Clinical Trials /

Study of PBI-200 in Subjects With NTRK-Fusion-Positive Solid Tumors

NCT04901806

Description:

This is a first-in-human, Phase 1/2 open-label, multicenter, dose-escalation, safety, PK, and biomarker study of PBI-200 in subjects with NTRK-fusion-positive advanced or metastatic solid tumors.

Related Conditions:
  • Desmoplastic Small Round Cell Tumor
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Study of PBI-200 in Subjects With NTRK-Fusion-Positive Solid Tumors
  • Official Title: A Phase 1/2 Study of PBI-200 in Subjects With NTRK-Fusion-Positive Advanced or Metastatic Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: PBI-200-101
  • NCT ID: NCT04901806

Conditions

  • Solid Tumor, Adult
  • Brain Tumor, Primary
  • Desmoplastic Small Round Cell Tumor

Interventions

DrugSynonymsArms
PBI-200Phase 1 Dose Escalation

Purpose

This is a first-in-human, Phase 1/2 open-label, multicenter, dose-escalation, safety, PK, and biomarker study of PBI-200 in subjects with NTRK-fusion-positive advanced or metastatic solid tumors.

Detailed Description

      This is a first-in-human, Phase 1/2 open-label, multicenter, dose-escalation, safety, PK, and
      biomarker study of PBI-200 in subjects with NTRK-fusion-positive advanced or metastatic solid
      tumors. Phase 1 will also include subjects with NTRK-amplified advanced or metastatic solid
      tumors or refractory EWSR1-WT1-fusion-positive desmoplastic small round cell tumors (DSRCTs).

      Phase 1 is the dose-escalation portion of the study in which the evaluation of safety and
      tolerability and establishing the RP2D are primary objectives. Once the RP2D has been
      established, two expansion cohorts will open to accrual, a Non-Brain Primary Tumor cohort and
      a Primary Brian Tumor cohort.
    

Trial Arms

NameTypeDescriptionInterventions
Phase 1 Dose EscalationExperimental
  • PBI-200
Phase 2 Cohort ExpansionExperimental
  • PBI-200

Eligibility Criteria

        Key Inclusion Criteria:

          -  Subject has one of the following solid tumors which has progressed on or following at
             least one systemic therapy regimen administered for advanced or metastatic disease or
             for which no approved therapy exists:

               -  NTRK-fusion-positive, locally advanced (i.e., not amenable to surgical resection)
                  or metastatic solid tumor Note: Subjects with any grade of malignant glioma
                  previously treated with systemic therapy are eligible.

        Phase 1

          -  NTRK-gene amplified, locally advanced or metastatic solid tumor

          -  EWSR1-WT1-positive DSRCTs.

          -  Subjects with NTRK-fusion-positive solid tumors other than primary brain tumors must
             have previously received treatment with a TRK inhibitor, unless the subject does not
             have access to TRK-inhibitor therapy (e.g., no TRK inhibitor is marketed and available
             to the subject in the subject's country) or the subject has declined treatment with
             available marketed TRK inhibitors.

          -  Subjects with NTRK-gene amplified solid tumors, primary brain tumors or
             EWSR1-WT1-positive DSRCTs may have received prior treatment with a TRK inhibitor but
             this is not required.

        Phase 2

          -  Has measurable disease by RECIST v1.1 for subjects with non-brain primary tumors or
             RANO criteria for subjects with primary brain tumors.

          -  Subjects with non-brain primary tumors must have previously received treatment with a
             TRK inhibitor and a documented resistance mutation(s) (e.g., solvent front, gatekeeper
             or xDFG mutation). Archival tissue from a prior biopsy taken after the subject
             completed TRK inhibitor treatment but prior to additional systemic therapy may be used
             to meet this eligibility criterion with Medical Monitor approval.

          -  Subjects with primary brain tumors may have received prior treatment with a TRK
             inhibitor but this is not required. Biopsies of brain tumors are not required for
             eligibility.

        Key Exclusion Criteria:

          -  Cytotoxic chemotherapy, biologic agent, investigational agent, or radiation therapy ≤
             3 weeks prior to the first dose of PBI-200 (6 weeks for nitrosoureas).

               -  Subjects with either primary brain tumors or brain metastasis must have completed
                  brain radiation therapy 12 weeks prior to the brain MRI obtained within 4 weeks
                  of the first dose of PBI-200.

          -  Small-molecule kinase inhibitors or hormonal agents ≤ 14 days and within 5 half-lives
             prior to the first dose of PBI-200.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Phase 1: Number of patients with AEs
Time Frame:Through study completion, estimated as an average of 36 months
Safety Issue:
Description:Severity of AEs will be assessed according to the NCI CTCAE v5.0

Secondary Outcome Measures

Measure:Phase 1: Area under the plasma drug concentration-time curve from 0 to 24 hours after one dose and after 28 doses
Time Frame:29 days
Safety Issue:
Description:
Measure:Phase 1: ORR
Time Frame:Through study completion, estimated as an average of 36 months
Safety Issue:
Description:Assessed by RECIST for subjects with non-brain primary tumors and by RANO for subjects with primary brain tumors
Measure:Duration of Response (DoR)
Time Frame:Through study completion, estimated as an average of 36 months
Safety Issue:
Description:Assessed by RECIST for subjects with non-brain primary tumors and by RANO for subjects with primary brain tumors
Measure:Progression-free Survival
Time Frame:Through study completion, estimated as an average of 36 months
Safety Issue:
Description:Assessed by RECIST for subjects with non-brain primary tumors and by RANO for subjects with primary brain tumors

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Pyramid Biosciences

Trial Keywords

  • NTRK
  • NTRK Fusion
  • Resistance Mutation

Last Updated

August 2, 2021