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Efficacy and Safety of PVT-1 Treatment in Patients With Advanced Non-Small Cell Lung Cancer

Primary Purpose

Non Small Cell Lung Cancer, Advanced Cancer, Refractory Cancer

Status
Recruiting
Phase
Phase 2
Locations
Turkey
Study Type
Interventional
Intervention
PVT-1
Sponsored by
PlusVitech S.L.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non Small Cell Lung Cancer

Eligibility Criteria

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

Inclusion Criteria:

Female or male with age > 18 years' old Personally signed and dated informed consent that indicating that the participant ( or a legal representative) has been informed of all aspects of the study Histologically or cytologically confirmed non-small cell lung cancer(NSCLC) NSCLC patients who are not suitable for surgery or radical radiotherapy or chemotherapy, or who have failed to or are intolerable for standard treatment in local advanced or metastatic NSCLC Diagnosis of a metastatic or locally advanced NSCLC with molecular profile EGFR (-), ALK (-) and ROS-1 (-), refractory to existing treatments Evidence of disease radiological measurable. Defined as at least one target lesion that can be accurately measured by imaging, at least one dimension as ≥20 mm with conventional computed tomography (CT), ≥10 mm with spiral CT scan (≥15mm for lymph node) Absence of untreated or symptomatic brain metastases or that requires the use of steroids.

Life expectancy of at least three months in the opinion of investigators ECOG performance status of 0-1 Time since last treatment received: 3 weeks from last QT cycle or 6 weeks if nitrosiureas, at least 2 weeks from the last RT session before the first administration of study drug (The administration of palliative radiotherapy for bone pain is allowed by any time)

Laboratory results required at the screening visit:

Neutrophils> 1500 / mm3 Haemoglobin> 9.0g / dl Platelets> 100,000 / mm3 Total bilirubin <1.5 times above the normal ranges Transaminases: AST, ALT <2 times above the normal ranges, If there are liver metastases <5 times above normal values.

Serum creatinine <1.5 times above the normal ranges Female participants childbearing potential, must have a negative pregnancy test

Exclusion Criteria:

Pregnant female patients, Breastfeeding female patients Patients unable to meet the requirements (inclusion criteria) of the study Know hypersensitivity, history of allergic or anaphylactic reaction to the drug.

ECOG performance status ≥2 Any acute, chronic or psychiatric medical condition or laboratory abnormality that may increase the risk associated with the participation or PVT-1 administration in the study or may interfere with interpretation of the results, and in judgment of the investigator, would make the participant inappropriate for entry into this study.

Current history of alcoholism or drug addiction to DSM-IV criteria within 12 months prior to screening.

Patients with major organ dysfunctions and heart disease Patients with active tuberculosis Participation in any other clinical studies (phases I - IV) within 1 month or 5 half-lives, or participation in any clinical study of drugs that could present interaction within 1 year of screening visit.

Subjects who are directly involved in the conduct of the study, and their family members, site staff members supervised by study investigators.

Sites / Locations

  • Baskent UniversityRecruiting
  • Gazi UniversityRecruiting
  • Yeditepe University HospitalRecruiting
  • 19 May|s UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

PVT-1

Arm Description

One arm study.

Outcomes

Primary Outcome Measures

Effect
The primary objective of this trial is to demonstrate the effect of high dose and long-term use of PVT-1 on tumor response.

Secondary Outcome Measures

Progression Free Survival and Overall Survival
Progression free survival (PFS) and overall survival (OS). PFS will be defined as the time from the date of patients' registration to the date of the evidence of progressive disease, death due to any cause, or the last date the patient will be known to be progression-free or alive. OS will be calculated from the date of patients' registration to the date of death from any cause or the last date the patient will be known to be alive.
High Dose
The evaluation of plasma concentration of high doses of PVT-1 treatment.

Full Information

First Posted
April 5, 2021
Last Updated
April 4, 2023
Sponsor
PlusVitech S.L.
Collaborators
ECONiX Araştırma Analiz ve Danışmanlık A.Ş.
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1. Study Identification

