Description:
The primary purpose of this study is to study the maximum tolerated dose (MTD) of
orally-administered RP-3500 alone or in combination with talazoparib, a PARP inhibitor, in
patients with advanced solid tumors with ATR inhibitor-sensitizing mutations. This study will
also evaluate the safety and tolerability of RP-3500 alone or in combination with
talazoparib, examine both the pharmacokinetics (PK)and pharmacodynamics (PD)and investigate
its anti-tumor activity in solid tumors.
Title
- Brief Title: Study of RP-3500 in Advanced Solid Tumors
- Official Title: Phase 1/2a Study of the Safety, Pharmacokinetics, Pharmacodynamics and Preliminary Clinical Activity of RP-3500 Alone or in Combination With Talazoparib in Advanced Solid Tumors With ATR Inhibitor Sensitizing Mutations (TRESR Study)
Clinical Trial IDs
- ORG STUDY ID:
RP-3500-01
- SECONDARY ID:
2020-000301-87
- NCT ID:
NCT04497116
Conditions
- Advanced Solid Tumor, Adult
Interventions
Drug | Synonyms | Arms |
---|
RP-3500 | | Expansion cohorts with RP-3500 |
Talazoparib: oral PARP inhibitor | | RP-3500 |
Purpose
The primary purpose of this study is to study the maximum tolerated dose (MTD) of
orally-administered RP-3500 alone or in combination with talazoparib, a PARP inhibitor, in
patients with advanced solid tumors with ATR inhibitor-sensitizing mutations. This study will
also evaluate the safety and tolerability of RP-3500 alone or in combination with
talazoparib, examine both the pharmacokinetics (PK)and pharmacodynamics (PD)and investigate
its anti-tumor activity in solid tumors.
Detailed Description
This is a first-in-human, Phase 1/2, multi-center, open-label, dose-escalation and expansion
study to:
- Evaluate the safety profile and MTD of RP-3500 when administered orally, alone and in
combination with talazoparib, to establish the dose and schedule recommended for the
Phase 2
- Characterize the PK profile of RP-3500 alone or in combination with talazoparib
- Identify anti-tumor activity associated with RP-3500 given alone or in combination with
talazoparib
- Examine biomarker responses and establish a correlation with RP-3500 treatment.
The initial cohorts will test RP-3500 as monotherapy. Additional cohorts will be enrolled
with RP-3500 in combination with a PARP inhibitor.
After the RP2D and schedule is determined, expansion cohort(s) for RP-3500 will be enrolled
to study the anti-tumor effect, and further examine the safety, PK, and PD of RP-3500 at the
RP2D
Trial Arms
Name | Type | Description | Interventions |
---|
RP-3500 | Experimental | Phase 1:
Multiple doses of RP-3500 for oral administration alone or in combination with a talazoparib | - RP-3500
- Talazoparib: oral PARP inhibitor
|
Expansion cohorts with RP-3500 | Experimental | Phase 2:
Expansion cohorts with RP-3500 | |
Eligibility Criteria
Inclusion Criteria:
- Written informed consent, according to local guidelines, signed and dated by the
patient or legal guardian prior to the performance of any study-specific procedures,
sampling, or analyses.
- Male or female and ≥18 years-of-age at the time of signature of the ICF.
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
- Histologically confirmed solid tumors resistant or refractory to standard treatment
and/or patients who are intolerant to standard therapy.
- Measurable disease as per RECIST v1.1
- Existing biomarker profile (tumor tissue or plasma) reported from a local test
obtained in a certified lab per institutional guidelines:
- Available tumor tissue or willingness to have a biopsy performed to obtain tissue.
- Ability to comply with the protocol and study procedures detailed in the Schedule of
Assessments.
- Ability to swallow and retain oral medications.
- Acceptable organ function at screening
- Acceptable blood counts at screening
- Negative pregnancy test (serum or urine) for women of childbearing potential at
Screening and prior to first study drug. Women who are not of childbearing potential
is defined as 1) adequate time with absence of menses (period) or 2) documented
infertility.
- Resolution of all toxicities of prior treatment or surgery.
- Male patients with female partners of childbearing potential and women of childbearing
potential must follow a contraception method (oral contraceptives allowed) during
their participation in the study and for at least 4 months following last dose of
study drug. Male patients must also refrain from donating sperm during their
participation in the study and for 4 months following last dose of study drug.
Exclusion Criteria:
- Chemotherapy, small molecule anticancer or biologic anticancer therapy given within 14
days prior to first dose of study drug.
- History or current condition (such as transfusion dependent anemia or
thrombocytopenia), therapy, or laboratory abnormality that might confound the study
results, or interfere with the patient's participation for the full duration of the
study treatment.
- Prior therapy with an ATR or DNA-dependent protein kinase (DNA-PK) inhibitor.
- Known hypersensitivity to any of the ingredients of RP-3500.
- Life-threatening illness, medical condition, active uncontrolled infection, or organ
system dysfunction or other reasons which, in the investigator's opinion, could
compromise the patient's safety.
- Uncontrolled, symptomatic brain metastases.
- Uncontrolled high blood pressure
- Patients with active, uncontrolled bacterial, fungal, or viral infection, including
hepatitis B virus (HBV), hepatitis C virus (HCV), known human immunodeficiency virus
(HIV) or acquired immunodeficiency syndrome (AIDS) related illness.
- Moderate or severe hepatic impairment (ie, Child-Pugh class B or C).
- History or presence of an abnormal ECG that is clinically significant in the
investigator's opinion.
- History of ventricular dysrhythmias or risk factors such as structural heart disease,
coronary heart disease (clinically significant electrolyte abnormalities or family
history of sudden unexplained death or long QT syndrome
- Current treatment with medications that are well-known to prolong the QT interval
- History of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) diagnosis
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | To define the Maximum Tolerated Dose (MTD) which will then be used to inform and determine the Recommended Phase 2 Dose (RP2D) and schedule alone or in combination with talazoparib |
Time Frame: | Up to 90 days after last administration of study intervention |
Safety Issue: | |
Description: | Grade and frequency of adverse events and serious adverse events |
Secondary Outcome Measures
Measure: | Assess preliminary anti-tumor activity with Overall Response Rate (ORR) in patients with eligible advanced solid tumors by CT/MRI Response evaluation criteria in solid tumors (RECIST 1.1). |
Time Frame: | Through Study completion, an average of 1 year |
Safety Issue: | |
Description: | Objective response rate (ORR) |
Measure: | Assess preliminary anti-tumor activity with Duration of Response (DOR) in patients with eligible advanced solid tumors by CT/MRI Response evaluation criteria in solid tumors (RECIST 1.1). |
Time Frame: | Through Study completion, an average of 1 year |
Safety Issue: | |
Description: | Duration of response (DOR) |
Measure: | Characterize the pharmacokinetic profile of RP-3500 |
Time Frame: | Through Study Day 152 |
Safety Issue: | |
Description: | Area-under-the-curve (AUC 0-inf) |
Measure: | Peak plasma concentration |
Time Frame: | Through Study Day 152 |
Safety Issue: | |
Description: | Cmax |
Measure: | To assess PK parameters of RP-3500 monotherapy in fasted and fed states |
Time Frame: | Through Study Day 152 |
Safety Issue: | |
Description: | Comparison of geometric mean ratios (GMR) |
Measure: | Pharmacodynamic biomarkers of DNA damage (e.g. gH2AX) will be measured by immunohistochemistry and the percentage of positive cells will be compared between the pre and post treatment biopsies to evaluate target engagement |
Time Frame: | Through Study Day -28 to Day 66 (each cycle is 21 days) |
Safety Issue: | |
Description: | Tumor tissue samples will be collected pre and post dosing |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Repare Therapeutics |
Last Updated
August 5, 2021