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A Dose Escalation Study in Solid Tumors and a Dose Expansion Study of PRN1371 in Adult Patients With Metastatic Urothelial Carcinoma

Primary Purpose

Solid Tumors, Metastatic Urothelial Carcinoma & Renal Pelvis & Ureter

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
PRN1371
Sponsored by
Principia Biopharma, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumors focused on measuring FGFR

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age ≥ 18 years
  • Histological or cytological documentation of an advanced solid tumor
  • Subject must have metastatic or recurrent disease and have failed first-line systemic treatment, and if indicated, failed approved second-line therapy, and for whom no standard therapy options are anticipated to result in a durable remission
  • Subject must have evaluable, progressive, and measurable disease per the Response Evaluation Criteria in Solid Tumors (RECIST) guidelines, Version 1.1
  • Adequate bone marrow, liver, and renal function
  • Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1

For Part B (expansion) in subjects metastatic urothelial carcinoma:

  • The patient's tumor has been evaluated and prospectively identified as having FGFR 1, 2, 3, or 4 genetic alterations.

Exclusion Criteria:

  • Patients who have received adequate prior treatment with a highly selective FGFR inhibitor
  • Patients with other major uncontrolled medical conditions, e.g., recent myocardial infarction, stroke, diabetes, active hepatitis
  • Patients who have received prior systemic anticancer therapy ≤ 3 weeks prior to study start (6 weeks for nitrosourea, antibodies, or mitomycin-C)
  • Patients diagnosed with another primary malignancy within 3 years prior to study start, with the exception of adequately treated basal cell carcinoma, squamous cell carcinoma, or other non-melanomatous skin cancer, or carcinoma in situ of the uterine cervix
  • Patients with glioblastoma multiforme
  • Patient has a primary neoplasm of the brain or known uncontrolled metastases to the central nervous system (CNS).

Sites / Locations

  • UCSF Helen Diller Family Comprehensive Cancer Cener
  • Johns Hopkins Medicine
  • Wake Forest University Health Sciences Medical Center
  • Tennessee Oncology, Sarah Canon Research Institute
  • The University of Texas MD Anderson Cancer Center
  • Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital
  • Hospital General Universitario de Elche
  • Hospital Universitario Ramon y Cajal
  • START Madrid-FJD Fundacion Jiminez Diaz
  • Hospital Universitario 12 de Octubre
  • START Madrid-CIOCC, Centro Integral Oncológico Clara Campal
  • Hospital Virgen del Rocio

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PRN1371

Arm Description

Drug: PRN1371

Outcomes

Primary Outcome Measures

Incidence of treatment related Grade 3 and/or Grade 4 adverse events, defined as dose limiting toxicities, for the doses of PRN1371

Secondary Outcome Measures

Pharmacokinetic profile of PRN1371 including area under the serum concentration-time curve
Pharmacokinetic profile of PRN1371 including maximum serum concentration
Pharmacokinetic profile of PRN1371 including time to maximum serum concentration
Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on phosphate levels
Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on calcium levels
Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on serum FGF23 (Part A only) levels
Objective response rate (ORR) as measured by RECIST v1.1 in patients treated with PRN1371
Duration of response in patients treated with PRN1371

Full Information

First Posted
September 18, 2015
Last Updated
December 23, 2020
Sponsor
Principia Biopharma, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT02608125
Brief Title
A Dose Escalation Study in Solid Tumors and a Dose Expansion Study of PRN1371 in Adult Patients With Metastatic Urothelial Carcinoma
Official Title
A Phase I Open-Label, Multicenter, Dose-Escalation Study of PRN1371, a FGFR 1-4 Kinase Inhibitor, in Adult Patients With Advanced Solid Tumors, Followed by an Expansion Cohort in Patients With Metastatic Urothelial Carcinoma With FGFR 1, 2, 3, or 4 Genetic Alterations
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Terminated
Why Stopped
focus portfolio on immune-mediated diseases
Study Start Date
October 28, 2015 (Actual)
Primary Completion Date
June 23, 2020 (Actual)
Study Completion Date
June 23, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Principia Biopharma, a Sanofi Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multi-center, open label, non-randomized Phase 1 study, to be conducted in two parts, Part A, and Part B. Part A in solid tumors included the dose escalation phase for evaluating the safety and tolerability profile of PRN1371, a FGFR 1-4 Kinase inhibitor. Part B is the Cohort Expansion phase in patients with metastatic urothelial carcinoma to further evaluate safety and tolerability, preliminary activity, PK, and PD in patients with FGFR genetic alterations.
Detailed Description
The protocol specifies rules for dose-limiting toxicity and a maximum tolerated dose (MTD). To gain further experience with the MTD, and/or at some lower optimal biologic dose level, an expansion cohort (Part B) enrolled patients with metastatic urothelial carcinoma with fibroblast growth factor receptor (FGFR) 1, 2, 3 or 4 genetic alterations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumors, Metastatic Urothelial Carcinoma & Renal Pelvis & Ureter
Keywords
FGFR

