Non-Small Cell Lung CancerPhase 1/2NCT03974022
Assessing an Oral EGFR Inhibitor, Sunvozertinib in Patients Who Have Advanced Non-small Cell Lung Cancer With EGFR or HER2 Mutation (WU-KONG1)
A Phase 1/2 study testing Sunvozertinib in people with Non-Small Cell Lung Cancer, run by Dizal Pharmaceuticals at 124 sites in 13 countries.
Trial summary
This study will treat patients with advanced NSCLC with EGFR or HER2 mutation who have progressed following prior therapy. This is the first time this drug is tested in patients, and so it will help to understand what type of side effects may occur with the drug treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Small Cell Lung Cancer
- What is being tested?
- Sunvozertinib
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 315 participants
- Where
- 124 sitesin 13 countries
- Study dates
- 9 Jul 2019to Dec 2026
- Phase
- Phase 1/2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged at least 18 years old, be able to provide a signed and dated, written informed consent.
- With documented histological or cytological confirmed locally advanced or metastatic NSCLC with EGFR or HER2 mutations.
- (ECOG) performance status 0-1.
- Predicted life expectancy ≥ 12 weeks
- Patient must have measurable disease according to RECIST 1.1.
- Patients with brain metastasis (BM) can be enrolled under the condition that BM is previously treated and stable, neurologically asymptomatic and does not require corticosteroid treatment.
Show all 11Show fewer
- Adequate organ system function.
- Part A Dose expansion: Dose expansion cohort 5: NSCLC patients with EGFR Exon20ins, who have not received prior systemic therapy (treatment naïve).
- Part B Dose extension:
- Patients must have histologically or cytologically confirmed locally advanced or metastatic NSCLC with documented EGFR Exon20ins mutation in tumor tissue from a local CLIA-certified laboratory (or equivalent) or Sponsor designated central laboratory prior to the study entry.
- Patients should have received at least 1 line, but no more than 3 lines of systemic therapy for metastatic/locally advanced disease.
Who cannot join
- For part B: Patients who have received prior treatment with Poziotinib or TAK788 or other EGFR/HER2 exon20 insertion inhibitors should be excluded. Prior treatment with currently approved EGFR TKIs for sensitizing or T790M resistance mutations, such as gefitinib, erlotinib, osimertinib, afatinib and dacomitinib, are allowed unless the patient had an objective response and subsequent progression assessed by the investigator.
- Treatment with EGFR or HER2 antibodies, major surgery (excluding placement of vascular access), or onco-immunotherapy (e.g. immune checkpoint inhibitors PD-1, PD-L1, CTLA-4) within 4 weeks before the first administration of Sunvozertinib.
- Any cytotoxic chemotherapy, investigational agents or other anticancer drugs from a previous treatment regimen or clinical study within 14 days before the first administration.
- Radiotherapy with a limited field of radiation for palliation within 1 week of the first dose or with a wide field of radiation which must be completed within 4 weeks before the first administration.
- Receiving (or unable to stop using) medications or herbal supplements known to be potent inhibitors or inducers of CYP3A within 1-2 weeks before the first administration.
- Any unresolved toxicities from prior therapy greater than CTCAE grade 1 at the time of starting Sunvozertinib with the exception of alopecia and grade 2 prior platinum-therapy related neuropathy.
Show all 15Show fewer
- Spinal cord compression or leptomeningeal metastasis.
- As judged by the investigator, any evidence of severe or uncontrolled systemic diseases, which would jeopardize compliance with the protocol, or active infection including hepatitis B, hepatitis C, human immunodeficiency virus (HIV) and COVID-19 (per local practice).
- Any of the following cardiac criteria: (1) Mean resting corrected QT interval (QTc) > 470 msec obtained from 3 electrocardiograms (ECGs); (2) Any clinically significant abnormalities in rhythm, conduction or morphology of resting ECG, e.g., complete left bundle branch block, third degree heart block, and second-degree heart block, PR interval > 250 msec. (3) Any factors that increase the risk of QTF prolongation, such as heart failure, hypokalemia, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age in first degree relatives or any concomitant medication known to prolong the QT interval; (4) Prior history of atrial fibrillation within 6 months of first administration of Sunvozertinib, except prior drug treatment related and recovered.
- Past medical history of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis which required steroid treatment, or any evidence of clinically active interstitial lung disease.
- Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of Sunvozertinib.
- History of hypersensitivity to active or inactive excipients of Sunvozertinib or drugs with a similar chemical structure or class to Sunvozertinib.
- Women who are pregnant or breast feeding.
