A PHASE 1 STUDY TO EVALUATE THE SAFETY, PHARMACOKINETICS, AND PHARMACODYNAMICS OF ESCALATING DOSES OF PF-06939999 (PRMT5 INHIBITOR) IN PARTICIPANTS WITH ADVANCED OR METASTATIC NON-SMALL CELL LUNG CANCER, HEAD AND NECK SQUAMOUS CELL CARCINOMA, ESOPHAGEAL CANCER, ENDOMETRIAL CANCER, CERVICAL CANCER AND BLADDER CANCER
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 发起方
- Pfizer
- 入组人数
- 54
- 试验地点
- 22
- 主要终点
- Part 1A: Number of Participants With Dose-Limiting Toxicities (DLT)
研究概览
简要总结
This is a Phase 1, open label, multi center, dose escalation and expansion, safety, tolerability, PK, and pharmacodynamics study of PF 06939999 in previously treated patients with advanced or metastatic cancer.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologically or cytologically confirmed locally advanced or metastatic NSCLC, urothelial carcinoma or HNSCC
- •Progressed after at least 1 line of treatment and no more than 3 lines of treatment
- •At least one measurable lesion as defined by RECIST version 1.1
- •ECOG Performance Status 0 or 1
- •Adequate Bone Marrow Function
- •Adequate Renal Function
- •Adequate Liver Function
- •Resolved acute effects of any prior therapy
排除标准
- •Known active uncontrolled or symptomatic CNS metastases.
- •Major surgery, radiation therapy, systemic anti-cancer therapy or investigational drug(s) within 4 weeks prior to study entry.
- •Active, uncontrolled infection, including COVID-19
- •Known or suspected hypersensitivity to PF-06939999
- •Inability to consume or absorb study drug
研究组 & 干预措施
Dose Escalation
Participants will receive PF-06939999 orally at escalating doses in 28 day cycles on a continuous basis
干预措施: PF-06939999 dose escalation (Drug)
Non small cell lung cancer monotherapy
Participants will receive PF-06939999 at the recommended Phase 2 dose in 28 day cycles on a continuous basis
干预措施: PF-06939999 monotherapy (Drug)
Urothelial carcinoma
Participants will receive PF-06939999 at the recommended Phase 2 dose in 28 day cycles on a continuous basis
干预措施: PF-06939999 monotherapy (Drug)
Head and neck squamous cell carcinoma
Participants will receive PF-06939999 at the recommended Phase 2 dose in 28 day cycles on a continuous basis
干预措施: PF-06939999 monotherapy (Drug)
Non small cell lung cancer PF-06939999 plus docetaxel
Participants will receive PF-06939999 on a continuous basis in combination with docetaxel
干预措施: PF-06939999 in combination with docetaxel (Drug)
Non small cell lung cancer dose finding
Participants will receive PF-06939999 on a continuous basis at escalating doses in combination with docetaxel
干预措施: PF-06939999 in combination with docetaxel (Drug)
结局指标
主要结局
Part 1A: Number of Participants With Dose-Limiting Toxicities (DLT)
时间窗: Baseline through day 29.
DLTs=any of the following adverse events (AEs) occurring in the DLT observation period (first treatment cycle):1) Any Grade 4 hematologic AEs; Grade 4 neutropenia, febrile neutropenia, Grade 3 neutropenia with infection, Grade 3 thrombocytopenia with ≥Grade 2 clinically significant bleeding, Grade 3 anemia requiring blood transfusion; 2) Any Grade ≥3 non-hematologic AEs; Grade 3 nausea/vomiting or diarrhea lasting ≥4 days after treatment, confirmed drug induced liver injury meeting Hy's law criteria; a hepatic transaminase or alkaline phosphatase level \>10 times the upper limit of normal for participants with Grade 2 hepatic transaminase or alkaline phosphatase levels at baseline as a result of liver/bone metastasis; clinically important or persistent toxicities; 3) Any toxicity causing \>2 weeks of dose delay; 4) any dose reduction due to AE during the first cycle. Grades of AEs were defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0.
