[Translation] An open, multicenter Phase I/II clinical study to evaluate the safety, tolerability, pharmacokinetic characteristics and efficacy of BYS10 tablets in the treatment of advanced solid tumors with RET gene fusion or mutation
I期:主要目的:评价 BYS10 片在晚期实体瘤患者的安全性和耐受性;确定 BYS10 片的最大耐受剂量和后续推荐剂量。次要目的:描述 BYS10 片的药代动力学(PK)特征,分析药物暴露量与安全性的关系;评价 BYS10 片在晚期实体瘤患者中的抗肿瘤疗效;分析血液和/或肿瘤组织 RET 基因状态,及其与抗肿瘤疗效的关系;检测口服 BYS10 片后药效动力学(PD)指标的变化以及 PK/PD 相关性分析。II 期:主要目的:评价 BYS10 片在 RET 基因融合或突变的晚期非小细胞肺癌、甲状腺癌、甲状腺髓样癌及其它晚期实体瘤患者的客观缓解率;进一步评价 BYS10 片的安全性和耐受性。次要目的:其他抗肿瘤疗效指标的评价:包括 DOR、DCR、TTR、PFS、CBR 和 OS;分析血液和/或肿瘤组织RET 基因状态,及其与抗肿瘤疗效的关系;描述 BYS10 片在 RET 基因融合或突变晚期实体瘤患者中的 PK 特征,分析药物暴露量与安全性和抗肿瘤疗效的关系;检测口服 BYS10 片后 PD 指标的变化以及 PK/PD 相关性分析;评价 BYS10 片对 NSCLC 脑转移患者的疗效。
[Translation] Phase I: Primary objective: To evaluate the safety and tolerability of BYS10 tablets in patients with advanced solid tumors; to determine the maximum tolerated dose and subsequent recommended dose of BYS10 tablets. Secondary objectives: To describe the pharmacokinetic (PK) characteristics of BYS10 tablets and analyze the relationship between drug exposure and safety; to evaluate the anti-tumor efficacy of BYS10 tablets in patients with advanced solid tumors; to analyze the RET gene status in blood and/or tumor tissues and its relationship with anti-tumor efficacy; to detect changes in pharmacodynamic (PD) indicators after oral administration of BYS10 tablets and PK/PD correlation analysis. Phase II: Primary objective: To evaluate the objective response rate of BYS10 tablets in patients with advanced non-small cell lung cancer, thyroid cancer, medullary thyroid cancer and other advanced solid tumors with RET gene fusion or mutation; to further evaluate the safety and tolerability of BYS10 tablets. Secondary objectives: Evaluation of other anti-tumor efficacy indicators: including DOR, DCR, TTR, PFS, CBR and OS; analysis of RET gene status in blood and/or tumor tissue, and its relationship with anti-tumor efficacy; description of the PK characteristics of BYS10 tablets in patients with advanced solid tumors with RET gene fusion or mutation, and analysis of the relationship between drug exposure and safety and anti-tumor efficacy; detection of changes in PD indicators after oral administration of BYS10 tablets and PK/PD correlation analysis; evaluation of the efficacy of BYS10 tablets in patients with NSCLC brain metastases.