Clinical Trials /

A Study of TPX-0131, a Novel Oral ALK Tyrosine Kinase Inhibitor, in Patients With ALK+ Advanced or Metastatic NSCLC

NCT04849273

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.

Related Conditions:
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

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

DrugSynonymsArms
TPX-0131TPX-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

NameTypeDescriptionInterventions
TPX-0131ExperimentalThe 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.
  • TPX-0131

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