Description:
DZD1516 is an oral, blood brain barrier penetrable, selective HER2 tyrosine kinase inhibitor.
This study is designed to evaluate the safety and tolerability of DZD1516 in patients with
metastatic HER2 positive breast cancer who have progressed following prior therapy. This is
the first time this drug has ever been tested in patients, and so it will help to understand
what type of side effects may occur with the drug treatment. It will also measure the levels
of drug in the body and assess its anti-cancer activity as monotherapy and in combination
with trastuzumab and/or capecitabine, or in combination with T-DM1
Title
- Brief Title: DZD1516 in Combination With Trastuzumab and Capecitabine, or in Combination With T-DM1, in Patients With Metastatic HER2 Positive Breast Cancer
- Official Title: A Phase I, Open-Label, Multicenter Study to Investigate the Safety, Tolerability, Pharmacokinetics and Anti-tumor Activity of DZD1516 in Combination With Trastuzumab and Capecitabine, or DZD1516 in Combination With T-DM1, in Patients With Metastatic HER2 Positive (HER2+) Breast Cancer
Clinical Trial IDs
- ORG STUDY ID:
DZ2019HE001
- NCT ID:
NCT04509596
Conditions
Interventions
Drug | Synonyms | Arms |
---|
DZD1516 mono therapy in Part A, DZD1516 in combination with trastuzumab and/or capecitabine in Part B, DZD1516 in combination with T-DM1 in Part C | | daily dose of DZD1516 |
Purpose
DZD1516 is an oral, blood brain barrier penetrable, selective HER2 tyrosine kinase inhibitor.
This study is designed to evaluate the safety and tolerability of DZD1516 in patients with
metastatic HER2 positive breast cancer who have progressed following prior therapy. This is
the first time this drug has ever been tested in patients, and so it will help to understand
what type of side effects may occur with the drug treatment. It will also measure the levels
of drug in the body and assess its anti-cancer activity as monotherapy and in combination
with trastuzumab and/or capecitabine, or in combination with T-DM1
Trial Arms
Name | Type | Description | Interventions |
---|
daily dose of DZD1516 | Experimental | daily dose of DZD1516 | - DZD1516 mono therapy in Part A, DZD1516 in combination with trastuzumab and/or capecitabine in Part B, DZD1516 in combination with T-DM1 in Part C
|
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent.
- Male or female patients aged ≥ 18 years
- histologically or cytologically confirmed HER2 positive advanced breast cancer which
failed prior therapies
- Predicted life expectancy ≥ 12 weeks.
- ECOG performance status 0 to 1 for patients without LM, and 0 to 2 for patients with
LM at the time of signing ICF
- Adequate bone marrow reserve and organ system functions
- For patients without CNS metastases, patients must have at least one measurable lesion
according to RECIST (version 1.1)
- For patients with Brain metastasis: Patient must have at least one measurable
intracranial lesion according to modified RECIST 1.1
Exclusion Criteria:
- Intervention with any of the following: Any investigational agents or study drugs from
a previous clinical study within 4 weeks of the first dose of study treatment; Any
cytotoxic chemotherapy or other anticancer drugs for the treatment of metastatic
breast cancer from a previous treatment regimen within 4 weeks of the first dose of
study treatment; Any intrathecal chemotherapy within 2 weeks of the first dose of
study treatment;Major surgery procedure (excluding placement of vascular access), or
significant traumatic injury within 4 weeks of the first dose of study treatment, or
have an anticipated need for major surgery during the study; Radiotherapy with a wide
field of radiation within 4 weeks or radiotherapy with a limited field of radiation
for palliation within 1 week of the first dose of study treatment;
- CNS complications that require urgent neurosurgical intervention
- Any evidence of severe or uncontrolled systemic diseases
- Another malignancy within 5 years prior to enrolment with the exception of adequately
treated in-situ carcinoma of the cervix, uterus, basal or squamous cell carcinoma or
non-melanomatous skin cancer.
- Live vaccines within 4 weeks prior to first dose.
- Active infections including:Tuberculosis (clinical evaluation that includes clinical
history, physical examination and radiographic findings, and tuberculosis testing in
line with local practice);Positive Hepatitis B surface antigen (HBsAg) or positive HCV
antibodies or confirmed positive HIV test result.
- Refractory nausea and vomiting if not controlled by supportive therapy, chronic
gastrointestinal diseases, inability to swallow the formulated product or previous
significant bowel resection that would preclude adequate absorption of DZD1516
- Involvement in the planning and conduct of the study (applies to Sponsor staff or
staff at the study site).
- Judgment by the investigator that the patient should not participate in the study if
the patient is unlikely to comply with study procedures, restrictions and
requirements.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of adverse events (AEs) and serious adverse events (SAEs) |
Time Frame: | up to approximately 1 year |
Safety Issue: | |
Description: | To investigate the safety and tolerability of DZD1516 |
Secondary Outcome Measures
Measure: | Drug concentrations of DZD1516 and its metabolite DZ2678 in plasma, urine and CSF |
Time Frame: | up to approximately 6 months |
Safety Issue: | |
Description: | Pharmacokinetics endpoints |
Measure: | Maximum plasma concentration (Cmax) of DZD1516 and its metabolite DZ2678 |
Time Frame: | up to approximately 6 months |
Safety Issue: | |
Description: | Pharmacokinetics endpoints |
Measure: | Area under the plasma concentration-time curve (AUC) of DZD1516 and its metabolite DZ2678 |
Time Frame: | up to approximately 6 months |
Safety Issue: | |
Description: | Pharmacokinetics endpoints |
Measure: | Plasma concentration of capecitabine and metabolites 5-FU (Part B only) |
Time Frame: | up to approximately 6 months |
Safety Issue: | |
Description: | Pharmacokinetics endpoints |
Measure: | Plasma Cmax of capecitabine and 5-FU (Part B only) |
Time Frame: | up to approximately 6 months |
Safety Issue: | |
Description: | Pharmacokinetics endpoints |
Measure: | Plasma AUC of capecitabine and 5-FU (Part B only) |
Time Frame: | up to approximately 6 months |
Safety Issue: | |
Description: | Pharmacokinetics endpoints |
Measure: | Plasma concentration of DM1 (Part C only) |
Time Frame: | up to approximately 6 months |
Safety Issue: | |
Description: | Pharmacokinetics endpoints |
Measure: | Objective Response Rate (ORR) |
Time Frame: | up to approximately 1 year |
Safety Issue: | |
Description: | To assess preliminary anti-tumor efficacy of DZD1516 as monotherapy and as combination therapy |
Measure: | Disease Control Rate (DCR) |
Time Frame: | up to approximately 1 year |
Safety Issue: | |
Description: | To assess preliminary anti-tumor efficacy of DZD1516 as monotherapy and as combination therapy |
Measure: | Duration of Response (DoR) |
Time Frame: | up to approximately 1 year |
Safety Issue: | |
Description: | To assess preliminary anti-tumor efficacy of DZD1516 as monotherapy and as combination therapy |
Measure: | Progression free survival (PFS) (Part B and Part C on) |
Time Frame: | up to approximately 1 year |
Safety Issue: | |
Description: | To assess preliminary anti-tumor efficacy of DZD1516 as combination therapy |
Measure: | Overall survival (for patients with leptomeningeal metastasis in Part B and Part C only) |
Time Frame: | up to approximately 1 year |
Safety Issue: | |
Description: | To assess preliminary anti-tumor efficacy of DZD1516 as combination therapy |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Dizal Pharmaceuticals |
Last Updated
March 16, 2021