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A Study of EP0031-101 in Patients With Advanced RET-altered Malignancies

Primary Purpose

Advanced Solid Tumor

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
EP0031
Sponsored by
Ellipses Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor focused on measuring selective RET-inhibitor

Eligibility Criteria

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

Inclusion Criteria:

Applicable to all patients:

  1. Must be ≥18 years of age at the time of informed consent, with documented RET-altered malignancy
  2. Patients should be well informed and consented about alternative treatment options including approved RET-targeted therapies
  3. ECOG performance status of 0 or 1 at screening
  4. Ability to understand and provide written informed consent and able to participate in all required evaluations and procedures

Exclusion Criteria:

Patients with any of the following will not be included in the study:

  1. Any known major driver gene alterations other than RET.
  2. Spinal cord compression or brain metastases. Patients with stable brain metastases can be enrolled.
  3. Active infection requiring systemic antibiotic, antifungal, or antiviral medication
  4. Severe or uncontrolled medical condition or psychiatric condition
  5. Chronic glomerulonephritis or renal transplant
  6. Patients with active hepatitis B infection or active hepatitis C
  7. Patients with active HIV infection. Patients living with HIV may be eligible if they have adequate CD4+ T-cell count and no history of AIDS-defining opportunistic infections in the past 12 months
  8. Receipt of any strong inhibitor or inducer of CYP3A4
  9. Impaired hepatic or renal function, inadequate bone marrow reserve or organ function
  10. Any clinically important abnormalities in rhythm, conduction, or morphology on resting ECG or any factor that increases the risk of QTc prolongation or of arrhythmic events , or congestive heart failure Grade II-IV according to the New York Heart Association, myocardial infarction, or unstable angina within the previous 6 months
  11. Uncontrolled hypertension
  12. Corneal ulceration at screening

Sites / Locations

  • David Geffen School of Medicine at UCLARecruiting
  • Stanford UniversityRecruiting
  • Florida Cancer SpecialistRecruiting
  • University of KentuckyRecruiting
  • NYU Langone HealthRecruiting
  • Providence Portland Medical CentreRecruiting
  • Sarah CannonRecruiting
  • MD Anderson Cancer CenterRecruiting
  • Washington UniversityRecruiting
  • Hospital Universitario Vall d'HebronRecruiting
  • Hospital Universitario Ramon y CajalRecruiting
  • Hospital Madrid SanchinarroRecruiting
  • Hospital Virgen de la Victoria de MalagaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

RET fusion-positive NSCLC

RET mutation-positive MTC

Other RET-altered solid tumours

RET fusion-positive NSCLC (no prior SRI therapy)

RET mutation-positive MTC (no prior SRI therapy)

Other RET-altered solid tumours (no prior SRI therapy)

Arm Description

EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal

EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal

EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal

EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal

EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal

EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal

Outcomes

Primary Outcome Measures

Module A: Incidence of Dose-limiting Toxicity (DLTs ) during the first 28 days of EP0031 treatment
Modules B and C: Overall Response Rate (ORR) as measured using RECIST v1.1

Secondary Outcome Measures

Area under the plasma concentration versus time curve (AUC)
To characterise the pharmacokinetics (PK) of EP0031
Maximum Plasma Concentration (Cmax)
To characterise the pharmacokinetics (PK) of EP0031
Time taken for drug concentration to fall from half its original value (Half-life)
To characterise the pharmacokinetics (PK) of EP0031

Full Information

First Posted
June 24, 2022
Last Updated
September 14, 2023
Sponsor
Ellipses Pharma
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1. Study Identification

Unique Protocol Identification Number
NCT05443126
Brief Title
A Study of EP0031-101 in Patients With Advanced RET-altered Malignancies
Official Title
A Modular, Open-label, Phase I/II Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of EP0031 in Patients With Advanced RET-altered Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 30, 2022 (Actual)
Primary Completion Date
December 2026 (Anticipated)
Study Completion Date
June 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ellipses Pharma