- Involvement in the planning and conduct of the study.
- Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements.
Trial locations and contacts
124 sites in 13 countries.
124 sites in 13 countries
China33 sites
Beijing Cancer Hospital
Beijing
Beijing Chest Hospital,Capital Medical University
Beijing
Peking Union Medical College Hospital
Beijing
Jilin Cancer Hospital
Changchun
Hunan Cancer Hospital
Changsha
West China Hospital of Sichuan University
Chengdu
Chongqing Cancer Hospital
Chongqing
Fujian Cancer Hospital
Fuzhou
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou
The First Affiliated Hospital, Sun Yat-sen University
Guangzhou
Hainan General Hospital
Haikou
The First Affilated Hospital of Zhejiang University
Hangzhou
Zhejiang Cancer Hospital
Hangzhou
Harbin Medical University Cancer Hospital
Harbin
The first Affiliated Hospital of USTC Anhui Provincial Hospital
Hefei
The Second Hospital of Anhui Medical University
Hefei
Henan Cancer Hospital
Henan
The Affiliated Hospital of Inner Mongolia Medical University
Hohhot
The Affiliated Huaian No.1 Peoples Hospital of Nanjing Medical University
Huai'an
Jinan Central Hospital
Jinan
Linyi Cancer Hospital
Linyi
The First Affiliated Hospital of Nanchang University
Nanchang
The Second Affiliated Hospital of Nanchang University
Nanchang
Guangxi Medical University Cancer Hospital
Nanning
Zhongshan Hospital, Fudan University
Shanghai
The First Hospital of China Medical University
Shenyang
Shanxi Cancer Hospital
Taiyuan
Taizhou Hospital of Zhejiang Province
Taizhou
Tianjin Medical University Cancer Institute & Hospital
Tianjin
Hubei Cancer Hospital
Wuhan
Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
Wuhan
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an
The First Affiliated Hospital of Zhengzhou University
Zhengzhou
Spain15 sites
Hospital de la Santa Creu i Sant Pau
Barcelona
Hospital Universitari Vall d'Hebrón
Barcelona
ICO (Institut Catala d'Oncologia) Badalona - Hospital Germans Trias i Pujol
Barcelona
Institut Català d'Oncología de Girona - Hospital Universitari de Girona Dr. Josep Trueta
Girona
Hospital de Jeréz
Jerez de la Frontera
Centro Integral Oncológico Clara Campal (CIOCC)
Madrid
Clínica Universidad de Navarra
Madrid
Hospital Universitario 12 de Octubre
Madrid
Hospital Universitario Fundacion Jimenez Diaz
Madrid
Hospital Universitario La Paz
Madrid
Hospital Universitario Ramón y Cajal
Madrid
Hospital Regional Universitario de Malaga
Málaga
Hospital Universitario Virgen de Valme
Seville
Hospital Universitario Virgen Macarena
Seville
Hospital La Fe
Valencia
United States12 sites
University of Colorado Hospital - Anschutz Cancer Pavilion
Aurora, Colorado, 80045
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210-1240
Virginia Cancer Specialists
Fairfax, Virginia, 22031
Michigan Center of Medical Research
Farmington Hills, Michigan, 48334
University of California, San Diego (UCSD) - Moores Cancer Center
La Jolla, California, 92093
Northwell Health - Centers for Advanced Medicine
New Hyde Park, New York, 11042-1118
Laura and Isaac Perlmutter Cancer Center
New York, New York, 10016
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
University of California Irvine Medical Center (UCIMC) - Chao Family Comprehensive Cancer Center
Orange, California, 92868
H. Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, 33612
Innovative Clinical Research Institute, LLC
Whittier, California, 90603-2137
France12 sites
Centre Hospitalier Universitaire d'Angers
Angers
Hospices Civils de Lyon - Hôpital Louis Pradel
Bron
Centre Georges François Leclerc
Dijon
CHU de Lille - Institut Coeur Poumons
Hellemmes-Lille
Hôpital de La Timone AP-Hm
Marseille
CHU de Montpellier Hôpital Arnaud de Villeneuve
Montpellier
APHP-Hôpital Bichat - Claude Bernard
Paris
CHU de Poitiers
Poitiers
Institut de Cancérologie de l'Ouest
Saint-Herblain
HIA Begin
Saint-Mandé
CHU de Toulouse - Hôpital Larrey
Toulouse
Institut Gustave ROUSSY
Villejuif
Argentina9 sites
Fundacion Respirar - Consultorios Medicos Dr. Doreski
Cabildo
CEMIC Centro de Educación Médica e Investigaciones Clínicas - Hospital Universitario sede Saavedra
Ciudad Autónoma Buenos Aires
Centro Medico Austral OMI
Ciudad Autónoma Buenos Aires
Diabaid
Ciudad Autónoma Buenos Aires
Fundacion CENIT Para La Investigacion en Neurociencias
Ciudad Autónoma Buenos Aires
Instituto Argentino de Diagnositco y Tratamiento S.A.
