Study on APL-101 for Treating Advanced Solid Tumors with Specific Genetic Changes

Sponsor: Apollomics Inc.

Sponsor score: 0
Inactive

ClinicalTrials ID:NCT03175224

This clinical trial is testing a new drug, APL-101, to see if it can effectively treat advanced solid tumors, including non-small cell lung cancer (NSCLC), that have specific genetic changes related to the MET gene. The study also explores using APL-101 alongside other treatments for certain lung cancers that have become resistant to standard therapies.

Patient Parameters

Program Overview

The purpose of this study is to evaluate how well APL-101 works as a treatment for advanced solid tumors, including non-small cell lung cancer (NSCLC), that have specific genetic changes in the MET gene. The study will also test APL-101 as an additional treatment for NSCLC that has developed resistance to standard therapies. Researchers aim to assess the effectiveness, safety, and tolerability of APL-101 in different groups of patients with these genetic changes.

Description

This study is divided into several groups based on the type of cancer and genetic changes present:

  • Group A-1: Patients with NSCLC that has a specific MET gene mutation (Exon 14 skipping) and have not been treated with MET inhibitors before.
  • Group A-2: Patients with NSCLC with the same MET mutation, who have been treated with up to three previous therapies but not with MET inhibitors.
  • Group B: Enrollment completed.
  • Group C: Patients with various solid tumors, excluding primary brain tumors, that have MET gene amplification, who have not been treated with MET inhibitors.
  • Group C-1: Patients with NSCLC with MET amplification and normal EGFR gene, who have not been treated with MET inhibitors.
  • Group C-2: Patients with NSCLC that have developed resistance to EGFR inhibitors due to MET amplification, who will receive APL-101 as an additional therapy.
  • Group D: Patients with various solid tumors, excluding primary brain tumors, with MET gene fusions, who have not been treated with MET inhibitors.
  • Group E: Patients with primary brain tumors with specific MET gene changes, who have not been treated with MET inhibitors.
  • Group F: Patients with various solid tumors with overexpression of MET and HGF genes, who have not been treated with MET inhibitors.

The study will assess the effectiveness, safety, and tolerability of APL-101 in these groups.

Eligibility Criteria

Inclusion Criteria

  • Adults aged 18 or older.
  • Must fit into one of the specific groups based on cancer type and genetic changes.
  • Have a confirmed diagnosis of cancer with specific MET gene changes.
  • Have not received MET inhibitors before, except for certain cases in Group C-2.
  • Have at least one measurable tumor.
  • Be in good overall health with a performance status score of 0 or 1.
  • Have acceptable organ function and adequate heart health.
  • Women of childbearing potential must have a negative pregnancy test and agree to use contraception.
  • Must provide a tumor sample for genetic testing.
  • Have an expected survival of at least 3 months.
  • No major surgery planned within 4 weeks of starting the study.

Exclusion Criteria

  • Allergic to APL-101 or its components.
  • Have other specific genetic mutations not allowed in the study.
  • Currently using other investigational drugs.
  • Have uncontrolled infections or serious health conditions.
  • Have significant heart problems or a history of certain heart conditions.
  • Have active hepatitis B or C, or uncontrolled HIV.
  • Have significant mental health issues or substance abuse problems.
  • Unable to swallow pills.
  • Have gastrointestinal issues affecting drug absorption.
  • Women who are breastfeeding.
  • Have had another cancer within the last 3 years, with some exceptions.
  • Unable to stop certain medications that interact with the study drug.
  • Have active COVID-19 infection.
  • Have unstable brain metastases or require increasing steroid doses for brain issues.

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