Studie van ARTS-021 bij patiënten met vergevorderde solide tumoren
Een fase 1/2, first-in-human onderzoek om de veiligheid, verdraagbaarheid, farmacokinetiek, farmacodynamiek, MTD/RP2D en antitumoractiviteit van ARTS-021 als een enkelvoudig middel en in combinatietherapie bij patiënten met solide tumoren te beoordelen
This study, the first clinical trial of AVZO-021, aims to determine the safety, tolerability, pharmacokinetics, pharmacodynamics, maximum tolerated dose, and anti-tumor effects of AVZO-021 in patients with advanced solid tumors. AVZO-021 is an oral medication that inhibits cyclin-dependent kinase 2 (CDK 2).
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
AVZO-021 is a compound being developed for the treatment of patients with advanced solid tumors, specifically, HR+/HER2- breast cancer and cyclin E1 (CCNE1) altered malignancies. AVZO-021 is a selective and potent cyclin-dependent kinase 2 (CDK2) inhibitor, which plays an important role in cell cycle regulation. This is a Phase 1/2 first-in-human, open-label, nonrandomized, multicenter study of AVZO-021. Phase 1 is a dose-escalation phase aimed at assessing the safety and tolerability of AVZO-021 and determining the recommended phase 2 dose (RP2D) as monotherapy and combination therapy. Phase 2 is a dose-expansion phase that will be conducted to assess the antitumor activity of AVZO-021 as monotherapy and combination therapy.
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Medical Information
- Telefoonnummer: (858) 239-2944
- E-mail: ClinicalTrials@avenzotx.com
Studie Locaties
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New South Wales
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Macquarie University, New South Wales, Australië
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Wollongong, New South Wales, Australië
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Connecticut
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New Haven, Connecticut, Verenigde Staten, 06520
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Florida
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Sarasota, Florida, Verenigde Staten, 34232
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Tampa, Florida, Verenigde Staten, 33612
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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New York
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Mineola, New York, Verenigde Staten, 11501
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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New York, New York, Verenigde Staten, 10016
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Ohio
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Cleveland, Ohio, Verenigde Staten, 44106
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Oklahoma
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Oklahoma City, Oklahoma, Verenigde Staten, 73117
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Oregon
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Portland, Oregon, Verenigde Staten, 97213
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Pennsylvania
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Philadelphia, Pennsylvania, Verenigde Staten, 19107
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Texas
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Dallas, Texas, Verenigde Staten, 75246
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Virginia
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Fairfax, Virginia, Verenigde Staten, 22031
- Werving
- Avenzo Therapeutics Recruiting Site
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Contact:
- Avenzo Therapeutics
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Key Inclusion Criteria:
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Male or female aged ≥18 years old at screening with Eastern Cooperative Oncology Group (ECOG) 0-1.
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Disease-related inclusion criteria by study phase and part:
i) Phase 1a Monotherapy Dose Escalation: Patients with locally advanced or metastatic HR+/HER2- breast cancer, CCNE1-amplified tumors that are either epithelial ovarian cancer, primary peritoneal cancer, fallopian tube cancer, endometrial cancer or TNBC, with no other oncogenic driver mutations that are treatable and standard therapies are no longer effective, appropriate, or safe in the opinion of the investigator and medical monitor. Patients with any additional tumor type with CCNE1 amplification can be enrolled only if clinical data is supportive and approved by medical monitor (Cohort 1A).
ii) Phase 1b Combination Dose Escalation: histologically or cytologically confirmed diagnosis of locally advanced or metastatic HR+ HER2- (HER2-low may be allowed if failed standard of care therapy) breast cancer, who have been previously treated with inhibitor of CDK4/6 and endocrine therapy(Cohorts 1B1, 1B2, 1B3, 1B4, and 1B5); or histologically or cytologically confirmed diagnosis of CCNE1- amplified, locally advanced or metastatic, platinum-refractory or platinum-resistant EOC, primary peritoneal, or fallopian tube cancer (Cohort 1C).
iii) Phase 2a Monotherapy dose expansion: Histologically or cytologically confirmed diagnosis of locally advanced or metastatic CCNE1 amplified epithelial ovarian cancer, primary peritoneal cancer, fallopian tube cancer, endometrial cancer or TNBC, with no other oncogenic driver mutations that are treatable and standard therapies are no longer effective, appropriate, or safe in the opinion of the investigator and medical monitor (Cohort 2A).
iv) Phase 2b Combination dose expansion: Histologically or cytologically confirmed diagnosis of locally advanced or metastatic HR+/HER2- (HER2-low may be allowed if failed standard of care therapy) breast cancer who have been previously treated with no more than 1 prior CDK4/6 inhibitor and endocrine therapy (Cohorts 2B1, 2B2, 2B3, 2B4, and 2B5); or Histologically or cytologically confirmed diagnosis of locally advanced or metastatic, CCNE1-amplified, platinum-refractory or platinum-resistant EOC, primary peritoneal cancer, or fallopian tube cancer (Cohort 2C).