Ciudad Autónoma Buenos Aires
Instituto Medico de la Fundacion de Estudios Clínicos
Ciudad Autónoma Buenos Aires
Centro de Investigación Pergamino SA
Pergamino
Clinica Viedma S.A
Viedma
Italy9 sites
Centro di Riferimento Oncologico (CRO)
Aviano
Azienda Ospedaliero - Universitaria "Policlinico - Vittorio Emanuele"
Catania
Azienda Ospedaliero-Universitaria Careggi
Florence
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori - IRST IRCCS
Meldola
Istituto Europeo di Oncologia
Milan
Azienda Ospedaliero-Universitaria di Parma
Parma
AUSL Romagna - Ospedale S.M delle Croci
Ravenna
Arcispedale Santa Maria Nuova
Reggio Emilia
Istituti Fisioterapici Ospitalieri
Roma
Australia7 sites
Blacktown Hospital
Blacktown
Chris O'Brien Lifehouse
Camperdown
Austin Hospital
Heidelberg
St George Hospital
Kogarah
Peter MacCallum Cancer Centre - East Melbourne
North Melbourne
Linear Cancer trials
Perth
Southern Medical Day Care Centre
Wollongong
Taiwan7 sites
Chi Mei Hospital, Liouying
Liuying
Taichung Veterans General Hospital
Taichung
National Cheng Kung University Hospital
Tainan
National Taiwan University Hospital
Taipei
Taipei Veterans General Hospital
Taipei
Wan Fang Hospital
Taipei
Chang Gung Memorial Hospital
Taoyuan
Japan6 sites
National Hospital Organization Shikoku Cancer Center
Matsuyama
Aichi Cancer Center Hospital
Nagoya
Niigata University Medical & Dental Hospital
Niigata
Okayama University Hospital
Okayama
Tokushima University Hospital
Tokushima
Tokyo Shinagawa Hospital
Tokyo
South Korea6 sites
Chungbuk National University Hospital
Cheonju
National Cancer Center
Goyang
Seoul National University Bundang Hospital
Seongnam
Asan Medical Center
Seoul
Seoul National University Hospital
Seoul
The Catholic University of Korea, St. Vincent's Hospital
Suwon
Chile4 sites
Fundación Arturo López Pérez
Providencia
Orlandi Oncología - Centro Médico Health & Care
Santiago
SAGA
Santiago
James Lind Centro De Investigacion Del Cancer
Temuco
Malaysia3 sites
Hospital Sultan Ismail
Johor Bahru
Hospital Kuala Lumpur
Kuala Lumpur
University Malaya Medical Centre
Kuala Lumpur
About this study
Official title: A Phase I/II, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics and Anti-tumor Efficacy of DZD9008 in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) With EGFR or HER2 Mutation
This study will treat patients with advanced NSCLC with EGFR or HER2 mutation who have progressed following prior therapy. This is the first time this drug is tested in patients, and so it will help to understand what type of side effects may occur with the drug treatment. It will also measure the levels of drug in the body and preliminarily assess its anti-cancer activity as monotherapy.
Read the detailed description
A Phase I/II, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics and Anti-tumor Efficacy of Sunvozertinib in Patients with Advanced Non-Small Cell Lung Cancer (NSCLC) with EGFR or HER2 mutation. This study includes dose escalation, dose expansion, food effect (Part A) and dose extension (Part B).