Part 1A: Number of Participants With Treatment-Emergent Adverse Events (TEAE)
时间窗: Baseline up to a minimum of 28 days after last dose of study treatment (maximum of 13 months)
An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Grades of AEs were defined by NCI CTCAE version 5.0. Grade 3 events = unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4 events = events that caused participant to be in imminent danger of death. Grade 5 events = death related to an AE.
Part 1A: Number of Participants With Laboratory Abnormalities
时间窗: Baseline up to a minimum of 28 days after last dose of study treatment (maximum of 12 months)
Laboratory assessments included hematology, chemistry and urinary tests. Participants with maximum Grade 3-4 laboratory abnormalities are reported in this OM. Grades of laboratory results were defined by NCI CTCAE version 5.0. Grade 3 events = unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4 events = events that caused participant to be in imminent danger of death. Some of the Grade 4 events (activated partial thromboplastin time prolonged, anemia, hemoglobin increased, leukocytosis, lymphocyte count increased and hypoalbuminemia) could not be defined/determined based only on lab data, therefore are not reported in this OM.
Part 2: Number of Participants With TEAEs
时间窗: Baseline up to a minimum of 28 days after last dose of study treatment (maximum of 15 months)
An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Grades of AEs were defined by NCI CTCAE version 5.0. Grade 3 events = unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4 events = events that caused participant to be in imminent danger of death. Grade 5 events = death related to an AE.
Part 2: Number of Participants With Laboratory Abnormalities
时间窗: Baseline up to a minimum of 28 days after last dose of study treatment (maximum of 8 months)
Laboratory assessments included hematology, chemistry and urinary tests. Participants with maximum Grade 3-4 laboratory abnormalities are reported in this OM. Grades of laboratory results were defined by NCI CTCAE version 5.0. Grade 3 events = unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4 events = events that caused participant to be in imminent danger of death. Some of the Grade 4 events (activated partial thromboplastin time prolonged, anemia, hemoglobin increased, leukocytosis, lymphocyte count increased and hypoalbuminemia) could not be defined/determined based only on lab data, therefore are not reported in this OM.
Part 2: Number of Participants With Best Overall Response (BOR) Based on Investigator Assessment (RECIST, Version 1.1)
时间窗: From baseline up to 28 ~ 35 days after end of treatment (maximum of 6 months).
Number of participants with BOR assessed using Response Evaluation Criteria in Solid Tumor (RECIST) v1.1: Complete Response (CR): disappearance of all lesions (with the exception of nodal disease when assessing target lesions). Partial Response (PR): at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD): at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered a sign of progression. Stable disease (SD): does not qualify for CR, PR or PD. Non-CR/Non-PD: Persistence of any non target lesions and/or tumor marker level above the normal limits.
次要结局
- Part 2B: PK Parameters of PF-06939999 Given With and Without Food - Tmax(Predose and 0.5, 1, 2, 4, 6 and 12 hours post dose on Cycle 1 Day 15 (fasted condition); predose and 0.5, 1, 2, 4, 6 and 12 hours post dose on Cycle 1 Day 16 (with food).)
- Part 1A: PK Parameters of PF-06939999: Single Dose (SD) - Maximum Observed Plasma Concentration (Cmax)(Pre-dose and 0.5 hour, 1 hour, 2 hours, 4 hours, 6 hours and 12 hours post the morning dose on Cycle 1 Day 1.)
- Part 1A: PK Parameters of PF-06939999: SD - Time to Reach Maximum Observed Plasma Concentration (Tmax)(Predose, 0.5, 1, 2, 4, 6 and 12 hours post the morning dose on Cycle 1 Day 1.)
- Part 1A: PK Parameters of PF-06939999: SD - Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)(Predose, 0.5, 1, 2, 4, 6 and 12 hours post the morning dose on Cycle 1 Day 1.)
- Part 1A: PK Parameters of PF-06939999: Multiple Dose (MD) - Steady State Maximum Observed Plasma Concentration (Cmax,ss)(Predose, 0.5, 1, 2, 4, 6 and 12 hours post the morning dose on Cycle 1 Day 15.)
