NCT07617337PHASE1Recruiting
AQUA07 in Patients With ALK-Positive Non-Small Cell Lung Cancer
Chugai Pharmaceutical
Start Date
7/24/2026
Completion Date
8/31/2030
Summary
This is a first-in-human, Phase I, open-label, multicenter, multinational study, designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and anti-tumor activity of AQUA07 when administered as single agent and in combination with lorlatinib in patients with ALK positive non-small cell lung cancer.
Eligibility Criteria
Age Range: 18 years to No maximum
Inclusion Criteria:
* Age ≥ 18 years (or ≥ 20 years if required by local regulation) at time of signing Informed Consent Form
* Previously treated with at least one ALK-TKI regardless of prior chemotherapy treatment (Patients who have received only crizotinib as prior ALK-TKI treatment will not be allowed.)
* Histologically or cytologically (excluding sputum cytology) proven diagnosis of locally advanced unresectable or metastatic ALK-positive NSCLC, who have experienced disease progression during or following their most recent systemic therapy or have discontinued the therapy due to unacceptable toxicity
* Measurable disease per RECIST v1.1
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Ability and willingness to take oral medication(s)
* Adequate organ function and bone marrow reserve
Exclusion Criteria:
* Prior toxicities from anti-cancer therapy which have not resolved to Grade ≤ 1 per NCI CTCAE v5.0 excluding alopecia, vitiligo, or endocrinopathies manageable with replacement therapy
* Symptomatic, active CNS metastases or untreated CNS metastases requiring any definitive therapy.
* Severe, uncontrolled systemic disease (e.g., clinically significant cardiovascular, pulmonary, or renal disease, or active infection), or with a history or complication of interstitial lung disease
* Significant cardiovascular disease
* Inadequately controlled hypertension
* (Part B only) Patients with prior lorlatinib treatment who experienced serious lorlatinib-related toxicities, or who experienced toxicities considered inappropriate for study participation at the discretion of the Investigator
Interventions
DRUG
AQUA07
DRUG
Lorlatinib
Conditions
ALK Positive Non-small Cell Lung Cancer
Locations
The University of Texas MD Anderson Cancer Center
Houston, Texas 77030
United States
Aichi Cancer Center Hospital
Nagoya, Aichi-ken 464-8681
Japan
National Cancer Center Hospital East
Kashiwa, Chiba 277-8577
Japan
Kindai University Hospital
Sakai, Osaka 590-0197
Japan
Shizuoka Cancer Center
Nagaizumi-cho, Shizuoka 411-8777
Japan
National Cancer Center Hospital
Chuo-ku, Tokyo 135-8550
Japan
The Cancer Institute Hospital of JFCR (Japanese Foundation for Cancer Research)
Koto-Ku, Tokyo 135-8550
Japan