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A Study of ICP-192 in Patients With Advanced Solid Tumors

Primary Purpose

Advanced Solid Tumors, Urothelial Carcinoma, Cholangiocarcinoma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Drug ICP-192
Sponsored by
Beijing InnoCare Pharma Tech Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors

Eligibility Criteria

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

Major Inclusion Criteria

Participants are eligible to be included in the study only if all of the following criteria apply:

  1. Participate voluntarily, sign informed consent, and follow the study treatment plan and scheduled visits;
  2. Phase I: Patients with histologically or cytologically confirmed unresectable or metastatic advanced malignant solid tumors who have progressed under standard treatment or recurred after or were intolerant to all standard treatment regimens, or have no standard treatment available;
  3. Phase II: patients with histologically or cytologically confirmed unresectable or metastatic urothelial carcinoma or cholangiocarcinoma, who have progressed or recurred after or were intolerant to first-line chemotherapy, or have progressed/relapsed within 12 months after neoadjuvant /adjuvant chemotherapy;
  4. Phase II: Existing test reports have confirmed the FGFR gene alteration or the central laboratory has detected the FGFR gene alteration.
  5. Age ≥18 years old;
  6. At least one measurable lesion according to the Response Evaluation Criteria of Solid Tumor, version 1.1 (RECIST 1.1);
  7. ECOG performance status of 0-1;
  8. Life expectancy for more than 3 months; Must have adequate organ function Major Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:

  1. Have previously been treated with selective pan-FGFR molecular inhibitors or antibody drugs, except for the FGFR4 selective inhibitors;
  2. Within 2 weeks before the first dose of study drug, the subject's phosphate level continuing to exceed the ULN despite medical treatment;
  3. Patients with clinically significant gastrointestinal dysfunction
  4. Has known central nervous system metastases;
  5. Has a history of or currently uncontrolled cardiovascular diseases
  6. History of organ transplantation or a history of allogeneic hematopoietic stem cell transplantation;
  7. Current evidence of corneal or retinal abnormalities that may increase eye toxicity;
  8. Active hepatitis B virus active hepatitis C, or HIV infection;
  9. Has not recovered from reversible toxicity of prior anti-tumor therapy
  10. Pregnant or lactating women, as well as women with childbearing potential who are unwilling or unable to perform contraception from the screening to 6 months after the last study drug administration; and fertile men who are unwilling or unable to perform contraception from screening to 3months after the last study drug administration
  11. Other conditions considered by the investigator to be inappropriate for participation in this study.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Sites / Locations

  • Arizona OncologyRecruiting
  • University of California, San Diego (UCSD) - Moores Cancer CenterRecruiting
  • Rocky Mountain Cancer CentersRecruiting
  • Mid Florida Hematology and Oncology
  • Minnesota Oncology HematologyRecruiting
  • Rutgers Cancer Institute of New JerseyRecruiting
  • Clinical Research AllianceRecruiting
  • The Ohio State UniversityRecruiting
  • The University of Texas MD Anderson Cancer CenterRecruiting
  • Macquarie University HospitalRecruiting
  • GenesisCare - North ShoreRecruiting
  • Westmead HospitalRecruiting
  • Pindara Private HospitalRecruiting
  • Monash Medical Centre ClaytonRecruiting
  • Peninsula & South Eastern Haematology & Oncology GroupRecruiting
  • Olivia Newton-John Cancer Research InstituteRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ICP-192

Arm Description

Dose Escalation Phase ICP-192 Dose Expansion Phase ICP-192

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Phase I: Dose Escalation & Phase II: Dose Expansion To evaluate the safety and tolerability of different doses of ICP-192 in patients with advanced solid tumors
MTD
Phase I: Dose Escalation To determine Maximum Tolerated Dose(MTD) for ICP-192
OBD
Phase I: Dose Escalation To determine Optimal Biological Dose (OBD) for ICP-192
RP2D
Phase I: Dose Escalation To determine Recommended Phase 2 Dose (RP2D) for ICP-192
ORR
Phase II: Dose Expansion Objective Response Rate

