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A Study of TAS-116 in Patients With Solid Tumors

Phase 1
Completed
Conditions
Advanced Solid Tumors
Interventions
Registration Number
NCT02965885
Lead Sponsor
Taiho Oncology, Inc.
Brief Summary

A First-in-Human (FIH) study of TAS-116 in patients with advanced solid tumors was first initiated in Japan in April 2014 and has been ongoing since then. The study consists of a dose escalation phase and a dose expansion phase. Three dosing regimens of TAS-116, once daily (QD), every other day (QOD) and 5 days on/2 days off regimens in 21-day cycles, are being evaluated. This phase I study is also planned to enroll patients with advanced solid tumors in UK to confirm the MTD, safety, tolerability, and pharmacokinetics of TAS-116 in a Western patient population in the dose expansion phase. In addition, patients with HER2+ MBC, NSCLC harboring EGFR mutations or NSCLC harbouring ALK translocations will be further evaluated for safety, tolerability, and efficacy in 3 separate cohorts at recommended dose of TAS-116 on the 5 days on/2 days off regimen.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
31
Inclusion Criteria
  1. Male or females with an age ≥ 18 years (≥ 20 years in Japan)

  2. Patients with histological- or cytological-confirmed, advanced unresectable breast, gastric, or non-small cell lung cancer, who have progressed on (or not been able to tolerate) standard therapy or for whom no standard anticancer therapy exists.

    a. Part C: Only the following subtype of tumors with the molecular/genetic alterations will be enrolled: HER2 positive MBC Advanced NSCLC, harboring EGFR mutations after progression on osimertinib Advanced NSCLC, harboring ALK translocations after treatment with alectinib or at least 2 ALK inhibitors

  3. Has At least one measurable lesion as defined by RECIST criteria

  4. Is able to take medications orally (e.g., no feeding tube).

  5. Is able to agree to and sign informed consent and to comply with the protocol

  6. Has adequate organ function

Exclusion Criteria
  1. Has a serious illness or medical condition(s)
  2. Has received treatment with any prescribed treatments within specified time frames prior to study drug administration
  3. Significant ophthalmologic abnormality,
  4. Impaired cardiac function or clinically significant cardiac disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TAS-116TAS-116-
Primary Outcome Measures
NameTimeMethod
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] (Parts A, B and C)Safety monitoring will begin at the informed consent obtained and continue up to 28 days after the last dose of TAS-116 or until new anti-tumor therapy, whichever is earlier.
Number of patients experiencing Dose Limiting Toxicity graded according to CTCAE Version 4.03, observed in the Cycle 1 in order to meet the objective of assessment of the MTD of TAS-116 (Part A)21 days in Cycle 1
Objective Response Rate using Response Evaluation Criteria in Solid Tumors 1.1 (RECIST) (Part C)Up to 2 Years
Secondary Outcome Measures
NameTimeMethod
Progression Free Survival (Part C)Up to last participant completes at least 6 months
Maximum Plasma Concentration (Cmax) after administration of TAS-116 (Parts A and B)21 days in Cycle 1
Area under the plasma drug concentration-time curve (AUC) after administration of TAS-116 (Parts A and B)21 days in Cycle 1
Disease Control Rate using RECIST 1.1 (Parts A, B, and C)Up to last participant completes at least 6 months
Duration of Response (Part C)Up to last participant completes at least 6 months
Overall SurvivalUp to last participant completes at least 6 months

Trial Locations

Locations (12)

University Hospitals Case Medical Center

🇺🇸

Cleveland, Ohio, United States

Regina Elena National Cancer Institute

🇮🇹

Roma, Italy

The Christie NHS Foundation Trust Institute of Cancer Sciences, University of Manchester

🇬🇧

Manchester, United Kingdom

Sarah Cannon Research Institute UK

🇬🇧

London, United Kingdom

Istituto Europeo di Oncologia , Sviluppo di Nuovi Farmaci per Terapie Innovative

🇮🇹

Milano, Italy

Policlinico S.Orsola-Malpighi, U.O. Oncologia Medica

🇮🇹

Bologna, Italy

US Oncology - Virginia Cancer Specialists, P.C.

🇺🇸

Fairfax, Virginia, United States

Division of Cancer Studies, Kings College London

🇬🇧

London, United Kingdom

Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele Oncologia Medica

🇮🇹

Catania, Italy

Northern Centre for Cancer Care

🇬🇧

Newcastle Upon Tyne, England, United Kingdom

Royal Marsden

🇬🇧

Sutton, United Kingdom

Greenville Health System, Institute for Translational Oncology Research

🇺🇸

Greenville, South Carolina, United States

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