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A Study to Evaluate Safety and Efficacy of BEY1107 in Combination With Capecitabine in Patients With Metastatic Colorectal Cancer

Primary Purpose

Metastatic Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
BEY1107
Capecitabine
Sponsored by
BeyondBio Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Colorectal Cancer

Eligibility Criteria

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

Inclusion Criteria:

  1. Adult males and females aged over 19 years or older at the time of Informed Consent.
  2. Histopathologically or cytologically diagnosed with colorectal cancer.
  3. Patients with unresectable metastatic lesion(s).
  4. Patients who experienced treatment failure of colorectal cancer with the second-line or beyond standard chemotherapy (including fluoropyrimidine, oxaliplatin and irinotecan).
  5. Subjects who have at least one measurable or evaluable lesion as per RECIST v1.1.
  6. Subjects with ECOG performance status 0 or 1.
  7. Women of childbearing potential who are not surgically sterile must consent to practice acceptable contraception until 6 months after the end of IP administration and also have the evidence of not being fertile.
  8. Non-vasectomized men who consent to use an acceptable contraception by one-self and the partner until 3 months after the end of IP administration.
  9. Patients who are fully informed of this trial, voluntarily decide to participate in the trial and provide written consent to comply with requirements for the trial.

Exclusion Criteria:

  1. Patients who received radiation therapy, chemotherapy or biological agent including hormone therapy recently.
  2. Subjects who had a surgery with general anesthesia within 4 weeks of screening.
  3. Subjects with symptomatic brain metastasis.
  4. Subjects with peripheral neuropathy.
  5. Subjects who had findings of affecting absorptin of the IP with gastrointestinal surgery or impossible oral drug administration.
  6. Subjects with systemic disease not suitable for anticancer agent administration at the discretion of the investigator.
  7. Subjects who had a cardiovascular disease as of screening.
  8. Subjects with history of malignancy other than basal cell carcinoma of the skin or cervical carcinoma in situ or papillary thyroid cancer appropriately treated within 5 years.
  9. Gastrointestinal bleeding or ulcer.
  10. Dihydro-Pyridine Dehydrogenase (DPD) deficiency.
  11. Galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption.
  12. Hypersensitivity to the ingredient(s) of the investigational product (BEY 1107) or capecitabine, 5-FU (fluorouracil).
  13. HIV Positive.
  14. Ineligible result of HBV, HCV by the investigator.
  15. Acute or severe infection.
  16. Subjects who take a Sorivudine or brivudine in combination.
  17. Subjects who take a combination of tegafur, gimeracil and oteracil potassium or discontinue within 7 days at the screening.
  18. Subjects who take a Rifampin and azole class antifungal drugs in combination.
  19. Subjects who has labortory findings of inadequate bone marrow, kidney and liver function.
  20. Pregnant women, breastfeeding women, or positive findings on the pregnancy test at screening.
  21. Subjects with life expectancy of less than 12 weeks by the investigator.
  22. Subjects who had been administered other IP within 4 weeks prior to screening.
  23. Subjects determined by the investigator to be ineligible for participation in this trial.

Sites / Locations

  • Seoul National University HospialRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BEY1107 + Capecitabine

Arm Description

Administer BEY1107 in combination with Capecitabine, 3-weeks as 1 cycle.

Outcomes

Primary Outcome Measures

Maximum Tolerated Dose(MTD) assessed by investigator following administration of BEY1107 in combination with Capecitabine
MTD will be assessed based on adverse events(including DLT assessment), vital signs, 12-lead ECG, laboratory tests, etc.
Objective Response Rate(ORR)(Phase 2) assessed by investigator following administration of BEY1107 in combination with Capecitabine
ORR defined as proportion of subjects with a overall response of CR or PR

