A Study of NB004 As Monotherapy or Combination Therapy in Patients with Advanced Solid Tumors
- Conditions
- Advanced Solid Tumor
- Interventions
- Drug: NB004 tablets
- Registration Number
- NCT05036291
- Lead Sponsor
- Ningbo Newbay Technology Development Co., Ltd
- Brief Summary
This is a Phase 1, Open-label, Multicenter Study to Assess the Safety, Tolerability, and Pharmacokinetics of NB004 Administered as Monotherapy or Combination Therapy in Subjects with Advanced Solid Tumors
- Detailed Description
This study is a Phase 1, open-label, multicenter study of NB004 administered orally in patients with histologically and/or cytologically confirmed diagnosis of advanced solid tumors that are metastatic for which all standard treatment options have been given and are ineffective, or is no longer eligible for additional standard treatment options.
The study is comprised of a dose escalation phase to determine the maximum tolerated dose and the RP2D and an expansion phase to further explore the safety and preliminary antitumor activity of NB004.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 120
-
males or females of any race>(=)18 years age.
-
Histologically and/or cytologically confirmed diagnosis of advanced solid tumors that are without standard treatment options (part 1).
Pathologically confirmed locally advanced or metastatic solid tumors with KRAS G12C mutation as determined by a test that has been approved by FDA or local health authority (part 2&3).
-
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
-
Life expectancy>(=)12 weeks.
-
Adequate organ and marrow function.
-
Measurable or evaluable disease.
- Prior anti-cancer therapy within 2 weeks or at least 5 half-lives, whichever is longer, up to a maximum of 3 weeks, before the first dose.
- Toxicities from previous anti-cancer therapy that have not recovered as required.
- Brain metastatic disease, spinal cord compression, or leptomeningeal carcinomatosis.
- Active infection including hepatitis B, hepatitis C, and human immunodeficiency virus (HIV):
- Female subjects who are pregnant, or breastfeeding, or planning to become pregnant while in this study or within 3 months after the last dose.
- Male subjects who plan to father a child while enrolled in the study or within 3 months after the last dose.
- Received prior treatment with a PIM kinase inhibitor.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description NB004 NB004 tablets Part1: Dose escalation phase of study drug NB004 monotherapy: Part 2: Dose Escalation Phase for the NB004 in combination with Sotorasib: Part 3: COMBO Dose Expansion Phase for the NB004 in combination with Sotorasib:
- Primary Outcome Measures
Name Time Method Incidence of adverse events----Part 1/2 Approximately 24 months since the first subject enrolled An adverse event is any untoward medical occurrence in a participant who received study drug without regard to causal relationship.
Duration of Response (DOR) ----Part 3 [Time Frame: Approximately 24 months since the first subject enrolled] DOR is defined as the time from the date of first documented response until date of documented progression, for subjects who achieve CR or PR.
Clinical Benefit Rate (CBR) ----Part 3 [Time Frame: Approximately 24 months since the first subject enrolled] CBR is defined as the number of subjects with CR or PR or with SD maintained ≥24 weeks (as assessed by the Investigator, using RECIST v1.1) divided by the number of subjects in the analysis. Subjects without a postbaseline tumor assessment will be considered as having no clinical benefit.
Incidence of dose-limiting toxicities----Part 1/2 When subject complete 1 cycle (28 days) treatment with safety and tolerability assessment by investigators. Dose-limiting toxicities will be reviewed as a subset of adverse events that occurs within the first 28 days of dosing and meet protocol-specified criteria.
Objective Response Rate (ORR) ----Part 3 [Time Frame: Approximately 24 months since the first subject enrolled] Objective Response Rate (ORR) is defined as the percentage of patients whose efficacy is confirmed as complete response (CR) or partial response (PR)
Time to Response (TTR) ----Part 3 [Time Frame: Approximately 24 months since the first subject enrolled] TTR is defined as the time interval between the date of first administration and the date of the first recording of response. At the same time, the initial response time and the time to best response will be calculated.
Progression-free Survival (PFS) ----Part 3 [Time Frame: Approximately 24 months since the first subject enrolled] PFS is defined as the time from the date of the first dose until the date of disease progression, as defined by RECIST v1.1, or death.
Overall survival (OS) ----Part 3 [Time Frame: Approximately 24 months since the first subject enrolled] OS is defined as the time from treatment start with study drug until event of death due to any cause.
- Secondary Outcome Measures
Name Time Method Terminal elimination half life----Part 1 Approximately 24 months since the first subject enrolled Terminal elimination half life
Objective Response Rate (ORR)----Part 2 Approximately 24 months since the first subject enrolled Objective Response Rate (ORR) is defined as the percentage of patients whose efficacy is confirmed as complete response(CR) or partial responses(PR)
Maximum observed plasma concentration (Cmax)----Part 1 Approximately 24 months since the first subject enrolled Maximum observed plasma concentration (Cmax)
Clinical Benefit Rate (CBR) ----Part 2 [Time Frame: Approximately 24 months since the first subject enrolled] CBR is defined as the number of subjects with CR or PR or with SD maintained ≥24 weeks (as assessed by the Investigator, using RECIST v1.1) divided by the number of subjects in the analysis. Subjects without a postbaseline tumor assessment will be considered as having no clinical benefit.
Time to Cmax (Tmax)----Part 1 Approximately 24 months since the first subject enrolled Time to Cmax (Tmax)
Area under the curve (AUC) from time zero to the last measurable concentration AUC (0-t) ----Part 1 Approximately 24 months since the first subject enrolled AUC (0-t) = Area under the serum concentration versus time curve from time zero (pre-dose) to the time of the last
Overall survival (OS) ----Part 2 [Time Frame: Approximately 24 months since the first subject enrolled] OS is defined as the time from treatment start with study drug until event of death due to any cause
Duration of Response(DOR)----Part 2 Approximately 24 months since the first subject enrolled DOR is defined as the time from the date of first documented response until date of documented progression, for subjects who achieve CR or PR.
Time to Response (TTR) ----Part 2 [Time Frame: Approximately 24 months since the first subject enrolled] TTR is defined as the time interval between the date of first administration and the date of the first recording of response. At the same time, the initial response time and the time to best response will be calculated.
Progression-free Survival (PFS) ----Part 2 [Time Frame: Approximately 24 months since the first subject enrolled] PFS is defined as the time from the date of the first dose until the date of disease progression, as defined by RECIST
Trial Locations
- Locations (4)
LSU-LCMC Health Cancer Center
🇺🇸New Orleans, Louisiana, United States
The University of Texas MD Anderson Cancer Center
🇺🇸Houston, Texas, United States
National Cheng Kung University Hospital（NCKUH）
🇨🇳Tainan, Taiwan, China
National Taiwan University Hospital Yunlin Branch
🇨🇳Yunlin, Taiwan, China