Safety, Tolerability and Pharmacokinetics of Oral CPL304110, in Adult Subjects With Advanced Solid Malignancies
Primary Purpose
Gastric Cancer, Bladder Cancer, Squamous Non-small Cell Lung Cancer
Status
Recruiting
Phase
Phase 1
Locations
Poland
Study Type
Interventional
Intervention
CPL304110
Sponsored by
About this trial
This is an interventional treatment trial for Gastric Cancer focused on measuring FGFR, kinase inhibitor, advanced solid tumors, carcinoma, neoplasms, gastric cancer, bladder cancer, squamous non-small cell lung cancer, squamous immunophenotype
Eligibility Criteria
Inclusion Criteria:
- Patient or legal guardian, if permitted by local regulatory authorities, provides informed consent to participate in the study must be performed before any procedure's protocol related
- age of ≥25 years old
- Performance Score ≥70 in accordance with the Karnofsky Performance Score (KPS),
- life expectancy period of at least 3 months on the screening day,
- Have measurable disease according to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
- subject (or his/her partner) of childbearing potential willingness to use acceptable forms of contraception
- adequate blood, liver, renal and urine parameters
- phosphate levels within normal range
- HIV, HCV (hepatitis C virus) and HBV negative (hepatitis B virus),
- adequate cardiac function
Inclusion Criteria Specific for parts:
Part 1
- Patients with histologically confirmed advanced gastric cancer, bladder cancer, squamous lung cancer or non-small cell lung cancer with squamous immunophenotype, cholangiocarcinoma, sarcoma or endometrial cancer, be refractory to prior therapies and without effective further treatment options.
Part 2 and 3
- Patients with histologically confirmed advanced gastric cancer, bladder cancer, squamous lung cancer or non-small cell lung cancer with squamous immunophenotype, be refractory to prior therapies and without effective further treatment options.
- Subject's archival formalin-fixed paraffin-embedded (FFPE) tumour sample available for molecular alteration diagnostics, and/or a possibility to collect a new biopsy.
- Present molecular alteration within FGFR 1, 2 or 3
Exclusion Criteria:
- Any other current malignancy or malignancy diagnosed within the past five (5) years.
- Active brain metastases or leptomeningeal metastases.
- concurrent anticancer treatment within 28 days before the start of trial treatment; major surgery within 28 days before the start of trial treatment); use of blood transfusion within 7 days before the start of trial treatment,
- prior therapy with an agent directed to another FGFR inhibitor,
- pregnancy and/or breastfeeding,
- phosphate levels above the upper limit of normal,
- ectopic calcification/mineralization,
- endocrine alteration related to calcium/phosphate homeostasis e.g. parathyroid disorders, history of parathyroidectomy,
- concomitant therapies increasing calcium/phosphate serum levels,
- inability to take oral medicines,
- corneal disorder and/or keratopathy,
- persisting toxicity related to prior therapy Grade > 1 CTCAE v5.0, except polyneuropathy and alopecia,
- clinically significant (i.e., active) cardiovascular disease. History of abdominal fistula, bowel obstruction (Grade IV), gastrointestinal perforation, intra-abdominal abscess within 6 months of enrollment. Other significant diseases, which, in the opinion of the investigator, might impair the subject's tolerance of trial treatment.
- Receipt of any organ transplantation including allogeneic stem-cell transplantation.
Exclusion Criteria Specific for parts:
Part 2 and 3
- No FFPE tumour sample available to conduct FGFR alteration eligibility tests and no biopsy option.
Sites / Locations
- Uniwersyteckie Centrum Kliniczne w GdańskuRecruiting
- BioResearch Group sp. z o.o.Recruiting
- SP ZOZ MSWiA z Warmińsko-Mazurskim Centrum Onkologii w OlsztynieRecruiting
- Klinika Onkologii, Europejskie Centrum Zdrowia
- Centrum Onkologii - Instytut im. Marii Skłodowskiej-CurieRecruiting
- Instytut Gruźlicy i Chorób PłucRecruiting
- Wojskowy Instytut Medyczny
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
CPL304110
Arm Description
CPL304110 will be administered once daily to adults with advanced solid malignancies in 28-day cycles.
Outcomes
Primary Outcome Measures
Maximum tolerated dose (MTD)
Maximum tolerated dose (MTD) of CPL304110 when administered orally once daily to adults with advanced solid malignancies. The MTD is the highest dose associated with the occurrence of dose-limiting toxicities (DLTs) in <33% of patients.
Safety profile
Overall safety profile of CPL304110, as assessed by the type, frequency, severity, timing, and relationship to study drug of any adverse events (AEs), serious adverse events (SAEs), and changes in vital signs, ECGs, and safety laboratory test.
Secondary Outcome Measures
Recommended Phase 2 Dose (RP2D) determined on the base of the MTD.
The RP2D will be determined after review and discussion of the pharmacokinetics (PK) profile, type and severity of drug related toxicity and clinical suitability for long-term administration.
ORR, objective rate response
ORR, objective rate response defined as the rate of confirmed complete response (CR) or partial response (PR) by RECIST 1.1.
