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临床试验/NCT04493619
NCT04493619终止1 期

A Multicenter, Open-Label, Parallel, Phase 2a Study of PLX2853 Monotherapy in Advanced Gynecological Malignancies With a Known ARID1A Mutation and Phase 1b/2a Study of PLX2853/Carboplatin Combination Therapy in Platinum-Resistant Epithelial Ovarian Cancer

Opna Bio LLC9 个研究点 分布在 2 个国家目标入组 37 人开始时间: 2020年8月11日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
发起方
Opna Bio LLC
入组人数
37
试验地点
9
主要终点
Phase 2a (PLX2853 Monotherapy): Number of Participants With Overall Response Rate (ORR) as Measured by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)

研究概览

简要总结

The purpose of this research study is to evaluate safety, pharmacokinetics, pharmacodynamics and preliminary efficacy of the investigational drug PLX2853 in Advanced Gynecological Malignancies with a Known ARID1A Mutation and PLX2853/Carboplatin Combination Therapy in Platinum-Resistant Epithelial Ovarian 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
Female
接受健康志愿者

入选标准

  • Age ≥18 years at the time of signing informed consent
  • Histologically or cytologically confirmed diagnosis of 1 of the following, and must have measurable disease per RECIST v1.1:
  • Phase 2a (PLX2853 monotherapy): Any advanced gynecological malignancy (cervical, vaginal, vulvar, uterine, ovarian, fallopian tube, or primary peritoneal) with a known ARID1A mutation, that is intolerant to or refractory to all standard therapy known to confer clinical benefit.
  • Phase 1b and Phase 2a (PLX2853 + carboplatin combination):
  • Platinum-resistant EOC (including fallopian tube or primary peritoneal cancer).
  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0 to 1
  • Adequate organ function as demonstrated by laboratory values.
  • Women of child bearing potential (defined as any female who has experienced menarche and who has not undergone successful surgical sterilization or is not postmenopausal) must have a negative serum pregnancy test within 7 days prior to taking the first dose of study drug and, if sexually active, must agree to use a highly effective method of contraception (a contraception method with a failure rate <1% per year) and 1 additional barrier method from the time of the negative pregnancy test to 90 days after the last dose of study drug. Women of non-child bearing potential may be included if they are either surgically sterile or have been postmenopausal for ≥1 year.
  • Except as specified above for organ function, all drug-related toxicity from previous cancer therapy must be resolved (to Grade ≤1 or baseline per National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 [NCI CTCAE v5.0]) prior to study treatment administration (Grade 2: alopecia, hot flashes, decreased libido, or neuropathy is allowed).
  • Willingness and ability to provide written informed consent prior to any study-related procedures and to comply with all study requirements

排除标准

  • Prior exposure to a bromodomain inhibitor
  • Ongoing systemic infection requiring treatment with antibiotic, antiviral, or antifungal treatment
  • Autoimmune hemolytic anemia or autoimmune thrombocytopenia
  • Presence of symptomatic or uncontrolled central nervous system or leptomeningeal metastases
  • Red blood cell or platelet transfusion within 14 days of Screening blood draw
  • Known or suspected allergy to the investigational agent or any agent given in association with this study
  • Use of biotin (i.e., Vitamin B7) or supplements containing biotin higher than the daily adequate intake of 30 μg (NIH-ODS 2020).
  • Use of strong inhibitors and inducers of CYP3A4 and 2C8
  • Clinically significant cardiac disease
  • Inability to take oral medication or significant nausea and vomiting, malabsorption, or significant small bowel resection that, in the opinion of the Investigator, would preclude adequate absorption
  • Non-healing wound, ulcer, or bone fracture
  • Infection with HIV-1 or HIV-
  • Exception: subjects with well-controlled HIV (e.g., CD4 >350/mm3 and undetectable viral load) are eligible.
  • Current active liver disease from any cause, including hepatitis A (hepatitis A virus immunoglobulin M positive), hepatitis B (hepatitis B virus [HBV] surface antigen positive), or hepatitis C (hepatitis C virus [HCV] antibody positive, confirmed by HCV ribonucleic acid).
  • Active known second malignancy with the exception of any of the following:
  • Adequately treated basal cell carcinoma, squamous cell carcinoma of the skin, or in situ cervical cancer
  • Adequately treated Stage I cancer from which the subject is currently in remission and has been in remission for ≥2 years
  • Any other cancer from which the subject has been disease-free for ≥3 years
  • Major surgery or significant traumatic injury within 28 days prior to Cycle 1 Day 1
  • Hospitalization for subacute bowel obstruction within 28 days prior to Cycle 1 Day 1
  • Receipt of anti-cancer therapy prior to Cycle 1 Day 1:
  • Chemotherapy, radiation therapy, or small molecule anti-cancer therapy for the treatment of cancer within 14 days or 5 half-lives (whichever is shorter) of Cycle 1 Day 1
  • Immune therapy or other biologic therapy (e.g., monoclonal antibodies, antibody-drug conjugates) for the treatment of cancer within 21 days or 5 half-lives (whichever is shorter) of Cycle 1 Day 1 Subjects can receive a stable dose of bisphosphonates for bone metastases, before and during the study as long as these were started at least 28 days prior to treatment with study drug.
  • Subject is participating in any other therapeutic clinical study (observational or registry studies are allowed).
  • Subjects who are pregnant or breast-feeding
  • Presence of any other medical, psychological, familial, sociological, or geographic condition potentially hampering compliance with the study protocol or would interfere with the study endpoints or the subject's ability to participate.

