Clinical Trials /

CGX1321 in Subjects With Advanced Solid Tumors and CGX1321 With Pembrolizumab in Subjects With Advanced GI Tumors (Keynote 596)

NCT02675946

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.

Related Conditions:
  • Colorectal Carcinoma
  • Gastrointestinal Stromal Tumor
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

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

  • Solid Tumors
  • GI Cancer

Interventions

DrugSynonymsArms
CGX1321CGX1321 alone and with pembrolizumab
PembrolizumabKeytrudaCGX1321 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

NameTypeDescriptionInterventions
CGX1321 alone and with pembrolizumabExperimentalDose 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).
  • CGX1321
  • Pembrolizumab

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

  • WNT inhibitor

Last Updated

October 5, 2020