Maximum plasma concentration (Cmax)
Cmax defines the maximum concentration of the product in plasma during observation period.
Time to maximum plasma concentration (tmax)
tmax defines Time to reach maximum plasma concentration
Area under the plasma concentration versus time curve (AUC) from 0 up to the time of last quantifiable concentration (AUC0-t)
AUC(0-t) defines the area under the curve of plasma concentration vs time, from time point zero up to the time of last quantifiable concentration
Area under the plasma concentration versus time curve AUC from 0 to infinity (AUC0-inf)
AUC0-inf defines the area under the curve of plasma concentration vs time, from time point zero extrapolated to infinity
Terminal half-life (t½)
Plasma elimination half-life
Kel: Terminal elimination rate constant
Terminal elimination rate constant
Full Information
NCT ID
NCT04149691
First Posted
October 31, 2019
Last Updated
August 29, 2023
Sponsor
Celon Pharma SA
Collaborators
National Center for Research and Development, Poland
1. Study Identification
Unique Protocol Identification Number
NCT04149691
Brief Title
Safety, Tolerability and Pharmacokinetics of Oral CPL304110, in Adult Subjects With Advanced Solid Malignancies
Official Title
A Phase I, Open-label, Multicentre, Dose Escalation Study to Assess Safety, Tolerability and Pharmacokinetics of Oral CPL304110, in Adult Subjects With Advanced Solid Malignancies
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 19, 2019 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Celon Pharma SA
Collaborators
National Center for Research and Development, Poland
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of the study is to determine to evaluate safety and tolerability of CPL304110 when administered once daily to adults with advanced solid malignancies.
Detailed Description
01FGFR2018 is an Open-label, Multicentre, Dose Escalation Study to Assess Safety, Tolerability and Pharmacokinetics of Oral CPL304110, in Adult Subjects with Advanced Solid Malignancies. The study consists of 3 parts: initial dose escalation (Part 1 - without FGFR, fibroblast growth factor receptor, molecular aberrations), dose escalation (Part 2 - with FGFR molecular aberrations) and dose extension (Part 3 - with FGFR molecular aberrations).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastric Cancer, Bladder Cancer, Squamous Non-small Cell Lung Cancer, Cholangiocarcinoma, Sarcoma, Endometrial Cancer, Other Solid Tumours
Keywords
FGFR, kinase inhibitor, advanced solid tumors, carcinoma, neoplasms, gastric cancer, bladder cancer, squamous non-small cell lung cancer, squamous immunophenotype
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
42 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
CPL304110
Arm Type
Experimental
Arm Description
CPL304110 will be administered once daily to adults with advanced solid malignancies in 28-day cycles.
Intervention Type
Drug
Intervention Name(s)
CPL304110
Other Intervention Name(s)
PG19
Intervention Description
CPL304110 is to be administered orally as hard gelatine capsules once daily in 28-day cycles.
Primary Outcome Measure Information:
Title
Maximum tolerated dose (MTD)
Description
Maximum tolerated dose (MTD) of CPL304110 when administered orally once daily to adults with advanced solid malignancies. The MTD is the highest dose associated with the occurrence of dose-limiting toxicities (DLTs) in <33% of patients.
Time Frame
First cycle of 28 days
Title
Safety profile
Description
Overall safety profile of CPL304110, as assessed by the type, frequency, severity, timing, and relationship to study drug of any adverse events (AEs), serious adverse events (SAEs), and changes in vital signs, ECGs, and safety laboratory test.
Time Frame
First cycle of 28 days
Secondary Outcome Measure Information:
Title
Recommended Phase 2 Dose (RP2D) determined on the base of the MTD.
Description
The RP2D will be determined after review and discussion of the pharmacokinetics (PK) profile, type and severity of drug related toxicity and clinical suitability for long-term administration.
Time Frame
Approximately up to 12 months
Title
ORR, objective rate response
Description
ORR, objective rate response defined as the rate of confirmed complete response (CR) or partial response (PR) by RECIST 1.1.
Time Frame
Approximately up to 12 months
Title
Maximum plasma concentration (Cmax)
Description
Cmax defines the maximum concentration of the product in plasma during observation period.