研究组 & 干预措施

Phase 2a PLX2853 Monotherapy (80 mg)

Experimental

Subjects with ARID1A mutation-positive advanced gynecological malignancies

干预措施: PLX2853 (Drug)

Phase 1b PLX2853 (40 mg) + Carboplatin Combination Therapy

Experimental

Subjects with platinum-resistant EOC

干预措施: PLX2853 (Drug)

Phase 1b PLX2853 (40 mg) + Carboplatin Combination Therapy

Experimental

Subjects with platinum-resistant EOC

干预措施: Carboplatin (Drug)

Phase 2a PLX2853 (80 mg) + Carboplatin Combination Therapy

Experimental

Subjects with platinum-resistant EOC

干预措施: PLX2853 (Drug)

Phase 2a PLX2853 (80 mg) + Carboplatin Combination Therapy

Experimental

Subjects with platinum-resistant EOC

干预措施: Carboplatin (Drug)

Phase 1b PLX2853 (80 mg) + Carboplatin Combination Therapy

Experimental

Subjects with platinum-resistant EOC

干预措施: PLX2853 (Drug)

Phase 1b PLX2853 (80 mg) + Carboplatin Combination Therapy

Experimental

Subjects with platinum-resistant EOC

干预措施: Carboplatin (Drug)

结局指标

主要结局

Phase 2a (PLX2853 Monotherapy): Number of Participants With Overall Response Rate (ORR) as Measured by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)

时间窗: From 8 weeks of treatment for only PLX2853 (Cycle 3 Day 1; 28 days per cycle) until completion of long term follow-up, an average of 6 months.

Overall response rate as measured by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)

Phase 1b (PLX2853 + Carboplatin Combination): Establish the Number of Participants Reaching MTD/RP2D for the Combination of PLX2853 and Carboplatin

时间窗: From time of first dose of PLX2853 and carboplatin until 30 days of end of treatment an average of 6 months.

MTD is defined as the maximum tolerated dose, which is determined from dose-limiting toxicity. If DLTs are observed in 2 or more of 6 subjects (or ≥33% of the cohort) at a dose level, the dose at which this occurs will be considered intolerable and the MTD will have been exceeded. The MTD is the dose below the intolerable dose. RP2D is the recommended Phase 2 dose, which was determined to be 80 mg

Phase 2a (PLX2853 + Carboplatin Combination): Number of Participants Reaching ORR as Measured by RECIST v1.1

时间窗: From 8 weeks of treatment with PLX2853 and Carboplatin (Cycle 3 Day 1; 28 days per cycle) until completion of long term follow-up, an average of 6 months.

Overall response rate as measured by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)

次要结局

未报告次要终点

研究者

发起方
Opna Bio LLC
申办方类型
Industry
责任方
Sponsor

研究点 (9)

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