- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03118817
Expansion Study to Evaluate the Efficacy and Safety of HM95573 in BRAF, KRAS or NRAS Mutant Solid Cancers
August 6, 2020 updated by: Hanmi Pharmaceutical Company Limited
A Single-arm, Open-label, Multi-center, Phase I Expansion Study Evaluating the Efficacy and Safety of HM95573 Monotherapy in Patients With BRAF, KRAS or NRAS Mutation-positive Solid Cancers
This study evaluates the anti-tumor efficacy and safety of single agent HM95573 administered in patients with solid tumors harboring mutations in either BRAF, KRAS or NRAS gene.
Study Overview
Study Type
Interventional
Enrollment (Actual)
65
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Seoul, Korea, Republic of, 03722
- Korea, Republic of, Seoul
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Seoul, Korea, Republic of, 05505
- Korea, Republic of, Seoul
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Seoul, Korea, Republic of, 06351
- Korea, Republic of, Seoul
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Seoul, Korea, Republic of, 07061
- Korea, Republic of, Seoul
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Chungcheongbuk-do
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Cheongju, Chungcheongbuk-do, Korea, Republic of, 28644
- Korea, Republic of, Chungcheongbuk-do
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Gyeonggi-do
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Seongnam, Gyeonggi-do, Korea, Republic of, 13620
- Korea, Republic of, Gyeonggi-do
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Gyeongsangbuk-do
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Daegu, Gyeongsangbuk-do, Korea, Republic of, 41404
- Korea, Republic of, Gyeongsangbuk-do
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
19 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Histologically confirmed solid tumor
- Confirmed mutations in either BRAF, KRAS or NRAS gene
Eligible for biomarker analysis as follows:
- Be able to provide an archival tumor tissue at screening.
- Consent to undergo pre- and post-treatment tumor biopsies, provided sites of disease are easily and safely accessible
- Tumors for which standard therapy either does not exist or has proven ineffective or intolerable at study entry;
- At least one lesion (excluding brain) measureable per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1;
- Life expectancy of ≥ 12 weeks;
- ECOG performance status score 0 or 1;
- Adequate organ function
Exclusion Criteria:
- Hematologic malignancy or double primary cancer.
Treatment with any of the following:
- Anticancer therapy including chemotherapy, hormonal treatment, or radiotherapy within 14 days of the first dose of study drug.
- Investigational (not-approved) agent within 28 days or 5 fold of its half-life prior to the first dose of study drug.
- Major surgical procedure within 28 days prior to the first dose of study drug.
- Systemic corticosteroid (≥ 10mg prednisolone or equivalent dose of other anti-inflammatory corticosteroids) or systemic immunosuppressant within 28 days prior to the first dose of study drug or current systemic immunosuppressant which is required to be used continuously during treatment period of the study. But following treatments will be allowed: topical applications, inhaled sprays, eye drops, or local injections.
- Treatment with nitrosourea, mitomycin, ipilimumab or other immunotherapy within 42 days prior to the first administration of study drug.
- >5 prior anticancer therapy regimens
- Spinal cord compression, leptomeningopathy or other symptomatic or uncontrolled central nervous system or brain metastasis.
Cardiovascular abnormalities as follow:
- mean QTcF > 440 msec
- Heart failure of NYHA Class III or IV
- Heart metastasis
- Uncontrolled serum electrolyte disturbances (hyponatremia, hypokalemia, hypocalcemia or hypomagnesemia)
- History of acute coronary syndrome including unstable angina and myocardial infarction, uncontrolled arrhythmias (except for sinus arrhythmia and atrial fibrillation which is controlled within 30 days prior to the first dose of study drug), symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack within 6 months prior to the first dose of study drug.
- History of coronary angioplasty, coronary/peripheral artery bypass graft or stent insertion within 6 months prior to the first dose of study drug.
- History of congenital long QT syndrome or clinically significant ≥ Grade 2 (NCI-CTCAE version 4.03) ventricular or atrial dysrhythmias.
Ophthalmologic disorders as follows:
- History of or evidence of retinal vein occlusion (RVO), central serous retinopathy (CSR) or neovascular macular degeneration at screening
- Glaucoma with intraocular pressure ≥ 21 mmHg
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: HM95573
Single arm
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Dose: 450 mg BID Regimen: twice daily (BID), continuous dosing Duration: until progression disease or unacceptable toxicity develops |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Objective response rate (Proportion of patients with reduction in tumor burden of a predefined amount)
Time Frame: At screening and every 8 weeks from time of first dosing until date of progression, start of other anticancer therapy or death whichever came first, assessed up to study completion (around 36 months).
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At screening and every 8 weeks from time of first dosing until date of progression, start of other anticancer therapy or death whichever came first, assessed up to study completion (around 36 months).
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Safety and tolerability by assessing adverse events (AEs) based on CTCAE ver.4.03
Time Frame: All AEs occurring up to 28 days after the last administration of study drug until the start of other anti-cancer treatment, whichever comes first, will be record.
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All AEs occurring up to 28 days after the last administration of study drug until the start of other anti-cancer treatment, whichever comes first, will be record.
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Best overall response rate
Time Frame: At screening and every 8 weeks from time of first dosing until date of progression, start of other anticancer therapy or death whichever came first, assessed up to study completion (around 36 months).
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At screening and every 8 weeks from time of first dosing until date of progression, start of other anticancer therapy or death whichever came first, assessed up to study completion (around 36 months).
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Disease control rate
Time Frame: At screening and every 8 weeks from time of first dosing until date of progression, start of other anticancer therapy or death whichever came first, assessed up to study completion (around 36 months).
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At screening and every 8 weeks from time of first dosing until date of progression, start of other anticancer therapy or death whichever came first, assessed up to study completion (around 36 months).
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Progression-free survival
Time Frame: At screening and every 8 weeks from time of first dosing until date of progression, start of other anticancer therapy or death whichever came first, assessed up to study completion (around 36 months).
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At screening and every 8 weeks from time of first dosing until date of progression, start of other anticancer therapy or death whichever came first, assessed up to study completion (around 36 months).
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Changes in molecular biomarkers
Time Frame: Screening and 15 days after first dosing
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Screening and 15 days after first dosing
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 19, 2017
Primary Completion (Actual)
February 4, 2020
Study Completion (Actual)
February 4, 2020
Study Registration Dates
First Submitted
March 20, 2017
First Submitted That Met QC Criteria
April 16, 2017
First Posted (Actual)
April 18, 2017
Study Record Updates
Last Update Posted (Actual)
August 10, 2020
Last Update Submitted That Met QC Criteria
August 6, 2020
Last Verified
August 1, 2020
More Information
Terms related to this study
Other Study ID Numbers
- HM-RAFI-102
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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