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A Study of LP-118 in Patients With Advanced Tumors

Primary Purpose

Solid Tumor, Lymphoma, Non-Hodgkin

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
LP-118 tablet
Sponsored by
Guangzhou Lupeng Pharmaceutical Company LTD.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects with histologically or cytologically confirmed malignancy, including either of the following disease: relapsed or refractory lymphomas with at least one measurable disease based on Lugano 2014 criteria; or advanced or metastatic solid tumors based on RECIST V1.1 criteria.
  • Subjects have a life expectancy of ≥12 weeks, and Eastern Cooperative Oncology Group (ECOG) performance score less than or equal to 1.
  • Subjects must have adequate bone marrow function independent of blood transfusion or growth factor support per local laboratory reference range at Screening.
  • Subjects must have adequate coagulation, renal, and hepatic function, per local laboratory reference range at Screening.
  • All acute toxicity from previous anti-tumor treatment or surgery has been alleviated to NCI CTCAE 5.0 ≤ Grade 1.
  • All enrolled subjects should take medically approved contraceptives during the entire treatment period and within 90 days after the end of treatment.
  • Volunteer and sign informed consent, willing to follow trial protocol.

Exclusion Criteria:

  • Subjects who have undergone allogeneic or autologous hematopoietic stem cell transplantation or CAR-T cell therapy (except for lymphoma patients who had received autologous stem cell transplantation or CAR-T cell therapy before 90 days of the first dose of LP-118).
  • Subjects who have received the following treatments within 4 weeks or 5 half-lives before the first dose of study drug:

    • Antitumor therapies including myelosuppressive chemotherapy, targeted therapy, biological therapy and/or immunotherapy;
    • Any investigational treatment;
    • Patients who have undergone major surgery, severe trauma or radiotherapy.
  • Subjects who have received the following treatments within 1 week before the first dose of study drug:

    • Steroids or traditional herbal medicine for antitumor purposes;
    • Strong and moderate CYP3A inhibitors and inducers, grapefruit and grapefruit juice;
    • Any medications that can cause QTc interval prolongation or torsional tachycardia.
  • Solid tumor patients with ITP or AIHA.
  • Subjects with known bleeding disease or with a history of non-chemotherapy induced thrombocytopenic bleeding or ineffective platelet transfusion within 1 year before the first dose of study drug.
  • Subjects with uncontrollable or CTCAE ≥ grade 2 gastrointestinal bleeding occurred within 90 days before the first dose of study drug.
  • Subjects have received the therapeutic dose of anticoagulant or antiplatelet drugs within 1 week before the first dose of study drug.
  • Subjects have any serious and/or uncontrolled systemic disease.
  • Subjects have poor cardiovascular function, in line with New York Heart Association (NYHA) cardiac function classification ≥ 2 or QTcF greater than 450ms (male) or 470ms (female) on ≥ 3 independent ECG.
  • Subjects have disease states where clinical manifestations may be difficult to control, including but not limited to HIV, HBV, HCV, syphilis positive or active bacterial and fungal infections.
  • Lymphoma with primary central nervous system (CNS) malignancy or any disease affects the CNS.
  • Any gastrointestinal conditions that may severely affect the study drug absorption or pharmacokinetic parameters.
  • Subjects who have known severe allergies to study drugs or any excipients.
  • Subjects who have evidence of a second primary tumor.

Sites / Locations

  • Guangdong Provincial People's HospitalRecruiting
  • The First Affiliated Hospital of Jinan University
  • Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and TechnologyRecruiting
  • First Affiliated Hospital of Zhejiang University School of Medicine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

LP-118

Arm Description

The classic "3+3" design at dose levels of 50mg, 100mg, 200mg, 300mg, 400mg and 500mg will be implemented in this study.

Outcomes

Primary Outcome Measures

Maximum tolerated dose (MTD)
The highest dose that does not cause unacceptable side effects or overt toxicities which will be assessed by NCI CTCAE v5.0.
Adverse events
The incidence and severity of adverse events as assessed by NCI CTCAE v5.0.
Recommended phase II dose (RP2D)
The safe dose that demonstrates the greatest pharmacological activity.
PK evaluation of area under the plasma concentration versus time curve (AUC) of LP-118
AUC indicates the extent of exposure to LP-118 and its clearance rate from the body.
PK evaluation of peak plasma concentration (Cmax) of LP-118
Cmax indicates the highest drug concentration in the blood after LP-118 administration.
PK evaluation of time to maximum concentration (Tmax) of LP-118
Tmax indicates the time taken to reach the maximum drug concentration (i.e. Cmax).

