Clinical Trials /

Study of ON 123300 in Patients With Advanced Cancer

NCT04739293

Description:

This study will investigate the safety of the drug ON 123300 at increasing doses to determine the best dose to use in future clinical trials.

Related Conditions:
  • Malignant Solid Tumor
  • Non-Hodgkin Lymphoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of ON 123300 in Patients With Advanced Cancer
  • Official Title: Phase 1 Study to Assess the Safety, Tolerability, and Pharmacokinetics of ON 123300 Capsules Administered Orally as Escalating Daily Doses in Patients With Advanced Cancer Relapsed or Refractory to at Least One (1) Prior Line of Therapy

Clinical Trial IDs

  • ORG STUDY ID: 19-01
  • NCT ID: NCT04739293

Conditions

  • Solid Tumors, Adult

Interventions

DrugSynonymsArms
ON123300HX 301ON 123300

Purpose

This study will investigate the safety of the drug ON 123300 at increasing doses to determine the best dose to use in future clinical trials.

Detailed Description

      After being informed about the study including potential risks, patients giving written
      informed consent will proceed to a screening period when assessments will be performed to
      determine whether the patient is eligible to participate in the study. If the patient is
      eligible, they will start to receive ON 123300 as capsules every day. On day 1 and Day 8 of
      the study, patients will be required to provide eight blood samples to allow measurement of
      the amount of drug in their blood. Three ECGs will also be performed during this time.
      Patients will continue to receive ON 123300 until disease progression, unacceptable toxicity,
      or patient or physician decision to stop.

      The first group of patients will receive 40mg of ON 123300 daily, the next group 80mg of ON
      123300, the 120mg, etc. until the correct dose has been determined for future studies.

      Patients will visit the clinic on Days 1, 2, 8, and 9, then weekly for the first month, then
      every two weeks for two more months, then every month.
    

Trial Arms

NameTypeDescriptionInterventions
ON 123300ExperimentalON 123300 capsules at increasing doses per cohort, starting at 40 mg
  • ON123300

Eligibility Criteria

        Inclusion Criteria:

          1. ≥ 18 years of age the time of signing the informed consent form (ICF);

          2. Histological or cytological evidence of advanced and/or metastatic cancer,

               1. For Dose Escalation Cohorts, patients with measurable or non-measurable disease;

               2. For RP2D Expansion Cohort, patients with measurable disease;

          3. Patients must have received and failed at least one prior approved treatment, or have
             no therapeutic options available as deemed appropriate by their treating physician;

          4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of < 2;

          5. Life expectancy of > 3 months;

          6. Patients must be able to swallow oral capsules;

          7. Women of child-bearing potential must have a negative serum screening for pregnancy
             within 14 days prior to screening. Women and men of child-bearing potential must agree
             to use highly effective methods of birth control before entry and throughout the
             study, for up to 12 weeks following the last dose of ON 123300.

          8. Patients must understand and voluntarily sign an ICF prior to any study-related
             assessments/procedures being conducted;

          9. Patients must have the ability to understand the nature of the study and any hazards
             of participating in the study and communicate satisfactorily with the investigator to
             participate in the study.

         10. Patients must be willing and able to adhere and comply to the requirements of the
             entire study including study visit schedule and other protocol requirements;

         11. Have adequate organ function, including:

             a. Hematologic: i. absolute neutrophil count (ANC) ≥1.0 × 109/Liter (L) ii. platelets
             ≥100 × 109/L, and iii. hemoglobin ≥8 g/deciliter (dL). b. Hepatic: i. Total bilirubin
             ≤1.5 times the upper limit of normal (ULN) and ii. alanine aminotransferase (ALT) and
             aspartate aminotransferase (AST) ≤3.0 times ULN (or ALT and AST ≤5 times ULN if liver
             metastases are present).

             c. Renal: i. Serum creatinine ≤1.5 times ULN. or estimated creatinine clearance
             (calculated according to normal institutional practice) greater than 50 ml/min.

