Description:
A phase 1/2, first-in-human, open-label study to evaluate the safety, tolerability, PK, and
efficacy of the novel ALK inhibitor TPX-0131 in pretreated subjects with ALK+ advanced or
metastatic non-small cell lung cancer (NSCLC). The study consists of two portions: 1) Phase 1
dose escalation, and 2) Phase 2 efficacy evaluation.
Title
- Brief Title: A Study of TPX-0131, a Novel Oral ALK Tyrosine Kinase Inhibitor, in Patients With ALK+ Advanced or Metastatic NSCLC
- Official Title: A Phase 1/2 Study of TPX-0131, A Novel Oral ALK Tyrosine Kinase Inhibitor in Subjects With ALK+ Advanced or Metastatic NSCLC
Clinical Trial IDs
- ORG STUDY ID:
TPX-0131-01
- NCT ID:
NCT04849273
Conditions
- Non Small Cell Lung Cancer
- Non-Small Cell Lung Cancer
- NSCLC
- Advanced Solid Tumor
- Metastatic Solid Tumor
- ALK Gene Mutation
Interventions
Drug | Synonyms | Arms |
---|
TPX-0131 | | TPX-0131 |
Purpose
A phase 1/2, first-in-human, open-label study to evaluate the safety, tolerability, PK, and
efficacy of the novel ALK inhibitor TPX-0131 in pretreated subjects with ALK+ advanced or
metastatic non-small cell lung cancer (NSCLC). The study consists of two portions: 1) Phase 1
dose escalation, and 2) Phase 2 efficacy evaluation.
Detailed Description
Phase 1 Dose Escalation: To evaluate the overall safety profile, efficacy of TPX-0131 in
pretreated subjects with ALK+ advanced or metastatic NSCLC.
Phase 2 Efficacy Evaluation: To determine the safety and anti-tumor efficacy of TPX-0131 in
defined cohorts of subjects with advanced or metastatic ALK+ NSCLC.
Trial Arms
Name | Type | Description | Interventions |
---|
TPX-0131 | Experimental | The Phase 1 part of the study will determine the safety, tolerability, PK, MTD, and RP2D of TPX-0131.
The Phase 2 part of the study will determine the safety, tolerability, PK and preliminary efficacy of TPX-0131 in specific cohorts. | |
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18 (or as required by local regulation).
- Histological or cytological confirmation of advanced/metastatic ALK+ NSCLC.
- Pretreated with up to three prior lines of an ALK TKI treatment, including at least
one prior line of a second or third-generation ALK TKI (alectinib, brigatinib,
ensartinib, or lorlatinib) in Phase 1.
- ECOG performance status ≤ 1.
- Existence of measurable or evaluable disease (according to Response evaluation
criteria in solid tumors [RECIST v1.1] criteria).
- Subjects with asymptomatic CNS metastases and/or asymptomatic leptomeningeal
carcinomatosis are eligible.
- Adequate organ function.
Exclusion Criteria:
- Major surgery within four weeks of the start of TPX-0131 treatment.
- Clinically significant cardiovascular disease
- Any of the following cardiac criteria:
- Mean resting corrected QT interval (QTc) > 470 msec obtained from three ECGs and
any factors that increase the risk of QTc prolongation or arrhythmic events
- Any clinically important abnormalities in rhythm, conduction, or morphology of
resting ECG
- Known clinically significant active infections not controlled with systemic treatment
(bacterial, fungal, viral including HIV positivity).
- Gastrointestinal disease or other malabsorption syndromes that would impact drug
absorption.
- Subjects being treated with or anticipating the need for treatment with strong CYP3A4
inhibitors or inducers.
- Subjects with current or anticipated need for drugs that are sensitive CYP2C9
substrates with narrow therapeutic indices.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of first cycle dose-limiting toxicities (DLTs) of TPX-0131 |
Time Frame: | Within 28 days of the first TPX-0131 dose for each patient |
Safety Issue: | |
Description: | Evaluate the safety and tolerability of TPX-0131 |
Secondary Outcome Measures
Measure: | Duration of Response (DOR) |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Determine the DOR of TPX-0131 |
Measure: | Time to response (TTR) |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Determine the TTR of TPX-0131 |
Measure: | Clinical benefit rate (CBR) |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Determine the CBR of TPX-0131 |
Measure: | Intracranial tumor response |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Determine the intracranial tumor response in subjects with measurable brain metastases, as determined by BICR. |
Measure: | Progression free survival (PFS) |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Determine the PFS of TPX-0131 |
Measure: | Overall survival (OS) |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Determine the efficacy and safety of TPX-0131 |
Measure: | Adverse events (AEs) |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Evaluate the overall safety profile of TPX-0131 |
Measure: | CNS Progression-Free Survival (CNS-PFS) |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Determine the CNS-PFS in patients with measurable brain metastases using Modified RECIST v1.1 |
Measure: | Cmax (maximum plasma concentration) of TPX-0131 |
Time Frame: | Up to 120 hours post-dose |
Safety Issue: | |
Description: | Evaluate the maximum plasma concentration of TPX-0131 |
Measure: | AUC (area under plasma concentration time curve) of TPX-0131 |
Time Frame: | Up to 120 hours post-dose |
Safety Issue: | |
Description: | Determine the AUC of TPX-0131 |
Measure: | Patient-reported quality of life - Core Quality of Life Questionnaire |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Estimate the effect of TPX-0131 on patient-reported outcomes using the European Organisation for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire to assess subject's ability to complete 30 daily activities. The scale, from 1 to 4 (1 = not difficult to 4 = very difficult), indicates the level of difficulty to complete a task. |
Measure: | Patient-reported quality of life - Lung Cancer Quality of Life Questionnaire |
Time Frame: | Approximately 44 months |
Safety Issue: | |
Description: | Estimate the effect of TPX-0131 on patient-reported outcomes, using the Lung Cancer Quality of Life Questionnaire asks questions related to 13 specific lung cancer symptoms. The scale, from 1 to 4
(1 = not often to 4 = very often), indicates the frequency of symptoms experienced in a given week. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Turning Point Therapeutics, Inc. |
Trial Keywords
- Non Small Cell Lung Cancer
- Non-Small Cell Lung Cancer
- NSCLC
- Advanced Non-Small Cell Lung Cancer
- Advanced/metastatic disease
- Lung cancer
- Metastatic solid tumor
- Advanced solid tumor
- ALK gene fusion
- ALK inhibitor
- TPX-0131
- ALK TKI
- ALK Tyrosine Kinase Inhibitor
Last Updated
August 13, 2021