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Brief Title: Phase 2 Study of Poziotinib in Participants With NSCLC Having EGFR or HER2 Exon 20 Insertion Mutation
Official Title: A Phase 2 Study of Poziotinib in Patients With Non-Small Cell Lung Cancer (NSCLC), Locally Advanced or Metastatic, With EGFR or HER2 Exon 20 Insertion Mutation (ZENITH20)
Study ID: NCT03318939
Brief Summary: This is a Phase 2, open-label, multi-center study to evaluate the efficacy and the safety/tolerability of poziotinib in seven participant cohorts for up to 603 previously treated and treatment-naïve NSCLC participant. Cohorts 3 and 4 were added with Amendment 1 and three additional cohorts were added with Amendment 2 (Cohorts 5, 6 and 7).
Detailed Description: The Screening period (Day -30 to Day -1) lasts up to approximately 30 days prior to Cycle 1, Day 1. Participant must meet all Inclusion/Exclusion Criteria to participate in the study. Eligible participants will provide written Informed Consent prior to undergoing any study procedures. Each treatment cycle is 28 calendar days in duration. There will be seven participant cohorts and eligible participants will be enrolled into each cohort in parallel based on EGFR or HER2 exon 20 mutation status and prior treatment status: * Cohort 1: Previously treated participant with EGFR exon 20 insertion mutation positive NSCLC (complete) * Cohort 2: Previously treated participant with HER2 exon 20 insertion mutation positive NSCLC (complete) * Cohort 3: Treatment naïve participant with EGFR exon 20 insertion mutation positive NSCLC (complete) * Cohort 4: Treatment naïve participant with HER2 exon 20 insertion mutation positive NSCLC (fully enrolled) * Cohort 5: Participants who meet the criteria for enrollment in Cohort 1 to 4, but the enrollment in the respective cohort has been closed (closed to enrollment) * Cohort 6: Participants with acquired EGFR mutation who progressed while on treatment with first-line osimertinib (closed to enrollment) * Cohort 7: Participants with EGFR or HER2 activating mutations (closed to enrollment) Toxicity will be assessed based on the grade of the adverse events using CTCAE version 4.03. On Day 1 of each 28-day cycle, the participant's absolute neutrophil count (ANC) must be ≥1.5×10\^9/L and platelet count must be ≥100×10\^9/L before administering poziotinib. All participants will be treated until disease progression (except for first progression in Cohort 5), death, intolerable adverse events (AEs), or other protocol-specified reasons for participant withdrawal.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Mayo Clinic Hospital, Phoenix, Arizona, United States
Oncology Physician's Network Inc./OPN Healthcare, Arcadia, California, United States
City of Hope, Duarte, California, United States
UCSD -Moores Cancer Center, La Jolla, California, United States
Pacific Shores Medical Group, Long Beach, California, United States
Los Angeles Hematology Oncology Medical Group, Los Angeles, California, United States
USC/Norris Comprehensive Cancer Center, Los Angeles, California, United States
UC Davis Comprehensive Cancer Center, Sacramento, California, United States
UCSF Helen Diller Comprehensive Cancer Center at Mt Zion, San Francisco, California, United States
UCLA Hematology/Oncology, Santa Monica, California, United States
The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, California, United States
Kaiser Permanente Medical Center, Vallejo, California, United States
Rocky Mountain Cancer Center, Boulder, Colorado, United States
Yale University, Yale Cancer Center Smilow Cancer Hospital at Yale, New Haven, Connecticut, United States
Georgetown University Medical Center, Washington, District of Columbia, United States
Florida Hospital, Orlando, Florida, United States
H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, United States
The Bond & Steele Clinic, P.A. dba Bond Clinic, P.A., Winter Haven, Florida, United States
University Cancer & Blood Center, LLC, Athens, Georgia, United States
CTCA - Southeastern Regional Medical Center, Newnan, Georgia, United States
CTCA - Midwestern Regional Medical Center, Zion, Illinois, United States
Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Karmanos Cancer Institute, Detroit, Michigan, United States
Minnesota Oncology Hematology, P.A., Minneapolis, Minnesota, United States
Mayo Clinic, Rochester, Minnesota, United States
Hattiesburg Clinic Hematology/Oncology, Hattiesburg, Mississippi, United States
Montefiore Einstein Medical Center for Cancer Care, Bronx, New York, United States
North Shore Hematology Oncology Associates DBA New York Cancer and Blood Specialists, Bronx, New York, United States
Roswell Park Cancer Institute, Buffalo, New York, United States
NYU Langone Medical Center, New York, New York, United States
Weill Cornell Medical College, New York, New York, United States
North Shore Hematology Oncology Associates P.C. DBA NY Cancer and Blood Specialists, Port Jefferson Station, New York, United States
Duke University Medical Center, Durham, North Carolina, United States
Cleveland Clinic, Cleveland, Ohio, United States
The Ohio State University, Columbus, Ohio, United States
Oklahoma Cancer Specialists and Research Institute, LLC, Tulsa, Oklahoma, United States
CTCA - Eastern Regional Medical Center, Philadelphia, Pennsylvania, United States
Baptist Cancer Center, Memphis, Tennessee, United States
Texas Oncology- Austin, Austin, Texas, United States
MD Anderson Cancer Center, Houston, Texas, United States
Virginia Cancer Specialists, PC, Fairfax, Virginia, United States
Seattle Cancer Care Alliance, Seattle, Washington, United States
Saint Luc University Hospital, Brussels, , Belgium
University Hospitals Leuven, Leuven, , Belgium
Ambroise Pare University Hospital Center, Mons, , Belgium
General Hospital Delta, Roeselare, , Belgium
Cross Cancer Institute, Edmonton, Alberta, Canada
BC Cancer - Vancouver, Vancouver, British Columbia, Canada
London Regional Cancer Program, London, Ontario, Canada
Princess Margaret Cancer Centre, Toronto, Ontario, Canada
Hopital Larrey, CHU Toulouse, Unité d'Oncologie des Voies Respiratoires, Toulouse, , France
Gustave Roussy Oncology Institute, Department of Medical Oncology, Villejuif, , France
Soroka Medical Center, Be'er Sheva, , Israel
Rambam Healthcare Campus, Haifa, , Israel
Hadassah Medical Center, Jerusalem, , Israel
Rabin Medical Center, Petah Tikva, , Israel
National Cancer Institute, IRCCS, Department of Medical Oncology, Milan, , Italy
Santa Maria delle Croci Hospital, Ravenna, , Italy
National Cancer Institute Regina Elena, IRCCS, Operative Unit of Medical Oncology A 1, Rome, , Italy
Erasmus Medical Center, Rotterdam, , Netherlands
University Hospital Germans Trias i Pujol, Department of Medical Oncology, Barcelona, , Spain
University Hospital 12 de Octubre, Madrid, , Spain