- Conditions
- Non-Small Cell Lung Cancer
- Being tested
- Sunvozertinib
- Keywords
- Non-Small Cell Lung Cancer, EGFR, HER2, mutation
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SunvozertinibDrug
Also called DZD9008
Daily dose of Sunvozertinib
| Study group | Role | What they receive |
|---|---|---|
| Part A Dose escalation | Experimental | Not described Receives: Drug: Sunvozertinib |
| Part A Dose expansion cohort 1 | Experimental | Not described Receives: Drug: Sunvozertinib |
| Part A Dose expansion cohort 2 | Experimental | Not described Receives: Drug: Sunvozertinib |
| Part A Dose expansion cohort 3 | Experimental | Patients with EGFR Exon20ins, previously treated with at least one line of systemic therapy Receives: Drug: Sunvozertinib |
| Part A Dose expansion cohort 4 | Experimental | Patients with EGFR Exon20ins, previously treated with at least one line of systemic therapy Receives: Drug: Sunvozertinib |
| Part A Dose expansion cohort 5 | Experimental | Patients with EGFR Exon20ins, treatment naïve Receives: Drug: Sunvozertinib |
| Part A Dose expansion cohort 6 | Experimental | Not described Receives: Drug: Sunvozertinib |
| Part B Dose extension cohort 1 | Experimental | Patients with EGFR Exon20ins Receives: Drug: Sunvozertinib |
| Part B Dose extension cohort 2 | Experimental | Patients with EGFR Exon20ins Receives: Drug: Sunvozertinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A Dose Escalation: Dose Limiting Toxicities (DLTs).
To evaluate the safety and tolerability and defined the maximum tolerated dose (MTD) of sunvozertinib.
DLT was evaluated in the DLT observation frame.
Measured: The DLT observation period is defined as the 28 days after the first multiple dose (up to 36 days from baseline).
Part B: Objective Response Rate (ORR) According to RECIST 1.1 by an Independent Review Committee (IRC).
To evaluate anti-tumor activity of Sunvozertinib in advanced NSCLC patients with EGFR Exon20 insertion at defined dose(s) by assessment of Objective Response Rate (ORR).
Measured: through the study completion, an average of around 1 year for part B
Secondary outcomes (16)
Part B: DCR According to RECIST 1.1 Using Assessments Performed by an IRC; DCR Using Investigators Assessments According to RECIST 1.1
To assess anti-tumor efficacy of Sunvozertinib using additional endpoints.
Measured: Through the study completion, an average of around 1 year for part B
Part B: DoR, PFS According to RECIST 1.1 Using Assessments Performed by an IRC; DoR, PFS Using Investigators Assessments According to RECIST 1.1
To assess anti-tumor efficacy of Sunvozertinib using additional endpoints.
Measured: Through the study completion, an average of around 1 year for part B
Part B: AEs/SAEs
To determine the safety and tolerability of Sunvozertinib: Number of Participants With AEs, Number of Participants With SAEs. Using investigator reported AEs according to CTCAE and SAE criteria.
Measured: Through the study completion, an average of around 1 year for part B
Part A: Confirmed ORR and DCR by Investigator.
To assess preliminary anti-tumor activity of sunvozertinib according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 by investigator.
Confirmed ORR was defined as the percentage of patients achieving a CR (Complete Response) or PR (Partial Response) and was confirmed by subsequent tumor assessment at least 4 weeks within the study period.
Confirmed DCR was defined as the proportion of patients with a best overall response of CR, PR, or SD. Patients who achieved a CR or PR must be confirmed by a subsequent tumor assessment at least 4 weeks within the study period.
Patients who achieved a best overall response of SD must be confirmed by subsequent tumor assessment at least 35 days within the study period.
Measured: The study duration was from the initiation of sunvozertinib treatment until the study completion. The median study duration was 10 months, and the maximal study duration was 51.4 months for part A.
Part A: DoR and PFS by Investigator.
To assess preliminary anti-tumor activity of sunvozertinib according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 by investigator.
DoR was presented for patients with confirmed objective response (CR or PR). DoR was the time from date of first documentation of CR or PR, which was subsequently confirmed, to date of first documentation of objective progression or death. Patients who had no documentation of objective progression or death was censored.
PFS was the time from first dose date of sunvozertinib to date of first documentation of progression or death due to any cause, whichever occurred first. Patient who had no PFS event was censored.
Measured: The maximum median of DoR was 19.3 months, and the maximum median of PFS was 12.5 months for part A.
Part A: Confirmed ORR and DCR by Independent Review Committee (IRC).
To retrospectively assess anti-tumor activity of sunvozertinib in treatment-naive NSCLC patients with EGFR Exon20ins according to RECIST 1.1 by IRC.
Confirmed ORR was defined as the percentage of patients achieving a CR or PR and was confirmed by subsequent tumor assessment at least 4 weeks within the study period.
Confirmed DCR was defined as the proportion of patients with a best overall response of CR, PR, or SD. Patients who achieved a CR or PR must be confirmed by subsequent tumor assessment at least 4 weeks within the study period.
Patients who achieved a best overall response of SD must be confirmed by subsequent tumor assessment at least 35 days within the study period.