Secondary Outcome Measures

Peak concentration (Cmax)
Phase I: Dose Escalation Peak concentration (Cmax)
AUC
Phase I: Dose Escalation AUC
DCR
Phase II: Dose Expansion disease control rate
DOR
Phase II: Dose Expansion duration of response
PFS
Phase II: Dose Expansion progression-free survival
OS
Phase II: Dose Expansion overall survival

Full Information

First Posted
September 1, 2020
Last Updated
March 12, 2023
Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04565275
Brief Title
A Study of ICP-192 in Patients With Advanced Solid Tumors
Official Title
A Multi-center Open-label, Phase I/II Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of ICP-192 in Patients With Advanced Solid Tumors and FGFR Gene Alterations
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 1, 2021 (Actual)
Primary Completion Date
November 30, 2023 (Anticipated)
Study Completion Date
April 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a multi-center, open-label, phase I/II clinical study to evaluate ICP-192 in patients with advanced solid tumors and FGFR gene alterations. It consists of two parts: Part I (Phase I), dose escalation and Part II (Phase II), dose expansion.
Detailed Description
Part I (Phase I) of the study enrolls patients with advanced solid tumors (9-15 patients); Part II (Phase II) of the study enrolls patients with urothelial carcinoma or cholangiocarcinoma with FGFR genetic alterations (30 patients).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors, Urothelial Carcinoma, Cholangiocarcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
45 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ICP-192
Arm Type
Experimental
Arm Description
Dose Escalation Phase ICP-192 Dose Expansion Phase ICP-192
Intervention Type
Drug
Intervention Name(s)
Drug ICP-192
Intervention Description
Dose Escalation Phase ICP-192 will be taken by patients with advanced solid tumor and will be treated follow the "3+3" dose escalation scheme Dose Expansion Phase ICP-192 will be taken by patients with urothelial carcinoma or cholangiocarcinoma with FGFR gene alterations and will be treated at a single dose defined from the Dose Escalation Phase.
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Description
Phase I: Dose Escalation & Phase II: Dose Expansion To evaluate the safety and tolerability of different doses of ICP-192 in patients with advanced solid tumors
Time Frame
Up to 3 years
Title
MTD
Description
Phase I: Dose Escalation To determine Maximum Tolerated Dose(MTD) for ICP-192
Time Frame
Up to 3 years
Title
OBD
Description
Phase I: Dose Escalation To determine Optimal Biological Dose (OBD) for ICP-192
Time Frame
Up to 3 years
Title
RP2D
Description
Phase I: Dose Escalation To determine Recommended Phase 2 Dose (RP2D) for ICP-192
Time Frame
Up to 3 years
Title
ORR
Description
Phase II: Dose Expansion Objective Response Rate
Time Frame
Up to 3 years
Secondary Outcome Measure Information:
Title
Peak concentration (Cmax)
Description
Phase I: Dose Escalation Peak concentration (Cmax)
Time Frame
Up to 3 years
Title
AUC
Description
Phase I: Dose Escalation AUC
Time Frame
Up to 3 years
Title
DCR
Description
Phase II: Dose Expansion disease control rate
Time Frame
Up to 3 years
Title
DOR
Description
Phase II: Dose Expansion duration of response
Time Frame
Up to 3 years
Title
PFS
Description
Phase II: Dose Expansion progression-free survival
Time Frame
Up to 3 years
Title
OS
Description
Phase II: Dose Expansion overall survival
Time Frame
Up to 3 years
Other Pre-specified Outcome Measures:
Title
Drug exposure
Description
Phase II: Dose Expansion Assessment of the correlations between drug exposure (e.g., AUC, Cmax) and patient response to ICP-192.
Time Frame
Up to 3 years
Title
PD biomarker
Description
Phase II: Dose Expansion Assessment of the correlations between PD biomarker and patient response to ICP-192.
Time Frame
Up to 3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Major Inclusion Criteria Participants are eligible to be included in the study only if all of the following criteria apply: Participate voluntarily, sign informed consent, and follow the study treatment plan and scheduled visits; Phase I: Patients with histologically or cytologically confirmed unresectable or metastatic advanced malignant solid tumors who have progressed under standard treatment or recurred after or were intolerant to all standard treatment regimens, or have no standard treatment available; Phase II: patients with histologically or cytologically confirmed unresectable or metastatic urothelial carcinoma or cholangiocarcinoma, who have progressed or recurred after or were intolerant to first-line chemotherapy, or have progressed/relapsed within 12 months after neoadjuvant /adjuvant chemotherapy; Phase II: Existing test reports have confirmed the FGFR gene alteration or the central laboratory has detected the FGFR gene alteration. Age ≥18 years old; At least one measurable lesion according to the Response Evaluation Criteria of Solid Tumor, version 1.1 (RECIST 1.1); ECOG performance status of 0-1; Life expectancy for more than 3 months; Must have adequate organ function Major Exclusion Criteria Participants are excluded from the study if any of the following criteria apply: Have previously been treated with selective pan-FGFR molecular inhibitors or antibody drugs, except for the FGFR4 selective inhibitors; Within 2 weeks before the first dose of study drug, the subject's phosphate level continuing to exceed the ULN despite medical treatment; Patients with clinically significant gastrointestinal dysfunction Has known central nervous system metastases; Has a history of or currently uncontrolled cardiovascular diseases History of organ transplantation or a history of allogeneic hematopoietic stem cell transplantation; Current evidence of corneal or retinal abnormalities that may increase eye toxicity; Active hepatitis B virus active hepatitis C, or HIV infection; Has not recovered from reversible toxicity of prior anti-tumor therapy Pregnant or lactating women, as well as women with childbearing potential who are unwilling or unable to perform contraception from the screening to 6 months after the last study drug administration; and fertile men who are unwilling or unable to perform contraception from screening to 3months after the last study drug administration Other conditions considered by the investigator to be inappropriate for participation in this study. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Olivia Yang
Phone
+1 (609) 524-0684
Email
olivia.yang@INNOCAREPHARMA.COM
Facility Information:
Facility Name
Arizona Oncology
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85711
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sudhir Manda, MD
Phone
520-886-0206
Facility Name
University of California, San Diego (UCSD) - Moores Cancer Center
City
La Jolla
State/Province
California
ZIP/Postal Code
92037
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shumei Kato
Facility Name
Rocky Mountain Cancer Centers
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80012
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Manojkumar Bupathi
Facility Name
Mid Florida Hematology and Oncology
City
Orange City
State/Province
Florida
ZIP/Postal Code
32763
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Santosh Nair, MD
Facility Name
Minnesota Oncology Hematology
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55404
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Timothy Larson
Facility Name
Rutgers Cancer Institute of New Jersey
City
Bronx
State/Province
New York
ZIP/Postal Code
10462
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sanjay Goel
Facility Name
Clinical Research Alliance
City
Lake Success
State/Province
New York
ZIP/Postal Code
11042
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
James D'Olimpio
Facility Name
The Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sameek Roychowdhury
Facility Name
The University of Texas MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77001
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Neal Akhave
Facility Name
Macquarie University Hospital
City
Macquarie Park
State/Province
New South Wales
ZIP/Postal Code
2109
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alison Zhang
Facility Name
GenesisCare - North Shore
City
St Leonards
State/Province
New South Wales
ZIP/Postal Code
1590
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Adrian Lee
Facility Name
Westmead Hospital
City
Westmead
State/Province
New South Wales
ZIP/Postal Code
2145
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ka Yeung Mark Wong
Facility Name
Pindara Private Hospital
City
Benowa
State/Province
Queensland
ZIP/Postal Code
4217
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marco Matos
Facility Name
Monash Medical Centre Clayton
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elizabeth Ahern
Facility Name
Peninsula & South Eastern Haematology & Oncology Group
City
Frankston
State/Province
Victoria
ZIP/Postal Code
3199
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Vinod Ganju
Facility Name
Olivia Newton-John Cancer Research Institute
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3084
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Andrew Weickhardt

12. IPD Sharing Statement

Learn more about this trial

A Study of ICP-192 in Patients With Advanced Solid Tumors

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