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PRN1371
Arm Type
Experimental
Arm Description
Drug: PRN1371
Intervention Type
Drug
Intervention Name(s)
PRN1371
Primary Outcome Measure Information:
Title
Incidence of treatment related Grade 3 and/or Grade 4 adverse events, defined as dose limiting toxicities, for the doses of PRN1371
Time Frame
28 days on average
Secondary Outcome Measure Information:
Title
Pharmacokinetic profile of PRN1371 including area under the serum concentration-time curve
Time Frame
Days 1 and 15
Title
Pharmacokinetic profile of PRN1371 including maximum serum concentration
Time Frame
Days 1 and 15
Title
Pharmacokinetic profile of PRN1371 including time to maximum serum concentration
Time Frame
Days 1 and 15
Title
Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on phosphate levels
Time Frame
While being treated with PRN1371 (expected average of 16 weeks)
Title
Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on calcium levels
Time Frame
While being treated with PRN1371 (expected average of 16 weeks)
Title
Pharmacodynamic profile of PRN1371 including the effect of PRN1371 on serum FGF23 (Part A only) levels
Time Frame
While being treated with PRN1371 (expected average of 16 weeks)
Title
Objective response rate (ORR) as measured by RECIST v1.1 in patients treated with PRN1371
Time Frame
Every 8 weeks while being treated with PRN1371 (expected average of 16 weeks)
Title
Duration of response in patients treated with PRN1371
Time Frame
Every 8 weeks while being treated with PRN1371 (expected average 16 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥ 18 years Histological or cytological documentation of an advanced solid tumor Subject must have metastatic or recurrent disease and have failed first-line systemic treatment, and if indicated, failed approved second-line therapy, and for whom no standard therapy options are anticipated to result in a durable remission Subject must have evaluable, progressive, and measurable disease per the Response Evaluation Criteria in Solid Tumors (RECIST) guidelines, Version 1.1 Adequate bone marrow, liver, and renal function Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 For Part B (expansion) in subjects metastatic urothelial carcinoma: The patient's tumor has been evaluated and prospectively identified as having FGFR 1, 2, 3, or 4 genetic alterations. Exclusion Criteria: Patients who have received adequate prior treatment with a highly selective FGFR inhibitor Patients with other major uncontrolled medical conditions, e.g., recent myocardial infarction, stroke, diabetes, active hepatitis Patients who have received prior systemic anticancer therapy ≤ 3 weeks prior to study start (6 weeks for nitrosourea, antibodies, or mitomycin-C) Patients diagnosed with another primary malignancy within 3 years prior to study start, with the exception of adequately treated basal cell carcinoma, squamous cell carcinoma, or other non-melanomatous skin cancer, or carcinoma in situ of the uterine cervix Patients with glioblastoma multiforme Patient has a primary neoplasm of the brain or known uncontrolled metastases to the central nervous system (CNS).
Facility Information:
Facility Name
UCSF Helen Diller Family Comprehensive Cancer Cener
City
San Francisco
State/Province
California
ZIP/Postal Code
94115
Country
United States
Facility Name
Johns Hopkins Medicine
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
Wake Forest University Health Sciences Medical Center
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157
Country
United States
Facility Name
Tennessee Oncology, Sarah Canon Research Institute
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
The University of Texas MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Hospital General Universitario de Elche
City
Elche
ZIP/Postal Code
03203
Country
Spain
Facility Name
Hospital Universitario Ramon y Cajal
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Facility Name
START Madrid-FJD Fundacion Jiminez Diaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Facility Name
START Madrid-CIOCC, Centro Integral Oncológico Clara Campal
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Hospital Virgen del Rocio
City
Seville
ZIP/Postal Code
41013
Country
Spain

12. IPD Sharing Statement

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A Dose Escalation Study in Solid Tumors and a Dose Expansion Study of PRN1371 in Adult Patients With Metastatic Urothelial Carcinoma

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