Measured: The study duration was from the initiation of sunvozertinib treatment until the study completion. The median study duration was 10 months, and the maximal study duration was 51.4 months for part A.
Part A Dose Escalation and Expansion: Maximum Plasma Concentration (Cmax) of DZD9008
Maximum observed plasma concentration (ng/mL), obtained directly from the observed concentration versus time data. Calculated for the single dose.
Measured: Cycle 0 Day 1: 0 (predose) up to 168 hours (for Part A escalation); Cycle 1 Day 1: 0 (predose) up to 24 hours (for Part A expansion)
Part A Dose Escalation and Expansion: Area Under the Plasma Concentration-time Curve From Zero to the Last Measurable Concentration (AUC0-t) of DZD9008
Area under the plasma concentration-time curve from time zero to the last quantifiable time point, calculated by the linear up/log down rule.
Measured: Cycle 0 Day 1: 0 (predose) up to 168 hours (for Part A escalation); Cycle 1 Day 1: 0 (predose) up to 24 hours (for Part A expansion)
Part A Dose Escalation and Expansion: Cmax,ss, at Steady State of DZD9008
Maximum observed plasma concentration(ng/mL), at steady state, obtained directly from the observed concentration versus time data. Calculated for the multiple dose.
Measured: Cycle 2 Day 1: 0 (predose) up to 24 hours (for Part A Dose expansion and expansion)
Part A Dose Escalation and Expansion: AUCss, at Steady State of DZD9008
Area under the plasma concentration-time curve in the dose interval at steady state, calculated by the linear up/log down rule.
Measured: Cycle 2 Day 1: 0 (predose) up to 24 hours (for Part A Dose escalation and expansion)
Part A Food Effect: Maximum Plasma Concentration (Cmax) of DZD9008
Maximum observed plasma concentration, obtained directly from the observed concentration versus time data. Calculated for the single dose, in the fasted or fed state.
Measured: Day 1 and Day 9: 0 (predose) up to 168 hours.
Part A Food Effect: Area Under the Plasma Concentration-time Curve From Zero to the Last Measurable Concentration (AUC0-t) of DZD9008
Area under the plasma concentration-time-curve from time zero the last quantifiable time point, calculated by the linear up/log down rule, in the fasted or fed state.
Measured: Day 1 and Day 9: 0 (predose) up to 168 hours.
Part B: Maximum Plasma Concentration (Cmax) of DZD9008 and DZ0753
Maximum observed plasma concentration, obtained directly from the observed concentration versus time data. Calculated for the single dose.
Measured: Cycle 1 Day 1: 0 (predose) up to 24 hours
Part B: Area Under the Plasma Concentration-time Curve From Zero to the Last Measurable Concentration (AUC0-t) of DZD9008 and DZ0753.
Area under the plasma concentration-time curve from time zero to the last quantifiable time point, calculated by the linear up/log down rule.
Measured: Cycle 1 Day 1: 0 (predose) up to 24 hours
Part B: Cmax,ss, at Steady State of DZD9008 and DZ0753
Maximum observed plasma concentration, obtained directly from the observed concentration versus time data. Calculated for the multiple dose.
Measured: Cycle 2 Day 1: 0 (predose) up to 24 hours
Part B: AUCss, at Steady State of DZD9008 and DZ0753.
Area under the plasma concentration-time curve from time zero in the dose interval at steady state, calculated by the linear up/log down rule.
Measured: Cycle 2 Day 1: 0 (predose) up to 24 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Jun 2019
- Study start9 Jul 2019
- Primary completion29 Jul 2024
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Dizal PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 315 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dizal Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pasi Antero Jänne, M.D & Ph. D, Principal investigator, Dana-Farber Cancer Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03974022
- Sponsor's protocol ID
- DZ2019E0001
- Status last verified
- Jan 2026
- First submitted
- 21 May 2019
- Last updated
- 29 Jan 2026
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Yang JC, Wang M, Doucet L, Fan Y, Lv D, Sun M, Huang D, Greillier L, Planchard D, Hong Q, Mazieres J, Felip E, Li X, Hu Y, Fang J, Bazhenova L, Ghiringhelli F, Cobo Dols MA, Rodriguez LP, Bearz A, Pellini B, Kim YJ, Bosch-Barrera J, Shim BY, Luo YH, Tiseo M, Yang TY, Carcereny E, Memmott RM, Zalcman G, de Castro Carpeno J, Di Noia V, Parra HS, Streich G, Lee DH, Shum E, Han JY, Jaime JC, Brungs D, John T, D'Arcangelo M, Joaquin AB, Liu G, Antonuzzo L, Hinojal GF, Le X, Zheng L, Janne PA; WU-KONG1B. Phase II Dose-Randomized Study of Sunvozertinib in Platinum-Pretreated Non-Small Cell Lung Cancer With Epidermal Growth Factor Receptor Exon 20 Insertion Mutations (WU-KONG1B). J Clin Oncol. 2025 Oct 10;43(29):3198-3208. doi: 10.1200/JCO-25-00788. Epub 2025 Sep 9.
