U102 Study Flashcards

(31 cards)

1
Q

what is the study Design of U102

A

phase 1, global, multicenter, open-label, 2 part evaluating HER3-DXd in patients with unresectable or metastatic EGFRm mNSCLC

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2
Q

what are the 2 parts/phases of U102

A
  • dose Escalation
  • dose Expansion
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3
Q

how many patients were in the Dose Escalation phase

A

36

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4
Q

what were the Dose Cohorts used in the dose escalation phase

A
  • 3.2 (4 patients)
  • 4.8 (15 patients)
  • 5.6 (12 patients)
  • 6.4 (5 patients)
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5
Q

what was the Objective of the Dose Escalation phase

A

assess the safety and tolerability as well as the Recommended Dose for Expansion (RDE) for part 2 of the trial

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6
Q

what were the Patient Cohorts for phase 2 dose expansion

A
    1. EGFRm andocarcinoma HER3 DXd: 5.6mg/kg
    1. NSCLC w/o EGFR-activating mutations w/ progression following an anti-PD-1 or anti PD-L1 antibody based regimen & targeted therapy for patients with genomic alterations: 5.6mg/kg
  • 3a. EGFRm NSCLC: 5.6mg/kg or adjusted RDE
  • 3b. EGFRm NSCLC: Cycle 1, Day 1: 3.2mg/kg, Cycle 2, Day 1: 4.8mg/kg, Cycle 3, Day 1: 6.4mg/kg
    1. EGFRm NSCLC: 5.6mg/kg
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7
Q

what was the Objective of the part 2 Dose Expansion

A

investigate the antitumor activity of HER3-DXd

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8
Q

what were the Key Inclusion Criteria of Part 1 Dose Escalation

A
  • > 18
  • Unresectable/ Metastatic EGFRm mNSCLC
  • > 1 measurable lesion per RESIST (Response Evaluation in Solid Tumors)
  • ECOG PS of 0-1
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9
Q

what was the Objective of Part 1 Dose Escalation

A
  • dose limiting toxicities (DLTs)
  • summary of AEs
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10
Q

what were the Key Inclusion Criteria of Part 2 Dose Expansion

A
  • > 18
  • Unresectable/ Metastatic NSCLC with or without EGFR activating mutations
  • disease progression during or after systemic therapy for locally advanced or metastatic disease that included > 1 platinum based chemo
  • > 1 measurable lesion per RESIST
  • ECOG PS 0-1
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11
Q

what was the Primary
Objective of Part 2 Dose Expansion

A

ORR by BICR

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12
Q

what do the RESIST (Response Evaluation in Solid Tumors) Guidelines consist of

A
  • Complete Response (CR): no tumor, disappearance of all lesions
  • Partial Response (PR): at least a 30% reduction in tumor/ lesions
  • Progressive Disease (PD): at least a 20% increase in the lesion
  • Stable Disease (SD): no PR or PD that is measurable or sufficient
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13
Q

the Dose Escalation and Dose Expansion Cohort (?) were the focus of the trial

A

Expansion Cohort 1: EGFRm adenocarcinoma

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14
Q

what was the number of patients in the Dose Escalation and Cohort 1 Expansion

A

81

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15
Q

what were the most common TEAE, Treatment Emergent Adverse Events (AEs starting/ worsening from start of study to 47 after end of study) for the Dose Escalation and Expansion Cohort 1

A
  • fatigue, 64%
  • nausea, 60%
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16
Q

what % of patients had serious TEAEs (those starting/ worsening after 47 days)

A

40% (32/81 patients)

17
Q

what % of patients discontinued the Dose Escalation/ Expansion Cohort 1

18
Q

what % of ILD occurred in the dose escalation/ expansion cohort 1

19
Q

T/F: there was a Grade 5 (death) ILD case reported

A

False: there were no ILD cases above Grade 3 reported

20
Q

of the 5 patients who experienced ILD how many were related to Patritumab according to Adjudication

21
Q

how is TEAE (treatment adverse events) defined in the study

A

those AEs(adverse events) that started or worsened from the start date of treatment to 47 days after the study end

22
Q

how is SAE (serious adverse events) defined

A

those AEs that continued past the 47 days for TEAE

23
Q

what were the most common TEAEs occurring >3%

A
  • thromobocytopenia, 26%
  • neutropenia, 15%
  • fatigue, 10%
24
Q

when was U102 granted Breakthrough Designation

A

December 2021

25
U102 led to the initiation of which trial
Phase 2 HERTHENA-Lung 01
26
how is ORR (Objective Response Rate) defined
proportion of patients who have a PR (Partial Response) or CR (Complete Response) measuring the drugs Tumoricidal (killing of tumor) activity
27
how is DCR (Disease Control Rate) defined
percentage of patients whose therapeutic intervention led to a CR, PR or SD measuring the drugs Tumorstatic (halting tumor growth) activity composite of ORR + SD = DCR
28
how is PFS (Progression Free Survival) defined
time from treatment initiation until disease progression
29
how is OS (Overall Survival) defined
durations of patient survival from time of beginning treatment
30
what was the ORR for U102 for... - all Pooled and - Prior Platinum -based Chemo and Osimertinib
- 39% - 39%
31
what was the CR (Complete Response) for U102 for... - all Pooled and - Prior Platinum -based Chemo and Osimertinib
- 1% - 1%
32
what was the PR (Partial Response) for U102 for... - all Pooled and - Prior Platinum -based Chemo and Osimertinib
- 21% - 16%
33
what was the SD (Stable Disease) for U102 for... - all Pooled and - Prior Platinum -based Chemo and Osimertinib
- 19% - 13%
34
what was the DCR (Disease Control Rate) for U102 for... - all Pooled and - Prior Platinum -based Chemo and Osimertinib
- 72% - 68%
35
what was the DOR (Duration of Response) for U102 for... - all Pooled and - Prior Platinum -based Chemo and Osimertinib
- 6.9 months - 7.0 months