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

2019년 9월 18일 업데이트: 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.

연구 개요

상태

완전한

개입 / 치료

상세 설명

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.

연구 유형

중재적

등록 (실제)

30

단계

  • 1단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

      • Melbourne, 호주
        • Linear
    • New South Wales
      • Albury, New South Wales, 호주, 2640
        • Border Medical Oncology
      • Liverpool, New South Wales, 호주, 2170
        • Liverpool Hospital

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

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.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 해당 없음
  • 중재 모델: 단일 그룹 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.
다른 이름들:
  • Fluzoparib

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Maximum tolerated dose (MTD)
기간: 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

2차 결과 측정

결과 측정
기간
클리어런스(CL)
기간: 4 주
4 주
Number of participants with treatment-emergent adverse events
기간: 24 months
24 months
Peak plasma concentration (Cmax)
기간: 4 weeks
4 weeks
Area under the plasma concentration versus time curve (AUC)
기간: 4 weeks
4 weeks
T1/2 (half-life)
기간: 4 weeks
4 weeks
Volume of distribution at steady state (Vss)
기간: 4 weeks
4 weeks

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2016년 6월 1일

기본 완료 (실제)

2019년 3월 8일

연구 완료 (실제)

2019년 4월 26일

연구 등록 날짜

최초 제출

2016년 4월 29일

QC 기준을 충족하는 최초 제출

2016년 4월 29일

처음 게시됨 (추정)

2016년 5월 3일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2019년 9월 19일

QC 기준을 충족하는 마지막 업데이트 제출

2019년 9월 18일

마지막으로 확인됨

2019년 9월 1일

추가 정보

이 연구와 관련된 용어

추가 관련 MeSH 약관

기타 연구 ID 번호

  • SHR3162-002

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

아니요

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

고형 종양에 대한 임상 시험

SHR3162에 대한 임상 시험

구독하다