A Safety and Efficacy Study of CC-90011 in Participants With Relapsed and/or Refractory Solid Tumors and Non-Hodgkin's Lymphomas
A Phase 1, Open-label, Dose Finding Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of CC-90011 in Subjects With Relapsed and/or Refractory Solid Tumors and Non-Hodgkin's Lymphomas
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Dijon, France, 21079
- Local Institution - 101
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Marseille Cedex 9, France, 13273
- Local Institution - 102
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Villejuif Cedex, France, 94805
- Local Institution - 100
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Bologna, Italy, 40123
- Local Institution - 200
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Milano, Italy, 20133
- Local Institution - 201
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Milano, Italy, 20141
- Local Institution - 202
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Kashiwa, Japan, 277-8577
- Local Institution - 500
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Tokyo
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Chuo-ku, Tokyo, Japan, 104-0045
- Local Institution - 501
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Koto-Ku, Tokyo, Japan, 135-8550
- Local Institution - 502
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Barcelona, Spain, 08035
- Local Institution - 400
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Madrid, Spain, 28040
- Local Institution - 402
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Madrid, Spain, 28041
- Local Institution - 404
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Santander, Spain, 39008
- Local Institution - 401
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London, United Kingdom, SW3 6JJ
- Local Institution - 300
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Newcastle Upon Tyne, United Kingdom, NE7 7DN
- Local Institution - 301
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Advanced or unresectable solid tumors including those who have progressed on (or not been able to tolerate due to medical comorbidities or unacceptable toxicity) standard anticancer therapy or for whom no other approved conventional therapy exists
- Eastern Cooperative Oncology Group Performance Status of 0 to 1
Exclusion Criteria:
- Prior autologous stem cell transplant ≤ 3 months before first dose or those who have not recovered
- Symptomatic or uncontrolled ulcers (gastric or duodenal), particularly those with a history of and/or risk of perforation and gastrointestinal tract hemorrhages
- Impaired cardiac function or clinically significant cardiac diseases
- Poor bone marrow reserve as assessed by Investigator
Refer to protocol defined exclusion criteria for parts C and D. Other protocol-defined inclusion/exclusion criteria apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: CC-90011 and Rifampicin
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Specified dose on specified days
Specified dose on specified days
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Experimental: CC-90011 and Itraconazole
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Specified dose on specified days
Specified dose on specified days
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part A - Number of Participants With Dose Limiting Toxicities (DLTs)
Time Frame: Cycle 1 (Each cycle is of 28 days)
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Dose-limiting toxicities (DLTs) during dose escalation are defined as follows, occurring within the Cycle 1 (28 days) DLT assessment period, unless clearly unrelated to CC-90011: Any Grade 4 non-hematologic toxicity; any non-hematologic toxicity Grade ≥ 3 except Grade 3 diarrhea, nausea, or vomiting of ≤ 3 days duration, Grade 3 rash resolving to Grade ≤ 2 within 7 days without recurrence, and Grade 3 fatigue resolving to Grade ≤ 2 within 7 days without recurrence.
Hematological toxicities include febrile neutropenia, Grade 4 neutropenia > 7 days, Grade 4 thrombocytopenia > 7 days, or Grade ≥ 3 thrombocytopenia with significant bleeding.
Any AE necessitating dose reduction during Cycle 1, or any other toxicity deemed dose-limiting by the safety committee.
The MTD is the highest dose at which less than 33% of the population treated with CC-90011 suffer a DLT in the first cycle and at least 6 evaluable participants have been treated at this dose.
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Cycle 1 (Each cycle is of 28 days)
|
|
Part A - Maximum Tolerated Dose (MTDs)
Time Frame: Cycle 1 (Each cycle is of 28 days)
|
The MTD is the highest dose at which less than 33% of the population treated with CC-90011 suffer a DLT in the first cycle and at least 6 evaluable participants have been treated at this dose.
Dose-limiting toxicities (DLTs) during dose escalation are defined as follows, occurring within the Cycle 1 (28 days) DLT assessment period, unless clearly unrelated to CC-90011: Any Grade 4 non-hematologic toxicity; any non-hematologic toxicity Grade ≥ 3 except Grade 3 diarrhea, nausea, or vomiting of ≤ 3 days duration, Grade 3 rash resolving to Grade ≤ 2 within 7 days without recurrence, and Grade 3 fatigue resolving to Grade ≤ 2 within 7 days without recurrence.
Hematological toxicities include febrile neutropenia, Grade 4 neutropenia > 7 days, Grade 4 thrombocytopenia > 7 days, or Grade ≥ 3 thrombocytopenia with significant bleeding.
