Carcinoma, Non-Small-Cell Lung, Lung Cancer, Non-small Cell Lung Cancer
Conditions
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
CDK 4/6 inhibitor
EGFR TKI; 80 mg
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Dose Limiting Toxicity | Cycle 1 Day -16 to Cycle 1 Day 28 | 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). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Best Overall Tumor Response | 21 months | 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. |
| 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 months | 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). |
| 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 Distribution | Part 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) Infinity | Part 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
| Arm | Count |
|---|---|
| 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 |
| Total | 30 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 |
|---|---|---|---|---|---|---|
| Overall Study | Death | 2 | 3 | 2 | 4 | 2 |
| Overall Study | Disease progression | 0 | 0 | 0 | 1 | 1 |
| Overall Study | Study terminated and patients did not have progressive disease or died | 5 | 3 | 2 | 2 | 3 |
Baseline characteristics
| Characteristic | Part 1: Cohort 1 Lerociclib at 200 mg QD | Part 1: Cohort 2 Lerociclib at 300 mg QD | Part 1: Cohort 3 Lerociclib at 400 mg QD | Part 1: Cohort 4 Lerociclib at 150 mg BID | Part 1: Cohort 5 Lerociclib at 200 mg BID | Total |
|---|---|---|---|---|---|---|
| Age, Continuous | 62.71 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 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 4 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 3 Participants | 6 Participants | 3 Participants | 5 Participants | 6 Participants | 23 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 3 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 1 Participants | 1 Participants | 0 Participants | 1 Participants | 4 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 1 Participants | 3 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 5 Participants | 0 Participants | 1 Participants | 2 Participants | 0 Participants | 8 Participants |
| Race (NIH/OMB) White | 1 Participants | 5 Participants | 2 Participants | 3 Participants | 4 Participants | 15 Participants |
| Sex: Female, Male Female | 6 Participants | 3 Participants | 3 Participants | 5 Participants | 4 Participants | 21 Participants |
| Sex: Female, Male Male | 1 Participants | 3 Participants | 1 Participants | 2 Participants | 2 Participants | 9 Participants |
Adverse events
| Event type | EG000 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 / 7 | 3 / 6 | 2 / 4 | 4 / 7 | 2 / 6 |
| other Total, other adverse events | 7 / 7 | 6 / 6 | 4 / 4 | 7 / 7 | 6 / 6 |
| serious Total, serious adverse events | 2 / 7 | 1 / 6 | 1 / 4 | 0 / 7 | 2 / 6 |
Outcome results
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Dose Limiting Toxicity | 0 Participants |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Dose Limiting Toxicity | 0 Participants |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Dose Limiting Toxicity | 1 Participants |
| Part 1: Cohort 4 Lerociclib at 150 mg BID | Dose Limiting Toxicity | 0 Participants |
| Part 1: Cohort 5 Lerociclib at 200 mg BID | Dose Limiting Toxicity | 0 Participants |
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.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Best Overall Tumor Response | Not Evaluable (NE) | 1 Participants |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Best Overall Tumor Response | Partial Response (PR) | 2 Participants |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Best Overall Tumor Response | Progressive Disease (PD) | 1 Participants |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Best Overall Tumor Response | Stable Disease (SD) | 2 Participants |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Best Overall Tumor Response | Complete Response (CR) | 0 Participants |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Best Overall Tumor Response | Not Evaluable (NE) | 0 Participants |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Best Overall Tumor Response | Complete Response (CR) | 0 Participants |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Best Overall Tumor Response | Partial Response (PR) | 1 Participants |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Best Overall Tumor Response | Stable Disease (SD) | 4 Participants |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Best Overall Tumor Response | Progressive Disease (PD) | 1 Participants |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Best Overall Tumor Response | Not Evaluable (NE) | 0 Participants |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Best Overall Tumor Response | Stable Disease (SD) | 1 Participants |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Best Overall Tumor Response | Partial Response (PR) | 0 Participants |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Best Overall Tumor Response | Complete Response (CR) | 0 Participants |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Best Overall Tumor Response | Progressive Disease (PD) | 3 Participants |
| Part 1: Cohort 4 Lerociclib at 150 mg BID | Best Overall Tumor Response | Stable Disease (SD) | 3 Participants |
| Part 1: Cohort 4 Lerociclib at 150 mg BID | Best Overall Tumor Response | Partial Response (PR) | 1 Participants |
| Part 1: Cohort 4 Lerociclib at 150 mg BID | Best Overall Tumor Response | Progressive Disease (PD) | 2 Participants |
| Part 1: Cohort 4 Lerociclib at 150 mg BID | Best Overall Tumor Response | Not Evaluable (NE) | 1 Participants |
| Part 1: Cohort 4 Lerociclib at 150 mg BID | Best Overall Tumor Response | Complete Response (CR) | 0 Participants |
| Part 1: Cohort 5 Lerociclib at 200 mg BID | Best Overall Tumor Response | Progressive Disease (PD) | 1 Participants |
| Part 1: Cohort 5 Lerociclib at 200 mg BID | Best Overall Tumor Response | Not Evaluable (NE) | 1 Participants |
| Part 1: Cohort 5 Lerociclib at 200 mg BID | Best Overall Tumor Response | Partial Response (PR) | 3 Participants |
| Part 1: Cohort 5 Lerociclib at 200 mg BID | Best Overall Tumor Response | Stable Disease (SD) | 0 Participants |
