MedPath

Study of STP938 in Advanced Solid Tumours

Phase 1
Recruiting
Conditions
Solid Tumor
Interventions
Registration Number
NCT06297525
Lead Sponsor
Step Pharma, SAS
Brief Summary

The Phase 1a part of the study is a dose escalation of STP938 as a monotherapy.

The Phase 1b part of the study is a safety expansion cohort of STP938 as a monotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
70
Inclusion Criteria
  • Signed and dated informed consent, and able to comply with the study procedures and any locally required authorization.
  • Male or female aged ≥ 18 years.
  • Advanced disease not curable by available therapies and requires systemic therapy.
  • Histologically confirmed diagnosis of eligible cancer type.
  • Must have tumor tissue available for biomarker testing.
  • Measurable disease (Part 1) and measurable disease per RECIST (Part2)
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2.
  • Life expectancy > 3 months as assessed by the Investigator.
  • Adequate organ function (bone marrow, hepatic, renal function and coagulation).
  • All toxicities (except alopecia) from prior cancer treatments or procedures must have resolved to ≤Grade 1 or returned to baseline levels prior to enrollment.

Main

Exclusion Criteria
  • Pregnant or breastfeeding females and women of childbearing potential or males unwilling to comply with contraception requirements.
  • Known active or symptomatic CNS metastases, carcinomatous meningitis, leptomeningeal disease or a history of spinal cord compression
  • Active malignancy within 2 years of study enrollment
  • Prior radiation within 2 weeks of start of therapy.
  • Systemic cancer treatments, monoclonal antibody-directed therapies, other investigational agents within 4 weeks before enrollment, or <5 half-lives since completion of previous investigational therapy, whichever is shorter.
  • Uncontrolled intercurrent illness.
  • Immunocompromised subjects with increased risk of opportunistic infections or history of opportunistic infection in the last 12 months.
  • Known active or chronic hepatitis B or active hepatitis C virus (HCV) infection.
  • Subjects with corrected QT interval >470 msec based on averaged triplicate electrocardiogram (ECG) readings at the Screening Visit using the QT interval corrected for heart rate using Fridericia's method (QTcF).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Phase 1a (Part 1, Dose Escalation)STP938Up to 5 dose levels with STP938 administered as oral monotherapy
Phase 1b (Part 2, Safety Expansion)STP938Further evaluation of STP938 administered as oral monotherapy at the RP2D
Primary Outcome Measures
NameTimeMethod
Safety and TolerabilityThrough study completion, an average of 6 months

Incidence of dose limiting toxicities (DLTs), serious adverse events (SAEs), treatment-emergent adverse events (TEAEs)

Secondary Outcome Measures
NameTimeMethod
Time to reach maximum concentration (TMax)9 Days

Pharmacokinetic parameter from plasma STP938 levels

Evaluation of preliminary clinical activity of STP938Through study completion, an average of 6 months

Evaluation of ORR using standard response criteria

Maximum plasma concentration (Cmax)9 Days

Pharmacokinetic parameter from plasma STP938 levels

Evaluation of Duration of ResponseThrough study completion, an average of 6 months

Duration of response (DoR) is defined as the time, in days, from the date measurement criteria that are first met for CR or PR (whichever is first recorded) to the first date that relapse, progressive disease or death, whichever occurs first

Evaluation of Progression Free SurvivalThrough study completion, an average of 6 months

Progression-free survival (PFS) is defined as the time from first STP938 dose to the date of disease progression or death, whichever occurs first

Area under the curve (AUC) of STP9389 days

Pharmacokinetic parameter from plasma STP938 levels

Evaluation of best overall response of STP938Through study completion, an average of 6 months

Evaluation of best overall response (Complete response \[CR\], Partial response \[PR\], Stable disease \[SD\], Progression of disease \[PD\], Not evaluable, Not applicable) using standard response criteria

Change in serum CA125 (ovarian cancer only)Through study completion, an average of 6 months

Evaluation of CA125 using standard response criteria

Trial Locations

Locations (7)

Institut Gustave Roussy

🇫🇷

Villejuif, Paris, France

University College London

🇬🇧

London, United Kingdom

Comprehensive Hematology Oncology, LLC

🇺🇸

Saint Petersburg, Florida, United States

The Beatson Institute for Cancer Research

🇬🇧

Glasgow, United Kingdom

Mary Crowley Cancer Research Center

🇺🇸

Dallas, Texas, United States

Next Oncology

🇺🇸

San Antonio, Texas, United States

The Christie

🇬🇧

Manchester, United Kingdom

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