Unique Protocol Identification Number
NCT04840004
Brief Title
Efficacy and Safety of PVT-1 Treatment in Patients With Advanced Non-Small Cell Lung Cancer
Official Title
Efficacy and Safety of PVT-1 Treatment in Patients With Advanced and Refractory Non-Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 10, 2021 (Actual)
Primary Completion Date
December 31, 2025 (Anticipated)
Study Completion Date
December 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PlusVitech S.L.
Collaborators
ECONiX Araştırma Analiz ve Danışmanlık A.Ş.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Lung cancer is one of the most common causes of cancer death worldwide. It is projected that the vast majority, approximately 80% -85% of all lung cancer diagnosis is Non-Small Cell Lung Cancer (NSCLC). Although there are significant improvements in the treatment of Lung Cancer in recent years, there is still an unmet medical need for a specific population which has advanced NSCLC and mostly is refractory to existing treatments. In NSCLC the molecular profile is important to direct the treatment. Specifically, for cases with an EGFR+, ALK+, ROS1+ or PD1/PDL1+ molecular profile, targeted treatments are available. PVT-1 is a safe, orally administrable and well-tolerated drug directed against a specific therapeutic target of cancer cells what has demonstrated efficacy in NSCLC with a molecular profile EGFR-, ALK-, ROS1- and refractory to anti-PD1 / PDL1, in last line, which also represents the highest percentage of patients and with the highest chances of cancer progression with currently available treatments.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non Small Cell Lung Cancer, Advanced Cancer, Refractory Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
PVT-1
Arm Type
Other
Arm Description
One arm study.
Intervention Type
Drug
Intervention Name(s)
PVT-1
Intervention Description
Since there is no specific dose range is available for testing the anti-tumor effects of PVT-1 in clinical trials settings, in the present study the dose of PVT-1 will be up-titrated 250/160/160 mg to maximum 1000/640/640 mg as described in study methodology section.
Primary Outcome Measure Information:
Title
Effect
Description
The primary objective of this trial is to demonstrate the effect of high dose and long-term use of PVT-1 on tumor response.
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Progression Free Survival and Overall Survival
Description
Progression free survival (PFS) and overall survival (OS). PFS will be defined as the time from the date of patients' registration to the date of the evidence of progressive disease, death due to any cause, or the last date the patient will be known to be progression-free or alive. OS will be calculated from the date of patients' registration to the date of death from any cause or the last date the patient will be known to be alive.
Time Frame
12 months
Title
High Dose
Description
The evaluation of plasma concentration of high doses of PVT-1 treatment.
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female or male with age > 18 years' old Personally signed and dated informed consent that indicating that the participant ( or a legal representative) has been informed of all aspects of the study Histologically or cytologically confirmed non-small cell lung cancer(NSCLC) NSCLC patients who are not suitable for surgery or radical radiotherapy or chemotherapy, or who have failed to or are intolerable for standard treatment in local advanced or metastatic NSCLC Diagnosis of a metastatic or locally advanced NSCLC with molecular profile EGFR (-), ALK (-) and ROS-1 (-), refractory to existing treatments Evidence of disease radiological measurable. Defined as at least one target lesion that can be accurately measured by imaging, at least one dimension as ≥20 mm with conventional computed tomography (CT), ≥10 mm with spiral CT scan (≥15mm for lymph node) Absence of untreated or symptomatic brain metastases or that requires the use of steroids. Life expectancy of at least three months in the opinion of investigators ECOG performance status of 0-1 Time since last treatment received: 3 weeks from last QT cycle or 6 weeks if nitrosiureas, at least 2 weeks from the last RT session before the first administration of study drug (The administration of palliative radiotherapy for bone pain is allowed by any time) Laboratory results required at the screening visit: Neutrophils> 1500 / mm3 Haemoglobin> 9.0g / dl Platelets> 100,000 / mm3 Total bilirubin <1.5 times above the normal ranges Transaminases: AST, ALT <2 times above the normal ranges, If there are liver metastases <5 times above normal values. Serum creatinine <1.5 times above the normal ranges Female participants childbearing potential, must have a negative pregnancy test Exclusion Criteria: Pregnant female patients, Breastfeeding female patients Patients unable to meet the requirements (inclusion criteria) of the study Know hypersensitivity, history of allergic or anaphylactic reaction to the drug. ECOG performance status ≥2 Any acute, chronic or psychiatric medical condition or laboratory abnormality that may increase the risk associated with the participation or PVT-1 administration in the study or may interfere with interpretation of the results, and in judgment of the investigator, would make the participant inappropriate for entry into this study. Current history of alcoholism or drug addiction to DSM-IV criteria within 12 months prior to screening. Patients with major organ dysfunctions and heart disease Patients with active tuberculosis Participation in any other clinical studies (phases I - IV) within 1 month or 5 half-lives, or participation in any clinical study of drugs that could present interaction within 1 year of screening visit. Subjects who are directly involved in the conduct of the study, and their family members, site staff members supervised by study investigators.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sahin Lacin, MD, PhD
Phone
+902124447000
Email
sahin.lacin@yeditepe.edu.tr
First Name & Middle Initial & Last Name or Official Title & Degree
Guvenc Kockaya, MD, PhD
Phone
+902124447000
Email
guvenc.kockaya@yeditepe.edu.tr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sahin Lacin
Organizational Affiliation
Yeditepe University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Baskent University
City
Adana
Country
Turkey
Individual Site Status
Recruiting
Facility Name
Gazi University
City
Ankara
Country
Turkey
Individual Site Status
Recruiting
Facility Name
Yeditepe University Hospital
City
Istanbul
Country
Turkey
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sahin Lacin, MD, PhD
Email
sahin.lacin@yeditepe.edu.tr
First Name & Middle Initial & Last Name & Degree
Guvenc Kockaya, MD, PhD
Email
guvenc.kockaya@yeditepe.edu.tr
Facility Name
19 May|s University
City
Samsun
Country
Turkey
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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Efficacy and Safety of PVT-1 Treatment in Patients With Advanced Non-Small Cell Lung Cancer

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