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A Dose Escalation Study of HBI-2438 in Patients With Solid Tumors Harboring KRAS G12C Mutation

Primary Purpose

Lung Cancer, Non Small Cell Lung Cancer, Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
HBI-2438
Sponsored by
HUYABIO International, LLC.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lung Cancer focused on measuring KRAS G12C, FIH

Eligibility Criteria

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

Inclusion Criteria:

Key Inclusion Criteria:

Male or female at least 18 years of age at the time of signing the ICF prior to initiation of any study specific activities/procedures

Advanced malignant solid tumors with KRAS G12C mutation- as determined by genetic testing

Must have failed or refused standard of care therapy, are not eligible for standard of care therapy, or cannot benefit from standard of care therapy, in the opinion of the Investigator

At least 1 measurable target lesion that meets the definition of RECIST v1.1

ECOG Performance Status of 0 or 1

Demonstrate adequate organ function

Expected survival time > 3 months in the opinion of the investigator

Must be able to swallow oral medications and must not have gastrointestinal abnormalities that significantly affect drug absorption

Exclusion Criteria:

Key Exclusion Criteria:

History of another concurrent malignancy within 3 years prior to study entry, unless the malignancy was treated with curative intent and the likelihood of relapse is <5% in 2 years Note: Subjects with a history of squamous or basal cell carcinoma of the skin or carcinoma in the situ of the cervix may be enrolled

Untreated or symptomatic central nervous system (CNS) metastases Note: Subjects with asymptomatic treated CNS metastases are eligible provided they have been clinically stable and not requiring steroids for at least 4 weeks

Clinically significant cardiovascular disease, including stroke or myocardial infarction within 6 months prior to first dose of HBI-2438; or the presence of unstable angina or congestive heart failure of New York Heart Association Grade 2 or higher

Any unresolved Grade 2 or greater toxicity from previous anti-cancer therapy, except alopecia, within 4 weeks of first study treatment administration

Active autoimmune diseases or history of autoimmune diseases that may relapse

Pregnant or nursing

Prior treatment with any KRAS G12C inhibitors

Any condition that required systemic treatment with either corticosteroids (>10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤14 days before the first study treatment administration

Treatment with other investigational drugs/devices within 4 weeks prior to first study treatment administration

Sites / Locations

  • California Cancer Associates for Research and Excellence, Inc. (cCare)Recruiting
  • The Oncology Institute of Hope and InnovationRecruiting
  • The Oncology Institute of Hope and InnovationRecruiting
  • The Oncology Institute of Hope and InnovationRecruiting
  • California Cancer Associates for Research and Excellence, Inc. (cCare)Recruiting
  • The Oncology Institute of Hope and InnovationRecruiting
  • Sarcoma Oncology
  • Innovative Clinical Research Institute (ICRI)Recruiting
  • The Oncology Institute of Hope and InnovationRecruiting
  • BRCR Medical Center
  • Michigan Center of Medical ResearchRecruiting
  • Alliance for Multispecialty Research, LLCRecruiting
  • Gabrail Cancer CenterRecruiting
  • Pan American Center for Oncology Trials (PanOncology Trials)Recruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Dose Escalation and Expansion

Arm Description

HBI-2438 will be given orally in ascending doses (escalation cohort), until the maximum tolerated dose or recommended Phase 2 dose is reached. Up to 6-8 patients will then be enrolled in the expansion cohort at the recommended dose.

Outcomes

Primary Outcome Measures

To determine the maximum tolerated dose (MTD)
Safety endpoints: Incidence of dose-limiting toxicities (DLTs)
adverse events (AEs), and serious adverse events (SAEs) overall
Safety endpoints: adverse events (AEs), and serious adverse events (SAEs) overall

Secondary Outcome Measures

maximum plasma concentration (Cmax)
Pharmacokinetic variables including maximum plasma concentration (Cmax)
minimum plasma concentration (Cmin)
Pharmacokinetic variables including minimum plasma concentration (Cmin)
Area Under the Curve (AUC)
Pharmacokinetic variables including Area Under the Curve (AUC)
Pharmacokinetic variables including clearance
Pharmacokinetic variables including clearance
Pharmacokinetic variables including serum half-life
Pharmacokinetic variables including serum half-life
Pharmacokinetic variables including volume of distribution
Pharmacokinetic variables including volume of distribution

Full Information

First Posted
August 1, 2022
Last Updated
September 12, 2023
Sponsor
HUYABIO International, LLC.
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1. Study Identification

Unique Protocol Identification Number
NCT05485974
Brief Title
A Dose Escalation Study of HBI-2438 in Patients With Solid Tumors Harboring KRAS G12C Mutation
Official Title
A Phase 1, Open Label, Dose Escalation of HBI-2438 in Patients With Advanced Malignant Solid Tumors Harboring KRAS G12C Mutation
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 1, 2022 (Actual)
Primary Completion Date
August 2025 (Anticipated)
Study Completion Date
August 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
HUYABIO International, LLC.

