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A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of INV-8989 in Patients With Advanced Solid Tumors Harboring KRAS G12D Mutations
A Phase I/II, Open-Label, Multi-Center, Dose Escalation and Cohort Expansion Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of INV-8989 in Patients With Advanced Solid Tumors Harboring KRAS G12D Mutations
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
This is a Phase 1 and Phase 2 study to evaluate the safety, tolerability, pharmacokinetics, and preliminary antitumor activity of INV-8989 in patients with advanced solid tumors harboring KRAS G12D mutations.
The entire study consists of two parts: Phase 1 for dose escalation and Phase 2 for dose expansion and indication exploration.
Phase 1 dose escalation of INV-8989 follows a real time monitored, PK/PD and safety guided scheme with an accelerated titration plus traditional 3+3 design for DLT assessment.
Phase 2 aims to reassure the safety profile and better define efficacy. Phase 2 consists of Phase 2a and Phase 2b.
Phase 2a study aims to further confirm the safety profile of INV-8989 through a larger number of patients, clarify its PK characteristics and preliminary efficacy, and optimize the recommended Phase 2 dose (RP2D).
The Phase 2b study aims to explore the anti-tumor efficacy of INV-8989 in the patients with different types of advanced solid tumors harboring the KRAS G12D mutation, and those who have failed previous standard treatments.
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Yi Zhu, MD, MBA
- Telefoonnummer: 1 908 240 7514
- E-mail: yi.zhu@ionovabio.com
Studie Locaties
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Guangdong
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Guangzhou, Guangdong, China
- Werving
- Sun Yat-sen University Cancer Center
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Hoofdonderzoeker:
- Ruihua Xu, MD, PhD
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Contact:
- Ruihua Xu
- Telefoonnummer: +86 181 2791 2755
- E-mail: Xurh@sysucc.org.cn
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-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Written informed consent obtained.
- Adult patients aged ≥ 18 years.
- Patients with histologically or cytologically confirmed locally advanced, unresectable, or metastatic solid tumors harboring the KRAS G12D mutations.
- Agree to provide available archived FFPE tumor tissue specimens or voluntarily accept pre-treatment tumor biopsy.
- Have RECIST 1.1-defined measurable lesions.
- Has a life expectancy of > 3 months.
- ECOG performance status 0-1.
- Adequate marrow, liver and kidney function.
- Meet the study's specified contraceptive requirements.
- Meet protocol-specified washout period requirements.
Exclusion Criteria:
- Have protocol-defined toxicities within 28 days before the start of study treatment.
- Have a second primary malignancy.
- Patients with known hypersensitivity to the study drug or any of its components.
- Prior history of receiving targeted therapy with specific KRAS G12D inhibitors/degraders or pan-RAS inhibitors/degraders for KRAS G12D mutation.
- Has undergone major surgery within 28 days prior to the first dose of study drug.
- Patients with symptomatic brain or leptomeningeal metastases.
- Patients with other severe and persistent underlying medical conditions as assessed by the Investigator.
- Have protocol-defined clinically significant cardiovascular diseases.
- Prolonged QTcF interval.
- Patients with dyspnea at rest secondary to complications of advanced malignancy, or requiring continuous oxygen therapy due to other medical conditions.
- Patients with active pulmonary tuberculosis (TB).
- Patients with a known history of interstitial lung disease (ILD).
- Patients with a known history of allogeneic solid organ transplantation or allogeneic hematopoietic stem cell transplantation.
- Have experienced a severe concurrent infection within 28 days prior to the first dose of study drug.
- Patients with congenital or acquired immunodeficiency.
- Female patients in pregnancy or lactation period.
- Patients with concomitant diseases or conditions deemed by the Investigator likely to interfere with protocol compliance.
- Patients unwilling or unable to comply with protocol-specified procedures.