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No more than 2 prior cytotoxic chemotherapy regimens for locally advanced/metastatic disease (excepting patients treated with an antibody-drug conjugate, with ovarian cancer if there disease is platinum resistant or refractory, having progressed beyond all SOC care; and patients who have received prior chemotherapy in the adjuvant or neoadjuvant setting >12 months prior to starting AVZO-021 treatment).
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Measurable disease as determined by RECIST version 1.1.
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Adequate bone marrow and organ function.
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Ability to swallow capsules or tablets.
Key Exclusion Criteria:
- Received an investigational agent or anticancer therapy within 2 weeks, or 5 half-lives of the drug, whichever is shorter, prior to planned start of AVZO-021.
- Received any CDK2 inhibitor, protein kinase membrane associated tyrosine/threonine 1 (PKMYT1) inhibitor, or WEE1 inhibitor anticancer therapy. For cohort B5, prior therapy with topoisomerase inhibitors is not permitted.
- Undergone major surgery within 4 weeks prior to planned start of AVZO-021.
- Received radiotherapy for palliation within 7 days of the first dose of study treatment, unless specified otherwise in the protocol.
- Active CNS metastases or confirmed leptomeningeal disease are not eligible.
- Unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 Grade >1 at the time of starting study treatment.
- Clinically unstable cardiac function as described in the protocol.
- Any active or chronic infection/disease that compromises the immune system.
- Current treatment with strong or moderate cytochrome P450 (CYP)3A4 inhibitors or inducers.
- Active second malignancy unless in remission with life expectancy > 2 years and with documented sponsor approval.
- Pregnancy, lactation, or plans to breastfeed during the study or within 6 months of the last dose of study intervention.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Sequentiële toewijzing
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Phase 1, monotherapy (Part 1A)
Escalating doses of once daily, oral AVZO-021 in 28-day cycles. |
AVZO-021 is a selective and potent oral inhibitor of CDK2 being developed for the treatment of patients with advanced solid tumors with CDK2 dependency (1A), CCNE1 amplified solid tumors (2A), HR+/HER2- BC (1B1-1B5, 2B1-2B5) and CCNE1 amplified EOC (1C, 2C) |
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Experimenteel: Phase 1, combination (Parts 1B and 1C)
Escalating doses of once daily, oral AVZO-021 in 28-day cycles starting at least 1 DL below the monotherapy MTD/RP2D dose in combination with: 1B1) fulvestrant 1B2) palbociclib plus either fulvestrant or letrozole 1B3) ribociclib plus either fulvestrant or letrozole 1B4) abemaciclib plus either fulvestrant or letrozole 1B5) sacituzumab govitecan-hziy 1C) carboplatin |
AVZO-021 is a selective and potent oral inhibitor of CDK2 being developed for the treatment of patients with advanced solid tumors with CDK2 dependency (1A), CCNE1 amplified solid tumors (2A), HR+/HER2- BC (1B1-1B5, 2B1-2B5) and CCNE1 amplified EOC (1C, 2C) Antineoplastic agent, cyclin-dependent kinase 4/6 inhibitor
Andere namen:
Antineoplastic agent, estrogen receptor antagonist
Andere namen:
Antineoplastic agent, aromatase inhibitor
Andere namen:
Antineoplastic CDK4/6 inhibitor
Andere namen:
Antineoplastic CDK4/6 inhibitor
Andere namen:
Alkylating agent Trop-2 antibody and topoisomerase inhibitor
Andere namen:
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Experimenteel: Phase 2, monotherapy (Part 2A)
Oral doses of AVZO-021 in 28-day cycles at the RP2D determined in Part 1A. |
AVZO-021 is a selective and potent oral inhibitor of CDK2 being developed for the treatment of patients with advanced solid tumors with CDK2 dependency (1A), CCNE1 amplified solid tumors (2A), HR+/HER2- BC (1B1-1B5, 2B1-2B5) and CCNE1 amplified EOC (1C, 2C) |
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Experimenteel: Phase 2, combination (Parts 2B and 2C)
Oral doses of AVZO-021 in 28-day cycles at the RP2D determined in Parts 1B/1C, in combination with: 2B1) fulvestrant 2B2) palbociclib plus either fulvestrant or letrozole 2B3) ribociclib plus either fulvestrant or letrozole 2B4) abemaciclib plus either fulvestrant or letrozole 2B5) sacituzumab govitecan-hziy 2C) carboplatin |
AVZO-021 is a selective and potent oral inhibitor of CDK2 being developed for the treatment of patients with advanced solid tumors with CDK2 dependency (1A), CCNE1 amplified solid tumors (2A), HR+/HER2- BC (1B1-1B5, 2B1-2B5) and CCNE1 amplified EOC (1C, 2C) Antineoplastic agent, cyclin-dependent kinase 4/6 inhibitor
Andere namen:
Antineoplastic agent, estrogen receptor antagonist
Andere namen:
Antineoplastic agent, aromatase inhibitor
Andere namen:
Antineoplastic CDK4/6 inhibitor
Andere namen:
Antineoplastic CDK4/6 inhibitor
Andere namen:
Alkylating agent Trop-2 antibody and topoisomerase inhibitor
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Occurrence of Dose Limiting Toxicities (DLTs) during the first cycle (Phase 1)
Tijdsspanne: 28 Days
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Number of participants with DLTs assessed for severity using CTCAE v5.0 criteria will be summarized by dose level. |
28 Days
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Number of Participants with Treatment Emergent Adverse Events (TEAEs) and lab abnormalities (Phase 1)
