A Study to Assess the Safety, Tolerability, and Pharmacokinetics of ABSK-021 in Patients With Advanced Solid Tumor
A Phase 1, Open-Label Study of ABSK021 to Assess Safety, Tolerability, and Pharmacokinetics in Patients With Advanced Solid Tumor
This is an open-label phase 1 study to determine the safety and tolebility of oral ABSK021 in patients with advanced solid tumor as well as the Recommended Phase 2 dose (RP2D) of oral ABSK021. Preliminary antitumor activity will also be assessed.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study will start with a dose escalation part of single-agent ABSK021 administered in repeated 28-day cycles in patients with advanced solid for safety and tolerability. The expansion part of oral ABSK021 at recommended dose of expansion (RDE) will be followed for further evaluating safety and tolerability among selected tumor types. Preliminary antitumor activity will also be assessed.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Siqing Fu, MD
- Phone Number: (713)792-4318
- Email: siqingfu@mdanderson.org
Study Contact Backup
- Name: YUAN LU
- Phone Number: +86-21-68910052
- Email: clinical@abbisko.cn
Study Locations
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China
- Recruiting
- Beijing Jishuitan Hospital
-
Contact:
- Xiaohui Niu, MD
-
Principal Investigator:
- Xiaohui Niu, MD
-
-
Guangzhou
-
Guangdong, Guangzhou, China
- Active, not recruiting
- The First Affiliated Hospital of Sun Yat-sen University
-
-
Hebei
-
Shijiazhuang, Hebei, China
- Completed
- Hebei Medical University Third Hospital
-
-
Henan
-
Zhengzhou, Henan, China
- Completed
- The First Affiliated Hospital of Zhengzhou Universtity
-
Zhengzhou, Henan, China
- Active, not recruiting
- Henan Cancer Hospital
-
-
Jiangsu
-
Nanjing, Jiangsu, China
- Active, not recruiting
- Nanjing Drum Tower Hospital
-
Nanjing, Jiangsu, China
- Active, not recruiting
- Jiangsu Province Hospital
-
-
Liaoning
-
Shenyang, Liaoning, China
- Completed
- Liaoning Cancer Hospital
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China
- Completed
- Huashan Hospital of Fudan University
-
Shanghai, Shanghai Municipality, China
- Completed
- Shanghai Sixth People's Hospital
-
-
Shanxi
-
Xian, Shanxi, China
- Active, not recruiting
- Xi'an Hong Hui Hospital
-
-
Sichuan
-
Chengdu, Sichuan, China
- Recruiting
- West China Hospital of Sichuan University
-
Contact:
- Yong Zhou, MD
-
Principal Investigator:
- Yong Zhou, MD
-
-
Zhejiang
-
Hangzhou, Zhejiang, China
- Recruiting
- The Second Affiliated Hospital Zhejiang University School of Medicine
-
Contact:
- Zhaoming Ye, MD
-
Principal Investigator:
- Zhaoming Ye, MD
-
-
-
-
California
-
Beverly Hills, California, United States, 90212
- Active, not recruiting
- Precision NextGen Oncology
-
-
Colorado
-
Denver, Colorado, United States, 80218-1238
- Completed
- SCRI at HealthOne
-
-
Georgia
-
Atlanta, Georgia, United States, 30322
- Completed
- The Winship Cancer Institute of Emory University
-
-
Texas
-
Houston, Texas, United States, 77030
- Completed
- MD Anderson Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Histologically confirmed solid tumors that have progressed on or intolerant to standard therapy or whom no standard therapy exists
- ECOG (electrocorticogram) performance status 0~1
- Life expectancy ≥ 3 months
- Adequate organ function and bone marrow function
For patients with tenosynovial giant cell tumor (TGCT) :
- A diagnosis of TGCT [i ncluding pigmented villonodular synovitis (PVNS) or giant cell tumors of the tendon sheath (GCT TS) (i) that has been histologically confirmed either by a pathologist at the treating institution or a central pathologist,and (ii) where surgical resection would be associated with potentially worsening functional limitation or severe morbidity (locally advanced disease), with morbidity determined consensually by qualified personnel (eg, two surgeons or a multi disciplinary tumor board);
- Measurable disease as defined by RECIST 1.1 (except that a minimal size of 2 cm is required), assessed from MRI scans;
- Others
For Adolescent Cohort (China only):
- Patient and/or legally acceptable representative should understand, sign, and date the written voluntary informed consent form prior to screening.
- Adolescents≥ 12 years of age and < 18 years at the time of informed consent.
- Body weight ≥ 40kg.