- Part 1A: PK Parameters of PF-06939999: MD - Steady State Time to Reach Maximum Observed Plasma Concentration (Tmax,ss)(Predose, 0.5, 1, 2, 4, 6 and 12 hours post the morning dose on Cycle 1 Day 15.)
- Part 1A: PK Parameters of PF-06939999: MD - Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau,ss)(Predose, 0.5, 1, 2, 4, 6 and 12 hours post the morning dose on Cycle 1 Day 15.)
- Part 1A: PK Parameters of PF-06939999: MD - Apparent Oral Clearance (CL/F)(Predose, 0.5, 1, 2, 4, 6 and 12 hours post the morning dose on Cycle 1 Day 15.)
- Part 1A: PK Parameters of PF-06939999: MD - Accumulation Ratio (Rac)(Pre-dose and 0.5 hour, 1 hour, 2 hours, 4 hours, 6 hours and 12 hours post the morning dose on Cycle 1 Day 1; Pre-dose and 0.5, 1, 2, 4, 6 and 12 hours post the morning dose on Cycle 1 Day 15.)
- Part 2: PK Parameters of PF-06939999: SD - Cmax(Pre-dose and 0.5 hour, 1 hour, 2 hours and 4 hours post Cycle 1 Day 1 dosing.)
- Part 2: PK Parameters of PF-06939999: SD - Tmax(Pre-dose and 0.5 hour, 1 hour, 2 hours and 4 hours post Cycle 1 Day 1 dosing.)
- Part 2: PK Parameters of PF-06939999: MD - Cmax,ss(Pre-dose and 0.5 hour, 1 hour, 2 hours and 4 hours post Cycle 1 Day 15 dosing.)
- Part 2: PK Parameters of PF-06939999: MD - Tmax,ss(Pre-dose and 0.5 hour, 1 hour, 2 hours and 4 hours post Cycle 1 Day 15 dosing.)
- Part 2: PK Parameters of PF-06939999: MD - Trough Concentration (Ctrough).(Pre-dose and 0.5 hour, 1 hour, 2 hours and 4 hours post Cycle 1 Day 15 dosing.)
- Part 2B: PK Parameters of PF-06939999 Given With and Without Food - Cmax(Predose and 0.5, 1, 2, 4, 6 and 12 hours post dose on Cycle 1 Day 15 (fasted condition); predose and 0.5, 1, 2, 4, 6 and 12 hours post dose on Cycle 1 Day 16 (with food).)
- Part 2B: PK Parameters of PF-06939999 Given With and Without Food - AUClast(Predose and 0.5, 1, 2, 4, 6 and 12 hours post dose on Cycle 1 Day 15 (fasted condition); predose and 0.5, 1, 2, 4, 6 and 12 hours post dose on Cycle 1 Day 16 (with food).)
- Part 1A: Percentage of Participants With Objective Response Based on Investigator Assessment (RECIST v1.1)(From baseline up to 28 ~ 35 days after end of treatment (maximum of 12 months).)
- Part 1A: Duration of Response Based on Investigator Assessment (RECIST, v1.1)(From baseline up to 28 ~ 35 days after end of treatment (maximum of 12 months).)
- Part 2: Duration of Response Based on Investigator Assessment (RECIST, v1.1)(From baseline up to 28 ~ 35 days after end of treatment (maximum of 6 months).)
- Part 2: Progression Free Survival Based on Investigator Assessment (RECIST, v1.1)(From baseline up to 28 ~ 35 days after end of treatment (maximum of 6 months).)
- Part 2: Time to Progression Based on Investigator Assessment (RECIST, v1.1)(From baseline up to 28 ~ 35 days after end of treatment (maximum of 6 months).)
- Part 2: Overall Survival(From baseline up to maximum follow up (15 months).)
- Part 2: Probability of Survival at 6 Months and 1 Year of PF-06939999 Monotherapy(From baseline up to maximum follow up (15 months).)
