Description:
This clinical trial is evaluating a drug called ART0380 in participants with advanced or
metastatic solid tumors. The main goals of this study are to:
- Find the recommended dose of ART0380 that can be given safely to participants alone and
in combination with gemcitabine
- Learn more about the side effects of ART0380 alone and in combination with gemcitabine
- Learn more about the effectiveness of ART0380 alone and in combination with gemcitabine
Title
- Brief Title: A Study of ART0380 for the Treatment of Advanced or Metastatic Solid Tumors
- Official Title: A Phase I/IIa, Open-label, Multi-center Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of the ATR Kinase Inhibitor ART0380 Administered Orally as Monotherapy and in Combination to Patients With Advanced or Metastatic Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
ART0380C001
- NCT ID:
NCT04657068
Conditions
- Advanced Cancer
- Metastatic Cancer
- Ovarian Cancer
- Primary Peritoneal Cancer
- Fallopian Tube Cancer
Interventions
Drug | Synonyms | Arms |
---|
ART0380 | | Part A1 |
Gemcitabine | Gemzar | Part A2 |
Purpose
This clinical trial is evaluating a drug called ART0380 in participants with advanced or
metastatic solid tumors. The main goals of this study are to:
- Find the recommended dose of ART0380 that can be given safely to participants alone and
in combination with gemcitabine
- Learn more about the side effects of ART0380 alone and in combination with gemcitabine
- Learn more about the effectiveness of ART0380 alone and in combination with gemcitabine
Detailed Description
ART0380 is a new investigational medicinal product that is a potent and selective inhibitor
of Ataxia telangiectasia and Rad3-related (ATR). ART0380 is being developed as an oral
anti-cancer agent for the treatment of participants with cancers that harbor defects in
deoxyribonucleic acid (DNA) repair and in combination with agents including those that cause
DNA damage.
This study is an open-label Phase I/IIa study designed to evaluate the safety, tolerability,
PK and preliminary efficacy of ART0380 as monotherapy or in combination with gemcitabine in
participants with advanced or metastatic solid tumors, advanced or solid tumors that fail to
express Ataxia-Telangiectasia Mutated protein kinase (ATM) by immunohistochemistry, and high
grade serous ovarian, primary peritoneal or fallopian tube carcinoma.
Trial Arms
Name | Type | Description | Interventions |
---|
Part A1 | Experimental | Part A1 will evaluate intermittent and continuous dosing of ART0380 monotherapy. Treatment will be given in 21 day cycles. Up to 68 participants will participate in this dose escalation arm. | |
Part A2 | Experimental | Part A2 will evaluate intermittent dosing of ART0380 in combination with gemcitabine in 21-day cycles. Up to 12 participants will participate in this dose escalation arm. | |
Part B1 | Experimental | Part B1 will evaluate ART0380 monotherapy in up to 40 participants with solid cancers that fail to express ATM (ataxia-telangiectasia mutated) protein. | |
Part B2 | Experimental | In Part B2, up to 60 participants with high grade serous ovarian, primary peritoneal, or fallopian tube carcinoma will be randomized (open-label) 1:1 to either ART0380 in combination with gemcitabine or gemcitabine alone. | |
Eligibility Criteria
General Inclusion Criteria:
- Signed written informed consent
- Have not received a previous treatment targeting the ATR/CHK1 pathway
- Discontinued all previous treatments for cancer for at least 21 days or 5 half-lives,
whichever is shorter, and recovered from the acute effects of therapy to CTCAE Grade
≤1. Palliative radiotherapy must have completed 1 week prior to start of study
treatment.
- If patients have a germline BRCA mutation or a cancer with a somatic BRCA mutations or
which is HRD positive and for which there is an approved PARP inhibitor, participants
should have received such treatment before participating in the study unless
contra-indicated
- At least 1 radiologically evaluable lesion (measurable and/or non-measurable) that can
be assessed at baseline and is suitable for repeated radiological evaluation by RECIST
v1.1 or Prostate Cancer Working Group-3 Guidelines (PCWG-3)
- Acceptable hematologic, renal, hepatic, and coagulation functions independent of
transfusions and granulocyte colony-stimulating factor
- Non-irradiated tumor tissue sample (archival or newly obtained core biopsy of a tumor
lesion) available for submission for analysis via immunohistochemistry (IHC) for loss
of ATM protein
- Female patients of childbearing potential and male patients with female partners of
childbearing potential are required to use highly effective contraception
- Estimated life expectancy of ≥12 weeks
- Reliable and willing to make themselves available for the duration of the study and
are willing to follow study procedures
Additional inclusion criteria for participants in dose escalation (Part A1):
- Advanced or metastatic cancer which is refractory to standard therapies, or for which
no standard therapies exist, or for which the investigator feels no other active
therapy is required for the duration of the study
- Performance status of 0-2 on the Eastern Cooperative Oncology Group (ECOG) scale
Additional inclusion criteria for participants in dose escalation (Part A2):
- Advanced or metastatic cancer for which gemcitabine is an appropriate treatment. Prior
treatment with gemcitabine is permitted.