- A diagnosis of TGCT [including pigmented villonodular synovitis (PVNS) or giant cell tumors of the tendon sheath (GCT-TS)] (i) that has been histologically confirmed either by local laboratory, and (ii) unresectable, defined as confirmed by assessment by at least two clinical experts (including at least one independent expert who is not part of the trial conduct), meeting one of the following 2 requirements: ①located in a complex anatomical site, is extensively invasive, and cannot be completely resected; ②surgical operation may cause dysfunction or serious complications.
- Measurable disease as defined by RECIST v1.1 (with at least 1 lesion ≥ 2 cm is required), assessed by MRI scans in local site prior to dosing.
- Others
Exclusion Criteria:
- Known allergy or hypersensitivity to any component of the investigational drug product Previous treatment with CSF-1(colony stimulating factor 1)/CSF-1R (colony stimulating factor 1 receptor) pathway inhibitors
- Known additional malignancy that is progressing or required active treatment within 3 years of the first dose of study treatment
- Inability to take oral medication or significant nausea and vomiting, malabsorption, external biliary shunt, or significant bowel resection that would preclude adequate absorption of oral medication
- Previous anti-cancer therapy, including chemotherapy, radiotherapy, endocrine therapy or molecular targeted therapy within ≤ 5-halflife or ≤ 4 weeks (whichever is shorter) prior to initiation of study treatment (chemotherapy with nitrosourea or mitomycin should be 6 weeks prior to initiation of study treatment)
- Major surgery within 4 weeks of the first dose of study drug and all surgical wounds must be healed and free of infection or dehiscence
- Prior toxicities from chemotherapy, radiotherapy, and other anti-cancer therapies, including immunotherapy that have not regressed to Grade ≤2 severity (CTCAE v5.0) with the exception of alopecia and vitiligo
- Prior corticosteroids as anti-cancer therapy within a minimum of 2 weeks of the first dose of study drug
- Concomitant use of strong inhibitors or inducers of CYP3A4
- Active central nervous system (CNS) metastases
- Impaired cardiac function or clinically significant cardiac disease
- Patients with Gilbert's Syndrome or other underlying conditions that may lead to a greater likelihood of developing LFT(liver function test) abnormalities during the study
- Known human immunodeficiency virus or active hepatitis B, or active hepatitis C infection
- Refractory/uncontrolled ascites or pleural effusion
- Pregnant or nursing
For patients with tenosynovial giant cell tumor (TGCT) :
- Known allergy or hypersensitivity to any component of the investigational drug product
- For expansion part, previous treatment with CSF 1/CSF 1R pathway inhibitors (not applicable for TGCT patients in US)
- Others
For Adolescent Cohort (China only):
- Known allergy or hypersensitivity to any component of the investigational drug product.
- Previous treatment with highly selective inhibitors targeting CSF-1/CSF-1R prior to first dosing. However, patients who have received prior treatment with multi-kinase inhibitors that include the CSF-1/CSF-1R pathway are allowed, such as Imatinib and Nilotinib.
- Know additional malignancy that required active treatment and may affect the patient's participation in the study or affect the outcome of the study as assessed by the Investigator. Exceptions include cured basal cell carcinoma of skin, squamous cell carcinoma of skin, and other carcinoma in situ.
- Others
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ABSK021
Dose escalation of oral ABSK021 with a starting dose of 25mg once daily will be guided by"3+3" escalation rules based on safety data until an MTD has been identified or a RDE. For each dose, patients will first receive a single dose ABSK021 tablet(s) by mouth at Day -3 and be followed by a 3-day off as a run-in period to access the safety and PK of single-dose. Then, patients will continuously receive ABSK021 once daily (QD) in repeated 28-day cycles. |
ABSK021 oral capsule |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence and Severity of AEs
Time Frame: Through study completion, an average of 6 months
|
Adverse events (AEs), adverse events of special interest (AESIs) and serious adverse events (SAEs) |
Through study completion, an average of 6 months
|
|
Incidence of DLTs
Time Frame: At the end of Cycle 1 (each cycle is 28 days)
|
DLT(dose-limiting toxicity) |
At the end of Cycle 1 (each cycle is 28 days)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
PFS
Time Frame: From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
Progression-Free Survival (PFS) |
From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
|
DoR
Time Frame: From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
Duration of Response (DoR) |
From date of enrollment until the date of first documented progression or death, assessed up to 12 months
|
|
DCR
Time Frame: 24 weeks post-dose
|
Disease Control Rate (DCR) |
24 weeks post-dose
|
|
Cmax
Time Frame: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The peak plasma concentration of a drug after administration |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
tmax
Time Frame: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
Time to reach Cmax |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
Bioavailability
Time Frame: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The systemically available fraction of a drug |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
|
Elimination half-life
Time Frame: Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
The time required for the concentration of the drug to reach half of its original value |
Pre-dose and multiple timepoints (up to 72 hours) post-dose
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Siqing Fu, MD, M.D. Anderson Cancer Center
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ABSK021-101
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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