Clinical Trials /

A Study of AL102 in Patients With Progressing Desmoid Tumors

NCT04871282

Description:

The current study is designed to evaluate the efficacy and safety of AL102 in patients with progressive desmoid tumors.

Related Conditions:
  • Desmoid-Type Fibromatosis
Recruiting Status:

Recruiting

Phase:

Phase 2/Phase 3

Trial Eligibility

Document

Title

  • Brief Title: A Study of AL102 in Patients With Progressing Desmoid Tumors
  • Official Title: RINGSIDE: A Phase 2/3, Randomized, Multicenter Study to Evaluate AL102 in Patients With Progressing Desmoid Tumors

Clinical Trial IDs

  • ORG STUDY ID: AL-DES-01
  • NCT ID: NCT04871282

Conditions

  • Desmoid
  • Desmoid Tumor

Interventions

DrugSynonymsArms
AL102Part A Main Study 1.2 mg daily

Purpose

The current study is designed to evaluate the efficacy and safety of AL102 in patients with progressive desmoid tumors.

Detailed Description

      This is a Phase 2/3, randomized study in subjects with progressive desmoid tumors consisting
      of 2 parts. Part A is an open-label, dose regimen finding study; Part B is a double blind,
      placebo-controlled study utilizing the dose regimen selected in Part A.
    

Trial Arms

NameTypeDescriptionInterventions
Part A Main Study 1.2 mg dailyExperimentalAL102 1.2 mg
  • AL102
Part A Main Study 2 mg IntermittentExperimentalAL102 2 mg
  • AL102
Part A Main Study 4 mg IntermittentExperimentalAL102 4 mg
  • AL102
Part B AL102ExperimentalAL102, recommended dose regimen from Part A
  • AL102
Part B PlaceboPlacebo ComparatorPlacebo to match recommended dose regimen from Part A

    Eligibility Criteria

            Inclusion Criteria Part A:
    
              1. At least 18 years of age (inclusive) at the time of signing the ICF.
    
              2. Histologically confirmed desmoid tumor (aggressive fibromatosis) by local pathologist
                 (prior to informed consent) that has progressed by ≥ 20% as measured by RECIST v1.1
                 within 12 months of the screening visit scan.
    
              3. At least 1 measurable lesion amenable to volume measurements by MRI at screening (Part
                 A only)
    
              4. One of the following:
    
                   -  Treatment naïve subjects whose disease is not amenable to surgery without the
                      risk of significant morbidity; OR
    
                   -  Recurrent/refractory disease following at least one line of therapy (including
                      surgery, radiation, or systemic therapy).
    
              5. A desmoid tumor in which continued progressive disease will not result in immediate
                 significant risk to the subject.
    
              6. Agrees to provide formalin-fixed paraffin embedded archival or fresh tumor tissue for
                 re-confirmation of disease.
    
              7. Must be able to swallow whole capsules with no GI condition affecting absorption;
                 nasogastric or G-tube administration is not allowed.
    
            Exclusion Criteria Part A:
    
              1. Diagnosed with a malignancy in the past 2 years.
    
              2. Current or recent (within 2 months of IP administration) GI disease or disorders that
                 increase the risk of diarrhea, such as inflammatory bowel disease and Crohn's disease.
    
              3. Evidence of uncontrolled, active infection, requiring systemic anti-bacterial,
                 anti-viral or anti-fungal therapy ≤7 days prior to administration of IP such as known
                 active infection with hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
                 at Screening.
    
              4. Myocardial infarction within 6 months prior to enrollment, greater than Class 1 angina
                 pectoris, or has New York Heart Association (NYHA) Class III or IV heart failure, ,
                 symptomatic ventricular arrhythmias, sustained ventricular tachycardia, Torsade's de
                 Pointes (TdP), the long QT syndrome, pacemaker dependence, or electrocardiographic
                 evidence of acute ischemia.
    
              5. Unstable or severe uncontrolled medical condition (e.g., unstable cardiac or pulmonary
                 function or uncontrolled diabetes) or any important medical illness or abnormal
                 laboratory finding that would, in the investigator's judgment, increase the risk to
                 the subject associated with his or her participation in the study.
    
              6. Pregnant or breastfeeding or expecting to conceive children within the projected
                 duration of the study.
    
              7. Eastern Cooperative Oncology Group (ECOG) performance status ≥2
    
              8. Abnormal organ and marrow function at Screening defined as:
    
                   1. Neutrophils <1000/mm3,
    
                   2. Platelet count <100,000/mm3,
    
                   3. Hemoglobin <9 g/dL,
    
                   4. Total bilirubin >1.5x upper limit of normal (ULN) (except known Gilbert's
                      syndrome),
    
                   5. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >2.5x ULN,
    
                   6. Serum creatinine > ULN and creatinine clearance (CrCl) <60 mL/min (calculation of
                      CrCl will be based on acceptable institution standard)
    
                   7. Uncontrolled triglyceride ≥Grade 2 elevations per common terminology criteria for
                      adverse events (CTCAE) v5.0 (>300 mg/dL or >3.42 mmol/L).
    
              9. ECG Exclusions (Part A only)
    
                   1. Mean QT interval corrected for heart rate using Fridericia's formula (QTcF) ≥450
                      msec.
    
                   2. QRS duration > 110 ms
    
                   3. PR interval > 240 ms
    
                   4. Marked ST-T wave abnormalities which would make it difficult to measure the QT
                      interval
    
             10. Any treatments for desmoid tumors within 4 weeks prior to first dose of
                 investigational therapy; subject must have recovered from therapy related toxicity to
                 < CTCAE Grade 2 or clinical baseline. Therapy includes:
    
                   1. Locoregional tumor directed therapies such as major surgery, radiation,
                      radiofrequency ablation, or cryosurgery
    
                   2. Systemic therapy including chemotherapy, biologic (anti-neoplastic agent,
                      antibodies), TKIs (e.g., sorafenib, pazopanib, imatinib), hormonal therapy, or
                      investigational therapy
    
             11. Chronic NSAIDs for the treatment of desmoid tumors within 4 weeks of first dose of IP;
    
            Inclusion Criteria Part B
    
              1. ≥12 years of age (inclusive) and ≥ 40 kg at the time of signing the ICF.
    
              2. Evidence of measurable disease by CT/MRI scan. Measurable lesions are defined
                 according to RECIST v1.1.
    
              3. Subject and/or legally authorized representative (i.e. parent/guardian) must be
                 capable of giving signed informed consent, which includes compliance with the
                 requirements and restrictions listed in the ICF.
    
              4. Minor subjects must be capable of giving written assent as appropriate per the
                 applicable age (per local regulatory requirements).
    
            For all other inclusion criteria refer to Part A inclusion criteria.
    
            Exclusion Criteria Part B The subjects must be excluded from participating in the study if
            they meet any of the exclusion criteria for Part A, except where otherwise noted.
          
    Maximum Eligible Age:N/A
    Minimum Eligible Age:18 Years
    Eligible Gender:All
    Healthy Volunteers:No

    Primary Outcome Measures

    Measure:Progression free survival
    Time Frame:Approximately 2 years
    Safety Issue:
    Description:Progression free survival (PFS) as defined as the time from randomization until the date of assessment of progression (as assessed by BICR based on RECIST v1.1) or death by any cause

    Secondary Outcome Measures

    Measure:Overall response rate
    Time Frame:Approximately 2 years
    Safety Issue:
    Description:Overall response rate (ORR) defined as the proportion of subjects with ORR (CR and PR) by BICR based on RECIST v1.1.
    Measure:Duration of response
    Time Frame:Approximately 2 years
    Safety Issue:
    Description:Duration of response defined by the time from CR or PR (by BICR based on RECIST v1.1) until the earlier of the first documentation of disease progression or death from any cause.
    Measure:Patient reported outcome
    Time Frame:Approximately 2 years
    Safety Issue:
    Description:Change from baseline in quality of life as measured by GOunder/Desmoid Tumor Research Foundation (DTRF) DEsmoid Symptom Scale and Impact Scale (GODDESS)
    Measure:Patient reported outcome
    Time Frame:Approximately 2 years
    Safety Issue:
    Description:Change from baseline in quality of life as measured by Patient-reported outcomes measurement information system (PROMIS) Physical Function
    Measure:Patient reported outcome
    Time Frame:Approximately 2 years
    Safety Issue:
    Description:Change from baseline in quality of life as measured by EuroQol 5-dimensional questionnaire(EQ-5D)
    Measure:Patient reported outcome
    Time Frame:Approximately 2 years
    Safety Issue:
    Description:Change from baseline in pain assessment using brief pain inventory (BPI) short form

    Details

    Phase:Phase 2/Phase 3
    Primary Purpose:Interventional
    Overall Status:Recruiting
    Lead Sponsor:Ayala Pharmaceuticals, Inc,

    Trial Keywords

    • RINGSIDE

    Last Updated

    August 27, 2021