        Exclusion Criteria:

          1. Patients that have any significant medical condition, laboratory abnormality, or
             psychiatric illness that would prevent the patient from participating in the study or
             present an unacceptable risk to the patient;

          2. Patients at risk for Torsades de pointes (TdP):

               1. Who have a marked baseline prolongation of QT/QTc interval (e.g., repeated
                  demonstration of a QTc interval >480 milliseconds (ms) (CTCAE grade 1) using
                  Fredericia's QT correction formula, or

               2. who have a history of additional risk factors for TdP (e.g., heart failure,
                  hypokalemia, family history of Long QT Syndrome), or

               3. who are currently taking medications that prolong the QT/QTc interval;

          3. Patients with a diagnosis of hematological malignancies except for non-Hodgkin's
             lymphoma;

          4. Have received recent chemotherapy, hormonal therapy, other targeted cancer treatment,
             or investigational therapy within 14 days of planned first dose;

          5. Patients currently taking or within 5 half-lives of taking strong inducers and
             inhibitors of CYP2C8 and CYP3A4;

          6. History of allergic reaction attributed to compounds of similar chemical or biologic
             composition/structure to ON 123300 (e.g. prior CDK4/6 inhibitors);

          7. Uncontrolled intercurrent illness including but not limited to ongoing or active
             infection, bleeding, congestive heart failure, unstable angina, cardiac arrhythmia,
             oxygen-dependent lung disease, psychiatric illness/social situations that limit
             participation compliance with study procedures and requirements;

          8. Patients with a recent history of venous thromboembolic events, defined as event
             occurring ≤ 6 months prior to screening and also currently on therapy;

          9. Patients with baseline Grade ≥ 2 diarrhea;

         10. Patients with Grade ≥ 3 hypercalcemia (Corrected serum calcium > 12.5 mg/dL);

         11. Pregnant or nursing mothers;

         12. Have had major surgery within 14 days prior to screening to allow for post-operative
             healing of the surgical wound and site(s).

         13. Have received recent (within 28 days prior to screening) live attenuated vaccines.

         14. Have active bacterial, fungal or detectable viral infection (e.g. Human
             Immunodeficiency Virus or Hepatitis B or Hepatitis C).
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Incidence of Dose Limiting Toxicities (DLT)
Time Frame:First 28 days of dosing
Safety Issue:
Description:Incidence of protocol defined toxicities that would result in stopping dosing

Secondary Outcome Measures

Measure:Establish the recommended phase 2 dose (RP2D)
Time Frame:First 28 day cycle
Safety Issue:
Description:Incidence of DLTs
Measure:Pharmacokinetics of ON 123300 and 2 metabolites - Cmax
Time Frame:Intense PK on Cycle1 Day1 and Day 8; Single samples pre-dose on Cycle 2 Day 1 and Cycle 3 Day 1 (each cycle is 28 days)
Safety Issue:
Description:Maximum plasma concentration
Measure:Pharmacokinetics of ON 123300 and 2 metabolites - Tmax
Time Frame:Intense PK on Cycle1 Day1 and Day 8; Single samples pre-dose on Cycle 2 Day 1 and Cycle 3 Day 1 (each cycle is 28 days)
Safety Issue:
Description:Time to reach Cmax
Measure:Pharmacokinetics of ON 123300 and 2 metabolites - AUClast
Time Frame:Intense PK on Cycle1 Day1 and Day 8; Single samples pre-dose on Cycle 2 Day 1 and Cycle 3 Day 1 (each cycle is 28 days)
Safety Issue:
Description:The area under the plasma concentration-time curve (AUC) calculated to the last quantifiable sample
Measure:Pharmacokinetics of ON 123300 and 2 metabolites - T1/2
Time Frame:Intense PK on Cycle1 Day1 and Day 8; Single samples pre-dose on Cycle 2 Day 1 and Cycle 3 Day 1 (each cycle is 28 days)
Safety Issue:
Description:Terminal phase elimination half-life
Measure:Pharmacokinetics of ON 123300 and 2 metabolites - CL/F
Time Frame:Intense PK on Cycle1 Day1 and Day 8; Single samples pre-dose on Cycle 2 Day 1 and Cycle 3 Day 1 (each cycle is 28 days)
Safety Issue:
Description:The apparent oral clearance
Measure:Pharmacokinetics of ON 123300 and 2 metabolites - Vss
Time Frame:Intense PK on Cycle1 Day1 and Day 8; Single samples pre-dose on Cycle 2 Day 1 and Cycle 3 Day 1 (each cycle is 28 days)
Safety Issue:
Description:Steady state volume of distribution

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Onconova Therapeutics, Inc.

Last Updated

June 14, 2021