Description:
TSR-011 is a potent small molecule inhibitor of tyrosine kinases involved in cancer,
including:
1. Anaplastic lymphoma kinase (ALK)
2. The tropomyosin-related kinases TRKA, TRKB, and TRKC
This is a sequential, open-label, non-randomized study with dose escalation in Phase 1,
followed by expansion at a recommended phase 2 dose.
Title
- Brief Title: A Phase I/IIa Open-Label, Dose Escalation and Cohort Expansion Trial of Oral TSR-011 in Patients With Advanced Solid Tumors and Lymphomas
- Official Title: A Phase I/IIa Open-Label, Dose Escalation and Cohort Expansion Trial of Oral TSR-011 in Patients With Advanced Solid Tumors and Lymphomas
Clinical Trial IDs
- ORG STUDY ID:
PR-20-5006-C
- NCT ID:
NCT02048488
Conditions
Interventions
Drug | Synonyms | Arms |
---|
TSR-011 | ALK inhibitor, ALKi, TRK inhibitor | Experimental Drug TSR-011 |
Purpose
TSR-011 is a potent small molecule inhibitor of tyrosine kinases involved in cancer,
including:
1. Anaplastic lymphoma kinase (ALK)
2. The tropomyosin-related kinases TRKA, TRKB, and TRKC
This is a sequential, open-label, non-randomized study with dose escalation in Phase 1,
followed by expansion at a recommended phase 2 dose.
Trial Arms
Name | Type | Description | Interventions |
---|
Experimental Drug TSR-011 | Experimental | Experimental Drug TSR-011 | |
Eligibility Criteria
Inclusion Criteria:
- To be considered eligible to participate in this study, all of the following
requirements must be met:
1. Patients in Phase 1 must have metastatic or locally advanced solid tumors who
have failed to respond to standard therapy
2. All patients must have confirmation of either ALK positive or TRK positive
status.
3. Patients in Phase 1 will not be required to have measurable disease. All patients
in Phase 2a will be required to have measurable disease by RECIST.
4. All patients enrolled in this study must have tumor tissue available.
5. Patient (male or female) must be ≥ 18 years of age (except where age of majority
is 16 years in a particular country, such as the United Kingdom).
6. Patient must have performance status ≤2 on the ECOG Performance Scale.
7. Patient must have an estimated life expectancy of at least 3 months.
8. Patients must have adequate organ function.
9. For patients previously treated with myelosuppressive therapy, at least 3 weeks
must have elapsed and toxicity must have recovered to grade 1 or baseline.
Non-myelosuppressive therapy patients must have recovered from all
treatment-related toxicities. Fourteen days must have elapsed since palliative
radiation for bone metastasis.
10. Female patients of childbearing potential must have a negative serum pregnancy
test and use adequate birth control for the duration of study participation and
for 3 months after the last dose of study drug.
11. The patient or his or her legal representative must be able to read, understand,
and provide signed informed consent.
12. Patient is able to understand the study procedures and agrees to participate in
the study by giving written informed consent.
Exclusion Criteria:
- Patients will not be deemed eligible for entry into this study if any of the following
criteria are met:
1. Patient has leukemia.
2. Patient is a pregnant or lactating female.
3. Patient has uncontrolled congestive heart failure, angina, or has had a
myocardial infarction in the preceding 3 months.
4. Ongoing cardiac dysrhythmias of NCI CTCAE Grade ≥2, atrial fibrillation of any
grade, or QTc interval >450 msec.
5. Patients with risk factors for Torsade de point and patients receiving
concomitant medication with QT-prolonging medicines.
6. Patient has an uncontrolled concurrent medical condition or disease.
7. Patient has undergone bone marrow or stem cell transplantation in the past 6
months.
8. Patient has a known hypersensitivity to the components of TSR-011 or the
excipients.
9. Patient has active or uncontrolled infection.
10. Patient has a known psychiatric or substance abuse disorder.
11. Patient has active second primary malignancy.
12. Patient is observed to have a clinically active central nervous system (CNS)
metastases or carcinomatous meningitis.
13. Patient has any other severe concurrent disease which, in the judgment of the
Investigator, would preclude study participation.
14. Patient is known to be HIV positive or who has an AIDS-related illness.
15. Patient has a known history of or active (treated or not) Hepatitis B or C.
16. Patient has presence of ascites causing significant symptoms.
17. A patient must stop taking any prescription, over-the-counter, or herbal remedy
known to be an inhibitor or inducer of CYP3A4/5.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of Adverse Events (AEs) |
Time Frame: | Approximately 2 years |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Area Under the Concentration-Time Curve (AUC) |
Time Frame: | Day 1: 0-24 hrs after first dose; pre-dose on days 8 & 15; day 29: 0-24 hours |
Safety Issue: | |
Description: | |
Measure: | Maximum Tolerated Dose (MTD) |
Time Frame: | 28 days after first dose |
Safety Issue: | |
Description: | Phase 1, during the dose-escalation phase |
Measure: | Response Rate (RR) |
Time Frame: | approximately 2 years |
Safety Issue: | |
Description: | Phase 2 |
Measure: | Dose limiting toxicity (DLT) |
Time Frame: | 28 days after first dose |
Safety Issue: | |
Description: | Phase 1, during the dose escalation phase |
Measure: | Progression Free Survival (PFS) |
Time Frame: | approximately 2 years |
Safety Issue: | |
Description: | Phase 2 |
Measure: | Recommended Phase 2 Dose (RP2D) |
Time Frame: | approximately 2 years |
Safety Issue: | |
Description: | Phase 1 |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Tesaro, Inc. |
Trial Keywords
- non small cell lung cancer
- NSCLC
- Anaplastic lymphoma kinase
- ALK tyrosine kinase receptor
- ALK+
- TRK+
- ALK inhibitor
- TRK inhibitor
- tropomyosin receptor kinase
- TRKA
- TRKB
- TRKC
- advanced malignancy
Last Updated
March 26, 2019