En fase 1 klinisk undersøgelse af NXP900 i forsøgspersoner med avanceret kræft
This is a multi-center, first-in-human, open label, dose escalation (Part A) and expansion (Part B) Phase 1 study in subjects with advanced solid tumors and in subjects with solid tumors with selected genetic alterations that are either direct (YES1 amplification) or dependent (Hippo Pathway alterations) targets of NXP900.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
-
-
-
Edinburgh, Det Forenede Kongerige, EH4 2XU
- Western General Hospital - NHS Lothian
-
London, Det Forenede Kongerige, SW3 6JJ
- The Royal Marsden NHS Foundation and Trust
-
-
-
-
Arizona
-
Phoenix, Arizona, Forenede Stater, 85054
- Mayo Clinic
-
-
California
-
La Jolla, California, Forenede Stater, 92093
- UC San Diego Moores Cancer Center
-
-
Colorado
-
Denver, Colorado, Forenede Stater, 80218
- Sarah Cannon Research Institute at HealthONE
-
-
Florida
-
Jacksonville, Florida, Forenede Stater, 32224
- Mayo Clinic
-
-
Illinois
-
Chicago, Illinois, Forenede Stater, 60637
- University of Chicago
-
-
Minnesota
-
Rochester, Minnesota, Forenede Stater, 55905
- Mayo Clinic Rochester
-
-
New York
-
New York, New York, Forenede Stater, 10021
- Memorial Sloan Kettering Cancer Center
-
-
Ohio
-
Cleveland, Ohio, Forenede Stater, 44195
- Cleveland Clinic
-
-
Oregon
-
Portland, Oregon, Forenede Stater, 97239
- Oregon Health and Science University
-
-
Texas
-
Houston, Texas, Forenede Stater, 77030
- The University of Texas MD Anderson Cancer Center
-
Houston, Texas, Forenede Stater, 77054
- NEXT Oncology Houston
-
Irving, Texas, Forenede Stater, 75039
- NEXT Oncology Dallas
-
-
Virginia
-
Fairfax, Virginia, Forenede Stater, 22031
- NEXT Oncology Virginia
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Part A
Inclusion Criteria:
- Provide written informed consent.
- 18 years old or older.
- Advanced, metastatic, and/or progressive solid tumors for whom there is no authorized or effective therapy available, or for whom such therapies are considered inappropriate by the Investigator.
- Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Exclusion Criteria:
- Subjects with known human epidermal growth factor receptor 2 (HER2+) overexpressing malignancies.
- Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days, (42 days for nitrosoureas, mitomycin-C) of first dose of NXP900. Subjects can continue to receive bisphosphonates due to metastatic bone disease or GnRH agonists if they have prostate cancer.
- Ongoing toxic manifestations of previous treatments > Grade 2 with the exception of alopecia and neuropathy.
- Subjects with treated brain metastases with evidence of progression within 28 days after central nervous system (CNS)-directed treatment, as ascertained by clinical examination and brain imaging (magnetic resonance imaging [MRI] or computed tomography [CT] scan) during the Screening period.
- Female subjects who can become pregnant (or are already pregnant or lactating), unless they have a negative serum pregnancy test before enrollment and agree to use at least one highly effective form of contraception .
- Male subjects with partners of childbearing potential, unless they agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide).
- Major surgery from which the subject has not yet recovered.
Part B:
Inclusion Criteria:
-
Provide written informed consent.
-
18 years old or older.
-
Advanced, metastatic, and/or progressive solid tumors with pathogenic molecular alterations:
- Non-small cell lung cancer (adenocarcinoma); YES1, TYMS amplification or FAT1 pathogenic mutation
- Non-small cell lung cancer (squamous cell carcinoma); YES1, TYMS amplification or FAT1 pathogenic mutation
- Renal cancer; NF2 pathogenic mutation
- Mesothelioma; NF2 pathogenic mutation
- Other solid tumors with a NF2, FAT1 or LATS1 pathogenic gene mutation or TYMS, YAP1, YES1, or TAZ1 gene amplification, or cholangiocarcinoma with IDH1 or IDH2 mutations.
-
Must have received 1-3 prior therapies appropriate for their tumor type and stage of disease
-
Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (or mRECIST 1.1 for subjects with pleural mesothelioma).
