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Small Cell Lung CancerPhase 3NCT06581380

JK-1201I Compared with Topotecan in Patients with Relapsed Extensive Stage Small Cell Lung Cancer

A Phase 3 study testing JK-1201I and Topotecan in people with Small Cell Lung Cancer, run by JenKem Technology Co., Ltd..

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study was designed to compare the efficacy and safety of JK-1201I with Topotecan in patients with relapsed extensive stage small cell lung cancer (ES SCLC). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Small Cell Lung Cancer
What is being tested?
JK-1201I and Topotecan
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
394 participants
Where
No sites listed yet
Study dates
16 Sep 2024to 16 Apr 2028
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants must meet all the following criteria to be eligible for randomization into the study:
  • Sign and date the informed consent form prior to the start of any study-specific qualification procedures.
  • Male or female aged ≥18 years and ≤70 years.
  • Histologically or cytologically documented SCLC.
  • Has received prior therapy with only one prior platinum-based line as systemic therapy for ES SCLC and Disease progression on or after first-line platinum-based regimens (≤ 6 months).
  • Has at least 1 measurable lesion according to RECIST v1.1.
  • Has ECOG PS of ≤1.

Who cannot join

  • Participants who meet any of the following criteria will be disqualified from entering the study:
  • Hypersensitivity to any ingredient of JK-1201I and Topotecan.
  • Has received prior treatment with DNA topoisomerase I inhibitor agents.
  • Has received prior therapy with ≥2 line as systemic therapy for extensive-stage SCLC.
  • Chemotherapy-free interval within 4 weeks before the first use of the study drug. Radiotherapy with a limited field of radiation for palliation within 2 weeks before the first use of the study drug. Used biotherapy drugs within 2 weeks before the first use of the study drug.
  • Severe gastrointestinal illnesses as defined in the protocol within 6 months before the first use of the study drug.
Show all 12Show fewer
  • Local symptoms of tumors requiring radiotherapy or surgical treatment as defined in the protocol.
  • Untreated or symptomatic brain metastases with exceptions defined in the protocol.
  • Severe pulmonary illnesses within 6 months before the first use of the study drug.
  • Uncontrolled hydrothorax and ascites.
  • Unresolved toxicity from prior anti-tumor therapy, defined as not having resolved to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 grade 1 with exceptions defined in the protocol.
  • Severe infections within 4 weeks before the first use of the study drug.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: A Multicenter, Randomized, Positive-Controlled, Open-label, Phase 3 Study of JK-1201I Compared with Topotecan in Patients with Relapsed Extensive Stage Small Cell Lung Cancer After Platinum-based First-line Chemotherapy

This study was designed to compare the efficacy and safety of JK-1201I with Topotecan in patients with relapsed extensive stage small cell lung cancer (ES SCLC).

Read the detailed description

This is a multicenter, randomized, positive-controlled, open-label, phase 3 study comparing JK-1201I with topotecan in patients with Relapsed Extensive Stage Small Cell Lung Cancer that had relapsed or disease progression on or after platinum-based first-line chemotherapy.

Patients will be randomized by a ratio of 1:1 to receive JK-1201I or topotecan until disease progression.

of JK-1201I Compared with Topotecan in Patients With Relapsed Extensive Stage Small Cell Lung Cancer After Platinum-based First-line Chemotherapy The primary objective of this study is to assess whether treatment with JK-1201I prolongs overall survival (OS) compared with treatment of topotecan among patients with relapsed ES SCLC.

The secondary objectives of the study are to further evaluate the efficacy, safety and population pharmacokinetics of JK-1201I.

Being tested
JK-1201I, Topotecan
Medical subject headings
Small Cell Lung Carcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • JK-1201IDrug

    JK-1201I will be administered as an IV infusion at dose of 180mg/m2 on Day 1 of each 21-day cycle.

  • TopotecanDrug

    Topotecan will be administered per drug label.

Study groups in NCT06581380
Study groupRoleWhat they receive
JK-1201IExperimentalParticipants will receive JK-1201I as an intravenous (IV) infusion at dose of 180mg/m2 on Day 1 of each 21-day cycle until a treatment discontinuation criterion is met as specified in the protocol.
Receives: Drug: JK-1201I
TopotecanActive comparatorParticipants will receive topotecan until a treatment discontinuation criterion is met as specified in the protocol.
Receives: Drug: Topotecan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall survival (OS)

    Overall survival is defined as the time interval from randomization to death due to any cause.