Secondary Outcome Measures

Overall response rate (ORR)
The proportion of patients who have a partial or complete response after LP-118 treatment.
Duration of response (DOR)
The time from first documented response to disease progression or death.
Progression-free survival (PFS)
The time from first dose to disease progression or death, whichever occurs first.
Overall survival
The time from first dose to the date of death from any cause.

Full Information

First Posted
July 30, 2021
Last Updated
October 8, 2022
Sponsor
Guangzhou Lupeng Pharmaceutical Company LTD.
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1. Study Identification

Unique Protocol Identification Number
NCT05025358
Brief Title
A Study of LP-118 in Patients With Advanced Tumors
Official Title
A Phase I Study on Safety, Tolerance, Pharmacokinetics and Preliminary Efficacy of LP-118 in Patients With Advanced Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Recruiting
Study Start Date
September 14, 2021 (Actual)
Primary Completion Date
December 30, 2023 (Anticipated)
Study Completion Date
July 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guangzhou Lupeng Pharmaceutical Company LTD.

4. Oversight

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

5. Study Description

Brief Summary
This is a phase I, multi-center, open-label, dose escalation study to evaluate the safety, tolerability, pharmacokinetics and clinical activity of LP-118 in patients with advanced malignancies, including solid tumors and lymphomas. LP-118 is a BCL-2/BCL-XL small molecule inhibitor.
Detailed Description
LP-118 is an oral selective BCL-2 inhibitor with tuned BCL-XL activity, aiming to improve antitumor efficacy and reduce the risk of thrombocytopenia. Clinical development of LP-118 includes targeting of relapsed or refractory hematological malignancies and solid tumors. This is a multi-center, open-label, Phase 1 dose escalation study of LP-118 in patients with advanced malignancies, including advanced/metastatic solid tumors and relapsed/refractory B cell, T/NK cell lymphomas, to determine the safety, tolerability, pharmacokinetics profile and preliminary anti-tumor efficacy. Upon completion of the Phase 1 dose escalation study and establishment of maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D), the dose expansion study will be implemented in patients with protocol designated type of disease.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
LP-118
Arm Type
Experimental
Arm Description
The classic "3+3" design at dose levels of 50mg, 100mg, 200mg, 300mg, 400mg and 500mg will be implemented in this study.
Intervention Type
Drug
Intervention Name(s)
LP-118 tablet
Other Intervention Name(s)
NWP-4-76
Intervention Description
Subjects will administered orally with LP-118 tablet at the designated dose once daily, using approximately 240 mL of water during a meal or within 30 minutes after a meal, 28 days per cycle. The treatment will continue until progressive disease, unacceptable toxicity, etc.
Primary Outcome Measure Information:
Title
Maximum tolerated dose (MTD)
Description
The highest dose that does not cause unacceptable side effects or overt toxicities which will be assessed by NCI CTCAE v5.0.
Time Frame
Up to 24 months
Title
Adverse events
Description
The incidence and severity of adverse events as assessed by NCI CTCAE v5.0.
Time Frame
Up to 24 months
Title
Recommended phase II dose (RP2D)
Description
The safe dose that demonstrates the greatest pharmacological activity.
Time Frame
Up to 24 months
Title
PK evaluation of area under the plasma concentration versus time curve (AUC) of LP-118
Description
AUC indicates the extent of exposure to LP-118 and its clearance rate from the body.
Time Frame
Up to Cycle 6 (each cycle is 28 days)
Title
PK evaluation of peak plasma concentration (Cmax) of LP-118
Description
Cmax indicates the highest drug concentration in the blood after LP-118 administration.
Time Frame
Up to Cycle 6 (each cycle is 28 days)
Title
PK evaluation of time to maximum concentration (Tmax) of LP-118
Description
Tmax indicates the time taken to reach the maximum drug concentration (i.e. Cmax).
Time Frame
Up to Cycle 6 (each cycle is 28 days)
Secondary Outcome Measure Information:
Title
Overall response rate (ORR)
Description
The proportion of patients who have a partial or complete response after LP-118 treatment.
Time Frame
Up to 24 months
Title
Duration of response (DOR)
Description
The time from first documented response to disease progression or death.
Time Frame
Up to 24 months
Title
Progression-free survival (PFS)
Description
The time from first dose to disease progression or death, whichever occurs first.
Time Frame