PubMed 40923280Miyamura BV, Mambetsariev I, Fricke J, Arias-Romero J, Cadman K, Shrestha S, Pisick E, Nguyen D, Malhotra J, Reyes A, Salgia R. Current paradigm of EGFRins20 in non-small cell lung cancer: A long way forward. Med. 2025 Sep 12;6(9):100803. doi: 10.1016/j.medj.2025.100803. Epub 2025 Aug 8.
PubMed 40782807Luan T, Lin X, Xie X, Yang G, Wang S, Hao J, Zhou C. First case report of sunvozertinib for the treatment of HER2 exon 20 insertion in lung adenocarcinoma. Anticancer Drugs. 2024 Sep 1;35(8):757-760. doi: 10.1097/CAD.0000000000001628. Epub 2024 Jun 26.
PubMed 38924456
Study at a glance
From the registry record, last updated by the sponsor on 29 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/II, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics and Anti-tumor Efficacy of DZD9008 in Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) With EGFR or HER2 Mutation
- ClinicalTrials.gov ID
- NCT03974022
- Acronym / sponsor ID
- DZ2019E0001
- Conditions
- Non-Small Cell Lung Cancer
- Keywords
- Non-Small Cell Lung Cancer, EGFR, HER2, mutation
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 315 participants (actual)
- Lead sponsor
- Dizal PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 9 Jul 2019 (actual)
- Primary completion
- 29 Jul 2024 (actual)
- Study completion
- Dec 2026 (estimated)
- First posted
- 4 Jun 2019 (actual)
- Results
- Posted 3 Dec 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will treat patients with advanced NSCLC with EGFR or HER2 mutation who have progressed following prior therapy. This is the first time this drug is tested in patients, and so it will help to understand what type of side effects may occur with the drug treatment. It will also measure the levels of drug in the body and preliminarily assess its anti-cancer activity as monotherapy.
Detailed description
A Phase I/II, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics and Anti-tumor Efficacy of Sunvozertinib in Patients with Advanced Non-Small Cell Lung Cancer (NSCLC) with EGFR or HER2 mutation. This study includes dose escalation, dose expansion, food effect (Part A) and dose extension (Part B).
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 9
| Arm | Type | Receives |
|---|---|---|
| Part A Dose escalation | Experimental | Drug: Sunvozertinib |
| Part A Dose expansion cohort 1 | Experimental | Drug: Sunvozertinib |
| Part A Dose expansion cohort 2 | Experimental | Drug: Sunvozertinib |
| Part A Dose expansion cohort 3 | Experimental | Drug: SunvozertinibPatients with EGFR Exon20ins, previously treated with at least one line of systemic therapy |
| Part A Dose expansion cohort 4 | Experimental | Drug: SunvozertinibPatients with EGFR Exon20ins, previously treated with at least one line of systemic therapy |
| Part A Dose expansion cohort 5 | Experimental | Drug: SunvozertinibPatients with EGFR Exon20ins, treatment naïve |
| Part A Dose expansion cohort 6 | Experimental | Drug: Sunvozertinib |
| Part B Dose extension cohort 1 | Experimental | Drug: SunvozertinibPatients with EGFR Exon20ins |
| Part B Dose extension cohort 2 | Experimental | Drug: SunvozertinibPatients with EGFR Exon20ins |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Aged at least 18 years old, be able to provide a signed and dated, written informed consent.
- With documented histological or cytological confirmed locally advanced or metastatic NSCLC with EGFR or HER2 mutations.
- (ECOG) performance status 0-1.
- Predicted life expectancy ≥ 12 weeks
- Patient must have measurable disease according to RECIST 1.1.
Key exclusion criteria (15 listed)
- For part B: Patients who have received prior treatment with Poziotinib or TAK788 or other EGFR/HER2 exon20 insertion inhibitors should be excluded. Prior treatment with currently approved EGFR TKIs for sensitizing or T790M resistance mutations, such as gefitinib, erlotinib, osimertinib, afatinib and dacomitinib, are allowed unless the patient had an objective response and subsequent progression assessed by the investigator.
