A Phase I/Ib, Multicenter, Open-label, Dose-Escalation, Safety, Pharmacodynamic and Pharmacokinetic Study of GZ17-6.02 Monotherapy and in Combination With Capecitabine, Given Orally on a Daily Schedule in Patients With Advanced Solid Tumors or Lymphoma
Overview
- Phase
- Phase 1
- Intervention
- GZ17-6.02
- Conditions
- Advanced Cancer
- Sponsor
- Genzada Pharmaceuticals USA, Inc.
- Enrollment
- 127
- Locations
- 4
- Primary Endpoint
- maximum tolerated dose (MTD)
- Status
- Active, not recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
This Phase I/Ib study is a Multicenter, Open-label, Dose-Escalation, Safety, Pharmacodynamic and Pharmacokinetic Study of GZ17-6.02 Monotherapy and in Combination with Capecitabine, Given Orally on a Daily Schedule in Patients with Advanced Solid Tumors or Lymphoma
Detailed Description
This study will evaluate the safety, pharmacokinetics, and pharmacodynamic effects of a novel anti-cancer drug, GZ17-6.02 administered to patients with advanced solid tumors or lymphoma, which have progressed after receiving standard/approved therapy or where there is no approved therapy. This study will determine the maximum tolerated dose (MTD) and the dose limiting toxicities (DLT) of GZ17-6.02 monotherapy and in combination with standard-of-care oncology treatments and to establish the dose of GZ17-6.02 recommended for future monotherapy and combination therapies phase II oncology clinical studies.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with a pathologically confirmed diagnosis of advanced solid tumors or lymphoma.
- •Tumor progression after receiving standard/approved therapies which may include chemotherapy, targeted agents, radio-immuno conjugates, check point inhibitors, where there is no approved therapy; or the patient is intolerant of standard of care or the patient declines standard of care treatment
- •One or more metastatic tumors measurable, or evaluable, per RECIST v1.1 Criteria for solid tumors and Lugano Criteria for lymphoma
- •Have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1
- •Life expectancy of at least 3 months
- •Age 18 years
- •Signed, written IRB-approved informed consent
- •A negative pregnancy test (if female)
- •Acceptable liver function:
- •Bilirubin ≤ 1.5 times upper limit of normal
Exclusion Criteria
- •(All patients, unless otherwise specified):
- •New York Heart Association Class III or IV, cardiac disease, myocardial infarction within the past 6 months, unstable arrhythmia, or evidence of ischemia on ECG.
- •Currently taking MAOIs
- •Baseline QTc exceeding 450 msec in males, 470 msec in females (using the Fridericia's formula) and/or patients receiving class 1A or class III antiarrhythmic agents;
- •Known active, uncontrolled bacterial, viral, or fungal infections requiring systemic therapy;
- •Pregnant or nursing women.
- •NOTE: Women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; or abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
- •Treatment with radiation therapy or surgery within 1 month prior to study entry.
- •Treatment with chemotherapy, targeted therapeutics (e.g. tyrosine kinase inhibitors, therapeutic antibodies, etc), or investigational therapies within 1 month, or 5 half-lives (whichever is shorter), prior to study entry (6 weeks for nitrosoureas or mitomycin C). For radiopharmaceuticals, within 1 month unless hematopoietic recovery has not returned to pretreatment baseline;
- •Unwillingness or inability to comply with procedures required in this protocol;
Arms & Interventions
Experimental: monotherapy
GZ17-6.02 given orally on a daily x 28 day schedule. This will be a dose escalation study.
Intervention: GZ17-6.02
Experimental: Combination with Capecitabine in Metastatic Hormone Receptor Positive Breast Cancer
GZ17-6.02 given orally twice daily x 21 day schedule in combination with Capecitabine 825 mg/m2 orally twice daily for 14 days x 21 day schedule.
Intervention: GZ17-6.02
Experimental: Combination with Capecitabine in Metastatic Hormone Receptor Positive Breast Cancer
GZ17-6.02 given orally twice daily x 21 day schedule in combination with Capecitabine 825 mg/m2 orally twice daily for 14 days x 21 day schedule.
Intervention: Capecitabine
Experimental: Combination with Capecitabine in Metastatic Colorectal Cancer
GZ17-6.02 given orally twice daily x 21 day schedule in combination with Capecitabine 850 mg/m2 orally twice daily for 14 days x 21 day schedule.
Intervention: GZ17-6.02
Experimental: Combination with Capecitabine in Metastatic Colorectal Cancer
GZ17-6.02 given orally twice daily x 21 day schedule in combination with Capecitabine 850 mg/m2 orally twice daily for 14 days x 21 day schedule.
Intervention: Capecitabine
Outcomes
Primary Outcomes
maximum tolerated dose (MTD)
Time Frame: 18 months
As assessed by CTCAE v4.03
Recommended dose of GZ17-6.02 for future phase II clinical studies
Time Frame: 18 months
Dose-limiting toxicity
Time Frame: 18 months
Secondary Outcomes
- Antitumor effect(18 months)
- Terminal Phase Half-Life (t1/2)(18 months)
- Area Under Concentration Curve(18 months)
- Maximum Plasma Concentration (Cmax)(18 months)
- Time to Maximum Plasma Concentration (Tmax)(18 months)
- Total Body Clearance (CL/F)(18 months)
- Apparent Volume of Distribution (Vd/F)(18 months)