Up to 24 months
Title
Overall survival
Description
The time from first dose to the date of death from any cause.
Time Frame
Up to 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects with histologically or cytologically confirmed malignancy, including either of the following disease: relapsed or refractory lymphomas with at least one measurable disease based on Lugano 2014 criteria; or advanced or metastatic solid tumors based on RECIST V1.1 criteria. Subjects have a life expectancy of ≥12 weeks, and Eastern Cooperative Oncology Group (ECOG) performance score less than or equal to 1. Subjects must have adequate bone marrow function independent of blood transfusion or growth factor support per local laboratory reference range at Screening. Subjects must have adequate coagulation, renal, and hepatic function, per local laboratory reference range at Screening. All acute toxicity from previous anti-tumor treatment or surgery has been alleviated to NCI CTCAE 5.0 ≤ Grade 1. All enrolled subjects should take medically approved contraceptives during the entire treatment period and within 90 days after the end of treatment. Volunteer and sign informed consent, willing to follow trial protocol. Exclusion Criteria: Subjects who have undergone allogeneic or autologous hematopoietic stem cell transplantation or CAR-T cell therapy (except for lymphoma patients who had received autologous stem cell transplantation or CAR-T cell therapy before 90 days of the first dose of LP-118). Subjects who have received the following treatments within 4 weeks or 5 half-lives before the first dose of study drug: Antitumor therapies including myelosuppressive chemotherapy, targeted therapy, biological therapy and/or immunotherapy; Any investigational treatment; Patients who have undergone major surgery, severe trauma or radiotherapy. Subjects who have received the following treatments within 1 week before the first dose of study drug: Steroids or traditional herbal medicine for antitumor purposes; Strong and moderate CYP3A inhibitors and inducers, grapefruit and grapefruit juice; Any medications that can cause QTc interval prolongation or torsional tachycardia. Solid tumor patients with ITP or AIHA. Subjects with known bleeding disease or with a history of non-chemotherapy induced thrombocytopenic bleeding or ineffective platelet transfusion within 1 year before the first dose of study drug. Subjects with uncontrollable or CTCAE ≥ grade 2 gastrointestinal bleeding occurred within 90 days before the first dose of study drug. Subjects have received the therapeutic dose of anticoagulant or antiplatelet drugs within 1 week before the first dose of study drug. Subjects have any serious and/or uncontrolled systemic disease. Subjects have poor cardiovascular function, in line with New York Heart Association (NYHA) cardiac function classification ≥ 2 or QTcF greater than 450ms (male) or 470ms (female) on ≥ 3 independent ECG. Subjects have disease states where clinical manifestations may be difficult to control, including but not limited to HIV, HBV, HCV, syphilis positive or active bacterial and fungal infections. Lymphoma with primary central nervous system (CNS) malignancy or any disease affects the CNS. Any gastrointestinal conditions that may severely affect the study drug absorption or pharmacokinetic parameters. Subjects who have known severe allergies to study drugs or any excipients. Subjects who have evidence of a second primary tumor.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yue Shen, PhD
Phone
86571-81999616
Email
yshen@lupengbio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yilong Wu, MD
Organizational Affiliation
Guangdong Provincial People's Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Guangdong Provincial People's Hospital
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510080
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Qing Zhou, MD, PhD
First Name & Middle Initial & Last Name & Degree
Wenyu Li, MD, PhD
Facility Name
The First Affiliated Hospital of Jinan University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510632
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hui Zeng, MD, PHD
Facility Name
Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430022
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaorong Dong, MD, PHD
Facility Name
First Affiliated Hospital of Zhejiang University School of Medicine
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310006
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jianya Zhou, MD, PHD

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of LP-118 in Patients With Advanced Tumors

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