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A Study of Evaluating Dual Inhibitor of PAK4 and NAMPT ATG-019 in Advanced Solid Tumors or Non-Hodgkin's Lymphoma (TEACH)

Primary Purpose

Solid Tumor, Non-Hodgkin's Lymphoma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ATG-019
ATG-019 + Niacin ER
Sponsored by
Antengene Therapeutics Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor, Non-Hodgkin's Lymphoma

Eligibility Criteria

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

Inclusion Criteria:

  1. Written informed consent obtained prior to any screening procedures and in accordance with local and institutional guidelines.
  2. Age ≥18 years.
  3. Patients with histologically or cytologically confirmed, NHL or advanced solid tumors which have progressed despite standard therapy, for whom no standard therapy exists, or who have refused standard therapy.
  4. Patients must have objective evidence of PD on study entry:

    1. Advanced solid tumors: Measureable disease as defined by RECIST 1.11.
    2. NHL: Measureable disease including target lesion(s) as defined by the Cheson 2014 Classification2 for initial evaluation and staging.
  5. Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1.
  6. Adequate hepatic function.
  7. Adequate renal function.
  8. Life expectancy of ≥ 3 months.
  9. Adequate hematopoietic function.
  10. Female patients of child-bearing potential must agree to use dual methods of contraception (including one highly effective and one effective method of contraception) and have a negative serum pregnancy test at Screening, and male patients must use an effective barrier method of contraception if sexually active with a female of child-bearing potential.

Exclusion Criteria:

  1. Female patients who are pregnant or lactating.
  2. Time since the last prior therapy for treatment of advanced solid tumors or NHL**:

    1. Radiation, chemotherapy, immunotherapy or any other anticancer therapy, including investigational anti-cancer therapy ≤ 4 weeks prior to C1D1.
    2. Palliative steroids for disease related symptoms within 7 days prior to C1D1.
  3. Known central nervous system metastases.
  4. Major surgery within 4 weeks before C1D1.
  5. Impaired cardiac function or clinically significant cardiac diseases.
  6. Active infection with completion of therapeutic antibiotics, antivirals, or antifungals within 1 week prior to C1D1.
  7. Patients diagnosed with tuberculosis and had received treatment.
  8. Patients with a known history of human immunodeficiency virus (HIV).
  9. Known, active hepatitis A, B, or C infection.
  10. Serious psychiatric or medical conditions that, in the opinion of the Investigator, could interfere with treatment, compliance, or the ability to give consent.

Sites / Locations

  • Jiangsu Province Hospital
  • Fudan University Zhongshan Hospital
  • Xinhua Hospital Affiliated To Shanghai Jiaotong University School of Medicine
  • Kaohsiung Medical University Chung-Ho Memorial Hospital (KMUH)Recruiting
  • Kaohsiung Chang Gung Memorial Hospital (CGMHKS)
  • China Medical University Hospital (CMUH)Recruiting
  • National Cheng Kung University Hospital (NCKUH)Recruiting
  • Tri-Service General Hospital (TSGH)Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

ATG-019 Alone

ATG-019 + Niacin ER

Arm Description

A starting does of 30 mg QoD×3 ATG-019

A starting dose of 60 mg ATG-019 and 500 mg niacin ER

Outcomes

Primary Outcome Measures

To determine MTD* or RP2D*
MTD will be evaluated using the NCI-CTCAE, Version 5.0; RP2D will be determined by SMC for dose escalation phase.
To evaluate the Dose-Limiting Toxicity (DLT) for dose escalation phase
DLTs will be evaluated using the CTCAE, Version 5.0 for grading.
Overall Response Rate (ORR)
ORR analysis will be performed for both study phases by calculating the point estimate of the percentage of patients who have either CR or PR, presented as the number and percentage of patients, including a two-sided 95% CI.

Secondary Outcome Measures

Peak Plasma Concentration (Cmax)
To determine the maximum plasma concentration (Cmax) for dose escalation phase.
Time to Reach Cmax (Tmax)
To evaluate the time to reach Cmax after single and multiple doses for dose escalation phase.
To determine RP2D*
RP2D will be determined by SMC for dose escalation phase.
Duration of response (DOR)
The duration of time from first meeting CR or PR measurement criteria (whichever occurs first) until the first date that PD recurrence is objectively documented.
Disease control rate (DCR)
The analysis of DCR will be similar to that described for ORR, for patients who achieve CR, PR, or SD for ≥ 8 weeks.
Progression-free survival (PFS)
The duration of time from date of first dose of study treatment until the first date that PD is objectively documented or death due to any cause.
Overall Survival (OS)
The duration of time from date of first dose of study treatment until death from any cause.
Time to progression (TTP)
The duration of time from date of first dose of study treatment to date of PD.

