Phase 1 Study of BPI-442096 in Advanced Solid Tumor Patients
- Conditions
- Non-small Cell Lung CancerPancreatic CancerColorectal CancerSolid Tumor
- Interventions
- Registration Number
- NCT05369312
- Lead Sponsor
- Betta Pharmaceuticals Co., Ltd.
- Brief Summary
A first-in-human study to evaluate the safety, tolerability and maximum tolerated dose (MTD) and establish the recommended phase 2 dose (RP2D) of BPI-442096, a SHP2 inhibitor, in patients with advanced solid tumors.
- Detailed Description
The first-in-human (FIH) study of BPI-442096 will be an open-label, non-randomized, Phase 1 study utilizing a modified "3+3" dose escalation followed by an expansion phase in patients with KRAS G12 mutation, class-3 BRAF mutation, NF1 LOF mutation or RTK mutation, amplification or rearrangement advanced solid tumors. The primary objective is to determine safety and tolerability of BPI-442096, the MTD and RP2D. The secondary objectives are to assess the pharmacokinetic (PK) and pharmacodynamic (PD) profile, preliminary anti-tumor activity of BPI-442096.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 230
- Signed informed consent;
- Age ≥18 and ≤75 years, male and female patients;
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1;
- Dose escalation phase: histologically or cytologically confirmed locally advanced or metastatic solid tumor patients (excluding HCC patients), who had disease progression after standard therapy, intolerable to standard therapy, refuse to standard therapy or for whom no standard therapy exists;
- Dose expansion phase: histologically or cytologically confirmed locally advanced non-small cell lung cancer, pancreatic cancer, colorectal cancer or other diagnosed solid tumor patients (excluding HCC patients), who had disease progression after standard therapy, intolerable to standard therapy, refuse to standard therapy or for whom no standard therapy exists;
- Evaluable lesion required for dose escalation phase and at least 1 measurable lesion as per RECIST v1.1 required for dose expansion phase;
- Dose expansion only: Patients must have confirmation of tumour mutation status (including KRAS G12, Class-3 BRAF, NF1 LOF mutations, RTK mutations, amplifications or rearrangements).
- Adequate organ function;
- Patients who have previously received a SHP2 inhibitor;
- Inadequate wash-out of prior therapies described per protocol, which may include anti-tumor therapies, tumor adjuvant drugs, organ or stem cell transplantation, moderate or strong CYP3A inhibitor or inducer;
- Patients with severe or unstable systemic disease, unstable/symptomatic CNS metastasis, other malignant tumors, autoimmune disease, ILD, cardiac disease, bleeding or embolic disease, infectious disease, conditions affecting drug swallow and absorption, medical history leading to chronic diarrhea, etc;
- Pregnancy or lactation;
- Other conditions considered not appropriate to participate in this trial by the investigators.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Dose Escalation BPI-442096 Oral tablets taken in escalating levels to determine MTD/RP2D. Each treatment cycle will be 21 days in duration with BPI-442096 administered, once daily (QD). Dose Expansion BPI-442096 Oral tablets administered at MTD/RP2D defined dose. Each treatment cycle will be 21 days in duration with BPI-442096 administered, once daily (QD)
- Primary Outcome Measures
Name Time Method Determine the recommended Phase II dose (RP2D) Through the Phase I, approximately 24 months Number of subjects with dose limiting toxicity
The adverse events (AEs) Through the Phase I, approximately 24 months Safety and tolerability will be assessed by monitoring frequency, duration and severity of adverse events (AEs).
- Secondary Outcome Measures
Name Time Method AUC0-t Through the Phase I, approximately 24 months Area under the concentration-time curve from time 0 to t
Cmax Through the Phase I, approximately 24 months Maximum observed concentration
Duration of response (DOR） Through the Phase I, approximately 24 months The time from the first CR or PR to the first PD or death due to any cause
Progression free survival (PFS) Through the Phase I, approximately 24 months The time from the date of randomization to disease progression (PD) or death, whichever occurs first
Tmax Through the Phase I, approximately 24 months Time to reach maximum observed plasma concentration
t1/2 Through the Phase I, approximately 24 months Half-life time
the objective response rate (ORR） Through the Phase I, approximately 24 months The proportion of patients with complete response (CR) and partial response (PR) in all patients
Disease control rate (DCR） Through the Phase I, approximately 24 months The proportion of patients with CR, PR and stable disease (SD) in all patients
Trial Locations
- Locations (5)
Guangdong Provincial People's Hospital
🇨🇳Guangzhou, Guangdong, China
The First Affiliated Hospital of Sun yat-sen university
🇨🇳Guangzhou, Guangdong, China
Henan Tumor Hospital
🇨🇳Zhengzhou, Henan, China
Zhejiang Cancer Hospital
🇨🇳Hangzhou, Zhejiang, China
Zhongshan Hospital affiliated to Fudan University
🇨🇳Xuhui, Shanghai, China