Description:
This is an open-label Phase 1b/2 study in patients with chronic lymphocytic leukemia/small
lymphocytic lymphoma (CLL/SLL)or non hodgkin's lymphoma (NHL) who have failed prior standard
of care therapies including a BTK inhibitor where one is approved for the indication.
Title
- Brief Title: Safety, PK, PD, and Antitumor Activity of Vecabrutinib (SNS-062) in B Lymphoid Cancers
- Official Title: A Phase 1b/2 Dose-Escalation and Cohort-Expansion Study of the Noncovalent, Reversible Bruton's Tyrosine Kinase Inhibitor, SNS-062, in Patients With B-Lymphoid Malignancies
Clinical Trial IDs
- ORG STUDY ID:
062-HEM-102
- NCT ID:
NCT03037645
Conditions
- Chronic Lymphocytic Leukemia
- Small Lymphocytic Lymphoma
- Lymphoplasmacytoid Lymphoma
- Mantle-Cell Lymphoma
- Waldenstrom Macroglobulinemia
- Diffuse Large B Cell Lymphoma
- Follicular Lymphoma
- Marginal Zone Lymphoma
Interventions
Drug | Synonyms | Arms |
---|
SNS-062 | | Dose escalating cohorts of SNS-062 |
Purpose
This is an open-label Phase 1b/2 study in patients with chronic lymphocytic leukemia/small
lymphocytic lymphoma (CLL/SLL)or non hodgkin's lymphoma (NHL) who have failed prior standard
of care therapies including a BTK inhibitor where one is approved for the indication.
Detailed Description
This study includes 2 parts: phase 1 (dose escalation) and phase 2 (cohort expansion) in
patients with CLL/SLL or NHL who have failed prior standard of care therapies including a BTK
inhibitor where one is approved for the indication. NHL indications include
lymphoplasmacytoid lymphoma/Waldenström's macroglobulinemia (LPL/WM), mantle cell lymphoma
(MCL), marginal zone lymphoma (MZL), diffuse large B-cell lymphoma of the activated B-cell
subtype (DLBCL-ABC), and follicular lymphoma (FL). In Phase 1b, cohorts of 3 to 6 patients
are studied at each dose level, starting with 25 mg vecabrutnib BID in oral capsule form.
Following identification of the MTD and/or recommended dose, in Phase 2 only CLL/SLL patients
will be enrolled to expansion cohorts to further characterize the clinical activity, safety,
and pharmacology of vecabrutinib. Cycle length is 4 weeks.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose escalating cohorts of SNS-062 | Experimental | Sequential groups, 25, 50, 100, 200, 300, 400 and 500 mg twice daily to determine maximum tolerated dose and recommended dose (RD) in the treatment of various hematological cancers followed by expansion of the recommended dose cohort in Phase 2 of the study treating hematological cancers. | |
Eligibility Criteria
Inclusion Criteria (Key factors listed):
- Eastern Cooperative Oncology Group Performance Status of ≤2.
- Confirmed malignancy with relapsed/refractory disease after ≥2 lines of standard
systemic therapy including prior BTK inhibitor therapy having CLL, LPL/WM, MCL or MZL
and for DLBCL-ABC and FL, after ≥2 lines of standard systemic therapy (Phase 1b). For
Phase 2, CLL/SLL patients with confirmed malignancy with relapsed/refractory disease
after ≥1 line of standard systemic therapy including prior BTK inhibitor therapy
- Presence of measurable disease through various assessments depending on specific
cancer type.
- Current medical need for therapy of the B-lymphoid malignancy.
Exclusion Criteria (Key factors listed):
- Active central nervous system involvement.
- History of second primary malignancy that has progressed or required systemic
treatment in the past 2 years. Exceptions include: local cancers of the skin, cervix
or breast cancers, non-invasive bladder cancer, hormone sensitive prostate cancer with
stable PSA ≥3 months, and other localized solid tumors in situ/other low risk cancers.
- Significant cardiovascular disease or electrocardiogram (ECG) abnormalities
- Ongoing risk for bleeding due to bleeding diathesis, platelet function disorder,
uncontrolled peptic ulcer disease, oral anticoagulation medications.
