Description:
First-in-human, open-label, sequential dose escalation and expansion study of CPI-0209 in
patients with advanced tumors alone and in combination with other therapies. CPI-0209 is a
small molecule inhibitor of EZH2.
Title
- Brief Title: A Study of CPI-0209 in Patients With Advanced Tumors
- Official Title: A Phase 1/2 Study of CPI-0209 Monotherapy and in Combination With Other Therapy in Patients With Advanced Tumors
Clinical Trial IDs
- ORG STUDY ID:
0209-01
- NCT ID:
NCT04104776
Conditions
- Advanced Solid Tumor
- Diffuse Large B Cell Lymphoma
- Lymphoma, T-Cell
- Mesothelioma, Malignant
- Prostatic Neoplasms, Castration-Resistant
Interventions
Drug | Synonyms | Arms |
---|
CPI-0209 | | Phase 2: Combination Therapy |
Irinotecan | | Phase 2: Combination Therapy |
Purpose
First-in-human, open-label, sequential dose escalation and expansion study of CPI-0209 in
patients with advanced tumors alone and in combination with other therapies. CPI-0209 is a
small molecule inhibitor of EZH2.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase 2: Monotherapy | Experimental | CPI-0209 will be dosed once per day orally in 28 day cycles.
Cohort M1: Open to patients with urothelial carcinoma (with known ARID1A mutation)
Cohort M2: Open to patients with ovarian clear cell carcinoma (with known ARID1A mutation)
Cohort M3: Open to patients with endometrial carcinoma (with known ARID1A mutation)
Cohort M4: Open to patients with lymphoma (of either B-cell or T-cell histology), including germinal center B cell like diffuse large B-cell lymphoma (GCB-DLBCL) patients with EZH2 mutation
Cohort M5: Open to patients with relapsed or refractory malignant pleural or peritoneal mesothelioma with known BAP1 loss
Cohort M6: Open to patients with castration-resistant prostate cancer(mCRPC) with measurable soft tissue disease | |
Phase 2: Combination Therapy | Experimental | CPI-0209 will be dosed once per day orally in 21 day cycles. Irinotecan iv will be dosed once every 3 weeks (Q3W).
• Cohort C1: Open to patients with small cell lung cancer (SCLC) | |
Eligibility Criteria
Inclusion Criteria:
Phase 2:
- Life expectancy of ≥ 12 weeks
- ECOG 0-1
- Adequate bone marrow function
- Adequate renal function
- Adequate liver function
For Cohort M1, the following criteria should be considered:
- Histologically confirmed locally advanced unresectable or metastatic urothelial
carcinoma with predominant urothelial histology
- Known ARID1A mutation
- Disease progression during or following prior chemotherapy
- Measurable disease per RECIST 1.1
For Cohort M2, the following criteria should be considered:
- Histologically confirmed advanced ovarian clear cell carcinoma
- Known ARID1A mutation
- Received at least 1 line of platinum-based chemotherapy
- Measurable disease per RECIST 1.1
- Patient must have disease progression after previously receiving effective and
available standard of care treatment for clear cell ovarian cancer per local clinical
practice
For Cohort M3, the following criteria should be considered:
- Histologically or cytologically confirmed recurrent, metastatic, or unresectable
endometrial carcinoma
- Known ARID1A mutation
- Received at least 1 line of platinum-based regimen in recurrent/metastatic setting
- Documented microsatellite instability (MSI)-high or deficient mismatch repair (dMMR)
tumors should have received, or not be considered eligible for therapy with an
anti-PD-1 agent
- Brachytherapy is allowed if completed >12 weeks before the first dose of study drug
- Measurable disease per RECIST 1.1
- Patients must have previously received effective and available standard of care
treatment options for endometrial cancer per local clinical practice
For Cohort M4, the following criteria should be considered:
- Histologically confirmed lymphoma, with relapsed or refractory disease following 2 or
more prior lines of standard therapy
- Not considered candidates to receive CAR-T or autologous hematopoietic stem cell
transplant (ASCT) as assessed by the treating investigator