Tijdsspanne: Approximately 22 months
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To evaluate the type, incidence, severity, timing, seriousness, and relationship to study treatment of adverse events and any laboratory abnormalities summarized by dose level. |
Approximately 22 months
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Determination of Recommended Phase 2 Dose (RP2D) (Phase 1)
Tijdsspanne: Approximately 16 months
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RP2D for AVZO-021 is less than or the same as the maximum tolerated dose (MTD) as defined by the occurrence of DLTs and TEAEs calculated using isotonic regression. |
Approximately 16 months
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Objective Response Rate (ORR) (Phase 2)
Tijdsspanne: Approximately 52 months
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Defined as the proportion of patients with a confirmed Complete Response (CR) or Partial Response (PR), as determined by the investigator by radiographic disease assessment according to RECIST v1.1. |
Approximately 52 months
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Progression Free Survival (PFS) (Phase 2)
Tijdsspanne: Approximately 52 months
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Defined as the time from study drug treatment to death or disease progression, as determined by the investigator by radiographic disease assessment according to RECIST v1.1. |
Approximately 52 months
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Overall Survival (OS) (Phase 2)
Tijdsspanne: Approximately 76 months
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Defined as the time from study drug treatment initiation to death from any cause. |
Approximately 76 months
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Duration of response (DOR) (Phase 2)
Tijdsspanne: Approximately 52 months
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Defined as the time from the first confirmed response to radiologic/objective progression. |
Approximately 52 months
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Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
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PK-parameters: Maximale plasmaconcentratie (Cmax) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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PK-parameters: Tijd tot maximale plasmaconcentratie (Tmax) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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PK-parameters: Oppervlakte onder de plasmaconcentratie-tijdcurve vanaf tijdstip 0 tot de laatste meetbare concentratie (AUC 0-laatste) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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PK-parameters: Oppervlakte onder de plasmaconcentratie-tijdcurve vanaf tijdstip 0 tot de laatste meetbare concentratie (AUC 0-tau) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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PK-parameters: Minimale waargenomen plasmaconcentratie bij steady-state (Cmin, ss) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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PK-parameters: Accumulatierantsoen (Rac) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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PK-parameters: Eliminatiehalfwaardetijd (t1/2) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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PK-parameters: Schijnbare klaring (CL/F) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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PK-parameters: schijnbaar distributievolume tijdens de terminale fase (Vz/F) (monotherapie en combinatie)
Tijdsspanne: Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Cyclus 1, dagen 1, 2, 8, 14 en 15 (elke cyclus duurt 28 dagen)
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Evalueer het effect van een vetrijke maaltijd op de PK van AVZO-021 (Fase 1)
Tijdsspanne: 5 dagen
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5 dagen
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Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Urogenitale ziekten
- Genitale ziekten
- Endocriene systeemziekten
- Urogenitale neoplasmata
- Neoplasmata per site
- Neoplasmata
- Vrouwelijke urogenitale ziekten
- Vrouwelijke urogenitale ziekten en zwangerschapscomplicaties
- Neoplasmata per histologisch type
- Baarmoeder Ziekten
- Genitale ziekten, vrouw
- Endocriene klierneoplasmata
- Neoplasmata, glandulair en epitheel
- Ovariële ziekten
- Adnexale ziekten
- Genitale neoplasmata, vrouwelijk
- Gonadale aandoeningen
- Huidziektes
- Borst ziekten
- Carcinoom
- Baarmoeder Neoplasmata
- Ziekten van de eileiders
- Ovariumneoplasmata
- Huid- en bindweefselaandoeningen
- Carcinoom, ovariumepitheel
- Borstneoplasmata
- Drievoudige negatieve borstneoplasmata
- Endometriumneoplasmata
- Eileiderneoplasmata
- Hormonen
- Hormonen, hormoonvervangers en hormoonantagonisten
- Organische chemicaliën
- Heterocyclische verbindingen, 1-ring
- Heterocyclische verbindingen
- Azoles
- Polycyclische verbindingen
- Coördinatiecomplexen
- Steroïden
- Verbindingen met gefuseerde ring
- Nitriles
- Estradiol
- Woest
- Estranes
- Estradiol -congeners
- Gonadale steroïde hormonen
- Gonadale hormonen
- Triazoles
- Letrozol
- Fulvestrant
- Carboplatine
- abemaciclib
- ribociclib
- palbociclib
- Sacituzumab Govitecan
Andere studie-ID-nummers
- AVZO-021-1001
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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