- Performance status of 0-2 on the ECOG scale
Additional inclusion criteria for participants in dose expansion (Part B1):
- Patients with advanced or metastatic solid tumors with loss of ATM protein by IHC
- Have at least 1 measurable lesion assessable using standard techniques by RECIST v1.1
- Performance status of 0-2 on the ECOG scale
Additional inclusion criteria for participants in dose expansion (Part B2):
- Females with histologically-confirmed diagnosis of high grade serous carcinoma of the
ovary, fallopian tube or primary peritoneum that is not amenable to curative therapy
- Platinum-resistant disease, defined as disease progression within 6 months of last
receipt of platinum-based chemotherapy. Patients must not have had primary
platinum-refractory disease (disease that progressed during first-line or second-line
platinum-based therapy).
- No more than one prior regimen in the platinum-resistant setting. Hormonal therapies
and antiangiogenic therapies (as single agents) and PARP inhibitors used as
maintenance therapy are not considered as separate lines of therapy. Patients should
have previously received bevacizumab and chemotherapy unless contra-indicated.
- Have not received prior treatment with gemcitabine unless administered in combination
with a platinum with no disease progression within 12 months after completion of that
regimen
- Have at least 1 measurable lesion assessable using standard techniques by RECIST v1.1
- Performance status of 0-1 on the on the ECOG scale
General Exclusion Criteria:
- Women who are pregnant, breast feeding, or who plan to become pregnant while in the
study or within 4 weeks after the last administration of study treatment
- Men who plan to father a child while in the study or within 16 weeks after the last
administration of study treatment
- Serious concomitant systemic disorder that would compromise the participants ability
to adhere to the protocol including: one or more opportunistic HIV/AIDs-related
infections within the past 12 months, hepatitis B virus, or hepatitis C virus; known
history of clinical diagnosis of tuberculosis; malignancy prior to the one currently
being treated that is not in remission
- Evidence of interstitial lung disease or pneumonitis (whether symptomatic or
asymptomatic)
- Moderate or severe cardiovascular disease
- Valvulopathy that is severe, moderate, or deemed clinically significant
- Documented major electrocardiogram (ECG) abnormalities which are clinically
significant
- Symptomatic or uncontrolled brain metastases, spinal cord compression, or
leptomeningeal disease requiring concurrent treatment
- Received a live vaccine within 30 days before the first dose of study treatment
- History or current evidence of any condition, therapy, or laboratory abnormality that
might confound the results of the study, interfere with the patient's participation
for the full duration of the study, or is not in the best interest of the patient to
participate
- Recent major surgery within 4 weeks prior to entry into the study or minor surgery
within 1 week of entry into the study
- Significant bleeding disorder or vasculitis or had a Grade ≥3 bleeding episode within
12 weeks prior to enrollment
- Currently enrolled in a clinical trial involving an investigational product or any
other type of medical research judged not to be scientifically or medically compatible
with this study
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Part A: Maximum tolerated dose (MTD) by the number of participants with dose limiting toxicities (DLTs) from ART0380 monotherapy and in combination with gemcitabine |
Time Frame: | 24 days (Cycle 0 Day -3 to Cycle 1 Day 21) |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Part B2: Number of participants with adverse events following administration of ART0380 in combination with gemcitabine or gemcitabine alone |
Time Frame: | From Cycle 1 Day 1 until up to 30 days after the last dose of ART0380 or gemcitabine. Each cycle is 21 days. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic Analysis (single dose): determine the plasma concentration of ART0380 when given alone and in combination with gemcitabine |
Time Frame: | PK will be measured at each cycle from Cycle 0 to Cycle 4. Each cycle is 21 days. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic Analysis (multiple dose): determine the plasma concentration of ART0380 when given alone and in combination with gemcitabine |
Time Frame: | PK will be measured at each cycle from Cycle 0 to Cycle 4. Each cycle is 21 days. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetic Analysis: Renal clearance of ART0380 |
Time Frame: | Urine PK will be measured during Cycle 1. Cycle 1 is 21 days. |
Safety Issue: | |
Description: | |
Measure: | Parts A1, A2, B1, and B2: Objective response rate based on RECIST 1.1 |
Time Frame: | Every 6 weeks from Cycle 1 Day 1 for 18 weeks, then every 9 weeks up to approximately 24 months. Each cycle is 21 days. |
Safety Issue: | |
Description: | |
Measure: | Parts A1, A2, B1, and B2: Duration of response based on RECIST 1.1 |
Time Frame: | Every 6 weeks from Cycle 1 Day 1 for 18 weeks, then every 9 weeks up to approximately 24 months. Each cycle is 21 days. |
Safety Issue: | |
Description: | |
Measure: | Parts A1 and B1: Progression free survival based on RECIST 1.1 |
Time Frame: | Every 6 weeks from Cycle 1 Day 1 for 18 weeks, then every 9 weeks up to approximately 24 months. Each cycle is 21 days. |
Safety Issue: | |
Description: | |
Measure: | Assess tumor biopsies by immunohistochemistry (IHC) for loss of Ataxia Telangiectasia Mutated (ATM) protein |
Time Frame: | Prior to dosing on Cycle 1 Day 1 |
Safety Issue: | |
Description: | Where available archival tumor samples will be obtained for analysis of loss of ATM protein by IHC. If an archival tumor sample is not available, a pre-dose tumor biopsy must be taken. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Artios Pharma Ltd |
Trial Keywords
- Loss of Ataxia Telangiectasia Mutated (ATM) protein
Last Updated
July 21, 2021