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NCT06868485PHASE2Recruiting

A Study to Assess the Efficacy of WSD0922-FU in Patients With C797S+ Advanced Non-small Cell Lung Cancer

Wayshine Biopharm, Inc.

Start Date

8/18/2025

Completion Date

12/31/2027

Summary

This is a Phase II, Open Label, Multicenter, Single Arm Study of WSD0922-FU for Patients with Locally Advanced or Metastatic Non-Small Cell Lung Cancer whose Disease has Progressed with First-Line Osimertinib Treatment and whose Tumors harbor a C797S mutation within the Epidermal Growth Factor Receptor Gene.

Detailed Description

WSD0922-FU is a potent reversible inhibitor of both the single EGFRm+ (TKI sensitivity conferring mutation) and dual EGFRm+/C797S+ (third-generation TKI as first-line resistance conferring mutation) receptor forms of EGFR with selectivity margin over wild-type EGFR. Therefore WSD0922-FU has the potential to provide clinical benefit to patients with advanced NSCLC harboring both the single sensitivity mutations and the resistance mutation following first-line therapy with a third-generation EGFR TKI (e.g., Osimertinib). The clinical development program with WSD0922-FU will assess the safety and efficacy of WSD0922-FU in patients with advanced NSCLC whose cancers have progressed with or without brain metastasis following a first-line Osimertinib treatment.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion criteria: * Provision of signed and dated, written informed consent prior to any study-specific procedures, sampling and analyses. * Male or female aged ≥18 years old. * Histological or cytological confirmation diagnosis of NSCLC. * Locally advanced or metastatic NSCLC, not amenable to curative surgery or radiotherapy. * Evidence of radiological disease progression while on a previous continuous treatment with first-line Osimertinib treatment. * Documented EGFR mutation . * Eastern Cooperative Oncology Group (ECOG) 0-1 and a minimum life expectancy of 12 weeks. * At least one lesion, not previously irradiated and not chosen for biopsy during the study. * Females should have evidence of non-childbearing potential. Exclusion criteria: * Any investigational agents or other anticancer drugs from a previous treatment regimen or clinical study within 14 days of the first dose of study treatment. * Any unresolved toxicities from prior therapy greater than CTCAE Grade 1. * Symptomatic brain complications that require urgent neurosurgical or medical intervention. * Any evidence of severe or uncontrolled systemic diseases. * Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection. * Past medical history of ILD. * Inadequate bone marrow reserve or organ function as demonstrated. * Males and females of reproductive potential. * Known intracranial hemorrhage which is unrelated to tumor. * Seizures requiring a change in anti-epileptic medications.

Interventions

DRUG

WSD0922-FU Tablets, Dose level A

DRUG

WSD0922-FU Tablets, Dose level B

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Conditions

Non Small Cell Lung Cancer

Locations

FOMAT Oncology

Oxnard, California 93030

United States

Cleveland Clinic Weston Hospital

Weston, Florida 33331

United States

Karmanos Cancer Institute

Detroit, Michigan 48201

United States

Hackensack Meridian Health-Southern Ocean Medical Center

Manahawkin, New Jersey 08050

United States

Cleveland Clinic

Cleveland, Ohio 44195

United States

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania 15235

United States

TxO Central/South, Texas Oncology -Central/South Texas

Austin, Texas 78745

United States

Virginia Cancer Specialists

Fairfax, Virginia 22031

United States

Fujian Provincial Cancer Hospital

Fuzhou, Fujian 350014

China

Wuhan Union Hospital

Wuhan, Hubei 430022

China

Shanghai East hospital

Shanghai, Shanghai Municipality 200120

China

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality 200433

China

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality 300202

China

Centre Hospitalier Universitaire (CHU) de Rennes - Hopital de Pontchaillou

Rennes, Ille-et-Vilaine 35000

France

Centre Hospitalier Universitaire CHU De Limoges

Limoges, New Aquitaine 87042

France

CHU Bordeaux - Centre Francois Magendie

Pessac, New Aquitaine 33604

France

Centre Francois Baclesse

Caen, Normandy 14000

France

CHU Toulon - Hopital Sainte Musse

Toulon, Var 83100

France