Secondary Outcome Measures

Pharmacokinetic(PK) of Maximum Serum Concentration (Cmax) of BEY1107 in combination with Capecitabine
Plasma concentrations at each time point and PK parameters Cmax of BEY1107 will be assessed in the PK sampling cohort
Pharmacokinetic of Time to Reach Maximum Serum Concentration (Tmax) of BEY1107 in combination with Capecitabine
Plasma concentrations at each time point and PK parameters Tmax of BEY1107 will be assessed in the PK sampling cohort
Pharmacokinetic of Area Under the Serum Concentration-Time Curve Up to Last Quantifiable Time (AUClast) of BEY1107 in combination with Capecitabine
Plasma concentrations at each time point and PK parameters AUClast of BEY1107 will be assessed in the PK sampling cohort
Progression-free survival(PFS) assessed by investigator following administration of BEY1107 in combination with Capecitabine
PFS is defined as the time from the start of study treatment to the date of the first documentation of objective PD or death due to any cause, whichever is earlier
Disease control rate(DCR) assessed by investigator following administration of BEY1107 in combination with Capecitabine
DCR is defined as the proportion of participants who achieved a confirmed best overall response (BOR) of complete response (CR), partial response (PR), or stable disease (SD)

Full Information

First Posted
September 16, 2021
Last Updated
October 25, 2021
Sponsor
BeyondBio Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05093907
Brief Title
A Study to Evaluate Safety and Efficacy of BEY1107 in Combination With Capecitabine in Patients With Metastatic Colorectal Cancer
Official Title
An Open-label, Single Center, Phase I/II Clinical Trial to Assess the Maximum Tolerated Dose, Safety and Efficacy of BEY1107 in Combination With Capecitabine in Patients With Metastatic Colorectal Cancer Refractory or Intolerant to Standard of Care
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Recruiting
Study Start Date
August 31, 2021 (Actual)
Primary Completion Date
August 31, 2023 (Anticipated)
Study Completion Date
July 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BeyondBio Inc.