Full Information

First Posted
February 18, 2020
Last Updated
August 11, 2022
Sponsor
Antengene Therapeutics Limited
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1. Study Identification

Unique Protocol Identification Number
NCT04281420
Brief Title
A Study of Evaluating Dual Inhibitor of PAK4 and NAMPT ATG-019 in Advanced Solid Tumors or Non-Hodgkin's Lymphoma
Acronym
TEACH
Official Title
A Phase I Open-Label Study of the Safety and Tolerability of ATG-019, a Dual Inhibitor of PAK4 and NAMPT, in Patients With Advanced Solid Tumors or Non-Hodgkin's Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 13, 2020 (Actual)
Primary Completion Date
August 2023 (Anticipated)
Study Completion Date
November 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Antengene Therapeutics Limited

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
This is a multi-center, open-label clinical study with separate Dose Escalation and Expansion Phases to assess preliminary safety, tolerability, and efficacy of ATG-019, a dual inhibitor of PAK4 and NAMPT, alone or co-administered with starting dose of 500 mg niacin ER in patients with advanced solid tumors or non-Hodgkin's lymphoma (NHL).
Detailed Description
This is a multi-center, open-label clinical study with separate Dose Escalation and Expansion Phases to assess preliminary safety, tolerability, and efficacy of ATG-019, a dual inhibitor of PAK4 and NAMPT, alone or co-administered with starting dose of 500 mg niacin ER (may be titrated to 1,000 mg of daily dose, per label), in patients with advanced solid tumors or non-Hodgkin's lymphoma (NHL) for which all standard therapeutic options considered useful by the investigator have been exhausted and with PD at study entry. The MTD and RP2D will be determined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Non-Hodgkin's Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
ATG-019 ATG-019+Niacin ER
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
70 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ATG-019 Alone
Arm Type
Experimental
Arm Description
A starting does of 30 mg QoD×3 ATG-019
Arm Title
ATG-019 + Niacin ER
Arm Type
Experimental
Arm Description
A starting dose of 60 mg ATG-019 and 500 mg niacin ER
Intervention Type
Drug
Intervention Name(s)
ATG-019
Other Intervention Name(s)
KPT-9274
Intervention Description
ATG-019 30 mg QoD×3 is selected as the staring dose. Oral ATG-019 will be taken three times a week every other day (Days 1, 3, 5, 8, 10, 12, 15, 17, 19, 22, 24, and 26) during each 28-day cycle.
Intervention Type
Combination Product
Intervention Name(s)
ATG-019 + Niacin ER
Intervention Description
ATG-019 60 mg is selected as starting dose. Oral ATG-019 will be taken three times a week every other day (Days 1, 3, 5, 8, 10, 12, 15, 17, 19, 22, 24, and 26) during each 28-day cycle. And a starting dose of 500 mg niacin ER (may be titrated up to 1,000 mg of daily dose, per label) co-administered with each dose of ATG-019.
Primary Outcome Measure Information:
Title
To determine MTD* or RP2D*
Description
MTD will be evaluated using the NCI-CTCAE, Version 5.0; RP2D will be determined by SMC for dose escalation phase.
Time Frame
18 months
Title
To evaluate the Dose-Limiting Toxicity (DLT) for dose escalation phase
Description
DLTs will be evaluated using the CTCAE, Version 5.0 for grading.
Time Frame
18 months
Title
Overall Response Rate (ORR)
Description
ORR analysis will be performed for both study phases by calculating the point estimate of the percentage of patients who have either CR or PR, presented as the number and percentage of patients, including a two-sided 95% CI.
Time Frame
18 months
Secondary Outcome Measure Information:
Title
Peak Plasma Concentration (Cmax)
Description
To determine the maximum plasma concentration (Cmax) for dose escalation phase.
Time Frame
18 months
Title
Time to Reach Cmax (Tmax)
Description
To evaluate the time to reach Cmax after single and multiple doses for dose escalation phase.
Time Frame
18 months
Title
To determine RP2D*
Description
RP2D will be determined by SMC for dose escalation phase.
Time Frame
18 months
Title
Duration of response (DOR)
Description
The duration of time from first meeting CR or PR measurement criteria (whichever occurs first) until the first date that PD recurrence is objectively documented.
Time Frame
18 months
Title
Disease control rate (DCR)
Description
The analysis of DCR will be similar to that described for ORR, for patients who achieve CR, PR, or SD for ≥ 8 weeks.
Time Frame
18 months
Title
Progression-free survival (PFS)
Description
The duration of time from date of first dose of study treatment until the first date that PD is objectively documented or death due to any cause.
