Description:
The purpose of this study is to evaluate the safety and establish the maximum tolerated dose
(MTD) and recommended Phase 2 dose (RP2D) of ION537 when administered by intravenous infusion
in patients with advanced solid tumors.
Title
- Brief Title: A Study of ION537 in Patients With Molecularly Selected Advanced Solid Tumors
- Official Title: Phase 1 Trial of ION537 in Patients With Molecularly Selected Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
ION537-CS1
- NCT ID:
NCT04659096
Conditions
Interventions
Drug | Synonyms | Arms |
---|
ION537 | | ION537 |
Purpose
The purpose of this study is to evaluate the safety and establish the maximum tolerated dose
(MTD) and recommended Phase 2 dose (RP2D) of ION537 when administered by intravenous infusion
in patients with advanced solid tumors.
Detailed Description
This is a single center, open label, non-randomized, Phase 1, two-part study of ION537 in up
to 102 participants. Part 1 of the study consists of sequential cohort, dose escalation in
patients with advanced solid tumors. Part 2 is dose expansion in patients with molecularly
selected advanced solid tumors. In total, the study includes up to 102 participants. The
study will consist of a 30-day screening period, a treatment period consisting of sequential
consecutive treatment cycles (each cycle will be of 28 days) and a post-treatment follow-up
period of at least 28 days following the last dose of study drug.
Trial Arms
Name | Type | Description | Interventions |
---|
ION537 | Experimental | Multiple ascending doses of ION537 will be administered by intravenous (IV) injection on Days 1, 4, 8, 11, 15, and 22 in Cycle 1 and weekly dosing in each subsequent cycle until disease progression. | |
Eligibility Criteria
Inclusion Criteria:
1. Males and females ≥ 18 years old
2. Participants must have histological diagnosis of local advanced (primary or recurrent)
or metastatic solid tumors that are not amenable for treatment with curative intent
3. Participants must be in need of systemic treatment for their cancer and either are
refractory to or have failed treatment with, are intolerant to or have refused, or are
not otherwise a candidate, in the opinion of the Investigator, for any of the
currently available established therapies
4. Participants must have available a fresh or recent tumor tissue sample from a
diagnostic biopsy/surgery or a metastatic tumor biopsy;
5. Participants must have measurable disease by response evaluation criteria in solid
tumors (RECIST) v1.1; or participants may have bone metastatic disease evaluable by
Prostate Cancer Working Group 2 (PCWG2) for participants with metastatic
castration-resistant prostate cancer (mCRPC), or according to the tumor evaluation
criteria best suited and accepted for the tumor type being evaluated
6. Participants must have an Eastern Cooperative Oncology Group (ECOG) performance status
(PS) 0 or 1
7. Participants must be willing and able to comply with the scheduled visits, treatment
plan, laboratory tests and other specified study procedures
Exclusion Criteria:
1. Known history or positive test for human immunodeficiency virus (HIV), hepatitis C
virus (HCV) or chronic hepatitis B virus (HBV) infection.
2. Active infection requiring intravenous (IV) antibiotics
3. History of cerebrovascular accident (CVA), myocardial infarction or unstable angina
within the previous 6 months before starting therapy.
4. Participants with uncontrolled Type I or II diabetes mellitus (DM); uncontrolled DM
5. Participants with prior anti-cancer therapy within 2 weeks prior to study enrollment
or prior radiation therapy within 2 weeks prior to study enrollment.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE) and Treatment-emergent Serious Adverse Event (TESAE), Graded by Severity |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Percentage of Participants With CR |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Percentage of Participants With PR |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Percentage of Participants With SD |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Clinical Benefit Rate (CBR) |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Objective Response Rate (ORR) |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Duration of Response (DoR) |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Progression-free Survival (PFS) |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Overall Survival (OS) |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Area Under the Plasma Concentration-Time Curve from Hour Zero to Hour 24 AUC[0-24] for ION537 |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Maximum Observed Plasma Concentration (Cmax) for ION537 |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Time to Reach the Maximum Plasma Concentration (Tmax) for ION537 |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Measure: | Elimination Half-Life (t1/2) of ION537 |
Time Frame: | Up to disease progression, death, start of new anticancer treatment, withdrawal of consent to study participation or end of the study, whichever occurs first (up to approximately 24 weeks for analysis) |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Ionis Pharmaceuticals, Inc. |
Trial Keywords
- Solid tumors
- Advanced solid tumors
Last Updated
January 7, 2021