Description:
This is a multi-center, open label, non-randomized Phase 1 study, to be conducted in two
parts, Part A, and Part B. Part A in solid tumors included the dose escalation phase for
evaluating the safety and tolerability profile of PRN1371, a FGFR 1-4 Kinase inhibitor. Part
B is the Cohort Expansion phase in patients with metastatic urothelial carcinoma to further
evaluate safety and tolerability, preliminary activity, PK, and PD in patients with FGFR
genetic alterations.
Title
- Brief Title: A Dose Escalation Study in Solid Tumors and a Dose Expansion Study of PRN1371 in Adult Patients With Metastatic Urothelial Carcinoma
- Official Title: A Phase I Open-Label, Multicenter, Dose-Escalation Study of PRN1371, a FGFR 1-4 Kinase Inhibitor, in Adult Patients With Advanced Solid Tumors, Followed by an Expansion Cohort in Patients With Metastatic Urothelial Carcinoma With FGFR 1, 2, 3, or 4 Genetic Alterations
Clinical Trial IDs
- ORG STUDY ID:
PRN1371-001
- NCT ID:
NCT02608125
Conditions
- Solid Tumors
- Metastatic Urothelial Carcinoma & Renal Pelvis & Ureter
Interventions
Drug | Synonyms | Arms |
---|
PRN1371 | | PRN1371 |
Purpose
This is a multi-center, open label, non-randomized Phase 1 study, to be conducted in two
parts, Part A, and Part B. Part A in solid tumors included the dose escalation phase for
evaluating the safety and tolerability profile of PRN1371, a FGFR 1-4 Kinase inhibitor. Part
B is the Cohort Expansion phase in patients with metastatic urothelial carcinoma to further
evaluate safety and tolerability, preliminary activity, PK, and PD in patients with FGFR
genetic alterations.
Detailed Description
The protocol specifies rules for dose-limiting toxicity and a maximum tolerated dose (MTD).
To gain further experience with the MTD, and/or at some lower optimal biologic dose level, an
expansion cohort (Part B) enrolled patients with metastatic urothelial carcinoma with
fibroblast growth factor receptor (FGFR) 1, 2, 3 or 4 genetic alterations.
Trial Arms
Name | Type | Description | Interventions |
---|
PRN1371 | Experimental | Drug: PRN1371 | |
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18 years
- Histological or cytological documentation of an advanced solid tumor
- Subject must have metastatic or recurrent disease and have failed first-line systemic
treatment, and if indicated, failed approved second-line therapy, and for whom no
standard therapy options are anticipated to result in a durable remission
- Subject must have evaluable, progressive, and measurable disease per the Response
Evaluation Criteria in Solid Tumors (RECIST) guidelines, Version 1.1
- Adequate bone marrow, liver, and renal function
- Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
For Part B (expansion) in subjects metastatic urothelial carcinoma:
- The patient's tumor has been evaluated and prospectively identified as having FGFR 1,
2, 3, or 4 genetic alterations.
Exclusion Criteria:
- Patients who have received adequate prior treatment with a highly selective FGFR
inhibitor
- Patients with other major uncontrolled medical conditions, e.g., recent myocardial
infarction, stroke, diabetes, active hepatitis
- Patients who have received prior systemic anticancer therapy ≤ 3 weeks prior to study
start (6 weeks for nitrosourea, antibodies, or mitomycin-C)
- Patients diagnosed with another primary malignancy within 3 years prior to study
start, with the exception of adequately treated basal cell carcinoma, squamous cell
carcinoma, or other non-melanomatous skin cancer, or carcinoma in situ of the uterine
cervix
- Patients with glioblastoma multiforme
- Patient has a primary neoplasm of the brain or known uncontrolled metastases to the
central nervous system (CNS).
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of treatment related Grade 3 and/or Grade 4 adverse events, defined as dose limiting toxicities, for the doses of PRN1371 |
Time Frame: | 28 days on average |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Pharmacokinetic profile of PRN1371 including area under the serum concentration-time curve |
Time Frame: | Days 1 and 15 |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic profile of PRN1371 including maximum serum concentration |
Time Frame: | Days 1 and 15 |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic profile of PRN1371 including time to maximum serum concentration |
Time Frame: | Days 1 and 15 |
Safety Issue: | |
Description: | |
Measure: | Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on phosphate levels |
Time Frame: | While being treated with PRN1371 (expected average of 16 weeks) |
Safety Issue: | |
Description: | |
Measure: | Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on calcium levels |
Time Frame: | While being treated with PRN1371 (expected average of 16 weeks) |
Safety Issue: | |
Description: | |
Measure: | Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on serum FGF23 (Part A only) levels |
Time Frame: | While being treated with PRN1371 (expected average of 16 weeks) |
Safety Issue: | |
Description: | |
Measure: | Objective response rate (ORR) as measured by RECIST v1.1 in patients treated with PRN1371 |
Time Frame: | Every 8 weeks while being treated with PRN1371 (expected average of 16 weeks) |
Safety Issue: | |
Description: | |
Measure: | Duration of response in patients treated with PRN1371 |
Time Frame: | Every 8 weeks while being treated with PRN1371 (expected average 16 weeks) |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Principia Biopharma Inc. |
Trial Keywords
Last Updated
December 24, 2020