4. Oversight

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

5. Study Description

Brief Summary
A Phase 1 dose escalation study in patients with advanced solid tumors harboring KRAS G12C mutation to determine the maximum tolerated dose and recommended Phase II dose of HBI-2438 and characterize its pharmacokinetic profile.
Detailed Description
A Phase 1, Open-Label, Dose Escalation of HBI-2438 in Patients with Advanced Malignant Solid Tumors Harboring KRAS G12C Mutation. The primary and secondary objectives are: To determine the MTD and recommended Phase 2 dose (RP2D) of HBI-2438 as an oral monotherapy for advanced solid tumors harboring KRAS G12C mutation. To characterize the PK of HBI-2438 in subjects with advanced malignant solid tumors harboring KRAS G12C mutation. HBI-2438 is an orally administered KRAS G12C Inhibitor and will be dosed once daily throughout the escalation and expansion phase. Up to 44 subjects will be enrolled sequentially into the 3+3 dose escalation and monitored throughout the study for safety and tolerability. The dose escalation phase will consist of 6 cohorts, with doses ranging from 150 to 1200mg. Once the MTD of RP2D is established, an additional 6-8 subjects with brain metastases will be enrolled into the expansion phase at that dose level.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Cancer, Non Small Cell Lung Cancer, Colorectal Cancer, Cancer of Pancreas, Colon Cancer, Solid Tumor, Cancer
Keywords
KRAS G12C, FIH

