A Phase 1-2 Dose-Escalation and Cohort-Expansion Study of Oral Tomivosertib (eFT-508) in Subjects With Hematological Malignancies
Primary Purpose
Lymphoma
Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Tomivosertib (eFT-508)
Sponsored by
About this trial
This is an interventional treatment trial for Lymphoma focused on measuring small molecule inhibitor of protein translation, immunomodulator, phase 1 dose escalation
Eligibility Criteria
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Presence of an active hematological malignancy.
- Presence of measurable disease.
- Hematological malignancy has been previously treated, has relapsed after or progressed during prior therapy, and has limited potential for benefit from currently available therapy including hematopoietic stem cell transplantation.
- At least 2 weeks post any treatments/therapies at the time of first dose.
- Adequate bone marrow function.
- Adequate hepatic function.
- Adequate renal function.
- Normal coagulation panel.
- Negative antiviral serology.
- Willingness to use effective contraception.
Exclusion Criteria:
- Central nervous system malignancy
- Gastrointestinal disease
- Significant cardiovascular disease
- Significant ECG abnormalities.
- Ongoing risk for bleeding due to active peptic ulcer disease, bleeding diathesis or requirement for systemic anticoagulation
- Ongoing systemic bacterial, fungal, or viral infection (including upper respiratory tract infections)
- Pregnancy or breastfeeding.
- Major surgery within 4 weeks before the start of study therapy.
- Ongoing immunosuppressive therapy, including systemic or enteric corticosteroids
- Use of drugs that could prolong the QT interval within 7 days before the start of study therapy.
- Use of drugs that might pose a risk of a drug-drug interaction within 2-7 days before the start of study therapy.
Sites / Locations
- Samuel Oschin comprehensive Cancer Institute at Cedars-Sinai Medical Center
- Florida Cancer Specialist
- Karmanos Cancer Institute
- Henry Ford Hospital
- Mayo Clinic
- University of Rochester
- Gabrail Cancer Center Research
- Baylor Scott & White Research Institute
- Seattle Cancer Care Alliance
- West Virginia University
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Tomivosertib (eFT-508) Escalation Cohort
Tomivosertib (eFT-508) Expansion Cohort
Arm Description
This portion of the study will evaluate the safety and pharmacology of a range of Tomivosertib (eFT-508) doses administered daily in subjects with previously treated lymphomas
This portion of the study provides cohort expansion to further explore the safety, pharmacology, and clinical activity of a single dose level of Tomivosertib (eFT-508) monotherapy in subjects with specific previously treated lymphomas
Outcomes
Primary Outcome Measures
Maximum Tolerated Dose and/or Recommended Dose within the tested Tomivosertib (eFT-508) dose range
Overall Response Rate
Secondary Outcome Measures
Full Information
NCT ID
NCT02937675
First Posted
October 17, 2016
Last Updated
October 30, 2020
Sponsor
Effector Therapeutics
1. Study Identification
Unique Protocol Identification Number
NCT02937675
Brief Title
A Phase 1-2 Dose-Escalation and Cohort-Expansion Study of Oral Tomivosertib (eFT-508) in Subjects With Hematological Malignancies
Official Title
A Phase 1-2 Dose-Escalation and Cohort-Expansion Study of Oral Tomivosertib (eFT-508) in Subjects With Hematological Malignancies
Study Type
Interventional
2. Study Status
Record Verification Date
November 2018
Overall Recruitment Status
Terminated
Why Stopped
patient recruitment
Study Start Date
February 8, 2017 (Actual)
Primary Completion Date
November 12, 2018 (Actual)
Study Completion Date
April 4, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Effector Therapeutics
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This clinical trial is a Phase 1-2, open-label, sequential-group, dose-escalation and cohort-expansion study evaluating the safety, pharmacokinetics, pharmacodynamics, and antitumor activity of Tomivosertib (eFT-508). The study will evaluate oral daily administration of Tomivosertib (eFT-508). Treatment and study subject evaluation will be performed in 21-day cycles.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoma
Keywords
small molecule inhibitor of protein translation, immunomodulator, phase 1 dose escalation
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
28 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Tomivosertib (eFT-508) Escalation Cohort
Arm Type
Experimental
Arm Description
This portion of the study will evaluate the safety and pharmacology of a range of Tomivosertib (eFT-508) doses administered daily in subjects with previously treated lymphomas
Arm Title
Tomivosertib (eFT-508) Expansion Cohort
Arm Type
Experimental
Arm Description
This portion of the study provides cohort expansion to further explore the safety, pharmacology, and clinical activity of a single dose level of Tomivosertib (eFT-508) monotherapy in subjects with specific previously treated lymphomas
Intervention Type
Drug
Intervention Name(s)
Tomivosertib (eFT-508)
Intervention Description
eFT508
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose and/or Recommended Dose within the tested Tomivosertib (eFT-508) dose range
Time Frame
up to one year
Title
Overall Response Rate
Time Frame
up to three years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Presence of an active hematological malignancy.
Presence of measurable disease.
Hematological malignancy has been previously treated, has relapsed after or progressed during prior therapy, and has limited potential for benefit from currently available therapy including hematopoietic stem cell transplantation.
At least 2 weeks post any treatments/therapies at the time of first dose.
Adequate bone marrow function.
Adequate hepatic function.
Adequate renal function.
Normal coagulation panel.
Negative antiviral serology.
Willingness to use effective contraception.
Exclusion Criteria:
Central nervous system malignancy
Gastrointestinal disease
Significant cardiovascular disease
Significant ECG abnormalities.
Ongoing risk for bleeding due to active peptic ulcer disease, bleeding diathesis or requirement for systemic anticoagulation
Ongoing systemic bacterial, fungal, or viral infection (including upper respiratory tract infections)
Pregnancy or breastfeeding.
Major surgery within 4 weeks before the start of study therapy.
Ongoing immunosuppressive therapy, including systemic or enteric corticosteroids
Use of drugs that could prolong the QT interval within 7 days before the start of study therapy.
Use of drugs that might pose a risk of a drug-drug interaction within 2-7 days before the start of study therapy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeremy Barton, MD
Organizational Affiliation
CMO
Official's Role
Study Director
Facility Information:
Facility Name
Samuel Oschin comprehensive Cancer Institute at Cedars-Sinai Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Florida Cancer Specialist
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34232
Country
United States
Facility Name
Karmanos Cancer Institute
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Henry Ford Hospital
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
University of Rochester
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
Gabrail Cancer Center Research
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
Baylor Scott & White Research Institute
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Seattle Cancer Care Alliance
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
West Virginia University
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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A Phase 1-2 Dose-Escalation and Cohort-Expansion Study of Oral Tomivosertib (eFT-508) in Subjects With Hematological Malignancies
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