- Treatment with EGFR or HER2 antibodies, major surgery (excluding placement of vascular access), or onco-immunotherapy (e.g. immune checkpoint inhibitors PD-1, PD-L1, CTLA-4) within 4 weeks before the first administration of Sunvozertinib.
- Any cytotoxic chemotherapy, investigational agents or other anticancer drugs from a previous treatment regimen or clinical study within 14 days before the first administration.
- Radiotherapy with a limited field of radiation for palliation within 1 week of the first dose or with a wide field of radiation which must be completed within 4 weeks before the first administration.
- Receiving (or unable to stop using) medications or herbal supplements known to be potent inhibitors or inducers of CYP3A within 1-2 weeks before the first administration.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SunvozertinibAlso: DZD9008Daily dose of Sunvozertinib | Drug | Part A Dose escalation, Part A Dose expansion cohort 1, Part A Dose expansion cohort 2, Part A Dose expansion cohort 3, Part A Dose expansion cohort 4, Part A Dose expansion cohort 5, Part A Dose expansion cohort 6, Part B Dose extension cohort 1, Part B Dose extension cohort 2 |
Primary outcome
Part A Dose Escalation: Dose Limiting Toxicities (DLTs).
Time frame: The DLT observation period is defined as the 28 days after the first multiple dose (up to 36 days from baseline).
To evaluate the safety and tolerability and defined the maximum tolerated dose (MTD) of sunvozertinib. DLT was evaluated in the DLT observation frame.
Part B: Objective Response Rate (ORR) According to RECIST 1.1 by an Independent Review Committee (IRC).
Time frame: through the study completion, an average of around 1 year for part B
To evaluate anti-tumor activity of Sunvozertinib in advanced NSCLC patients with EGFR Exon20 insertion at defined dose(s) by assessment of Objective Response Rate (ORR).
16 secondary outcomes
Part B: DCR According to RECIST 1.1 Using Assessments Performed by an IRC; DCR Using Investigators Assessments According to RECIST 1.1
Time frame: Through the study completion, an average of around 1 year for part B
Part B: DoR, PFS According to RECIST 1.1 Using Assessments Performed by an IRC; DoR, PFS Using Investigators Assessments According to RECIST 1.1
Time frame: Through the study completion, an average of around 1 year for part B
Part B: AEs/SAEs
Time frame: Through the study completion, an average of around 1 year for part B
Part A: Confirmed ORR and DCR by Investigator.
Time frame: The study duration was from the initiation of sunvozertinib treatment until the study completion. The median study duration was 10 months, and the maximal study duration was 51.4 months for part A.
Part A: DoR and PFS by Investigator.
Time frame: The maximum median of DoR was 19.3 months, and the maximum median of PFS was 12.5 months for part A.
Part A: Confirmed ORR and DCR by Independent Review Committee (IRC).
Time frame: The study duration was from the initiation of sunvozertinib treatment until the study completion. The median study duration was 10 months, and the maximal study duration was 51.4 months for part A.
Part A Dose Escalation and Expansion: Maximum Plasma Concentration (Cmax) of DZD9008
Time frame: Cycle 0 Day 1: 0 (predose) up to 168 hours (for Part A escalation); Cycle 1 Day 1: 0 (predose) up to 24 hours (for Part A expansion)
Part A Dose Escalation and Expansion: Area Under the Plasma Concentration-time Curve From Zero to the Last Measurable Concentration (AUC0-t) of DZD9008
Time frame: Cycle 0 Day 1: 0 (predose) up to 168 hours (for Part A escalation); Cycle 1 Day 1: 0 (predose) up to 24 hours (for Part A expansion)
Part A Dose Escalation and Expansion: Cmax,ss, at Steady State of DZD9008
Time frame: Cycle 2 Day 1: 0 (predose) up to 24 hours (for Part A Dose expansion and expansion)
Part A Dose Escalation and Expansion: AUCss, at Steady State of DZD9008
Time frame: Cycle 2 Day 1: 0 (predose) up to 24 hours (for Part A Dose escalation and expansion)
Part A Food Effect: Maximum Plasma Concentration (Cmax) of DZD9008
Time frame: Day 1 and Day 9: 0 (predose) up to 168 hours.
Part A Food Effect: Area Under the Plasma Concentration-time Curve From Zero to the Last Measurable Concentration (AUC0-t) of DZD9008
Time frame: Day 1 and Day 9: 0 (predose) up to 168 hours.
