Clinical Trials /

Study of RP-3500 With Niraparib or Olaparib in Advanced Solid Tumors

NCT04972110

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.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

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

DrugSynonymsArms
RP-3500Niraparib, OlaparibPhase 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

NameTypeDescriptionInterventions
Phase Ib Dose EscalationExperimentalMultiple 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
  • RP-3500
Phase 2 Expansion CohortsExperimentalExpansion cohort with RP-3500 + Niraparib and/or Expansion cohort RP-3500 + Olaparib
  • RP-3500

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