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
The aim of this study is to assess the safety, side effects and effectiveness of EP0031 in patients with advanced RET-altered malignancies
Detailed Description
EP0031 is being investigated in this modular, interventional Phase I/II dose escalation and dose expansion study to investigate the optimal dose in adult patients with advanced RET-altered malignancies. Currently there are no approved RET-targeted treatments for patients who progress on first-generation SRIs. However, it is proposed that EP0031 can overcome resistance mechanisms to first generation SRIs, as EP0031 is a potent and selective RET inhibitor with broad activity against common RET fusions and mutations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor
Keywords
selective RET-inhibitor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
265 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
RET fusion-positive NSCLC
Arm Type
Experimental
Arm Description
EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal
Arm Title
RET mutation-positive MTC
Arm Type
Experimental
Arm Description
EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal
Arm Title
Other RET-altered solid tumours
Arm Type
Experimental
Arm Description
EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal
Arm Title
RET fusion-positive NSCLC (no prior SRI therapy)
Arm Type
Experimental
Arm Description
EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal
Arm Title
RET mutation-positive MTC (no prior SRI therapy)
Arm Type
Experimental
Arm Description
EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal
Arm Title
Other RET-altered solid tumours (no prior SRI therapy)
Arm Type
Experimental
Arm Description
EP0031 capsules at the recommended phII dose, taken once daily until progressive disease (PD), unacceptable toxicity or patient withdrawal
Intervention Type
Drug
Intervention Name(s)
EP0031
Intervention Description
EP0031 is a potent next-generation selective RET-inhibitor (SRI)
Primary Outcome Measure Information:
Title
Module A: Incidence of Dose-limiting Toxicity (DLTs ) during the first 28 days of EP0031 treatment
Time Frame
First 28 days of treatment
Title
Modules B and C: Overall Response Rate (ORR) as measured using RECIST v1.1
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Area under the plasma concentration versus time curve (AUC)
Description
To characterise the pharmacokinetics (PK) of EP0031
Time Frame
First 48 hours after drug administered
Title
Maximum Plasma Concentration (Cmax)
Description
To characterise the pharmacokinetics (PK) of EP0031
Time Frame
First 24 hours after drug administered
Title
Time taken for drug concentration to fall from half its original value (Half-life)
Description
To characterise the pharmacokinetics (PK) of EP0031
Time Frame
First 72 hours after drug administered

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Applicable to all patients: Must be ≥18 years of age at the time of informed consent, with documented RET-altered malignancy Patients should be well informed and consented about alternative treatment options including approved RET-targeted therapies ECOG performance status of 0 or 1 at screening Ability to understand and provide written informed consent and able to participate in all required evaluations and procedures Exclusion Criteria: Patients with any of the following will not be included in the study: Any known major driver gene alterations other than RET. Spinal cord compression or brain metastases. Patients with stable brain metastases can be enrolled. Active infection requiring systemic antibiotic, antifungal, or antiviral medication Severe or uncontrolled medical condition or psychiatric condition Chronic glomerulonephritis or renal transplant Patients with active hepatitis B infection or active hepatitis C Patients with active HIV infection. Patients living with HIV may be eligible if they have adequate CD4+ T-cell count and no history of AIDS-defining opportunistic infections in the past 12 months Receipt of any strong inhibitor or inducer of CYP3A4 Impaired hepatic or renal function, inadequate bone marrow reserve or organ function Any clinically important abnormalities in rhythm, conduction, or morphology on resting ECG or any factor that increases the risk of QTc prolongation or of arrhythmic events , or congestive heart failure Grade II-IV according to the New York Heart Association, myocardial infarction, or unstable angina within the previous 6 months Uncontrolled hypertension Corneal ulceration at screening
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Liz Clark
Phone
+44 (0)20 3743 0992
Email
Liz@ellipses.life
Facility Information:
Facility Name
David Geffen School of Medicine at UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Andrew Gianoukakis
Email
agianoukakis@lundquist.org
Facility Name
Stanford University
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Saad Khan
Email
saad.a.khan@stanford.edu
Facility Name
Florida Cancer Specialist
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33908
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Judy Wang
Email
jswang@flcancer.com
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40506
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Susanne Arnold
Email
susanne.arnold@uky.edu
Facility Name
NYU Langone Health
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Salman Punekar
Email
salman.punekar@nyulangone.org
Facility Name
Providence Portland Medical Centre
City
Portland
State/Province
Oregon
ZIP/Postal Code
97213
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Matthew H Taylor
Email
matthew.taylor@providence.org
Facility Name
Sarah Cannon
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
David Spiegel
Email
david.spigel@sarahcannon.com
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sarina Piha-Paul
Email
spihapau@mdanderson.org
Facility Name
Washington University
City
Seattle
State/Province
Washington
ZIP/Postal Code
63130
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Daniel Morgensztern
Email
danielmorgensztern@wustl.edu
Facility Name
Hospital Universitario Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elena Garralda
Email
egarralda@vhio.net
Facility Name
Hospital Universitario Ramon y Cajal
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Pilar Garrido Lopez
Email
pgarrido@salud.madrid.org
Facility Name
Hospital Madrid Sanchinarro
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Irene Moreno
Email
irene.moreno@startmadrid.com
Facility Name
Hospital Virgen de la Victoria de Malaga
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Garcia Corbacho
Email
jgcorbacho@ibima.eu

12. IPD Sharing Statement

Learn more about this trial

A Study of EP0031-101 in Patients With Advanced RET-altered Malignancies

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