- Patients must not have received ASCT or CAR-T treatment for ≥90 days since the start
of the procedure OR ≥8 weeks since most recent systemic anti-DLBCL therapy
- At least 1 bi-dimensionally measurable lesion on imaging scan defined as >1.5 cm in
its longest dimension
For Cohort M5, the following criteria should be considered:
- Pleural or peritoneal relapsed/refractory mesothelioma
- Must have progressed on or after at least 1 prior line of active therapy
- Measurable disease per modified RECIST 1.1
- Known BAP1 loss per immunohistochemistry (IHC) or NGS
For Cohort M6, the following criteria should be considered:
- Have measurable soft-tissue disease
- Documented metastatic disease
- Disease progression while on prior therapies
- Baseline testosterone ≤50 ng/dL (≤2.0 nM) and surgical or ongoing medical castration
must be maintained throughout the duration of the study
For Cohort C1, the following criteria should be considered:
- Histologically or cytologically confirmed ES-SCLC that relapsed within 6 months after
first-line chemotherapy with platinum-etoposide for at least 2 cycles
- Prior immunotherapy is required
- No prior topoisomerase 1 inhibitor
Exclusion Criteria:
- Previous solid organ or allogenic hematopoietic cell transplant
- Known brain metatstases
- Prior EZH2 inhibitor
- Prior systemic anticancer treatment within 4 weeks of study treatment
- Prior radiation therapy within 4 weeks of study treatment
- Prior chemoembolization within 4 weeks of study treatment
- Concomitant medication(s) or food or beverage that are moderate or strong CYP3A
inducers or inhibitors within 7 days prior to the first dose of study drug
- Clinically significant cardiovascular disease
- Major surgery within 4 weeks
- GI disorders affecting absorption
- Uncontrolled infection
- Suspected pneumonitis or interstitial lung disease
- Known additional malignancy that is active and/or progressive requiring treatment
- Known HIV or active hepatitis
- Chronic liver disease
- Women of child bearing potential and men with reproductive potential, if they are
unwilling to use adequate contraception while on study therapy and for 3 months
thereafter
- Patients unwilling or unable to comply with this study protocol
For Cohort C1, the following criteria should be considered:
- Gilbert's disease or known homozygosity for UGT1A1*28 allele
- Prior irinotecan or topotecan therapy
For Cohort M6, the following criteria should be considered:
- Bone-only disease without nodal disease and no evidence of visceral spread
- Structurally unstable bone lesions concerning for impending fracture
- Prior treatment with:
- First generation AR antagonists within 4 weeks of study treatment
- 5α reductase inhibitors, ketoconazole, estrogens (including DES), or
progesterones within 2 weeks of study treatment
- No planned palliative procedures for alleviation of bone pain
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase 1: Frequency of Dose-limiting toxicities (DLTs) |
Time Frame: | DLTs assessed during Cycle 1 (first 28 days on study for monotherapy and first 21 days for combination therapy) |
Safety Issue: | |
Description: | The maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of CPI-0209 as monotherapy and in combination with irinotecan in patients with advanced tumors |
Secondary Outcome Measures
Measure: | Adverse events (AEs) and change in laboratory values |
Time Frame: | 18 months |
Safety Issue: | |
Description: | |
Measure: | Area under the curve versus time (AUC) |
Time Frame: | 18 months |
Safety Issue: | |
Description: | |
Measure: | Maximum observed plasma concentration (Cmax) |
Time Frame: | 18 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Constellation Pharmaceuticals |
Trial Keywords
- Lymphoma, Large B-Cell, Diffuse
- Lymphoma, B-cell
- Lymphoma, T-cell
- Lymphoma, Non-Hodgkin
- Lymphoma
- Neoplasms by Site
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Immune System Diseases
- Irinotecan
- Topoisomerase I Inhibitors
- Topoisomerase Inhibitors
- Enzyme Inhibitors
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
Last Updated
August 18, 2021