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase 1/2 study to evaluate the maximum tolerated dose, safety and efficacy of BEY1107 in combination with capecitabine in patients with metastatic colorectal cancer refractory or intolerant to standard of care (SoC).
Detailed Description
In Phase 1, patients who experienced treatment failure of colorectal cancer with the second-line or beyond standard chemotherapy will be enrolled at each dose level of BEY1107 in combination with Capecitabine. Phase 2 will be conducted after RP2D is determined on the Phase 1 results.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Colorectal Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
BEY1107 + Capecitabine
Arm Type
Experimental
Arm Description
Administer BEY1107 in combination with Capecitabine, 3-weeks as 1 cycle.
Intervention Type
Drug
Intervention Name(s)
BEY1107
Intervention Description
Administer once daily, PO, 3-week continuous dose.
Intervention Type
Combination Product
Intervention Name(s)
Capecitabine
Intervention Description
Administer twice daily, PO, 2-week continuous dose, followed by 1-week rest period.
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose(MTD) assessed by investigator following administration of BEY1107 in combination with Capecitabine
Description
MTD will be assessed based on adverse events(including DLT assessment), vital signs, 12-lead ECG, laboratory tests, etc.
Time Frame
From baseline up to disease progression, approximately 54 weeks
Title
Objective Response Rate(ORR)(Phase 2) assessed by investigator following administration of BEY1107 in combination with Capecitabine
Description
ORR defined as proportion of subjects with a overall response of CR or PR
Time Frame
From baseline up to disease progression, approximately 54 weeks
Secondary Outcome Measure Information:
Title
Pharmacokinetic(PK) of Maximum Serum Concentration (Cmax) of BEY1107 in combination with Capecitabine
Description
Plasma concentrations at each time point and PK parameters Cmax of BEY1107 will be assessed in the PK sampling cohort
Time Frame
From baseline up to 24 hour post-dose
Title
Pharmacokinetic of Time to Reach Maximum Serum Concentration (Tmax) of BEY1107 in combination with Capecitabine
Description
Plasma concentrations at each time point and PK parameters Tmax of BEY1107 will be assessed in the PK sampling cohort
Time Frame
From baseline up to 24 hour post-dose
Title
Pharmacokinetic of Area Under the Serum Concentration-Time Curve Up to Last Quantifiable Time (AUClast) of BEY1107 in combination with Capecitabine
Description
Plasma concentrations at each time point and PK parameters AUClast of BEY1107 will be assessed in the PK sampling cohort
Time Frame
From baseline up to 24 hour post-dose
Title
Progression-free survival(PFS) assessed by investigator following administration of BEY1107 in combination with Capecitabine
Description
PFS is defined as the time from the start of study treatment to the date of the first documentation of objective PD or death due to any cause, whichever is earlier
Time Frame
From baseline up to disease progression, approximately 24 months
Title
Disease control rate(DCR) assessed by investigator following administration of BEY1107 in combination with Capecitabine
Description
DCR is defined as the proportion of participants who achieved a confirmed best overall response (BOR) of complete response (CR), partial response (PR), or stable disease (SD)
Time Frame
From baseline up to approximately 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult males and females aged over 19 years or older at the time of Informed Consent. Histopathologically or cytologically diagnosed with colorectal cancer. Patients with unresectable metastatic lesion(s). Patients who experienced treatment failure of colorectal cancer with the second-line or beyond standard chemotherapy (including fluoropyrimidine, oxaliplatin and irinotecan). Subjects who have at least one measurable or evaluable lesion as per RECIST v1.1. Subjects with ECOG performance status 0 or 1. Women of childbearing potential who are not surgically sterile must consent to practice acceptable contraception until 6 months after the end of IP administration and also have the evidence of not being fertile. Non-vasectomized men who consent to use an acceptable contraception by one-self and the partner until 3 months after the end of IP administration. Patients who are fully informed of this trial, voluntarily decide to participate in the trial and provide written consent to comply with requirements for the trial. Exclusion Criteria: Patients who received radiation therapy, chemotherapy or biological agent including hormone therapy recently. Subjects who had a surgery with general anesthesia within 4 weeks of screening. Subjects with symptomatic brain metastasis. Subjects with peripheral neuropathy. Subjects who had findings of affecting absorptin of the IP with gastrointestinal surgery or impossible oral drug administration. Subjects with systemic disease not suitable for anticancer agent administration at the discretion of the investigator. Subjects who had a cardiovascular disease as of screening. Subjects with history of malignancy other than basal cell carcinoma of the skin or cervical carcinoma in situ or papillary thyroid cancer appropriately treated within 5 years. Gastrointestinal bleeding or ulcer. Dihydro-Pyridine Dehydrogenase (DPD) deficiency. Galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption. Hypersensitivity to the ingredient(s) of the investigational product (BEY 1107) or capecitabine, 5-FU (fluorouracil). HIV Positive. Ineligible result of HBV, HCV by the investigator. Acute or severe infection. Subjects who take a Sorivudine or brivudine in combination. Subjects who take a combination of tegafur, gimeracil and oteracil potassium or discontinue within 7 days at the screening. Subjects who take a Rifampin and azole class antifungal drugs in combination. Subjects who has labortory findings of inadequate bone marrow, kidney and liver function. Pregnant women, breastfeeding women, or positive findings on the pregnancy test at screening. Subjects with life expectancy of less than 12 weeks by the investigator. Subjects who had been administered other IP within 4 weeks prior to screening. Subjects determined by the investigator to be ineligible for participation in this trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
BeyondBio Inc.
Phone
+82-42-716-0020
Email
clinicaltrials@beyondbio.co.kr
Facility Information:
Facility Name
Seoul National University Hospial
City
Seoul
State/Province
Jongro-go
ZIP/Postal Code
03080
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Beyondbio Inc.
Phone
+82-42-716-0020
Email
clicaltrials@beyondbio.co.kr

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate Safety and Efficacy of BEY1107 in Combination With Capecitabine in Patients With Metastatic Colorectal Cancer

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