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
telaglenestat (CB-839) with the CDK4/6 Inhibitor, palbociclib in participants with
advanced/metastatic solid tumors.
Title
- Brief Title: A Study of Telaglenastat (CB-839) in Combination With Palbociclib in Patients With Solid Tumors
- Official Title: A Phase 1b/2, Open Label, Dose Escalation and Expansion Study of the Glutaminase Inhibitor Telaglenastat (CB-839) in Combination With CDK4/6 Inhibitor Palbociclib in Patients With Advanced or Metastatic Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
CX-839-012
- NCT ID:
NCT03965845
Conditions
- Solid Tumors
- NSCLC
- CRC
- KRAS Gene Mutation
Interventions
Drug | Synonyms | Arms |
---|
Telaglenestat (CB-839) | | Cohort 1: Telaglenastat 600 mg and Palbociclib 75 mg |
Palbociclib Oral Capsule or Tablet [Ibrance] | Ibrance | Cohort 1: Telaglenastat 600 mg and Palbociclib 75 mg |
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
telaglenestat (CB-839) with the CDK4/6 Inhibitor, palbociclib in participants with
advanced/metastatic solid tumors.
Trial Arms
Name | Type | Description | Interventions |
---|
Cohort 1: Telaglenastat 600 mg and Palbociclib 75 mg | Experimental | | - Telaglenestat (CB-839)
- Palbociclib Oral Capsule or Tablet [Ibrance]
|
Cohort 2: Telaglenastat 800 mg and Palbociclib 75 mg | Experimental | | - Telaglenestat (CB-839)
- Palbociclib Oral Capsule or Tablet [Ibrance]
|
Cohort 3: Telaglenastat 800 mg and Palbociclib 100 mg | Experimental | | - Telaglenestat (CB-839)
- Palbociclib Oral Capsule or Tablet [Ibrance]
|
Cohort 3: Telaglenastat 800 mg and Palbociclib 125 mg | Experimental | | - Telaglenestat (CB-839)
- Palbociclib Oral Capsule or Tablet [Ibrance]
|
Part 2: Expansion | Experimental | The recommended phase 2 dose (RP2D) determined from Part 1 will be the treatment for all cohorts in expansion Part 2. | - Telaglenestat (CB-839)
- Palbociclib Oral Capsule or Tablet [Ibrance]
|
Eligibility Criteria
Inclusion Criteria:
- Part 1: Have documented incurable/locally advanced or metastatic solid tumors that
have either relapsed or are refractory or intolerant to the standard therapies of
proven clinical benefit.
- Part 2: Availability of archival tumor tissue block or slides (Fresh tumor biopsy will
be required if archival tissue is not available)
- Part 2, Cohort 1: Incurable/locally advanced or metastatic KRAS-mutant CRC previously
treated with systemic therapy (examples include: oxaliplatin-, irinotecan-and 5
FU-based chemotherapy (unless contraindicated) with or without bevacizumab)
- Part 2, Cohort 2: Incurable/locally advanced or metastatic KRAS-mutant NSCLC
previously treated with systemic chemotherapy including platinum-based and
anti-PD-1/PDL-1 therapy (unless contraindicated)
- Part 2, Cohort 3: Advance KRAS-mutant Pancreatic Ductal Adenocarcinoma (PDAC)
harboring a mutation or loss in CDKN2A (PDAC) and received treatment with one or more
lines of systemic chemotherapy with FOLFIRINOX and/or gemcitabine/abraxane in the
neoadjuvant, adjuvant, or metastatic disease setting or unable to receive standard of
care chemotherapy
Cohort 4 may be opened only if Cohort 3 achieves predefined criteria for efficacy
-Part 2 Cohort 4: Advanced KRAS-mutant Pancreatic Ductal Adenocarcinoma (PDAC). ·
Histological or cytological diagnosis of advanced or metastatic KRAS-mutant with CDKN2A
wild type (PDAC) and received treatment with one or more lines of systemic chemotherapy
with FOLFIRINOX and/or gemcitabine/abraxane in the neoadjuvant, adjuvant, or metastatic
disease setting or unable to receive standard of care chemotherapy.
For both Part 1 and 2:
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1
- Ability to provide written consent in accordance with federal, local and institutional
guidelines
- PER RECIST v1.1 evaluable disease (for part 1) or measurable disease (for Part 2)
- Recovery to baseline or to Grade 1 CTCAE v5.0 of toxicities that were related to prior
therapies
Exclusion Criteria:
- Prior treatment with CB-839 or palbociclib
- Unable to receive oral medication
- Infection requiring more than 5 days of parenteral antibiotics, antivirals, or
antifungals within two weeks prior to C1D1
- Unable to discontinue proton pump inhibitor use before study treatment
- Refractory nausea and vomiting, uncontrolled diarrhea, malabsorption, significant
small bowel resection or gastric bypass surgery, use of feeding tubes or other
situation that may preclude adequate absorption
- Active and/or untreated central nervous system metastasis. Patients with treated brain
metastasis must have (1) documented radiographic stability of at least 4 weeks in
duration demonstrating on baseline central nervous system 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:
1. small molecule TKI therapy (including investigational) within 2 weeks or 5
half-lives prior to expected Cycle 1 Day 1 dose
2. any type of anti-cancer antibody or cytotoxic chemo within 4 weeks prior to Cycle
1 Day 1 Dose
3. radiation therapy for bone metastasis within 2 weeks prior or any other external
radiation therapy within 4 weeks prior to C1D1
4. 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 telaglenestat (CB-839) in combination with palbociclib: (CR) 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 telaglenastat and palbociclib: |
Time Frame: | PKs are drawn on two different days (Day 8 and Day 15) during Cycle 1 |
Safety Issue: | |
Description: | Non-compartmental method of analysis will be used to analyze the plasma concentrations |
Measure: | Anti-tumor activity of telaglenestat and palbociclib: |
Time Frame: | Approximately every 8 weeks until disease progression, for approximately 18 months |
Safety Issue: | |
Description: | Change in tumor size from baseline |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Calithera Biosciences, Inc |
Trial Keywords
- Tumor Metabolism
- Glutaminase Inhibitor
- CB-839
- Palbociclib
- PALBO
- Telaglenestat
- CDK4/6
- CDK4
- CDK6
Last Updated
August 11, 2021