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Clinical Trials/NCT03775525
NCT03775525
Active, not recruiting
Phase 1

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

Genzada Pharmaceuticals USA, Inc.4 sites in 1 country127 target enrollmentMarch 1, 2019

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.

Registry
clinicaltrials.gov
Start Date
March 1, 2019
End Date
December 2023
Last Updated
3 years ago
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Responsible Party
Sponsor

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)

Study Sites (4)

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