Part B: Maximum Plasma Concentration (Cmax) of DZD9008 and DZ0753
Time frame: Cycle 1 Day 1: 0 (predose) up to 24 hours
Part B: Area Under the Plasma Concentration-time Curve From Zero to the Last Measurable Concentration (AUC0-t) of DZD9008 and DZ0753.
Time frame: Cycle 1 Day 1: 0 (predose) up to 24 hours
Part B: Cmax,ss, at Steady State of DZD9008 and DZ0753
Time frame: Cycle 2 Day 1: 0 (predose) up to 24 hours
Part B: AUCss, at Steady State of DZD9008 and DZ0753.
Time frame: Cycle 2 Day 1: 0 (predose) up to 24 hours
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jan 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40923280Yang JC, Wang M, Doucet L, Fan Y, Lv D, Sun M, Huang D, Greillier L, Planchard D, Hong Q, Mazieres J, Felip E, Li X, Hu Y, Fang J, Bazhenova L, Ghiringhelli F, Cobo Dols MA, Rodriguez LP, Bearz A, Pellini B, Kim YJ, Bosch-Barrera J, Shim BY, Luo YH, Tiseo M, Yang TY, Carcereny E, Memmott RM, Zalcman G, de Castro Carpeno J, Di Noia V, Parra HS, Streich G, Lee DH, Shum E, Han JY, Jaime JC, Brungs D, John T, D'Arcangelo M, Joaquin AB, Liu G, Antonuzzo L, Hinojal GF, Le X, Zheng L, Janne PA; WU-KONG1B. Phase II Dose-Randomized Study of Sunvozertinib in Platinum-Pretreated Non-Small Cell Lung Cancer With Epidermal Growth Factor Receptor Exon 20 Insertion Mutations (WU-KONG1B). J Clin Oncol. 2025 Oct 10;43(29):3198-3208. doi: 10.1200/JCO-25-00788. Epub 2025 Sep 9.
- Derived from this study: PubMed 40782807Miyamura BV, Mambetsariev I, Fricke J, Arias-Romero J, Cadman K, Shrestha S, Pisick E, Nguyen D, Malhotra J, Reyes A, Salgia R. Current paradigm of EGFRins20 in non-small cell lung cancer: A long way forward. Med. 2025 Sep 12;6(9):100803. doi: 10.1016/j.medj.2025.100803. Epub 2025 Aug 8.
- Derived from this study: PubMed 38924456Luan T, Lin X, Xie X, Yang G, Wang S, Hao J, Zhou C. First case report of sunvozertinib for the treatment of HER2 exon 20 insertion in lung adenocarcinoma. Anticancer Drugs. 2024 Sep 1;35(8):757-760. doi: 10.1097/CAD.0000000000001628. Epub 2024 Jun 26.
- Individual participant dataSharing planned: No
Related trials for Non-Small Cell Lung Cancer
RecruitingPhase 1/2
Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab (Keytruda®) in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)
Solid Tumor, Non-Small Cell Lung Cancer
RecruitingObservational study
A Prospective ,Multicenter ,Non-interventional ,Real-world Study Observing Changes in Molecular Markers Osimertinib Targeted Therapy in EGFRm NSCLC
Non Small Cell Lung Cancer
RecruitingPhase 3
A Study Evaluating Sotorasib Platinum Doublet Combination Versus Pembrolizumab Platinum Doublet Combination as a Front-Line Therapy in Participants With Stage IV or Advanced Stage IIIB/C Nonsquamous Non-Small Cell Lung Cancers (CodeBreaK 202)
Non-Small Cell Lung Cancer (NSCLC)
Active, not recruitingPhase 2
Datopotamab Deruxtecan (Dato-DXd, DS-1062a) in Advanced and/or Unresectable Non-Small Cell Lung Cancer
Metastatic Lung Cancer, Advanced Non Small Cell Lung Cancer
Not yet recruitingPhase 1/2
STAR0602 With Nivolumab in Non Small Cell Lung Cancer and in Metastatic Castrate-Resistant Prostate Cancer, and STAR0602 Alone in Thymic Carcinoma
NSCLC, Non-Small Cell Lung Cancer
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pasi Antero Jänne, M.D & Ph. D principal investigator
Dana-Farber Cancer Institute
124 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Sunvozertinib in people with Non-Small Cell Lung Cancer, run by Dizal Pharmaceuticals at 124 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 29 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 124 sites in China, Spain, United States, France, Argentina and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Dec 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part A Dose Escalation: Dose Limiting Toxicities (DLTs). (time frame: The DLT observation period is defined as the 28 days after the first multiple dose (up to 36 days from baseline).). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03974022, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2026.