Description:
This is a multicenter, open-label study conducted in two phases: Phase 1 consisting of a
CGX1321 Single Agent Dose Escalation Phase in solid tumors, CGX1321 Single Agent Dose
Expansion Phase in GI tumors and Roll-over Cohort of CGX1321 and pembrolizumab in subjects
who have progressed on single agent CGX1321 and Phase 1b consisting of CGX1321 in combination
with pembrolizumab in colorectal tumors. Both phases are to evaluate safety,
pharmacokinetics, and clinical activity.
Title
- Brief Title: CGX1321 in Subjects With Advanced Solid Tumors and CGX1321 With Pembrolizumab in Subjects With Advanced GI Tumors (Keynote 596)
- Official Title: A Phase 1 Open-label Dose Escalation and Dose Expansion Study of CGX1321 in Subjects With Advanced Solid Tumors and Phase 1b Study of CGX1321 in Combination With Pembrolizumab in Subjects With Advanced Gastrointestinal Tumors
Clinical Trial IDs
- ORG STUDY ID:
CGX1321-101
- SECONDARY ID:
MK3475-596
- NCT ID:
NCT02675946
Conditions
Interventions
Drug | Synonyms | Arms |
---|
CGX1321 | | CGX1321 alone and with pembrolizumab |
Pembrolizumab | Keytruda | CGX1321 alone and with pembrolizumab |
Purpose
This is a multicenter, open-label study conducted in two phases: Phase 1 consisting of a
CGX1321 Single Agent Dose Escalation Phase in solid tumors, CGX1321 Single Agent Dose
Expansion Phase in GI tumors and Roll-over Cohort of CGX1321 and pembrolizumab in subjects
who have progressed on single agent CGX1321 and Phase 1b consisting of CGX1321 in combination
with pembrolizumab in colorectal tumors. Both phases are to evaluate safety,
pharmacokinetics, and clinical activity.
Detailed Description
The purpose of the Dose Escalation Phase is to examine the safety and determine the maximum
tolerated dose of CGX1321 when administered to subjects with advanced solid tumors.
The purpose of the Dose Expansion Phase, Roll-over Cohort and Phase 1b is to continue to
examine the safety and confirm the final Phase 2 dose of CGX1321 alone in subjects with
advanced GI tumors (Dose Expansion Phase) and evaluate the safety and tolerability of CGX1321
in combination with pembrolizumab (Phase 1b and Roll-over Cohort)
Trial Arms
Name | Type | Description | Interventions |
---|
CGX1321 alone and with pembrolizumab | Experimental | Dose Escalation Phase: Ascending doses of CGX1321 once daily, orally, for 3 weeks (21 days) followed by a one-week (7-day) washout period in each 28-day cycle
Dose Expansion Phase: CGX1321, at the MTD (identified in the Dose Escalation Phase), once daily, orally, for 3 weeks (21 days) followed by a one-week (7-day) washout period in each 28-day cycle.
Roll-over Cohort: CGX1321 at a dose identified in Phase 1b, once daily, orally, for 2 weeks (14 days) followed by a one-week (7-day) washout period in combination with pembrolizumab administered IV once every three weeks (in each 21-day cycle).
Phase 1b: Ascending doses of CGX1321, once daily, orally, for 2 weeks (14 days) followed by a one-week (7-day) washout period in combination with pembrolizumab administered IV once every three weeks (in each 21-day cycle). | |
Eligibility Criteria
Inclusion Criteria:
- Pathologically-confirmed, locally advanced or metastatic solid tumors that have
relapsed or are refractory to or are not considered medically suitable to receive
standard of care treatment (Dose Escalation Phase)
- Histologically-diagnosed, advanced Gl tumors that have relapsed or are refractory to
or are not considered medically suitable to receive standard of care treatment (Dose
Expansion Phase)
- Histologically-diagnosed advanced colorectal tumors that have relapsed or are
refractory to or are not considered medically suitable to receive standard of care
treatment (Phase 1b)
- Previous enrollment in Dose Escalation or Dose Expansion Phase with documented disease
progression while on single agent CGX1321 (Roll-over Cohort)
- Radiologically measurable disease
- Minimum life expectancy of 3 months
- Age 18 years or older
- Adequate organ function
- Recovery from prior treatment-related toxicities
Exclusion Criteria:
- Prior exposure to a WNT inhibitor (except Roll-over cohort)
- Prior exposure to an anti-PD-1, anti-PD-L1 or anti-PD-L2
- Received previous therapy for malignancy within 21 days
- Major surgery within 4 weeks of first dose of study drug
- Radiotherapy within 2 weeks of first dose of study drug
- Significant GI or variceal bleeding or subdural hematoma within 3 months of the first
dose of study drug
- Known active central nervous system metastases and/or carcinomatous meningitis
- Diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other
form of immunosuppressive therapy within 7 days prior to the first dose of study
treatment.
- Currently receiving medications known to be inhibitors of CYP3A4/5. Subjects currently
receiving medications of known inducers of CYP3A4/5 or substrates of CYP2C8/9 and
CYP1A2 may be excluded.
- Osteoporosis (T-score of less than -2.5 by DEXA scan)
- Bone metastases with prior history of pathologic fracture, lytic lesions requiring an
orthopedic intervention, or not receiving bisphosphonates or denosumab
- History of significant cardiac disease or uncontrolled hypertension
- Known history of human immunodeficiency virus (HIV)
- Known active hepatitis A, B or C
- Known additional malignancy that is progressing or requires active treatment.
Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma that has
undergone potentially curative therapy or in situ cervical cancer
- Active systemic infection requiring intravenous antibiotics within 2 weeks of
treatment start
- Known psychiatric or substance abuse disorders that would interfere with cooperation
with the requirements of the study
- Pregnancy or lactation
- Has had an allogenic tissue/solid organ transplant
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with adverse events and/or abnormal laboratory values that are related to treatment |
Time Frame: | 55 months |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | CGX1321 area under the curve |
Time Frame: | 30 Days |
Safety Issue: | |
Description: | |
Measure: | CGX1321 maximum or peak concentration |
Time Frame: | 30 Days |
Safety Issue: | |
Description: | |
Measure: | CGX1321 minimum or trough concentration |
Time Frame: | 30 Days |
Safety Issue: | |
Description: | |
Measure: | CGX1321 time to maximum concentration |
Time Frame: | 30 Days |
Safety Issue: | |
Description: | |
Measure: | CGX1321 half-life |
Time Frame: | 30 Days |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Curegenix Inc. |
Trial Keywords
Last Updated
October 5, 2020