HS-10375是一种选择性的EGFR C797S氨酸激酶抑制剂,用于高级非小细胞肺癌
Jianhua Zhan1, Jinhui Xue1, Lin Wu2
1State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Journal of translational medicine
|June 4, 2025
概括
一种新药,HS-10375,对EGFR C797S突变表现出强烈的活性,这是对肺癌治疗耐药性的常见原因. 早期的人体试验表明,在患有非小细胞肺癌的患者中,有望的安全性和瘤缩小的潜力.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- EGFR中的C797S突变是非小细胞肺癌 (NSCLC) 中对第三代EGFR氨酸激酶抑制剂 (TKI) 获得耐药性的关键机制.
- 目前,没有批准的治疗方法专门针对EGFR C797S突变,造成了大量未满足的医疗需求.
研究的目的:
- 开发和评估一种新的选择性抑制剂,HS-10375,针对EGFR C797S突变.
- 评估HS-10375.5的临床前疗效和安全性.
- 为了确定HS-10375的安全性,耐受性,最大耐受剂量 (MTD) 和初步抗瘤活性,在首次在人身上进行1期临床试验.
主要方法:
- 临床前评估涉及使用Ba/F3和EGFR突变的患者衍生细胞系进行体外试验,以及在异种移植模型中的体内评估.
- 一个第一阶段临床试验每天口服HS-10375在6个剂量级 (10-240毫克) 的21天周期内.
- 主要试验目标侧重于安全性,耐受性和MTD;次要目标包括药理动力学 (PK) 参数和抗瘤活性.
主要成果:
- HS-10375在C797S三重突变细胞系中表现出强大的EGFR酸化抑制,并且在双重突变细胞系中具有与现有的TKI相比的/优于的活性.
- 在EGFR双重或三重C797S突变的细胞中观察到显著的亡,在临床前模型中抑制了瘤生长.
- 在第一阶段试验 (n=28) 中,MTD 确定为150 mg QD,常见的不良事件包括吐和食欲丧失. 一名患者在经过广泛的先前治疗后显示瘤缩.
结论:
- 在临床前研究中,HS-10375对EGFR C797S表现出强烈和突变选择性的活性.
- 第一次在人身上进行的第一阶段试验表明了可接受的安全性概况,并证明了EGFR突变的NSCLC患者的客观反应.
- 由于C797S突变,HS-10375代表了对NSCLC患者耐受EGFRTKI的有希望的治疗候选者.
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