Clinical Trials /

A Study of CPI-0209 in Patients With Advanced Tumors

NCT04104776

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.

Related Conditions:
  • Endometrial Carcinoma
  • Lymphoma
  • Malignant Soft Tissue Neoplasm
  • Ovarian Clear Cell Adenocarcinoma
  • Peritoneal Mesothelioma
  • Pleural Mesothelioma
  • Small Cell Lung Carcinoma
  • Urothelial Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

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

DrugSynonymsArms
CPI-0209Phase 2: Combination Therapy
IrinotecanPhase 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

NameTypeDescriptionInterventions
Phase 2: MonotherapyExperimentalCPI-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
  • CPI-0209
Phase 2: Combination TherapyExperimentalCPI-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)
  • CPI-0209
  • Irinotecan

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