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 |
|---|---|
|
Experimenteel: Phase 1 INV-8989 Dose escalation Dose level 1
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INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 1 INV-8989 Dose escalation Dose level 2
|
INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 1 INV-8989 Dose escalation Dose level 3
|
INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 1 INV-8989 Dose escalation Dose level 4
|
INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 1 INV-8989 Dose escalation Dose level 5
|
INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 1 INV-8989 Dose escalation Dose level 6
|
INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 1 INV-8989 Dose escalation Dose level 7
|
INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 1 INV-8989 Dose escalation Dose level 8
|
INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 2a INV-8989 Dose level 1
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INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 2a INV-8989 Dose level 2
|
INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 2b INV-8989 cohort A
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INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 2b INV-8989 cohort B
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INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 2b INV-8989 cohort C
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INV-8989 is admistered once weekly
|
|
Experimenteel: Phase 2b INV-8989 cohort D
|
INV-8989 is admistered once weekly
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Phase 1: Number of participants with treatment-emergent adverse events (TEAEs) as assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 5.0
Tijdsspanne: 12 months
|
The number and percentage of participants with at least one TEAE will be summarized by severity grade and relationship to study drug.
|
12 months
|
|
Phase 1: Maximum tolerated dose (MTD)
Tijdsspanne: Within first 21 days of treatment
|
The highest dose level at which at least 6 patients have been treated and less than 33% of patients experienced a DLT.
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Within first 21 days of treatment
|
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Phase 1: Recommended dose range (RDR) and/or Recommended Phase Ⅱ dose (RP2D)
Tijdsspanne: 12 months
|
The RDR and/or RP2D will be determined based on the PK and PD data, the preliminary clinical activity of INV-8989, as well as the incidence rate and nature of the toxicities observed in subsequent cycles beyond Cycle 1.
|
12 months
|
|
Phase 2: Evaluate overall response rate (ORR)
Tijdsspanne: 12 months
|
To evaluate ORR per RECIST v1.1
|
12 months
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Phase 1: Determine the pharmacokinetics (PK) using AUC of INV-8989
Tijdsspanne: 12 months
|
To determine the (PK) using AUC of INV-8989 after a single dose and at steady state after multiple doses
|
12 months
|
|
Phase 1: Determine the PK using Cmax of INV-8989
Tijdsspanne: 12 months
|
Determine the PK using Cmax of INV-8989 after a single dose and at steady state after multiple doses
|
12 months
|
|
Phase 1: Evaluate overall response rate (ORR)
Tijdsspanne: 12 months
|
To evaluate ORR per RECIST v1.1
|
12 months
|
|
Phase 1: Evaluate progression free survival (PFS)
Tijdsspanne: 12 months
|
To evaluate PFS per RECIST v1.1
|
12 months
|
|
Phase 2: Evaluate progression free survival (PFS)
Tijdsspanne: 12 months
|
To evaluate PFS per RECIST v1.1
|
12 months
|
|
Phase 2: Determine the PK using AUC of INV-8989
Tijdsspanne: 12 months
|
Determine the PK using AUC of INV-8989 after a single dose and at steady state after multiple doses
|
12 months
|
|
Phase 2: Determine the PK using Cmax of INV-8989
Tijdsspanne: 12 months
|
To determine the PK using Cmax of INV-8989 after a single dose and at steady state after multiple doses
|
12 months
|
Medewerkers en onderzoekers
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
Aanvullende relevante MeSH-voorwaarden
- Urogenitale ziekten
- Genitale ziekten
- Endocriene systeemziekten
- Pathologische processen
- Urogenitale neoplasmata
- Neoplasmata per site
- Neoplasmata
- Vrouwelijke urogenitale ziekten
- Vrouwelijke urogenitale ziekten en zwangerschapscomplicaties
- Darmziekten
- Gastro-intestinale neoplasmata
- Neoplasmata van het spijsverteringsstelsel
- Ziekten van het spijsverteringsstelsel
- Gastro-intestinale aandoeningen
- Colorectale neoplasmata
- Intestinale neoplasmata
- Rectale ziekten
- Baarmoeder Ziekten
- Genitale ziekten, vrouw
- Endocriene klierneoplasmata
- Ziekten van de galwegen
- Neoplastische processen
- Ovariële ziekten
- Adnexale ziekten
- Genitale neoplasmata, vrouwelijk
- Gonadale aandoeningen
- Baarmoeder Neoplasmata
- Pathologische aandoeningen, tekenen en symptomen
- Rectale neoplasmata
- Neoplasmata van de galwegen
- Ovariumneoplasmata
- Neoplasma metastase
- Endometriumneoplasmata
Andere studie-ID-nummers
- INV-8989-101 (Register-ID: INV-8989-101)
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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