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A Phase I Trial of SHR3162 in Subjects With Advanced Solid Tumors

2019年9月18日 更新者:Atridia Pty Ltd.

A Multicenter, Open-Label, Phase 1 Trial of SHR3162 Given Orally to Subjects With Advanced Solid Tumors

This is an open-label, multicenter, non-randomized, dose-escalation phase 1 trial to evaluate the safety and tolerability of SHR3162 in participants with advanced solid tumors.

調査の概要

状態

完了

介入・治療

詳細な説明

Poly adenosine diphosphate (ADP)-ribose polymerase (PARP) is a family of proteins that plays important roles in multiple cellular processes, including single-strand DNA breaks, which if left unrepaired, leads to double-strand breaks (DSB) during DNA replication. The DSB can be repaired either through error-free homologous recombination (HR) or error-prone non-homology end joining. In HR deficient cancer cells with mutations on HR genes such as BRCA1, BRCA2 or partner and localizer of BRCA2 (PALB2), DSB cannot be efficiently and correctly repaired, resulting in cell death. Viable cells, on the other hand, have normal HR and do not replicate as often as cancer cells; thus they can survive PARP inhibition. PARP inhibitors are being actively developed worldwide as promising anti-tumor therapeutics. The current trial will be conducted in participants with advanced solid tumors for whom satisfactory treatments are not yet available.

In the dose-escalation phase, patients will be enrolled sequentially into the 8 dose levels of SHR3162 designated in this study(3-6 patients per cohort). One to two sentinel participants in Cohort 1 who will be treated and closely monitored for 24 hours. If no adverse effects are noted during the 24-hour period, dosing of further participants in the cohort may continue.

In the dose expansion part of the study, up to 12 additional participants will be enrolled at the MTD.

研究の種類

介入

入学 (実際)

30

段階

  • フェーズ 1

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

      • Melbourne、オーストラリア
        • Linear
    • New South Wales
      • Albury、New South Wales、オーストラリア、2640
        • Border Medical Oncology
      • Liverpool、New South Wales、オーストラリア、2170
        • Liverpool Hospital

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Inclusion Criteria:

  1. Males and/or females over age 18.
  2. Ability to understand the purposes and risks of the trial and his/her signed informed consent form approved by Human Research Ethics Committee (HREC) of the trial site was obtained before the entering the trial.
  3. Histologically or cytologically confirmed advanced or metastatic solid tumor for which no established standard therapy is available.
  4. At least one measurable lesion by CT or MRI according to RECIST Version 1.1, which is not in irradiated area (only for expansion phase).
  5. Recovered from toxicities of prior anti-cancer treatment to Grade 1 or less (in case of alopecia, Grade 2 is acceptable).
  6. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  7. Life expectancy of at least 3 months.
  8. Acceptable liver function defined below:

    • Total bilirubin ≤1.5 times upper limit of normal (ULN);
    • aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3 times ULN; however, ≤5 times ULN in a participant who has liver metastases or is treated with biliary drainage
  9. Acceptable renal function defined below:

    • Serum creatinine ≤1.5 times ULN or calculated creatinine clearance (by the Cockcroft-Gault formula) ≥60 mL/minutes
  10. Acceptable coagulation status defined below:

    • Prothrombin time <1.3 times ULN
    • Partial thrombin time <1.3 times ULN
  11. Acceptable hematologic status (without hematologic supports including hematopoietic factor, blood transfusion) defined below:

    • Absolute neutrophil count (ANC) ≥1500/μL
    • Platelet count ≥100000/μL
    • Hemoglobin ≥9.0 g/dL
  12. No clinically significant abnormalities in urinalysis.
  13. Female participants of child bearing potential agree not to be pregnant or lactating during the study and for three months following the last dose of study drug. Both men and women of reproductive potential must agree to use a highly effective method of birth control during the study and for three months following the last dose of study drug. A highly effective method of contraception is defined as one that results in a low failure rate (i.e., less than 1% per year) when used consistently and correctly.

