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Study of TL117 in Patients With Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma

Primary Purpose

Head and Neck Squamous Cell Carcinoma

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
TL117
Paclitaxel
Sponsored by
Suzhou Junde Biotechnology Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Head and Neck Squamous Cell Carcinoma

Eligibility Criteria

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

Inclusion Criteria:

  1. 18-70 years old for Phase 1a, 18-75 years old for Phase 1b and 2;
  2. Histologically and/or cytologically confirmation of recurrent/metastatic squamous cell carcinoma of the head and neck;
  3. At least one evaluable or measurable tumor lesion;
  4. Adequate performance status;
  5. A minimum life expectancy of > 3 months;
  6. Adequate cardiac, kidney, and liver function;
  7. Willingness of all subjects of childbearing potential to use acceptable methods of birth control;

Exclusion Criteria:

  1. Any chemotherapy, radiotherapy, targeted therapy, immunotherapy, endocrine therapy and other systematic anti-tumor therapies within 4 weeks prior to the first dose of the study drug (some exceptions apply)
  2. Prior or current PI3K inhibitor therapy;
  3. Type 1 or type 2 diabetes requiring antihyperglycemic medication;
  4. Major organ surgery (excluding needle biopsy) or significant trauma within 4 weeks prior to the first dose, or required elective surgery during the study period;
  5. Any unresolved toxicities from prior therapy greater than Grade 1;
  6. Inability to swallow, or serious gastrointestinal absorption conditions;
  7. History of immunodeficiency;
  8. Active central nervous system metastases;
  9. Active hepatitis B or C virus infection;
  10. Uncontrolled active infection;
  11. Serious cardiovascular disease;
  12. Clinically uncontrollable effusion in the third space;
  13. Known allergy and/or contraindications to paclitaxel;
  14. Known alcohol or drug dependence;
  15. Mental disorders or poor compliance;
  16. Pregnant or lactating women;

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Single arm, open label

    Arm Description

    Phase 1a: All subjects receiving TL117 alone (20-120 mg); Phase 1b: All subjects receiving TL117 (MTD-1 or MTD) plus Paclitaxel; Phase 2: All subjects receiving TL117 in combination with Paclitaxel at RP2D

    Outcomes

    Primary Outcome Measures

    Phase Ia -Dose Limiting Toxicity (DLT) of TL117 treatment
    Per DLT criteria as defined in protocol
    Phase Ib -Dose Limiting Toxicity (DLT) of TL117 plus paclitaxel combination treatment
    Per DLT criteria as defined in protocol
    Phase II - Objective response rate (ORR)
    Objective response rate (ORR): percentage of patients with best overall response of complete response (CR) and partial response (PR) according to RECIST v1.1.

    Secondary Outcome Measures

    Full Information

    First Posted
    March 19, 2021
    Last Updated
    April 9, 2021
    Sponsor
    Suzhou Junde Biotechnology Co., Ltd
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04843098
    Brief Title
    Study of TL117 in Patients With Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma
    Official Title
    Phase I/II Study of the PI3K Inhibitor TL117 Alone and in Combination With Paclitaxel in Patients With Relapsed/Metastatic Squamous Cell Carcinoma of the Head and Neck
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    April 2021 (Anticipated)
    Primary Completion Date
    January 2024 (Anticipated)
    Study Completion Date
    January 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Suzhou Junde Biotechnology Co., Ltd

    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 this study is to assess the safety, pharmacokinetic and efficacy of TL117 plus paclitaxel in patients with recurrent or metastatic head and neck cancer.
    Detailed Description
    This is a Phase 1/2 open label, single arm study, and is divided into three phases: the single-agent dose-escalation phase Ia trial, the TL117 plus paclitaxel dose-escalation phase Ib trial, and the open label, multicenter phase 2 trial of TL117 plus paclitaxel. Adverse events and dose limiting toxicities will be assessed from the first dose of study drug though day 28. When the maximum tolerated dose (MTD) of TL117 plus paclitaxel is determined, additional patients will be treated at the defined RP2D dose until occurrence of unacceptable toxicity, disease progression or withdrawal of consent or death.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Head and Neck Squamous Cell Carcinoma

    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
    108 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Single arm, open label
    Arm Type
    Experimental
    Arm Description
    Phase 1a: All subjects receiving TL117 alone (20-120 mg); Phase 1b: All subjects receiving TL117 (MTD-1 or MTD) plus Paclitaxel; Phase 2: All subjects receiving TL117 in combination with Paclitaxel at RP2D
    Intervention Type
    Drug
    Intervention Name(s)
    TL117
    Intervention Description
    TL117 capsules orally once daily
    Intervention Type
    Drug
    Intervention Name(s)
    Paclitaxel
    Intervention Description
    Paclitaxel (80 mg/m2) administered intravenously (IV) on Days 1, 8, and 15 of a 28-day treatment cycle.
    Primary Outcome Measure Information:
    Title
    Phase Ia -Dose Limiting Toxicity (DLT) of TL117 treatment
    Description
    Per DLT criteria as defined in protocol
    Time Frame
    From time of the first dosing to time of Cycle 1 Day 28(each cycle is 28 days)
    Title
    Phase Ib -Dose Limiting Toxicity (DLT) of TL117 plus paclitaxel combination treatment
    Description
    Per DLT criteria as defined in protocol
    Time Frame
    From time of the first dosing to time of Cycle 1 Day 28(each cycle is 28 days)
    Title
    Phase II - Objective response rate (ORR)
    Description
    Objective response rate (ORR): percentage of patients with best overall response of complete response (CR) and partial response (PR) according to RECIST v1.1.
    Time Frame
    Every 8 weeks from date of first treatment until date of last treatment up to 12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 18-70 years old for Phase 1a, 18-75 years old for Phase 1b and 2; Histologically and/or cytologically confirmation of recurrent/metastatic squamous cell carcinoma of the head and neck; At least one evaluable or measurable tumor lesion; Adequate performance status; A minimum life expectancy of > 3 months; Adequate cardiac, kidney, and liver function; Willingness of all subjects of childbearing potential to use acceptable methods of birth control; Exclusion Criteria: Any chemotherapy, radiotherapy, targeted therapy, immunotherapy, endocrine therapy and other systematic anti-tumor therapies within 4 weeks prior to the first dose of the study drug (some exceptions apply) Prior or current PI3K inhibitor therapy; Type 1 or type 2 diabetes requiring antihyperglycemic medication; Major organ surgery (excluding needle biopsy) or significant trauma within 4 weeks prior to the first dose, or required elective surgery during the study period; Any unresolved toxicities from prior therapy greater than Grade 1; Inability to swallow, or serious gastrointestinal absorption conditions; History of immunodeficiency; Active central nervous system metastases; Active hepatitis B or C virus infection; Uncontrolled active infection; Serious cardiovascular disease; Clinically uncontrollable effusion in the third space; Known allergy and/or contraindications to paclitaxel; Known alcohol or drug dependence; Mental disorders or poor compliance; Pregnant or lactating women;
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Ye Guo, Dr
    Phone
    021-38804518
    Email
    pattrickguo@gmail.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Wei Peng, Dr
    Phone
    021-38804518
    Email
    pengwei8324@163.com

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Study of TL117 in Patients With Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma

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