A Study of SHY-ONC6, a Novel Proteasome Inhibitor, in Adults With Advanced or Metastatic Solid Tumors (Luca-1)
A Phase 1 Multicenter, Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of SHY-ONC6 in Participants With Advanced or Metastatic Solid Tumors
Visão geral do estudo
Status
Status
Condições
Condições
- Câncer de intestino
- Mesotelioma
- Câncer de Próstata Refratário a Hormônios
- Cancer de colo
- Tumores Sólidos Avançados ou Metastáticos
- Sarcomas de Partes Moles
- Câncer de Mama Triplo Negativo (TNBC)
- Carcinoma Pancreático Metastático
- NSCLC (Câncer de Pulmão de Células Não Pequenas Avançado)
- Carcinoma hepatecelular
- RH+ Câncer de Mama
Intervenção / Tratamento
Intervenção / Tratamento
Descrição detalhada
Tipo de estudo
Tipo de estudo
Inscrição (Estimado)
Inscrição
Estágio
Estágio
- Fase 1
Contactos e Locais
Contato de estudo
Contato de estudo
- Nome: Clinical Operations
- E-mail: shyonc6@shytherapeutics.com
Estude backup de contato
- Nome: Medical Monitor
- Número de telefone: 914-543-6110
- E-mail: shyonc6@shytherapeutics.com
Locais de estudo
-
-
Arizona
-
Scottsdale, Arizona, Estados Unidos, 85258
- Recrutamento
- HonorHealth Research Institute
-
Investigador principal:
- Justin Moser, MD
-
-
Colorado
-
Denver, Colorado, Estados Unidos, 80218
- Ainda não está recrutando
- SCRI at HCA HealthONE
-
Investigador principal:
- Gerald Falchook, MD
-
-
Texas
-
Houston, Texas, Estados Unidos, 77030
- Recrutamento
- The University of Texas MD Anderson Cancer Center
-
Investigador principal:
- Timothy Yap, MBBS, PhD
-
San Antonio, Texas, Estados Unidos, 78229
- Recrutamento
- NEXT Oncology
-
Investigador principal:
- Ildefonso Rodriguez Rivera, MD
-
-
Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
Inclusion Criteria:
- Male or female ≥18 years of age.
- Life expectancy >3 months.
- ECOG performance status 0-1.
- Histologically/cytologically confirmed advanced or metastatic solid tumors that have progressed on or are intolerant/unsuitable for standard therapies. Eligible tumor types: TNBC, HR+ breast cancer, colon cancer, gastric cancer, HCC, NSCLC (adeno and squamous), mesothelioma, pancreatic cancer, HRPC, soft tissue sarcoma; other tumor types after Medical Monitor discussion. Stable CNS metastases ≥4 weeks post-radiotherapy and off steroids ≥14 days are permitted.
- ≥1 measurable lesion per RECIST v1.1 (prostate cancer with bone-only disease and elevated PSA assessed by PCWG3).
- Accessible tumor for biopsy
- Adequate organ/bone marrow function.
- Willingness and ability to provide informed consent.
- Negative serum pregnancy test and use of effective contraception through 90 days after last dose for women of childbearing potential.
- Male participants must use barrier contraception or abstinence and not donate sperm through 90 days after last dose.
Exclusion Criteria:
- High-risk cardiovascular disease.
- Concurrent anti-cancer treatment.
- Active infection requiring systemic treatment within 2 weeks pre-dose.
- History of another malignancy (with standard exceptions for in situ disease, non-melanoma skin cancers, and remission ≥2 years).
- Active HBV (HBV-DNA >ULN), HCV (HCV-RNA >ULN), or HIV (well-controlled HIV with CD4 ≥350 cells/µL and undetectable viral load permitted); AIDS-defining opportunistic infection within 12 months.
- Compromised pulmonary function within 6 months pre-dose .
- Pregnancy or breastfeeding.
- Recent radiotherapy, systemic anti-tumor therapy, other investigational therapy without appropriate washout.
- Major surgery ≤4 weeks pre-dose.
- Unable to swallow tablets or conditions affecting GI absorption.
- Any medical or psychiatric disorders affecting compliance and/or interpretation of study results.
