Description:
This is a Phase 1b/2 study to determine the recommended phase 2 dose (RP2D), safety and
tolerability, pharmacokinetics (PK) and clinical activity of the glutaminase inhibitor CB-839
with the PARP inhibitor talazoparib in participants with advanced/metastatic solid tumors.
Title
- Brief Title: Study of CB-839 (Telaglenastat) in Combination With Talazoparib in Patients With Solid Tumors
- Official Title: A Phase 1b/2 Open Label, Dose Escalation and Expansion Study of the Glutaminase Inhibitor CB-839 in Combination With the PARP Inhibitor Talazoparib in Patients With Advanced or Metastatic Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
CX-839-011
- NCT ID:
NCT03875313
Conditions
- Solid Tumor
- Clear Cell Renal Cell Carcinoma
- TNBC - Triple-Negative Breast Cancer
- Colorectal Cancer
- CRC
- RCC
- ccRCC
Interventions
Drug | Synonyms | Arms |
---|
CB-839 | telaglenastat | Cohort 1: CB-839 and Talazoparib |
Talazoparib | Talzenna | Cohort 1: CB-839 and Talazoparib |
Purpose
This is a Phase 1b/2 study to determine the recommended phase 2 dose (RP2D), safety and
tolerability, pharmacokinetics (PK) and clinical activity of the glutaminase inhibitor CB-839
with the PARP inhibitor talazoparib in participants with advanced/metastatic solid tumors.
Detailed Description
This is a multicenter, open-label, dose-escalation and dose-expansion study. In Part 1,
escalating doses of CB-839 will be paired with the standard dose of talazoparib in order to
determine the maximum tolerated dose (MTD) and/or the RP2D of the regimen and to characterize
the safety and tolerability profile of the combination in participants with
advanced/metastatic solid tumors.
In Part 2, the combination of CB-839 and talazoparib will be evaluated at the RP2D determined
in Part 1 to evaluate the anti-cancer activity of the regimen in participants with
advanced/metastatic clear cell RCC, TNBC or CRC.
Trial Arms
Name | Type | Description | Interventions |
---|
Cohort 1: CB-839 and Talazoparib | Experimental | 600 mg CB-839 taken twice daily and 1 mg talazoparib taken daily | |
Cohort 2: CB-839 and Talazoparib | Experimental | 800 mg CB-839 taken twice daily and 1 mg talazoparib taken daily | |
Eligibility Criteria
Inclusion Criteria:
(Part 1)
-Documented incurable/locally advanced or metastatic solid tumors that have either relapsed
or are refractory or intolerant to standard therapies of proven clinical benefit.
(Part 2) Meets 1 of the 3 defined cohorts:
- Cohort 1: Documented incurable/locally advanced or metastatic clear cell renal cell
carcinoma (ccRCC)
- Cohort 2: Documented incurable/locally advanced or metastatic triple-negative breast
cancer (TNBC) defined as estrogen receptor (ER), progesterone receptor (PR) negative
(<1%) and human epidermal growth factor receptor 2 (HER2) negative
(immunohistochemistry 0 to 1+ or fluorescence in situ hybridization [FISH] negative)
- Cohort 3: incurable/locally advanced or metastatic CRC
For both Parts 1 & 2:
- Recovery to baseline or ≤ Grade 1 Common Terminology Criteria for Adverse Events
(CTCAE) v.5.0 from toxicities related to the prior therapy
- Adequate renal, hepatic, and hematological function
- Per Response Evaluation Criteria in Solid Tumours (RECIST) v1.1 evaluable disease
(Part 1) or measurable disease (Part 2)
- Ability to provide written consent in accordance with federal, local and institutional
guidelines
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1
Exclusion Criteria for both Parts 1 & 2:
- Prior treatment with CB-839 or a PARP inhibitor
- Unable to received oral medications
- Active and/or untreated central nervous system metastasis. Patients with treated brain
metastases must have (1) documented radiographic stability of at least 4 weeks
duration demonstrated on baseline central nervous system (CNS) imaging prior to study
treatment and (2) be symptomatically stable and off steroids for at least 2 weeks
before administration of any study treatment.
- Major surgery within 28 days prior to first dose of study drug
- Receipt of any anticancer therapy within the following windows: small molecule
tyrosine kinase inhibitor therapy (including investigational) within the prior 2 weeks
or 5 half-lives prior to C1D1, whichever is longer; any type of anti-cancer antibody
or cytotoxic chemotherapy within 4 weeks prior to C1D1; radiation therapy for bone
metastasis within 2 weeks prior or any other external radiation therapy within 4 weeks
prior to C1D1; patients with clinically relevant ongoing complications from prior
radiation therapy are not eligible.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety and tolerability of CB-839 in combination with talazoparib: Number of participants with treatment related adverse events |
Time Frame: | Start of treatment to 28 days post treatment |
Safety Issue: | |
Description: | Number of participants with treatment related adverse events as assessed by CTCAE v5.0 |
Secondary Outcome Measures
Measure: | Maximum plasma concentration of CB-839 and talazoparib |
Time Frame: | At the beginning of cycle 2 (each cycle is 28 days) |
Safety Issue: | |
Description: | Non-compartmental method of analysis will be used to analyze the plasma concentrations |
Measure: | Anti-tumor activity of CB-839 in combination with talazoparib |
Time Frame: | Approximately every 8 weeks until disease progression, approximately 18 months |
Safety Issue: | |
Description: | Change in tumor size from baseline |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Calithera Biosciences, Inc |
Trial Keywords
- Tumor Metabolism
- Glutaminase Inhibitor
- CB-839
- telaglenastat
- talazoparib
- PARP Inhibitor
- DNA Damage
- DNA Repair
- Homologous recombination deficiency
- HRD
- BRCA 1
- BRCA 2
Last Updated
August 18, 2021