Time Frame
18 months
Title
Overall Survival (OS)
Description
The duration of time from date of first dose of study treatment until death from any cause.
Time Frame
18 months
Title
Time to progression (TTP)
Description
The duration of time from date of first dose of study treatment to date of PD.
Time Frame
18 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent obtained prior to any screening procedures and in accordance with local and institutional guidelines. Age ≥18 years. Patients with histologically or cytologically confirmed, NHL or advanced solid tumors which have progressed despite standard therapy, for whom no standard therapy exists, or who have refused standard therapy. Patients must have objective evidence of PD on study entry: Advanced solid tumors: Measureable disease as defined by RECIST 1.11. NHL: Measureable disease including target lesion(s) as defined by the Cheson 2014 Classification2 for initial evaluation and staging. Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1. Adequate hepatic function. Adequate renal function. Life expectancy of ≥ 3 months. Adequate hematopoietic function. Female patients of child-bearing potential must agree to use dual methods of contraception (including one highly effective and one effective method of contraception) and have a negative serum pregnancy test at Screening, and male patients must use an effective barrier method of contraception if sexually active with a female of child-bearing potential. Exclusion Criteria: Female patients who are pregnant or lactating. Time since the last prior therapy for treatment of advanced solid tumors or NHL**: Radiation, chemotherapy, immunotherapy or any other anticancer therapy, including investigational anti-cancer therapy ≤ 4 weeks prior to C1D1. Palliative steroids for disease related symptoms within 7 days prior to C1D1. Known central nervous system metastases. Major surgery within 4 weeks before C1D1. Impaired cardiac function or clinically significant cardiac diseases. Active infection with completion of therapeutic antibiotics, antivirals, or antifungals within 1 week prior to C1D1. Patients diagnosed with tuberculosis and had received treatment. Patients with a known history of human immunodeficiency virus (HIV). Known, active hepatitis A, B, or C infection. Serious psychiatric or medical conditions that, in the opinion of the Investigator, could interfere with treatment, compliance, or the ability to give consent.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Shimin Sun Sun, MD
Phone
13701803117
Email
jasmine.sun@antengene.com
First Name & Middle Initial & Last Name or Official Title & Degree
Xiaoqing Li, MA.Sc
Phone
13675893326
Email
xiaoqing.li@antengene.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephen Xie, MD; PhD
Organizational Affiliation
Medical Monitor
Official's Role
Study Director
Facility Information:
Facility Name
Jiangsu Province Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210029
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wei Xu, PhD
First Name & Middle Initial & Last Name & Degree
Wei Xu, PhD
Facility Name
Fudan University Zhongshan Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Peng Liu, PhD
First Name & Middle Initial & Last Name & Degree
Peng Liu, PhD
Facility Name
Xinhua Hospital Affiliated To Shanghai Jiaotong University School of Medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200092
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rong Tao, PhD
First Name & Middle Initial & Last Name & Degree
Rong Tao, PhD
Facility Name
Kaohsiung Medical University Chung-Ho Memorial Hospital (KMUH)
City
Kaohsiung
ZIP/Postal Code
807
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hui-Hua Hsiao
Facility Name
Kaohsiung Chang Gung Memorial Hospital (CGMHKS)
City
Kaohsiung
ZIP/Postal Code
83301
Country
Taiwan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yen-Yang Chen
Facility Name
China Medical University Hospital (CMUH)
City
Taichang
ZIP/Postal Code
40447
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li-Yuan Bai
Facility Name
National Cheng Kung University Hospital (NCKUH)
City
Tainan
ZIP/Postal Code
70457
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chia-Jui Yen
Facility Name
Tri-Service General Hospital (TSGH)
City
Taipei
ZIP/Postal Code
114
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ching-Liang Ho

12. IPD Sharing Statement

Learn more about this trial

A Study of Evaluating Dual Inhibitor of PAK4 and NAMPT ATG-019 in Advanced Solid Tumors or Non-Hodgkin's Lymphoma

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