Any AE necessitating dose reduction during Cycle 1, or any other toxicity deemed dose-limiting by the safety committee.
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Cycle 1 (Each cycle is of 28 days)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part A - Clinical Benefit Rate (CBR) as Per Confirmed Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 (RECIST 1.1)
Time Frame: From first dose (Day 1) till disease progression or death due to any cause (up to 803 days)
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The Clinical benefit rate (CBR) is defined as percentage of participants with tumor responses (as assessed by the Investigators) of CR, PR and durable SD (SD of ≥ 4 months duration).
Complete response (CR) is defined as complete disappearance of all target lesions with the exception of nodal disease.
Partial response (PR) is defined as \>=30% decrease under baseline of the sum of diameters of all target measurable lesions.
Stable Disease (SD) is concluded when the response does not qualify for CR, PR or Progression.
Progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
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From first dose (Day 1) till disease progression or death due to any cause (up to 803 days)
|
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Part A - Objective Response Rate as Per Confirmed Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 (RECIST 1.1)
Time Frame: From first dose (Day 1) untill disease progression or death due to any cause (up to 803 days)
|
The Objective Response Rate (ORR) is defined as the percentage of participants whose best response is CR or PR.
Complete response (CR) is defined as complete disappearance of all target lesions with the exception of nodal disease.
Partial response (PR) is defined as \>=30% decrease under baseline of the sum of diameters of all target measurable lesions.
Progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
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From first dose (Day 1) untill disease progression or death due to any cause (up to 803 days)
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Part A - Duration of Response (DoR) Based on Confirmed Responses
Time Frame: From first dose (Day 1) until disease progression or death due to any cause (up to 803 days)
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Duration of response is measured from the time when criteria for CR/PR are first met (whichever is first recorded) until the first date at which progressive disease is objectively documented.
Complete response (CR) is defined as complete disappearance of all target lesions with the exception of nodal disease.
Partial response (PR) is defined as \>=30% decrease under baseline of the sum of diameters of all target measurable lesions.
Progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
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From first dose (Day 1) until disease progression or death due to any cause (up to 803 days)
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Part A - Progression-Free Survival (PFS)
Time Frame: From first dose (Day 1) until disease progression or death due to any cause (up to 803 days)
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Progression-Free Survival (PFS) is defined as the time from the first dose of CC-90011 to the first occurrence of disease progression or death from any cause based on Kaplan-Meier methodology.
Progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
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From first dose (Day 1) until disease progression or death due to any cause (up to 803 days)
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Part A - Overall Survival (OS)
Time Frame: From first dose (Day 1) until death due to any cause (up to 803 days)
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Overall Survival (OS) is defined as the time from the first dose of study drug to death due to any cause based on Kaplan-Meier methodology.
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From first dose (Day 1) until death due to any cause (up to 803 days)
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Part A - Maximum Observed Plasma Concentration (Cmax) of CC-90011
Time Frame: Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Blood samples were collected to assess Cmax.
Prespecified to be reported for Part A only.
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Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Part A - Area Under the Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUCt) of CC-90011
Time Frame: Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Blood samples were collected to assess AUCt.
Prespecified to be reported for Part A only.
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Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Part A - Time to Cmax (Tmax) of CC-90011
Time Frame: Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Blood samples were collected to assess Tmax.
Prespecified to be reported for Part A only.
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Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Part A - Half-life (t1/2) of CC-90011
Time Frame: Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Blood samples were collected to assess CL/F.
Prespecified to be reported for Part A only.
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Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Part A - Apparent Clearance (CL/F) of CC-90011
Time Frame: Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Blood samples were collected to assess CL/F.
Prespecified to be reported for Part A only.
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Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Part A- Volume of Distribution (Vz/F) of CC-90011
Time Frame: Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Blood samples were collected to assess Vz/F.
Prespecified to be reported for Part A only.
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Day 1 and Day 22 of Cycle 1 (Each cycle consist of 28 days)
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Part B - Clinical Benefit Rate (CBR) as Per Confirmed Best Overall Response Based on Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 (RECIST 1.1)
Time Frame: From first dose (Day 1) until disease progression or death due to any cause (up to 720 days)
|
The Clinical Benefit Rate (CBR) is defined as tumor responses (as assessed by the Investigators) of CR, PR and durable SD (SD of ≥ 4 months duration).
Complete response (CR) is defined as complete disappearance of all target lesions with the exception of nodal disease.
Partial response (PR) is defined as \>=30% decrease under baseline of the sum of diameters of all target measurable lesions.
Stable Disease (SD) is concluded when the response does not qualify for CR, PR or Progression.
Progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
|
From first dose (Day 1) until disease progression or death due to any cause (up to 720 days)
|
|
Part B - Objective Response Rate as Per Confirmed Best Overall Response Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1 (RECIST 1.1)
Time Frame: From first dose (Day 1) till disease progression or death due to any cause (up to 720 days)
|
The Objective Response Rate (ORR) is defined as the percent of participants whose best response is CR or PR.
Complete response (CR) is defined as complete disappearance of all target lesions with the exception of nodal disease.
Partial response (PR) is defined as \>=30% decrease under baseline of the sum of diameters of all target measurable lesions.
Progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
|
From first dose (Day 1) till disease progression or death due to any cause (up to 720 days)
|
|
Part B - Duration of Response (DoR)
Time Frame: From first dose (Day 1) until disease progression or death due to any cause (up to 720 days)
|
Duration of response is measured from the time when criteria for CR/PR are first met (whichever is first recorded) until the first date at which progressive disease is objectively documented.
Complete response (CR) is defined as complete disappearance of all target lesions with the exception of nodal disease.
Partial response (PR) is defined as \>=30% decrease under baseline of the sum of diameters of all target measurable lesions.
Progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
|
From first dose (Day 1) until disease progression or death due to any cause (up to 720 days)
|
|
Part B - Progression Free Survival (PFS)
Time Frame: From first dose (Day 1) until disease progression or death due to any cause (up to 720 days)
|
Progression-Free Survival (PFS) is defined as the time from the first dose of CC-90011 to the first occurrence of disease progression or death from any cause based on Kaplan-Meier methodology Progression is defined as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed (over baseline if no decrease in the sum is observed during therapy) with a minimum absolute increase of 5 mm.
|
From first dose (Day 1) until disease progression or death due to any cause (up to 720 days)
|
|
Part B - Overall Survival (OS)
Time Frame: From first dose (Day 1) until death due to any cause (up to 720 days)
|
Overall Survival (OS) is defined as the time from the first dose of study drug to death due to any cause based on Kaplan-Meier methodology.
|
From first dose (Day 1) until death due to any cause (up to 720 days)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Publications and helpful links
General Publications
- Hollebecque A, Salvagni S, Plummer R, Isambert N, Niccoli P, Capdevila J, Curigliano G, Moreno V, Martin-Romano P, Baudin E, Arias M, Mora S, de Alvaro J, Di Martino J, Parra-Palau JL, Sanchez-Perez T, Aronchik I, Filvaroff EH, Lamba M, Nikolova Z, de Bono JS. Phase I Study of Lysine-Specific Demethylase 1 Inhibitor, CC-90011, in Patients with Advanced Solid Tumors and Relapsed/Refractory Non-Hodgkin Lymphoma. Clin Cancer Res. 2021 Jan 15;27(2):438-446. doi: 10.1158/1078-0432.CCR-20-2380. Epub 2020 Oct 12.
- Hollebecque A, Salvagni S, Plummer R, Niccoli P, Capdevila J, Curigliano G, Moreno V, de Braud F, de Villambrosia SG, Martin-Romano P, Baudin E, Arias M, de Alvaro J, Parra-Palau JL, Sanchez-Perez T, Aronchik I, Filvaroff EH, Lamba M, Nikolova Z, de Bono JS. Clinical activity of CC-90011, an oral, potent, and reversible LSD1 inhibitor, in advanced malignancies. Cancer. 2022 Sep 1;128(17):3185-3195. doi: 10.1002/cncr.34366. Epub 2022 Jun 23.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms
- Immune System Diseases
- Neoplasms by Histologic Type
- Lymphatic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Lymphoma
- Lymphoma, Non-Hodgkin
- Anti-Bacterial Agents
- Anti-Infective Agents
- Antineoplastic Agents
- Antifungal Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Enzyme Inhibitors
- Nucleic Acid Synthesis Inhibitors
- Steroid Synthesis Inhibitors
- Hormone Antagonists
- Cytochrome P-450 Enzyme Inhibitors
- Antibiotics, Antitubercular
- Antitubercular Agents
- Cytochrome P-450 CYP3A Inhibitors
- Leprostatic Agents
- Cytochrome P-450 CYP2B6 Inducers
- Cytochrome P-450 Enzyme Inducers
- Cytochrome P-450 CYP2C8 Inducers
- Cytochrome P-450 CYP2C19 Inducers
- Cytochrome P-450 CYP2C9 Inducers
- Cytochrome P-450 CYP3A Inducers
- 14-alpha Demethylase Inhibitors
- Pulrodemstat besilate
- Rifampin
- Itraconazole
Other Study ID Numbers
Other Study ID Numbers
- CC-90011-ST-001
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