- Persistent toxicities from prior anti-cancer therapy (exceptions apply)
- Clinically significant corneal disease.
- Unable to comply with prohibited concomitant medication restrictions.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
|---|---|
|
Experimental: SHY-ONC6
Participants receive SHY-ONC6 administered orally once daily.
Phase 1a, sequential dose levels are evaluated under accelerated titration and BOIN dose-escalation design.
In Phase 1b, participants will be evaluated in disease-specific expansion cohorts and receive SHY-ONC6 at the RP2D range identified in Phase 1a.
|
Participants receive SHY-ONC6 administered orally once daily in 21-day cycles.
SHY-ONC6 will be administered until the participant withdraws from study, experiences unacceptable toxicity or other safety event, or their disease progresses.
|
O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Incidence of Dose-Limiting Toxicities (DLTs), Adverse Events (AEs), and Serious Adverse Events (SAEs)
Prazo: Dose-limiting toxicities assessed from first dose through Day 21 of Cycle 1 (each cycle is 21 days). Adverse events and serious adverse events collected from first dose through 30 days after last dose.
|
Adverse events and serious adverse events graded per NCI CTCAE v6.0; supported by laboratory tests, vital signs, physical examinations, and triplicate 12-lead ECG.
Dose-limiting toxicities assessed during Cycle 1 (Days 1 through 21).
|
Dose-limiting toxicities assessed from first dose through Day 21 of Cycle 1 (each cycle is 21 days). Adverse events and serious adverse events collected from first dose through 30 days after last dose.
|
|
Maximum Tolerated Dose (MTD)
Prazo: Determined at the end of the Cycle 1 dose-limiting toxicity evaluation period (Cycle 1 is 21 days).
|
MTD determined using the BOIN (Bayesian Optimal Interval) design, with a target dose-limiting toxicity rate of 0.30, based on dose-limiting toxicity incidence observed during Cycle 1.
|
Determined at the end of the Cycle 1 dose-limiting toxicity evaluation period (Cycle 1 is 21 days).
|
|
Recommended Phase 2 Dose (RP2D)
Prazo: Phase 1a: at the end of Cycle 1 (each cycle is 21 days). Phase 1b: through end of treatment plus a 30-day safety follow-up period.
|
Phase 1a: RP2D range determined from dose-limiting toxicity, adverse event, and serious adverse event incidence together with the MTD determination.
Phase 1b: RP2D defined by integrated safety, efficacy, pharmacodynamic, and pharmacokinetic data.
|
Phase 1a: at the end of Cycle 1 (each cycle is 21 days). Phase 1b: through end of treatment plus a 30-day safety follow-up period.
|
Medidas de resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Maximum Plasma Concentration (Cmax)
Prazo: Cycle 1 Day 1; Day 2 (24 hours post-dose); Day 8; and pre-dose on Day 15. Pre-dose and post-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
Maximum observed plasma concentration of study drug.
|
Cycle 1 Day 1; Day 2 (24 hours post-dose); Day 8; and pre-dose on Day 15. Pre-dose and post-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
|
Area Under the Plasma Concentration-Time Curve (AUC)
Prazo: Cycle 1 Day 1; Day 2 (24 hours post-dose); Day 8; and pre-dose on Day 15. Pre-dose and post-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
Area under the plasma concentration-versus-time curve for study drug.
|
Cycle 1 Day 1; Day 2 (24 hours post-dose); Day 8; and pre-dose on Day 15. Pre-dose and post-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
|
Time to Maximum Plasma Concentration (Tmax)
Prazo: Cycle 1 Day 1; Day 2 (24 hours post-dose); Day 8; and pre-dose on Day 15. Pre-dose and post-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
Time from dosing to observed maximum plasma concentration of study drug.
|
Cycle 1 Day 1; Day 2 (24 hours post-dose); Day 8; and pre-dose on Day 15. Pre-dose and post-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
|
Terminal Elimination Half-Life (t1/2)
Prazo: Cycle 1 Day 1; Day 2 (24 hours post-dose); Day 8; and pre-dose on Day 15. Pre-dose and post-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
Terminal elimination half-life of study drug.
