Description:
NUV-422-02 is a first-in-human, open-label, Phase 1/2 dose escalation and multiple expansion
cohort study designed to evaluate the safety and efficacy of NUV-422. The study population is
comprised of adults with recurrent or refractory high-grade gliomas (HGGs), metastatic breast
cancer (mBC), with and without brain metastases, and recurrent or refractory metastatic
castration-resistant prostate cancer (mCRPC). All patients will self-administer NUV-422
orally in 28-day cycles until disease progression, toxicity, withdrawal of consent, or
termination of the study.
Title
- Brief Title: Study of NUV-422 in Adults With Recurrent or Refractory High-grade Gliomas and Solid Tumors
- Official Title: Phase 1/2 Dose Escalation, Safety, Pharmacokinetics, and Efficacy Study of NUV-422 in Adults With Recurrent or Refractory High-grade Gliomas and Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
NUV-422-02
- NCT ID:
NCT04541225
Conditions
- Glioma
- Glioma, Malignant
- Glioma, Mixed
- Glial Cell Tumors
- Breast Cancer
- Breast Carcinoma
- Cancer of Breast
- Cancer of the Breast
- Breast Tumor
- Malignant Tumor of Breast
- Prostate Cancer
- Prostatic Cancer
- Cancer of Prostate
- Cancer of the Prostate
- Prostate Neoplasm
Interventions
Drug | Synonyms | Arms |
---|
NUV-422 | | Phase 1 Dose Escalation |
Purpose
NUV-422-02 is a first-in-human, open-label, Phase 1/2 dose escalation and multiple expansion
cohort study designed to evaluate the safety and efficacy of NUV-422. The study population is
comprised of adults with recurrent or refractory high-grade gliomas (HGGs), metastatic breast
cancer (mBC), with and without brain metastases, and recurrent or refractory metastatic
castration-resistant prostate cancer (mCRPC). All patients will self-administer NUV-422
orally in 28-day cycles until disease progression, toxicity, withdrawal of consent, or
termination of the study.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase 1 Dose Escalation | Experimental | NUV-422 administered at escalating dose levels until the maximum tolerated dose (MTD) is reached. | |
Phase 2 Dose Expansion | Experimental | NUV-422 administered at the recommended Phase 2 dose (RP2D). | |
Eligibility Criteria
Key Inclusion Criteria
For All Phases and Cohorts:
1. Recovered from toxicity to prior anti-cancer therapy
2. Adequate bone marrow and organ function
3. Appropriate candidate for NUV-422 monotherapy
4. Life expectancy of > 3 months
Cohort-Specific Inclusion Criteria: In addition to the inclusion criteria listed above, the
following criteria apply based on enrollment into specific cohorts.
Phase 1 (High-Grade Glioma):
1. Histologically confirmed diagnosis of high-grade glioma
2. Evidence of recurrence after treatment (ie, surgery, radiation, or temozolomide) or
refractory (or intolerant) to treatment
3. Measurable or non-measurable disease
4. Karnofsky Performance Status (KPS) score ≥ 60
Phase 1 (HR+HER2- Metastatic Breast Cancer):
1. Men and women who are not suitable for surgical resection or radiotherapy for the
purpose of cure
2. Diagnosis of locally advanced or HR+ HER2 metastatic breast cancer
3. Evidence of progression as determined by the Investigator per standard criteria
4. Patients must have endocrine-resistant disease.
5. Have no known active or symptomatic central nervous system (CNS) disease
6. Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≤ 2
Phase 1 (Metastatic Castration-Resistant Prostate Cancer):
1. Diagnosis of metastatic castration-resistant prostate cancer with disease progression
despite castrate levels of testosterone
2. Have radiographic or biochemical evidence of progression as determined by the
Investigator per standard criteria
3. Have no known active or symptomatic CNS disease
4. Received prior therapy with anti-androgen(s) and taxane-based chemotherapy for
castration-resistant disease
5. ECOG PS ≤ 2
Phase 2 Expansion Cohort 1 (Glioblastoma):
1. Histologically confirmed diagnosis of glioblastoma
2. Received prior therapy with radiation or radiation plus temozolomide
3. Radiographic evidence of progression and measurable disease as determined by the
Investigator per standard criteria
4. KPS score ≥ 70
Phase 2 Expansion Cohort 2 (Glioblastoma):
1. Histologically confirmed diagnosis of glioblastoma
2. Received prior therapy with radiation or radiation plus temozolomide
3. Radiographic evidence of progression and measurable disease as determined by the
Investigator per standard criteria
4. KPS score ≥ 70
5. Eligible for surgical resection
Phase 2 Expansion Cohort 3 (HR+HER2- Metastatic Breast Cancer):
1. Men and women who are not suitable for surgical resection or radiotherapy for the
purpose of cure
2. Diagnosis of locally advanced or HR+HER2- metastatic breast cancer
3. Evidence of progression and measurable disease as determined by the Investigator per
standard criteria
4. Have no known active or symptomatic CNS disease
5. ECOG PS ≤ 2
Phase 2 Expansion Cohort 4 (Metastatic Castration-Resistant Prostate Cancer):
1. Diagnosis of metastatic castration-resistant prostate cancer with disease progression
despite castrate levels of testosterone
2. Have radiographic or biochemical evidence of progression and measurable disease as
determined by the Investigator per standard criteria
3. Have no known active or symptomatic CNS disease
4. Received prior therapy with anti-androgen(s) and taxane-based chemotherapy for
castration-resistant disease
5. ECOG PS ≤ 2
Phase 2 Expansion Cohort 5 (HR+HER2- Metastatic Breast Cancer with brain metastases)
1. Men and women who are not suitable for surgical resection or radiotherapy for the
purpose of cure
2. Diagnosis of HR+HER2- metastatic breast cancer with brain lesion(s)
3. Evidence of progression and measurable disease as determined by the Investigator per
standard criteria
4. ECOG PS ≤ 2
Key Exclusion Criteria for All Phases and Cohorts:
1. Have received chemotherapy, hormonal therapy (with the exception of ongoing LHRH
analogs in male patients and premenopausal women), radiation, or biological
anti-cancer therapy within 14 days prior to the first dose of NUV-422
2. Has a history of or current use of bevacizumab (glioma and brain metastases only)
3. Received treatment with an investigational agent for any indication within 14 days for
non-myelosuppressive agent or 21 days (or < 5 half-lives) for myelosuppressive agent
prior to the first dose of NUV-422
4. Requires systemic corticosteroid therapy > 4 mg/day (> 2 mg/day for Expansion Cohort
2) of dexamethasone or equivalent or increasing doses of systemic corticosteroids
during the 7 days prior to enrollment
5. Requires anti-seizure medications that are known to be strong inducers of CYP3A4/5
enzymes (carbamazepine, phenytoin) or has a recent history of uncontrolled or
intermittent seizures
6. Females who are pregnant or breast feeding
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase 1 Dose Escalation |
Time Frame: | During the DLT period (28 days) |
Safety Issue: | |
Description: | Incidence of treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs) |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Nuvation Bio Inc. |
Trial Keywords
- Phase 1
- Phase 2
- malignant glioma
- metastatic breast cancer
- metastatic castration-resistant prostate cancer
Last Updated
July 20, 2021