStandard Deviation 4.36
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)Metabolite G1T30 Cycle 1 Day -1612.238 hourStandard Deviation 8.072
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)G1T38 Cycle 1 Day -212.61 hourStandard Deviation 1.71
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)Metabolite G1T30 Cycle 1 Day -218.582 hourStandard Deviation 2.977
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)G1T38 Cycle 1 Day -213.93 hourStandard Deviation 2.14
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)Metabolite G1T30 Cycle 1 Day -1622.614 hourStandard Deviation 3.297
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2)G1T38 Cycle 1 Day -1615.59 hourStandard Deviation 2.12
Secondary

Pharmacokinetics of G1T38: Plasma - Volume of Distribution

Volume of distribution in the terminal elimination phase, calculated as: Vz/F = (CL/F)/λz

Time frame: Part 1, Cycle 1 Day -16 to Day -2.

Population: The analysis population included only those patients that received G1T38 on a once daily schedule, that is Cohorts 1-3. Pharmacokinetic data for Cohorts 4 and 5 were not collected due to the twice daily dosing schedule implemented, per recommendation of the Safety Monitoring Committee, for these 2 cohorts.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38: Plasma - Volume of DistributionG1T38 Cycle 1 Day -1614000 LiterStandard Deviation 6540
Part 1: Cohort 1 Lerociclib at 200 mg QDPharmacokinetics of G1T38: Plasma - Volume of DistributionG1T38 Cycle 1 Day -214900 LiterStandard Deviation 4660
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38: Plasma - Volume of DistributionG1T38 Cycle 1 Day -1618700 LiterStandard Deviation 6910
Part 1: Cohort 2 Lerociclib at 300 mg QDPharmacokinetics of G1T38: Plasma - Volume of DistributionG1T38 Cycle 1 Day -214800 LiterStandard Deviation 5060
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38: Plasma - Volume of DistributionG1T38 Cycle 1 Day -1615900 LiterStandard Deviation 9210
Part 1: Cohort 3 Lerociclib at 400 mg QDPharmacokinetics of G1T38: Plasma - Volume of DistributionG1T38 Cycle 1 Day -212900 LiterStandard Deviation 6490
Secondary

Progression Free Survival (PFS)

Median time (months) and 95% CI from date of first dose of study drug/randomization until date of documented disease progression or death due to any cause. Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 guidelines for tumor assessments were used to determine progression. Progressive Disease (PD) was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).

Time frame: 36 months

Population: Full Analysis Set: All enrolled patients who were administered at least one dose of continuous daily G1T38.

ArmMeasureValue (MEDIAN)
Part 1: Cohort 1 Lerociclib at 200 mg QDProgression Free Survival (PFS)19.3 months
Part 1: Cohort 2 Lerociclib at 300 mg QDProgression Free Survival (PFS)6.0 months
Part 1: Cohort 3 Lerociclib at 400 mg QDProgression Free Survival (PFS)1.4 months
Part 1: Cohort 4 Lerociclib at 150 mg BIDProgression Free Survival (PFS)7.2 months
Part 1: Cohort 5 Lerociclib at 200 mg BIDProgression Free Survival (PFS)12.9 months

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026