- Evidence of uncontrolled systemic bacterial, fungal or viral infections at the start
of drug therapy.
- Demonstrated intolerance to BTK inhibitor as shown by discontinuation due to adverse
effects.
- Use of a moderate or strong inhibitor or inducer of CYP3A4 within 7 days prior to
start of study therapy (e.g., some antibiotics, antifungals, anticonvulsants,
grapefruit).
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Maximum tolerated dose and/or Recommended dose of SNS-062 (Phase 1b) |
Time Frame: | Up to approximately 21 months |
Safety Issue: | |
Description: | To determine the Maximum Tolerated Dose (MTD) and/or Recommended Dose (RD)within the tested SNS-062 dose range. The MTD is the highest tested dose level at which ≥6 subjects have been treated and which is associated with a Cycle 1 dose limiting toxicity (DLT) in <33% of the subjects. The RD may be the MTD or may be a lower dose. |
Secondary Outcome Measures
Measure: | Safety as assessed through reported AEs, SAEs, DLTs and abnormal lab findings (Phase 1b and Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Type, severity, timing of onset, duration, and relationship to study drug of any TEAEs or abnormalities of laboratory tests, SAEs, DLTs, or AEs leading to study discontinuation. |
Measure: | Characterization of Pharmacokinetics (AUC) (Phase 1b and Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Area Under the Curve (AUC) |
Measure: | Characterization of Pharmacokinetics (Cmin,ss) (Phase 1b and Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Minimum Plasma Concentration During Dosing Interval at Steady-State (Cmin,ss) |
Measure: | Characterization of Pharmacokinetics (Cmax) (Phase 1b and Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Maximum Plasma Concentration (Cmax) |
Measure: | Characterization of Pharmacokinetics (Tmax) (Phase 1b and Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Time of Maximum Plasma Concentration (Tmax) |
Measure: | Preliminary evidence of anti-tumor activity, in terms of Time to Response (TTR) as assessed by the Investigator. (Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Measure of Time to Response (TTR) as evaluated by standard response and progression criteria for CLL/SLL. |
Measure: | Preliminary evidence of anti-tumor activity, in terms of Duration of Response (DOR) as assessed by the Investigator. (Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Measure of Duration of Response (DOR) as evaluated by standard response and progression criteria for CLL/SLL. |
Measure: | Preliminary evidence of anti-tumor activity, in terms of Response Rate (RR) as assessed by the Investigator. (Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Measure of Response Rate (RR) as evaluated by standard response and progression criteria for CLL/SLL. |
Measure: | Preliminary evidence of anti-tumor activity, in terms of Disease Control Rate (DCR) as assessed by the Investigator. (Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Measure of Disease Control Rate (DCR) as evaluated by standard response and progression criteria for CLL/SLL. |
Measure: | Preliminary evidence of anti-tumor activity, in terms of Progression-Free Survival (PFS) as assessed by the Investigator. (Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Measure of Progression-Free Survival (PFS) as evaluated by standard response and progression criteria for CLL/SLL. |
Measure: | Preliminary evidence of anti-tumor activity, in terms of Overall Survival (OS) as assessed by the Investigator. (Phase 2) |
Time Frame: | Up to approximately 36 months |
Safety Issue: | |
Description: | Measure of Overall Survival (OS) as evaluated by standard response and progression criteria for CLL/SLL. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Sunesis Pharmaceuticals |
Trial Keywords
- CLL
- hematological diseases
- relapsed
- cancer
- malignancy
- SNS-062
- B-lymphoid
- chronic lymphocytic leukemia
- small lymphocytic lymphoma
- lymphoplasmacytoid lymphoma
- Waldenström's macrogloulinemia
- mantle cell lymphoma
- SLL
- LPL
- WM
- MCL
- refractory
- DLBCL-ABC
- DLBCL
- follicular lymphoma
- diffuse large B-cell lymphoma
- CLL/SLL
- MZL
- marginal zone lymphoma
Last Updated
October 19, 2020