Clinical Trials /

Study of ASN003 in Subjects With Advanced Solid Tumors

NCT02961283

Description:

The study is divided into two parts. The first part of the study will test various doses of ASN003 to find out the highest safe dose to test in three specific groups. The second part of the study will test how well ASN003 can control cancer. Subjects will be enrolled into one of three groups. Group 1: metastatic or recurrent melanoma with documented BRAFV600 mutation (n=20 evaluable patients) Group 2: metastatic colorectal cancer (CRC), or advanced non-small cell lung cancer (NSCLC) with documented BRAFV600 mutation (n=14 evaluable patients) Group 3: advanced solid tumors with documented PI3K pathway alterations (PIK3CA mutation or PTEN loss) (n=14 evaluable patients)

Related Conditions:
  • Colorectal Carcinoma
  • Malignant Solid Tumor
  • Melanoma
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Terminated

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of ASN003 in Subjects With Advanced Solid Tumors
  • Official Title: A Phase 1, Open-label, Dose-finding and Cohort Expansion Study of ASN003 in Subjects With Advanced Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: ASN003-101
  • NCT ID: NCT02961283

Conditions

  • Neoplasms
  • Melanoma
  • Colorectal Neoplasm
  • Carcinoma, Non-small Cell Lung

Interventions

DrugSynonymsArms
ASN003 ascending dosesASN003 Dose Escalation
ASN003 MTDASN003 MTD - BRAFv600 colon or lung cancer

Purpose

The study is divided into two parts. The first part of the study will test various doses of ASN003 to find out the highest safe dose to test in three specific groups. The second part of the study will test how well ASN003 can control cancer. Subjects will be enrolled into one of three groups. Group 1: metastatic or recurrent melanoma with documented BRAFV600 mutation (n=20 evaluable patients) Group 2: metastatic colorectal cancer (CRC), or advanced non-small cell lung cancer (NSCLC) with documented BRAFV600 mutation (n=14 evaluable patients) Group 3: advanced solid tumors with documented PI3K pathway alterations (PIK3CA mutation or PTEN loss) (n=14 evaluable patients)

Detailed Description

      The study will be conducted in two parts. Part A is a dose escalation study to determine a
      safe and tolerable dose of ASN003 for subjects with advanced solid tumors. Part A will also
      characterize the pharmacokinetics and pharmacodynamics of ASN003 through blood sampling and
      optional biopsies.. Part B will only enroll subjects in three groups:

      Group 1: subjects who have metastatic or recurrent melanoma with the BRAFv600 mutation.

      Group 2: subjects who have advanced or metastatic non-small cell lung cancer, or colorectal
      cancer with the BRAFv600 mutation.

      Group 3: subjects who have advanced or metastatic cancers with phosphatidylinositide
      3-kinases (PI3K) mutations, or phosphatase and tensin homolog (PTEN) loss mutation. Subjects
      will be treated with the highest safe and tolerable dose determined in Part A of the study to
      determine preliminary efficacy. Subjects may continue to receive ASN003 for up to 1 year in
      the absence of severe side effects or disease progression.
    

Trial Arms

NameTypeDescriptionInterventions
ASN003 Dose EscalationExperimentalMultiple ascending doses of ASN003 will be administered to determine the maximum tolerated dose (MTD).
  • ASN003 ascending doses
ASN003 MTD - BRAFv600 melanomaExperimentalASN003 administered at the MTD in subjects with BRAF v600 mutated metastatic melanoma
  • ASN003 MTD
ASN003 MTD - BRAFv600 colon or lung cancerExperimentalASN003 administered at the MTD in subjects with BRAFv600 mutated metastatic colorectal or non-small cell lung cancer.
  • ASN003 MTD
ASN003 MTD - PIK3 pathway mutated cancersExperimentalASN003 administered at the MTD in subjects who have mutations in PI3 kinase or loss of PTEN.
  • ASN003 MTD

Eligibility Criteria

        Inclusion Criteria:

          -  written informed consent obtained prior to any study-related procedures.

          -  Eastern Cooperative Oncology Group Performance Status: 0-1

          -  Part A only: Histologically or cytologically confirmed metastatic and/or advanced
             solid tumors with documented progressive disease for whom no further standard therapy
             is indicated.

          -  Part B only: 5. Histologically or cytologically confirmed, molecularly selected (i.e.
             BRAFV600 positive and/or PI3K mutation positive) advanced solid tumors. Prior
             molecular characterization should be based using a regulatory approved assay or
             analytically validated assay.

               -  Group 1: BRAFV600 positive metastatic or recurrent melanoma after failure of
                  prior treatment with standard therapy such as a checkpoint inhibitor and an
                  approved B-RAF inhibitor (vemurafenib or dabrafenib)

               -  Group 2: BRAFV600 positive metastatic colorectal carcinoma (CRC), or advanced
                  non-small cell lung carcinoma (NSCLC) after failure of at least two lines of
                  prior standard therapy or for whom no further standard therapy is indicated.

               -  Group 3: Advanced solid tumors with PI3K pathway alterations (PIK3CA mutation or
                  PTEN loss) after failure of at least one line of prior standard therapy or for
                  whom no further standard therapy is indicated. Prior treatment may not include
                  inhibitors of the PI3K pathway.

