Official Title
Expanded Access Intermediate-Size Patient Population Protocol
Brief Summary

This is an open-label, multicenter, intermediate-sized expanded access treatment protocolto the existing IND 111,695 for ensartinib (X-396). The treatment plan is designed toprovide ensartinib to participants with anaplastic lymphoma kinase (ALK)-rearrangednon-small cell lung cancer (NSCLC).

Detailed Description

Open-label, multi-center, intermediate-sized expanded access treatment protocol for
X396-CLI-101 (Phase I/II, First-in-Human, Dose-Escalation Study of X-396 in Patients with
Advanced Solid Tumors and Expansion Phase in Patients with ALK+ Non-Small Cell Lung
Cancer)

Available
Intermediate-size Population
Non-Small Cell Lung Cancer
ALK Gene Rearrangement Positive

Drug: Ensartinib

Oral, ALK inhibitor
Other Name: X-396,X396

Eligibility Criteria

Inclusion Criteria:

1. Adult patients (>18 years-of-age) with advanced ALK-positive NSCLC as determined by
an FDA approved test.

2. Eastern Cooperative Group (ECOG) Performance Status score of 0 or 1.

3. Informed consent must be provided by each patient.

4. Patient is not eligible or does not have access for participation in any of the
other ongoing clinical trials for ensartinib.

5. Ability to swallow and retain oral medication.

6. Male and female patients must agree to abstain or to use two highly effective forms
of contraception during the treatment period and for 90 days after the last dose of
study medication.

7. Adequate organ system function.

8. Patients with treated CNS metastases are eligible if they are asymptomatic with
respect to the CNS metastases and do not require escalating doses of systemic
corticosteroids. ALK-positive patients with untreated CNS lesions may be allowed to
enroll as long as the patients are asymptomatic with respect to the CNS metastases
and do not require systemic corticosteroids or anticonvulsants.

Exclusion Criteria:

1. Patients currently receiving cancer therapy.

2. Use of an investigational or targeted drug within 21 days or 5 half-lives (whichever
is shorter) prior to the first dose of ensartinib. A minimum of 10 days between
termination of the treatment and administration of ensartinib is required. However,
in the case of ALK TKIs, a 2-day window between termination of the TKI and the start
of ensartinib is allowed. In addition, any drug-related toxicity should have
recovered to Grade 1 or less, with the exception of alopecia.

3. Any major surgery or immunotherapy within the last 21 days (focal radiation does not
require a washout period; ≥4 weeks for whole brain radiotherapy). Chemotherapy
regimens with delayed toxicity within the last 4 weeks (or within the last 6 weeks
for prior nitrosourea or mitomycin C). Chemotherapy regimens given continuously or
on a weekly basis with limited potential for delayed toxicity within the last 2
weeks.

4. Patients with a known allergy or delayed hypersensitivity reaction to drugs
chemically related to ensartinib (e.g., crizotinib) or to the active ingredient of
ensartinib or to tartrazine, a dye used in the ensartinib 100 mg capsules.

5. Patients receiving CYP3A substrates with narrow therapeutic indices, strong CYP3A
inhibitors, and strong CYP3A inducers.

6. Presence of active gastrointestinal (GI) disease or other condition that will
interfere significantly with the absorption, distribution, metabolism, or excretion
of ensartinib.

7. Clinically significant cardiovascular disease.

8. Patients who are immunosuppressed (including known HIV infection), have a serious
active infection at the time of treatment, have known hepatitis C, or have any
serious underlying medical condition that would impair the ability of the patient to
receive protocol treatment.

9. Psychological, familial, sociological, or geographical conditions that do not permit
compliance with the protocol.

10. Have a history or the presence at baseline of pulmonary interstitial lung disease,
drug-related pneumonitis, or radiation pneumonitis.

11. Females who are pregnant or breastfeeding.

12. Patient with any concurrent condition or receiving any concurrent medication that,
in the investigator's opinion, would impart excessive risk associated with study
participation or otherwise make it inappropriate for the patient to participate.

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Countries
United States
Locations

Stanford University
Stanford, California, United States

Walter Reed National Military Medical Center
Bethesda, Maryland, United States

Vanderbilt University
Nashville, Tennessee, United States

University of Wisconsin Carbone Cancer Ctr
Madison, Wisconsin, United States

Contacts

Esteban Sanchez
5618359356 - 217
esteban@xcovery.com

Xcovery Holdings, Inc.
NCT Number
Keywords
ensartinib
X-396
X396
anaplastic lymphoma kinase
ALK+
ALK positive
NSCLC
Non-Small Cell Lung Cancer
ALK inhibitor
carcinoma
MeSH Terms
Carcinoma, Non-Small-Cell Lung
Ensartinib