Exclusion Criteria:

  1. Hematologic malignancies.
  2. Cardiac disease with New York Heart Association (NYHA) Class III or IV, including congestive heart failure, myocardial infarction within 6 months prior to the trial entry, unstable arrhythmia, or symptomatic peripheral arterial vascular disease.
  3. Previously treated malignancies other than the current disease, except for adequately treated non-melanoma skin cancer, in situ cancer, or other cancer from which the subject has been disease-free for at least 5 years at the trial entry.
  4. Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic therapy
  5. Major surgery, other than diagnostic surgery, within 4 weeks prior to the trial entry, without complete recovery.
  6. Percutaneous coronary intervention conducted within 6 months prior to the trial entry for cardiac infarction or angina pectoris.
  7. Seizure disorders requiring anticonvulsant therapy.
  8. Taking a medication that prolongs QT interval and has a risk of Torsade de Pointes, or a history of long QT syndrome.
  9. Medical history of difficulty swallowing, malabsorption or other chronic gastrointestinal disease, or conditions that may hamper compliance and/or absorption of the tested product.
  10. Anti-cancer treatment with radiation therapy, surgery, chemotherapy, targeted therapies (erlotinib, lapatinib, etc.), hormone therapy, or immunotherapy within 4 weeks (6 weeks for nitrosoureas or Mitomycin C) prior to trial entry, and ever use PARP inhibitor.
  11. Participation in an investigational drug or device trial within 4 weeks prior to the trial entry.
  12. Known infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C.
  13. Recent venous thrombosis (including deep vein thrombosis or pulmonary embolism within 1 year of study).
  14. History of upper gastrointestinal hemorrhage, peptic ulcer disease, or bleeding diathesis.
  15. Subject is pregnant (positive serum beta human chorionic gonadotropin [β-HCG] test at screening) or is currently breast-feeding, their partner anticipates becoming pregnant/impregnating during the trial or within 6 months after receiving the last dose of trial treatment.
  16. History of organ allograft, autologous stem cell transplantation, or allogeneic -
  17. Concomitant disease or condition that could interfere with the conduct of the trial, or that would, in the opinion of the Investigator, pose an unacceptable risk to the subject in this trial.
  18. Unwillingness or inability to comply with the trial protocol for any reason.
  19. Legal incapacity or limited legal capacity.
  20. Known drug abuse or alcohol abuse.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:なし
  • 介入モデル:単一グループの割り当て
  • マスキング:なし(オープンラベル)

武器と介入

参加者グループ / アーム
介入・治療
実験的:SHR3162
3 to 6 participants (traditional "3+3" design) will be enrolled in 6 dose levels. SHR3162 was administered once daily in dose levels 1 and 2 and will be administered twice daily in dose levels 3 to 6.
SHR3162 capsule(s) is administered orally QD.
他の名前:
  • Fluzoparib

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Maximum tolerated dose (MTD)
時間枠:4 weeks
MTD will be defined as the maximum dose level at which no more than one 1 of 3 participants experience a dose-limiting toxicity (DLT) within the first 4 weeks of multiple dosing
4 weeks

二次結果の測定

結果測定
時間枠
クリアランス (CL)
時間枠:4週間
4週間
Number of participants with treatment-emergent adverse events
時間枠:24 months
24 months
Peak plasma concentration (Cmax)
時間枠:4 weeks
4 weeks
Area under the plasma concentration versus time curve (AUC)
時間枠:4 weeks
4 weeks
T1/2 (half-life)
時間枠:4 weeks
4 weeks
Volume of distribution at steady state (Vss)
時間枠:4 weeks
4 weeks

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2016年6月1日

一次修了 (実際)

2019年3月8日

研究の完了 (実際)

2019年4月26日

試験登録日

最初に提出

2016年4月29日

QC基準を満たした最初の提出物

2016年4月29日

最初の投稿 (見積もり)

2016年5月3日

学習記録の更新

投稿された最後の更新 (実際)

2019年9月19日

QC基準を満たした最後の更新が送信されました

2019年9月18日

最終確認日

2019年9月1日

詳しくは

本研究に関する用語

キーワード

追加の関連 MeSH 用語

その他の研究ID番号

  • SHR3162-002

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。

固形腫瘍の臨床試験

SHR3162の臨床試験

3
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