Time Frame
up to 24 hours after CPL304110 administration
Title
Time to maximum plasma concentration (tmax)
Description
tmax defines Time to reach maximum plasma concentration
Time Frame
up to 24 hours after CPL304110 administration
Title
Area under the plasma concentration versus time curve (AUC) from 0 up to the time of last quantifiable concentration (AUC0-t)
Description
AUC(0-t) defines the area under the curve of plasma concentration vs time, from time point zero up to the time of last quantifiable concentration
Time Frame
up to the time of last quantifiable concentration after CPL304110 administration
Title
Area under the plasma concentration versus time curve AUC from 0 to infinity (AUC0-inf)
Description
AUC0-inf defines the area under the curve of plasma concentration vs time, from time point zero extrapolated to infinity
Time Frame
up to 24 hours after CPL304110 administration
Title
Terminal half-life (t½)
Description
Plasma elimination half-life
Time Frame
up to 24 hours after CPL304110 administration
Title
Kel: Terminal elimination rate constant
Description
Terminal elimination rate constant
Time Frame
up to 24 hours after CPL304110 administration
10. Eligibility
Sex
All
Minimum Age & Unit of Time
25 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient or legal guardian, if permitted by local regulatory authorities, provides informed consent to participate in the study must be performed before any procedure's protocol related
age of ≥25 years old
Performance Score ≥70 in accordance with the Karnofsky Performance Score (KPS),
life expectancy period of at least 3 months on the screening day,
Have measurable disease according to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
subject (or his/her partner) of childbearing potential willingness to use acceptable forms of contraception
adequate blood, liver, renal and urine parameters
phosphate levels within normal range
HIV, HCV (hepatitis C virus) and HBV negative (hepatitis B virus),
adequate cardiac function
Inclusion Criteria Specific for parts:
Part 1
Patients with histologically confirmed advanced gastric cancer, bladder cancer, squamous lung cancer or non-small cell lung cancer with squamous immunophenotype, cholangiocarcinoma, sarcoma or endometrial cancer, be refractory to prior therapies and without effective further treatment options.
Part 2 and 3
Patients with histologically confirmed advanced gastric cancer, bladder cancer, squamous lung cancer or non-small cell lung cancer with squamous immunophenotype, be refractory to prior therapies and without effective further treatment options.
Subject's archival formalin-fixed paraffin-embedded (FFPE) tumour sample available for molecular alteration diagnostics, and/or a possibility to collect a new biopsy.
Present molecular alteration within FGFR 1, 2 or 3
Exclusion Criteria:
Any other current malignancy or malignancy diagnosed within the past five (5) years.
Active brain metastases or leptomeningeal metastases.
concurrent anticancer treatment within 28 days before the start of trial treatment; major surgery within 28 days before the start of trial treatment); use of blood transfusion within 7 days before the start of trial treatment,
prior therapy with an agent directed to another FGFR inhibitor,
pregnancy and/or breastfeeding,
phosphate levels above the upper limit of normal,
ectopic calcification/mineralization,
endocrine alteration related to calcium/phosphate homeostasis e.g. parathyroid disorders, history of parathyroidectomy,
concomitant therapies increasing calcium/phosphate serum levels,
inability to take oral medicines,
corneal disorder and/or keratopathy,
persisting toxicity related to prior therapy Grade > 1 CTCAE v5.0, except polyneuropathy and alopecia,
clinically significant (i.e., active) cardiovascular disease. History of abdominal fistula, bowel obstruction (Grade IV), gastrointestinal perforation, intra-abdominal abscess within 6 months of enrollment. Other significant diseases, which, in the opinion of the investigator, might impair the subject's tolerance of trial treatment.
Receipt of any organ transplantation including allogeneic stem-cell transplantation.
Exclusion Criteria Specific for parts:
Part 2 and 3
No FFPE tumour sample available to conduct FGFR alteration eligibility tests and no biopsy option.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
CROS CRO
Phone
+48 791 690 990
Email
clinicaltrials@cros-cro.com
Facility Information:
Facility Name
Uniwersyteckie Centrum Kliniczne w Gdańsku
City
Gdańsk
Country
Poland
Individual Site Status
Recruiting
Facility Name
BioResearch Group sp. z o.o.
City
Nadarzyn
Country
Poland
Individual Site Status
Recruiting
Facility Name
SP ZOZ MSWiA z Warmińsko-Mazurskim Centrum Onkologii w Olsztynie
City
Olsztyn
Country
Poland
Individual Site Status
Recruiting
Facility Name
Klinika Onkologii, Europejskie Centrum Zdrowia
City
Otwock
Country
Poland
Individual Site Status
Not yet recruiting
Facility Name
Centrum Onkologii - Instytut im. Marii Skłodowskiej-Curie
City
Warsaw
Country
Poland
Individual Site Status
Recruiting
Facility Name
Instytut Gruźlicy i Chorób Płuc
City
Warsaw
Country
Poland
Individual Site Status
Recruiting
Facility Name
Wojskowy Instytut Medyczny
City
Warsaw
Country
Poland
Individual Site Status
Not yet recruiting
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
33199155
Citation
Yamani A, Zdzalik-Bielecka D, Lipner J, Stanczak A, Piorkowska N, Stanczak PS, Olejkowska P, Hucz-Kalitowska J, Magdycz M, Dzwonek K, Dubiel K, Lamparska-Przybysz M, Popiel D, Pieczykolan J, Wieczorek M. Discovery and optimization of novel pyrazole-benzimidazole CPL304110, as a potent and selective inhibitor of fibroblast growth factor receptors FGFR (1-3). Eur J Med Chem. 2021 Jan 15;210:112990. doi: 10.1016/j.ejmech.2020.112990. Epub 2020 Nov 7.
Results Reference
derived
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Safety, Tolerability and Pharmacokinetics of Oral CPL304110, in Adult Subjects With Advanced Solid Malignancies
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