          -  Screening hematology values of the following: absolute neutrophil count ≥ 1000/μL,
             platelets ≥ 100,000/μL, hemoglobin ≥ 10 g/dL (without transfusion support);

          -  Screening chemistry values of the following: alanine aminotransferase (ALT) and
             aspartate transaminase (AST) ≤ 3.0 × upper limit of the normal reference range (ULN),
             total bilirubin ≤ 2 × ULN, creatinine ≤ 1.5 × ULN, fasting blood glucose < 140 mg/dL,
             hemoglobin A1C ≤ ULN, albumin ≥ 2.8 g/dL.

          -  Screening fasting lipid panel: LDL cholesterol < 190 mg/dL, triglycerides < 300 mg/dL

          -  Subject is willing and able to comply with all protocol required visits and
             assessments, including biopsy if assigned to the MTD expansion cohort;

        Exclusion Criteria:

          -  Have received prior chemotherapy, other investigational therapy, or major surgery
             within 4 weeks of Day 1;

          -  Have received oral anti-cancer therapy with oral tyrosine kinase inhibitors within 14
             days or 5 half-lives, whichever is longer.

          -  Have received prior treatment with monoclonal antibodies within 6 weeks of first dose
             of Day 1;

          -  Subject has received a live virus vaccine within the previous 8 weeks.

          -  Have known central nervous system metastasis or primary tumor (Part A).
             Previously-treated, CNS metastasis is permitted in Part B. CNS metastasis must be
             small, discrete metastasis; stable for at least 30 days without the need for
             concomitant prednisone for symptom management. No leptomeningeal disease is allowed.
             Is receiving therapeutic doses of corticosteroids (>20 mg prednisone daily or
             equivalent);

          -  Has a serious concurrent medical condition such as:

               -  history of Diabetes Mellitus, type 1 or type 2,

               -  known autoimmune disease, known bleeding diathesis, history of congestive heart
                  failure New York Heart Association (NYHA) class III or IV;

               -  uncontrolled hypertension (systolic BP ≥ 139 mmHg or diastolic BP ≥ 89 mmHg) at
                  screening, despite optimal antihypertensive therapy,

               -  clinically significant heart disease including but not limited to: myocardial
                  infarction, or arterial thrombotic events in the past 6 months, severe or
                  unstable angina, or known cardiac ejection fraction measurement of < 50 %;

               -  history or family history of long QT syndrome; 12-Lead electrocardiogram (ECG)
                  abnormalities considered by the investigator to be clinically significant or QTcF
                  ≥ 450 milliseconds, regardless of clinical significance, at screening. Abnormal
                  ECG may be confirmed with one repeat assessment. For subjects with QTcF ≥ 450
                  msec on initial ECG, the mean of the two QTcF assessments will determine
                  eligibility;

               -  uncontrolled psychiatric illness;

               -  serious persistent infection within 14 days prior to the start of study
                  medication;

               -  known gastrointestinal disease or condition which may affect the absorption of
                  ASN003;

               -  known active or symptomatic viral hepatitis, chronic liver disease or liver
                  cirrhosis;

               -  known glaucoma or other pre-existing ocular conditions that may put the patient
                  at risk for ocular toxicities.

               -  any known condition or situation which may put the patient at significant risk,
                  may confound the study results, or may interfere significantly with subject's
                  participation in the study

          -  Female subjects who are pregnant or breast feeding
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Part A: Determine the maximum tolerated dose (MTD) of ASN003
Time Frame:First 21 days
Safety Issue:
Description:The MTD will be determined by evaluating the number of subjects with treatment related dose limiting toxicity. This is the primary endpoint of Part A

Secondary Outcome Measures

Measure:Calculate the Pharmacokinetic Area Under the Curve
Time Frame:First 22 days
Safety Issue:
Description:A plot of the concentration of ASN003 in blood plasma over time.
Measure:Calculate the Pharmacokinetic Maximum Concentration
Time Frame:First 22 days
Safety Issue:
Description:The peak plasma concentration of ASN003
Measure:Calculate the Pharmacokinetic Half-life
Time Frame:First 22 days
Safety Issue:
Description:The time required for ASN003 to lose half of its pharmacologic activity.
Measure:Change from baseline in pharmacodynamic biomarkers
Time Frame:Up to 1 year
Safety Issue:
Description:Pre-dose and post-dose pharmacodynamic biomarkers in plasma and tumor biopsy will be compared to assess signs of pharmacodynamic activity
Measure:Change in the size of measurable tumor lesions
Time Frame:Up to 1 year
Safety Issue:
Description:Change from baseline in the sum of the longest dimension in centimeters of each measurable lesion, the presence/absence of lesions that cannot be measured in centimeters, or the presence of new lesions.
Measure:Change in the status of non-measurable tumor lesions
Time Frame:Up to 1 year
Safety Issue:
Description:Number of subjects that have resolution of non-measurable tumor lesions.
Measure:Appearance of new tumor lesions
Time Frame:Up to 1 year
Safety Issue:
Description:Number of subjects with new lesions

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Terminated
Lead Sponsor:Asana BioSciences

Trial Keywords

  • BRAF Kinases
  • PIK3CA protein, human

Last Updated

May 21, 2019