|
Cycle 1 Day 1; Day 2 (24 hours post-dose); Day 8; and pre-dose on Day 15. Pre-dose and post-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
|
Trough Plasma Concentration (Ctrough)
Prazo: Pre-dose on Day 15 of Cycle 1 and pre-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
Plasma concentration of study drug immediately prior to the next dose.
|
Pre-dose on Day 15 of Cycle 1 and pre-dose on Day 1 of subsequent cycles (each cycle is 21 days).
|
|
Overall Survival (OS)
Prazo: From first dose until death, withdrawal, loss to follow-up, or study termination, assessed up to an estimated 12 months after last dose of study drug.
|
Time from first dose until death from any cause.
|
From first dose until death, withdrawal, loss to follow-up, or study termination, assessed up to an estimated 12 months after last dose of study drug.
|
|
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs) (Phase 1b)
Prazo: From first dose through end of treatment plus a 30-day safety follow-up period.
|
Adverse events and serious adverse events graded per NCI CTCAE v6.0, collected during Phase 1b.
|
From first dose through end of treatment plus a 30-day safety follow-up period.
|
|
Anti-Tumor Activity - Objective Response Rate
Prazo: Baseline through study completion, an average of 18 months.
|
Objective response rate defined as the proportion of patients with a confirmed best overall response of either complete response or partial response, as determined per investigator assessment by RECIST v1.1 (PCWG3 for prostate cancer with bone disease).
|
Baseline through study completion, an average of 18 months.
|
|
Anti-Tumor Activity - Best Overall Response (BOR)
Prazo: Baseline through study completion, an average of 18 months.
|
Best response recorded from first dose until disease progression (complete response, partial response, stable disease, or progressive disease), per RECIST v1.1 (PCWG3 for prostate cancer with bone disease).
|
Baseline through study completion, an average of 18 months.
|
|
Anti-Tumor Activity - Time to Response (TTR)
Prazo: From baseline until first documented response, assessed up to an estimated 18 months.
|
Time from first dose to first documented complete response (CR) or partial response (PR) per RECIST v1.1 (PCWG3 for prostate cancer with bone disease).
|
From baseline until first documented response, assessed up to an estimated 18 months.
|
|
Anti-Tumor Activity - Duration of Response (DOR)
Prazo: Baseline through study completion, an average of 18 months.
|
Time from first documented complete response (CR) or partial response (PR) to disease progression or death from any cause, per RECIST v1.1 (PCWG3 for prostate cancer with bone disease).
|
Baseline through study completion, an average of 18 months.
|
|
Anti-Tumor Activity - Progression-Free Survival
Prazo: Baseline through study completion, an average of 18 months.
|
Time from first dose to first documented disease progression per RECIST v1.1 (PCWG3 for prostate cancer with bone disease) or death from any cause.
|
Baseline through study completion, an average of 18 months.
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Início do estudo
Conclusão Primária (Estimado)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
- Neoplasias por local
- Neoplasias
- Doenças Intestinais
- Doenças Respiratórias
- Neoplasias por Tipo Histológico
- Neoplasias gastrointestinais
- Neoplasias do Aparelho Digestivo
- Doenças do aparelho digestivo
- Doenças Gastrointestinais
- Doenças do Estômago
- Neoplasias Colorretais
- Neoplasias Intestinais
- Doenças pulmonares
- Neoplasias Glandulares e Epiteliais
- Neoplasias do Trato Respiratório
- Neoplasias Torácicas
- Doenças do cólon
- Neoplasias Pulmonares
- Adenoma
- Neoplasias Mesoteliais
- Doenças de pele
- Doenças da mama
- Carcinoma Broncogênico
- Neoplasias Brônquicas
- Neoplasias de Tecidos Conjuntivos e Moles
- Neoplasias da Mama
- Doenças da Pele e do Tecido Conjuntivo
- Neoplasias do Estômago
- Neoplasias colônicas
- Mesotelioma
- Carcinoma pulmonar de células não pequenas
- Sarcoma
- Neoplasias da Mama Triplo Negativas
Outros números de identificação do estudo
Outros números de identificação do estudo
- SHY-ONC6-101
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
produto fabricado e exportado dos EUA
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .