Description:
This is a Phase Ib/II, multicenter, open-label study to evaluate the safety and preliminary
efficacy of TT-00420 tablet, as monotherapy or in combination regimens, in patients with
advanced solid tumors.
Title
- Brief Title: Study of TT-00420 Tablet as Monotherapy and Combination Therapy in Patients With Advanced Solid Tumors
- Official Title: A Phase Ib/II, Multicenter, Open-Label Study of TT-00420 Tablet, as Monotherapy or in Combination Regimens, in Patients With Advanced Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
TT420X1103
- NCT ID:
NCT04742959
Conditions
- Advanced Solid Tumor
- Cholangiocarcinoma
- HER2-negative Breast Cancer
- Triple Negative Breast Cancer
- Bladder Cancer
- Small-cell Lung Cancer
- Prostate Cancer
- Thyroid Cancer
- Sarcoma
- Gastric Cancer
- Gallbladder Cancer
Interventions
Drug | Synonyms | Arms |
---|
TT-00420 | | Dose Escalation Cohorts (Combination Therapy) |
Purpose
This is a Phase Ib/II, multicenter, open-label study to evaluate the safety and preliminary
efficacy of TT-00420 tablet, as monotherapy or in combination regimens, in patients with
advanced solid tumors.
Detailed Description
Study consists of two arms, Arm A is a Phase Ib/II study of TT-00420 tablet monotherapy, and
Arm B is a Phase Ib/II study of TT-00420 tablet in combination with nab-paclitaxel
(Abraxane®).
Arm A: TT-00420 Tablet Monotherapy Phase Ib will enroll patients with preferred indications
including metastatic cholangiocarcinoma, HER2-negative breast cancer including TNBC, bladder
cancer, small cell lung cancer, prostate cancer, thyroid cancer, sarcoma, gastric cancer,
gallbladder cancer and other advanced solid tumors to receive TT-00420 monotherapy. Based on
preliminary efficacy results, Phase II will enroll additional patients in select indications
to evaluate the efficacy of TT-00420 monotherapy.
Arm B: TT-00420 tablet in combination with nab-paclitaxel (Abraxane®) Arm B will enroll
patients with metastatic HER2-negative breast cancers, including triple-negative breast
cancer (TNBC). Phase Ib will be a dose escalation study of TT-00420 in combination with
nab-paclitaxel, guided by 3+3 design, to determine a Recommended Phase 2 Dose (RP2D). Phase
II will enroll additional patients with metastatic HER2-negative breast cancers to further
evaluate the efficacy of the combination regimen.
Trial Arms
Name | Type | Description | Interventions |
---|
Monotherapy Cohorts | Experimental | TT-00420 tablets will be administered once daily in 28-day cycles. | |
Dose Escalation Cohorts (Combination Therapy) | Experimental | TT-00420 tablets will be administered once daily in 28-day cycles. Nab-paclitaxel 100 mg/m^2 will be administered intravenously on Day 1, 8, and 15 of each 28-day cycle. Dose escalation will be guided by a 3+3 design in Phase Ib to determine the recommended phase 2 dose (RP2D). | |
Eligibility Criteria
Inclusion Criteria:
1. ≥ 18 years of age
2. Histopathological or cytologically documented locally advanced or metastatic solid
tumors who have no available standard therapeutic treatment options
3. At least one measurable lesion as defined by RECIST V1.1 criteria for solid tumors
4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
5. Adequate organ function confirmed at screening and within 10 days of initiating
treatment, as evidenced by:
- Absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L
- Hemoglobin (Hgb) ≥ 8 g/dl
- Platelets (plt) ≥ 75 x 10^9/L
- AST/SGOT and ALT/SGPT ≤ 2.5 x Upper Limit of Normal (ULN) or ≤ 5.0 x ULN if liver
metastases are present
- Total bilirubin ≤ 1.5 x ULN
- Calculated 24-hour clearance ≥ 50 mL/min (Cockcroft Gault formula)
6. Negative pregnancy test within 72 hours before starting study treatment in all
premenopausal women and women < 12 months after the onset of menopause
7. Must agree to take sufficient contraceptive methods to avoid pregnancy during the
study and until at least 6 months after ceasing study treatment
8. Able to sign informed consent and comply with the protocol
Exclusion Criteria:
1. Women who are pregnant or lactating
2. Women of child-bearing potential (WOCBP) who do not use adequate birth control
3. Patients with any hematologic malignancy, including leukemia (any form), lymphoma, and
multiple myeloma
4. Patients with a history of primary central nervous system tumors or carcinomatous
meningitis.
5. Patients with the following mood disorders as judged by the Investigator or a
psychiatrist:
- Medically documented history of or active major depressive episode, bipolar
disorder (I or II), obsessive-compulsive disorder, schizophrenia; a history of
suicidal attempt or ideation, or homicidal ideation (immediate risk of doing harm
to others)
- ≥ CTCAE grade 3 anxiety
6. Impaired cardiac function or significant diseases, including but not limited to any of
the following:
- left ventricular ejection fraction (LVEF) < 45% as determined by multigated
acquisition (MUGA) scan or echocardiogram (ECHO)
- Congenital long QT syndrome
- QTcF ≥ 480 msec on screening ECG
- Unstable angina pectoris ≤ 3 months prior to starting study drug
- Acute myocardial infarction ≤ 3 months prior to starting study drug
7. Patients with:
- unresolved diarrhea ≥ CTCAE grade 2, or
- impairment of gastrointestinal (GI) function, or
- GI disease that may significantly alter the absorption of TT-00420
8. Other concurrent severe and/or uncontrolled concomitant medical conditions (e.g.,
uncontrolled hypertension, uncontrolled hypertriglyceridemia, or active or
uncontrolled infection) that could cause unacceptable safety risks or compromise
compliance with the protocol
9. Patients who have received chemotherapy, targeted therapy, or immunotherapy ≤ 4 weeks
(6 weeks for nitrosourea or mitomycin-C) prior to starting study drug or who have not
recovered from side effects of such therapy
10. Patients who have received wide field radiotherapy ≤ 4 weeks or limited field
radiation for palliation ≤ 2 weeks prior to starting study drug or who have not
recovered from side effects of such therapy
11. Patients who have undergone major surgery ≤ 4 weeks prior to starting study drug or
who have not recovered from side effects of such therapy
12. Patients who have been treated with any hematopoietic colony-stimulating growth
factors (e.g., G-CSF, GM-CSF) ≤ 4 weeks prior to starting study drug.
13. Patients who are currently receiving treatment with therapeutic doses of warfarin
sodium or any other coumarin-derivative anticoagulants
14. Patients who have received systemic corticosteroids ≤ 2 weeks prior to starting study
drug or who have not recovered from the side effects of such treatment.
15. Patients who are currently receiving treatment with strong CYP3A inhibitors or
inducers ≤ 2 weeks prior to starting study drug.
16. Known diagnosis of human immunodeficiency virus (HIV) infection (HIV testing is not
mandatory; patients with well controlled HIV might be enrolled)
17. Known history of active infection with Hepatitis B or Hepatitis C
18. Has received a live-virus vaccination within 30 days of planned first dose
19. Inability to swallow or tolerate oral medication
20. Has a history or current evidence of any condition, therapy, or laboratory abnormality
that, in the opinion of the investigator, might confound the results of the trial,
interfere with the patient's safe participation and compliance in the trial.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment |
Time Frame: | Up to 30 days from study discontinuation |
Safety Issue: | |
Description: | As assessed per NCI Common Toxicity Criteria for Adverse Events, version 5.0 |
Secondary Outcome Measures
Measure: | Objective Response Rate (ORR) |
Time Frame: | Through study completion, an average of 9 months. |
Safety Issue: | |
Description: | The proportion of subjects who achieved a complete response (CR) or a partial response (PR) based on RECIST version 1.1. |
Measure: | Disease Control Rate (DCR) |
Time Frame: | Through study completion, an average of 9 months. |
Safety Issue: | |
Description: | Defined as CR + PR + stable disease (SD) based on RECIST version 1.1. |
Measure: | Duration of Objective Response (DOR) |
Time Frame: | Through study completion, an average of 9 months. |
Safety Issue: | |
Description: | Duration of response for CR or PR based on RECIST version 1.1. |
Measure: | Progression Free Survival (PFS) |
Time Frame: | From first study drug administration until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months |
Safety Issue: | |
Description: | |
Measure: | Overall Survival (OS) |
Time Frame: | From first study drug administration until the date of death from any cause, assessed up to 24 months |
Safety Issue: | |
Description: | |
Measure: | Area under the curve (AUC0-∞) |
Time Frame: | From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 28 days) |
Safety Issue: | |
Description: | Blood samples will be collected at designated time points for pharmacokinetic analysis of TT-00420 and/or nab-paclitaxel. |
Measure: | Area under the curve (AUC0-t) |
Time Frame: | From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 28 days) |
Safety Issue: | |
Description: | Blood samples will be collected at designated time points for pharmacokinetic analysis of TT-00420 and/or nab-paclitaxel. |
Measure: | Maximum observed concentration (Cmax) |
Time Frame: | From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 28 days) |
Safety Issue: | |
Description: | Blood samples will be collected at designated time points for pharmacokinetic analysis of TT-00420 and/or nab-paclitaxel. |
Measure: | Half-life (T1/2) |
Time Frame: | From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 28 days) |
Safety Issue: | |
Description: | |
Measure: | Time to Maximum Concentration (Tmax) |
Time Frame: | From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 28 days) |
Safety Issue: | |
Description: | |
Measure: | Volume of Distribution (Vd) |
Time Frame: | From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 28 days) |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | TransThera Sciences (Nanjing), Inc. |
Last Updated
August 9, 2021