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Poziotinib in Stage IV Lung Adenocarcinoma With HER2 Mutation (KASTT001)

K

Korean Association for the Study of Targeted Therapy

Status and phase

Completed
Phase 2

Conditions

Adenocarcinoma Lung Stage IV
HER2 Gene Mutation

Treatments

Drug: Poziotinib

Study type

Interventional

Funder types

Other

Identifiers

NCT02979821
PZT1401

Details and patient eligibility

About

In this trial, treatment efficacy and safety of Poziotinib will be assessed in patients with stage IV lung adenocarcinoma harboring HER2 mutation.

Full description

This study is designed to be multi-center, open-label, single-arm, prospective, phase II trial of patient with stage IV lung adenocarcinoma with HER2 mutation who have not received prior EGFR-TKI. Approximately 47 patients will be enrolled into the trial, and expected study duration is 36 months from IRB and Korea: MFDS approval date.

The study drug(poziotinib) will be administered orally as one 12 mg tablet once a day until disease progression or manifestation of unacceptable toxicity. The initial dose of the study drug 12 mg daily can be reduced to 8 mg once daily according to dose reduction criteria in protocol. A cycle of study treatment is defined as 28 days.

Enrollment

6 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. lung adenocarcinoma, stage IV

  2. Patients with HER2 mutation by sequencing

    • Confirmed triple-negative patients with remnant tumor DNA
  3. Patients who have histories of previous exposure to at least one more systemic chemotherapies (not EGFR-TKI)

  4. ECOG performance status 0~2

  5. Patient with at least one measurable lesions according to RECIST

  6. Patients who have proper organ functions as follows

    • Neutrophil count: > 1,500/uL
    • Platelet count: > 100,000/uL
    • Hb: > 9.0g/dL
    • AST/ALT : < 2.0 x upper normal limit
    • Bilirubin: < 1.25 x upper normal limit
    • Serum creatinine : < upper normal limit

Exclusion criteria

  1. Expected lie expectancy < 3 months
  2. CNS metastasis or spinal cord compression which were not treated with operation and/or radiation therapy(but, Patient with medically stable condition after operation and/or radiation therapy, or without symptomatic metastasis of brain in accordance with the investigator's judgment could participate in the study)
  3. Patients who have severe or unstable systemic disease in accordance with the investigator's judgment(ex, unstable or uncompensated respiratory, cardiac, hepatic or renal disease)
  4. Patients who have histories of previous exposure to EGFR-TKI

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

6 participants in 1 patient group

Poziotinib
Experimental group
Description:
The study drug(poziotinib) will be administered orally as one 12 mg tablet once a day until disease progression or manifestation of unacceptable toxicity. The initial dose of the study drug 12 mg daily can be reduced to 8 mg once daily according to dose reduction criteria.
Treatment:
Drug: Poziotinib

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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