| Part 1: Cohort 5 Lerociclib at 200 mg BID | Best Overall Tumor Response | Complete Response (CR) | 0 Participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | G1T38 Cycle 1 Day -16 | 319.6 h*ng/mL | Standard Deviation 107 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | G1T38 Cycle 1 Day -2 | 277.4 h*ng/mL | Standard Deviation 63.2 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | Metabolite G1T30 Cycle 1 Day -16 | 28.443 h*ng/mL | Standard Deviation 17.175 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | Metabolite G1T30 Cycle 1 Day -2 | 30.110 h*ng/mL | Standard Deviation 11.255 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | Metabolite G1T30 Cycle 1 Day -2 | 44.745 h*ng/mL | Standard Deviation 13.929 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | G1T38 Cycle 1 Day -16 | 391.0 h*ng/mL | Standard Deviation 85.6 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | Metabolite G1T30 Cycle 1 Day -16 | 30.853 h*ng/mL | Standard Deviation 10.577 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | G1T38 Cycle 1 Day -2 | 390.0 h*ng/mL | Standard Deviation 91 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | Metabolite G1T30 Cycle 1 Day -2 | 80.145 h*ng/mL | Standard Deviation 66.239 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | G1T38 Cycle 1 Day -2 | 802.3 h*ng/mL | Standard Deviation 519 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | Metabolite G1T30 Cycle 1 Day -16 | 53.971 h*ng/mL | Standard Deviation 23.638 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Area Under Curve - Plasma Concentration (AUC) Infinity | G1T38 Cycle 1 Day -16 | 715.6 h*ng/mL | Standard Deviation 359 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | G1T38 Cycle 1 Day -16 | 27.229 ng/mL | Standard Deviation 8.936 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | G1T38 Cycle 1 Day -2 | 17.257 ng/mL | Standard Deviation 1.471 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | Metabolite G1T30 Cycle 1 Day -16 | 3.080 ng/mL | Standard Deviation 1.301 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | Metabolite G1T30 Cycle 1 Day -2 | 2.736 ng/mL | Standard Deviation 0.764 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | Metabolite G1T30 Cycle 1 Day -2 | 3.853 ng/mL | Standard Deviation 1.146 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | G1T38 Cycle 1 Day -16 | 33.375 ng/mL | Standard Deviation 12.212 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | Metabolite G1T30 Cycle 1 Day -16 | 3.568 ng/mL | Standard Deviation 0.633 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | G1T38 Cycle 1 Day -2 | 26.400 ng/mL | Standard Deviation 2.689 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | Metabolite G1T30 Cycle 1 Day -2 | 5.970 ng/mL | Standard Deviation 4.369 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | G1T38 Cycle 1 Day -2 | 42.700 ng/mL | Standard Deviation 25.107 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | Metabolite G1T30 Cycle 1 Day -16 | 4.220 ng/mL | Standard Deviation 1.717 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Maximum Plasma Concentration (Cmax) | G1T38 Cycle 1 Day -16 | 43.850 ng/mL | Standard Deviation 21.942 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | G1T38 Cycle 1 Day -16 | 13.83 hour | Standard Deviation 1.95 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | G1T38 Cycle 1 Day -2 | 13.59 hour | Standard Deviation 2.88 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | Metabolite G1T30 Cycle 1 Day -16 | 11.771 hour | Standard Deviation 7.248 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | Metabolite G1T30 Cycle 1 Day -2 | 13.722 hour | Standard Deviation 8.025 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | Metabolite G1T30 Cycle 1 Day -2 | 18.220 hour | Standard Deviation 2.027 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | G1T38 Cycle 1 Day -16 | 16.30 hour | Standard Deviation 4.36 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | Metabolite G1T30 Cycle 1 Day -16 | 12.238 hour | Standard Deviation 8.072 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | G1T38 Cycle 1 Day -2 | 12.61 hour | Standard Deviation 1.71 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | Metabolite G1T30 Cycle 1 Day -2 | 18.582 hour | Standard Deviation 2.977 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | G1T38 Cycle 1 Day -2 | 13.93 hour | Standard Deviation 2.14 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | Metabolite G1T30 Cycle 1 Day -16 | 22.614 hour | Standard Deviation 3.297 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38 and Metabolite G1T30: Plasma: Terminal Half Life (T1/2) | G1T38 Cycle 1 Day -16 | 15.59 hour | Standard Deviation 2.12 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38: Plasma - Volume of Distribution | G1T38 Cycle 1 Day -16 | 14000 Liter | Standard Deviation 6540 |
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Pharmacokinetics of G1T38: Plasma - Volume of Distribution | G1T38 Cycle 1 Day -2 | 14900 Liter | Standard Deviation 4660 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38: Plasma - Volume of Distribution | G1T38 Cycle 1 Day -16 | 18700 Liter | Standard Deviation 6910 |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Pharmacokinetics of G1T38: Plasma - Volume of Distribution | G1T38 Cycle 1 Day -2 | 14800 Liter | Standard Deviation 5060 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38: Plasma - Volume of Distribution | G1T38 Cycle 1 Day -16 | 15900 Liter | Standard Deviation 9210 |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Pharmacokinetics of G1T38: Plasma - Volume of Distribution | G1T38 Cycle 1 Day -2 | 12900 Liter | Standard Deviation 6490 |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: Cohort 1 Lerociclib at 200 mg QD | Progression Free Survival (PFS) | 19.3 months |
| Part 1: Cohort 2 Lerociclib at 300 mg QD | Progression Free Survival (PFS) | 6.0 months |
| Part 1: Cohort 3 Lerociclib at 400 mg QD | Progression Free Survival (PFS) | 1.4 months |
| Part 1: Cohort 4 Lerociclib at 150 mg BID | Progression Free Survival (PFS) | 7.2 months |
| Part 1: Cohort 5 Lerociclib at 200 mg BID | Progression Free Survival (PFS) | 12.9 months |