    Measured: From the date of randomization to the date of death due to any cause; Up to approximately 3.5 years.

Secondary outcomes (7)
  1. Objective Response Rate (ORR) Assessed by Independent Response Evaluation Committee (IREC) and Investigators

    Confirmed ORR is defined as the proportion of participants who have achieved a best overall response of confirmed complete response (CR), confirmed partial response (PR) per IREC and investigator per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.

    Measured: From the date of randomization to documented progressive disease, death, lost to follow-up, or withdrawal by the participant; Up to approximately 3.5 years.

  2. Disease Control Rate (DCR) Assessed by Independent Response Evaluation Committee (IREC) and Investigators

    Disease control rate is defined as the proportion of participants who have achieved a best overall response of confirmed CR, confirmed PR, or SD (or non-CR/non-PD) per IREC and investigator per Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.

    Measured: From the date of randomization to documented progressive disease, death, lost to follow-up, or withdrawal by the participant; Up to approximately 3.5 years.

  3. Duration of Response (DoR) Assessed by Independent Response Evaluation Committee (IREC) and Investigators

    Duration of response (DoR) is defined as the time from the date of the first documentation of objective response (complete response [CR] or partial response [PR]) to the date of the first documentation of progressive disease (PD) or death.

    Measured: From the date of first documentation of confirmed response (CR or PR) to the first documentation of progressive disease or death due to any cause, whichever occurs first; Up to approximately 3.5 years.

  4. Progression-free Survival (PFS) Assessed by Independent Response Evaluation Committee (IREC) and Investigators

    Progression-free Survival (PFS) is defined as the time interval from the randomization to disease progression as per Independent Response Evaluation Committee (IREC) and Investigators assessment or death due to any cause.

    Measured: From the date of randomization to documented progressive disease, death, lost to follow-up, or withdrawal by the participant; Up to approximately 3.5 years.

  5. Incidence and Grade of Participants with Adverse Events (AE)

    Adverse Events (AEs) are assessed based on NCI CTCAE v5.0.

    Measured: From the date of first dose to the end of safety follow-up; Up to approximately 3.5 years

  6. Pharmacokinetic Parameter Area Under the Plasma Concentration-Time Curve for JK-1201I, Irinotecan, SN38 and SN38G

    Area under the plasma concentration-time curve up to the last quantifiable time point (AUClast) and area under the plasma concentration-time curve dosing interval (AUCtau) will be assessed using Non-linear mixed effect modeling in 80 participants randomized to JK-1201 group.

    Measured: Cycle 1 before infusion, and 12, 168, and 240 hours (hrs) post dose; every 2 cycles before infusion, and 12 hrs post dose thereafter up to 3.5 years (each cycle is 21 days)

  7. Pharmacokinetic Parameter Maximum Concentration for JK-1201I, Irinotecan, SN38 and SN38G

    Maximum concentration (Cmax) will be assessed using Non-linear mixed effect modeling in 80 participants randomized to JK-1201 group.

    Measured: Cycle 1 before infusion, and 12, 168, and 240 hours (hrs) post dose; every 2 cycles before infusion, and 12 hrs post dose thereafter up to 3.5 years (each cycle is 21 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Sep 2024
  2. Study start16 Sep 2024 (estimated)
  3. Primary completion16 Nov 2027 (estimated)
  4. Study completion16 Apr 2028 (estimated)

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
394 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06581380
Sponsor's protocol ID
JK-1201I-301
Status last verified
Aug 2024
First submitted
29 Aug 2024
Last updated
3 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing JK-1201I and Topotecan in people with Small Cell Lung Cancer, run by JenKem Technology Co., Ltd..

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 7 inclusion and 12 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: opening soon, as of the sponsor's last update on 3 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

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 phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yahui SU (8610-82156767, yahuisu@jenkem.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall survival (OS) (time frame: From the date of randomization to the date of death due to any cause; Up to approximately 3.5 years.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Sep 2024.

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