-
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Exclusion Criteria:
-
Subjects with the following combination of cancer type and pathogenic molecular alterations are excluded:
- Subjects with colorectal cancer, glioma, melanoma, or anaplastic thyroid conditions with BRAF mutations.
- Subjects with NSCLC with BRAF or EGFR mutations or HER2 overexpression.
- Subjects with breast cancer, gastric cancer, esophageal junction adenocarcinoma or biliary cancer with HER2 alterations,
-
Subjects with anal, penile, cervical or head and neck cancers with a prior history of human papilloma virus (HPV) infection.
-
Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days (42 days for nitrosoureas, mitomycin-C) prior to first dose of NXP900. Subjects can continue to receive bisphosphonates due to metastatic bone disease or GnRH agonists if they have prostate cancer.
-
Ongoing toxic manifestations of previous treatments > Grade 2 with the exception of alopecia and neuropathy.
-
Female subjects who can become pregnant (or are already pregnant or lactating), unless they have a negative serum pregnancy test before enrollment and agree to use at least one highly effective form of contraception .
-
Male subjects with partners of childbearing potential, unless they agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide).
-
Major surgery from which the subject has not yet recovered.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Dose Escalation (Part A)
Escalating doses of NXP900 are planned with a starting dose level of 20 mg once per day. |
NXP900 is an orally administered SRC/YES1 kinase inhibitor |
|
Eksperimentel: Dose Expansion (Part B)
Participants will receive the selected dose of NXP900 |
NXP900 is an orally administered SRC/YES1 kinase inhibitor |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Antal patienter med behandlingsrelaterede bivirkninger og/eller kliniske laboratorie abnormiteter
Tidsramme: Op til 30 dage efter behandling
|
Op til 30 dage efter behandling
|
|
|
Del A: Antal patienter, der oplever dosisbegrænsende toksiciteter (DLT) som defineret i protokollen
Tidsramme: Dag 28
|
Dag 28
|
|
|
Part B: Objective response rate (ORR)
Tidsramme: Up to 24 months
|
Best response of complete response (CR) or partial response (PR) per RECIST 1.1 (or mRECIST 1.1 for subjects with pleural mesothelioma). |
Up to 24 months
|
|
Part B: Duration of Response (DoR)
Tidsramme: Up to 24 months
|
Confirmed CR or PR from the first documented response to the date of documented disease progression or death. |
Up to 24 months
|
|
Part B: Disease Control Rate (DCR)
Tidsramme: Up to 24 months
|
The proportion of patients with stable disease (SD), partial response (PR), or complete response (CR). |
Up to 24 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Område under koncentrationstidskurven (AUC) af NXP900
Tidsramme: Op til 24 måneder
|
Op til 24 måneder
|
|
Maksimal observeret koncentration (Cmax) af NXP900
Tidsramme: Op til 24 måneder
|
Op til 24 måneder
|
|
Tid til topkoncentration (Tmax) af NXP900
Tidsramme: Op til 24 måneder
|
Op til 24 måneder
|
|
Half-life (T1/2) af NXP900
Tidsramme: Op til 24 måneder
|
Op til 24 måneder
|
|
Tilsyneladende distributionsvolumen i stabil tilstand (VSS/F) af NXP900
Tidsramme: Op til 24 måneder
|
Op til 24 måneder
|
|
Tilsyneladende plasmaklarering ved stabil tilstand (CLSS/F) på NXP900
Tidsramme: Op til 24 måneder
|
Op til 24 måneder
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Udai Banerji, Prof, Institute of Cancer Research, Royal Marsden NHS Foundation Trust
- Ledende efterforsker: Gerald Falchook, MD, Sarah Cannon Cancer Institute, HealthOne Denver
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Urogenitale neoplasmer
- Neoplasmer efter sted
- Mandlige urogenitale sygdomme
- Nyresygdomme
- Urologiske sygdomme
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Luftvejssygdomme
- Neoplasmer efter histologisk type
- Lungesygdomme
- Neoplasmer, kirtel og epitel
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Lungeneoplasmer
- Adenom
- Neoplasmer, mesotheliale
- Urologiske neoplasmer
- Karcinom, bronkogent
- Bronkiale neoplasmer
- Neoplasmer
- Karcinom
- Mesotheliom
- Karcinom, ikke-småcellet lunge
- Adenocarcinom
- Nyre-neoplasmer
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- NXP900-101
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .