Description:
The primary purpose of this study is to assess the safety and tolerability of Niraparib or
Olaparib in combination with RP-3500, in patients with eligible advanced solid tumors,
determine the maximum tolerated dose (MTD) of RP-3500 in combination with Niraparib or
Olaparib, examine pharmacokinetics (PK) and assess anti-tumor activity.
Title
- Brief Title: Study of RP-3500 With Niraparib or Olaparib in Advanced Solid Tumors
- Official Title: Phase 1b/2 Study of ATR InhibiTor RP-3500 and PARP Inhibitor Combinations in Patients With Molecularly Selected Cancers (ATTACC)
Clinical Trial IDs
- ORG STUDY ID:
RP-3500-03
- NCT ID:
NCT04972110
Conditions
- Advanced Solid Tumor, Adult
Interventions
Drug | Synonyms | Arms |
---|
RP-3500 | Niraparib, Olaparib | Phase 2 Expansion Cohorts |
Purpose
The primary purpose of this study is to assess the safety and tolerability of Niraparib or
Olaparib in combination with RP-3500, in patients with eligible advanced solid tumors,
determine the maximum tolerated dose (MTD) of RP-3500 in combination with Niraparib or
Olaparib, examine pharmacokinetics (PK) and assess anti-tumor activity.
Detailed Description
This is a first-in-human Phase 1b/2, multi-center, open-label, dose-escalation and expansion
study to:
- Evaluate the safety profile and MTD of RP-3500 when administered orally in combination
with Niraparib or Olaparib to establish the recommended Phase 2 dose and schedule.
- Characterize the PK profile of RP-3500 in combination with Niraparib or Olaparib
- Assess anti-tumor activity associated with RP-3500 in combination with Niraparib or
Olaparib
- Examine biomarker responses and establish a correlation with RP-3500 treatment in
combination with Niraparib or Olaparib.
After the RP2D and schedule is determined, expansion cohort(s) for RP-3500 in combination
with Niraparib or Olaparib will be enrolled to study the anti-tumor effect, and further
examine the safety, PK, and pharmacodynamic (PD).
Trial Arms
Name | Type | Description | Interventions |
---|
Phase Ib Dose Escalation | Experimental | Multiple dose levels of RP-3500 for oral administration in combination with Niraparib and/or Multiple dose levels of RP-3500 for oral administration in combination with Olaparib | |
Phase 2 Expansion Cohorts | Experimental | Expansion cohort with RP-3500 + Niraparib and/or Expansion cohort RP-3500 + Olaparib | |
Eligibility Criteria
Inclusion Criteria:
- Male or female and ≥18 years-of-age at the time of signature of the informed consent
- Confirmed advanced solid tumors resistant or refractory to standard treatment
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
- Measurable disease as per RECIST v1.1
- Next generation sequencing (NGS) report obtained in CLIA-certified or equivalent
laboratory demonstrating eligible tumor biomarkers.
- Submission of available tumor tissue or willingness to have a biopsy performed if safe
and feasible
- Acceptable hematologic and organ function at screening
- Negative pregnancy test for women of childbearing potential at Screening and prior to
first study drug.
- Ability to swallow and retain oral medications.
Exclusion Criteria:
- Prior therapy with an ATR or DNA-dependent protein kinase (DNA-PK) inhibitor.
- Chemotherapy, small molecule anticancer or biologic anticancer therapy given within 10
days or 5 half-lives (whichever is longer), prior to first dose of study drug.
- Use of radiotherapy (except for palliative reasons) within 7 days prior to first dose
of study drug.
- History or current condition, therapy, or laboratory abnormality that might confound
the study results, or interfere with the patient's participation for the full duration
of the study treatment.
- No other anticancer therapy is to be permitted while the patient is receiving study
treatment.
- Major surgery ≤28 days or minor surgical procedures ≤7 days prior to first study
treatment dose.
- Uncontrolled, symptomatic brain metastases.
- Uncontrolled high blood pressure
- History of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) diagnosis
- Presence of other known active invasive cancers.
- Pregnant or breastfeeding women.
- Psychological, familial, sociological, or geographical conditions that do not permit
compliance with the study protocol and/or follow-up procedures outlined in the
protocol.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Phase Ib - Safety and Tolerability Tolerability of niraparib or olaparib in combination with RP-3500 by assessing the grade and frequency of adverse events and serious adverse events. |
Time Frame: | Up to 30 days after last administration of study intervention |
Safety Issue: | |
Description: | To determine the safety and tolerability of niraparib or olaparib in combination with RP-3500 in patients with advanced solid tumors by assessing the grade and frequency of adverse events and serious adverse events |
Secondary Outcome Measures
Measure: | To assess plasma concentrations of RP-3500 and niraparib or olaparib with calculations of maximum observed plasma concentration (Cmax). |
Time Frame: | Through Cycle 1 and 2 (each cycle is 21 days) |
Safety Issue: | |
Description: | To assess PK parameters of RP-3500 in combination with niraparib or olaparib |
Measure: | To assess plasma concentrations of RP-3500 and niraparib or olaparib with calculations of time to maximum observed plasma concentration (Tmax) |
Time Frame: | Through Cycle 1 and 2 (each cycle is 21 days) |
Safety Issue: | |
Description: | To assess plasma concentrations of RP-3500 and niraparib or olaparib with calculations of time to maximum observed plasma concentration (Tmax) |
Measure: | To assess plasma concentrations of RP-3500 and niraparib or olaparib with calculations of area under the plasma concentration-time curve 0-6 hours post dose (AUC0-6). |
Time Frame: | Through Cycle 1 and 2 (each cycle is 21 days) |
Safety Issue: | |
Description: | To assess plasma concentrations of RP-3500 and niraparib or olaparib with calculations of area under the plasma concentration-time curve 0-6 hours post dose (AUC0-6). |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Repare Therapeutics |
Last Updated
August 6, 2021