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
3+3 Dose Escalation Design with Expansion
Masking
None (Open Label)
Allocation
N/A
Enrollment
44 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation and Expansion
Arm Type
Experimental
Arm Description
HBI-2438 will be given orally in ascending doses (escalation cohort), until the maximum tolerated dose or recommended Phase 2 dose is reached. Up to 6-8 patients will then be enrolled in the expansion cohort at the recommended dose.
Intervention Type
Drug
Intervention Name(s)
HBI-2438
Intervention Description
KRAS G12C Inhibitor
Primary Outcome Measure Information:
Title
To determine the maximum tolerated dose (MTD)
Description
Safety endpoints: Incidence of dose-limiting toxicities (DLTs)
Time Frame
Up to 36 months
Title
adverse events (AEs), and serious adverse events (SAEs) overall
Description
Safety endpoints: adverse events (AEs), and serious adverse events (SAEs) overall
Time Frame
Up to 36 months
Secondary Outcome Measure Information:
Title
maximum plasma concentration (Cmax)
Description
Pharmacokinetic variables including maximum plasma concentration (Cmax)
Time Frame
Cycle 1 (21 days)
Title
minimum plasma concentration (Cmin)
Description
Pharmacokinetic variables including minimum plasma concentration (Cmin)
Time Frame
Cycle 1 (21 days)
Title
Area Under the Curve (AUC)
Description
Pharmacokinetic variables including Area Under the Curve (AUC)
Time Frame
Cycle 1 (21 days)
Title
Pharmacokinetic variables including clearance
Description
Pharmacokinetic variables including clearance
Time Frame
Cycle 1 (21 days)
Title
Pharmacokinetic variables including serum half-life
Description
Pharmacokinetic variables including serum half-life
Time Frame
Cycle 1 (21 days)
Title
Pharmacokinetic variables including volume of distribution
Description
Pharmacokinetic variables including volume of distribution
Time Frame
Cycle 1 (21 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Key Inclusion Criteria: Male or female at least 18 years of age at the time of signing the ICF prior to initiation of any study specific activities/procedures Advanced malignant solid tumors with KRAS G12C mutation- as determined by genetic testing Must have failed or refused standard of care therapy, are not eligible for standard of care therapy, or cannot benefit from standard of care therapy, in the opinion of the Investigator At least 1 measurable target lesion that meets the definition of RECIST v1.1 ECOG Performance Status of 0 or 1 Demonstrate adequate organ function Expected survival time > 3 months in the opinion of the investigator Must be able to swallow oral medications and must not have gastrointestinal abnormalities that significantly affect drug absorption Exclusion Criteria: Key Exclusion Criteria: History of another concurrent malignancy within 3 years prior to study entry, unless the malignancy was treated with curative intent and the likelihood of relapse is <5% in 2 years Note: Subjects with a history of squamous or basal cell carcinoma of the skin or carcinoma in the situ of the cervix may be enrolled Untreated or symptomatic central nervous system (CNS) metastases Note: Subjects with asymptomatic treated CNS metastases are eligible provided they have been clinically stable and not requiring steroids for at least 4 weeks Clinically significant cardiovascular disease, including stroke or myocardial infarction within 6 months prior to first dose of HBI-2438; or the presence of unstable angina or congestive heart failure of New York Heart Association Grade 2 or higher Any unresolved Grade 2 or greater toxicity from previous anti-cancer therapy, except alopecia, within 4 weeks of first study treatment administration Active autoimmune diseases or history of autoimmune diseases that may relapse Pregnant or nursing Prior treatment with any KRAS G12C inhibitors Any condition that required systemic treatment with either corticosteroids (>10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤14 days before the first study treatment administration Treatment with other investigational drugs/devices within 4 weeks prior to first study treatment administration
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
John Ning, MD,PhD,FAIC
Phone
858-280-1866
Email
jning@huyabio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alberto Bessudo, MD
Organizational Affiliation
California Cancer Associates for Research and Excellence, Inc. (cCare)
Official's Role
Principal Investigator
Facility Information:
Facility Name
California Cancer Associates for Research and Excellence, Inc. (cCare)
City
Encinitas
State/Province
California
ZIP/Postal Code
92024
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Christina Spencer
Phone
760-452-3909
Email
cspencer@ccare.com
First Name & Middle Initial & Last Name & Degree
Alberto Bessudo, MD
Facility Name
The Oncology Institute of Hope and Innovation
City
Glendale
State/Province
California
ZIP/Postal Code
91204
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leslie Posadas
Phone
562-693-4477
Email
lposadas@icrinstitute.com
First Name & Middle Initial & Last Name & Degree
Amitabha Mazumder, MD
Facility Name
The Oncology Institute of Hope and Innovation
City
Long Beach
State/Province
California
ZIP/Postal Code
90805
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leslie Posadas
Phone
562-693-4477
Email
lposadas@icrinstitute.com
First Name & Middle Initial & Last Name & Degree
Amitabha Mazumder, MD
Facility Name
The Oncology Institute of Hope and Innovation
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leslie Posadas
Phone
562-693-4477
Email
lposadas@icrinstitute.com
First Name & Middle Initial & Last Name & Degree
Amitabha Mazumder, MD
Facility Name
California Cancer Associates for Research and Excellence, Inc. (cCare)
City
San Marcos
State/Province
California
ZIP/Postal Code
92069
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Christina Spencer
Phone
760-452-3909
Email
cspencer@ccare.com
First Name & Middle Initial & Last Name & Degree
Alberto Bessudo, MD
Facility Name
The Oncology Institute of Hope and Innovation
City
Santa Ana
State/Province
California
ZIP/Postal Code
92705
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leslie Posadas
Phone
562-693-4477
Email
lposadas@icrinstitute.com
First Name & Middle Initial & Last Name & Degree
Amitabha Mazumder, MD
Facility Name
Sarcoma Oncology
City
Santa Monica
State/Province
California
ZIP/Postal Code
90403
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Victoria S Chua-Alcala, MD, CLS
Phone
310-552-9999
Email
vchua@sarcomaoncology.com
First Name & Middle Initial & Last Name & Degree
Sant Chawla, MD
Facility Name
Innovative Clinical Research Institute (ICRI)
City
Whittier
State/Province
California
ZIP/Postal Code
90603
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leslie Posadas
Phone
562-693-4477
Email
lposadas@icrinstitute.com
First Name & Middle Initial & Last Name & Degree
Amitabha Mazumder, MD
Facility Name
The Oncology Institute of Hope and Innovation
City
Whittier
State/Province
California
ZIP/Postal Code
90603
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leslie Posadas
Phone
562-693-4477
Email
lposadas@icrinstitute.com
First Name & Middle Initial & Last Name & Degree
Amitabha Mazumder, MD
Facility Name
BRCR Medical Center
City
Plantation
State/Province
Florida
ZIP/Postal Code
33322
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ines Padron
Phone
561-447-0614
Ext
102
Email
ipadron@brcrglobal.com
First Name & Middle Initial & Last Name & Degree
Harshad Amin, MD
Facility Name
Michigan Center of Medical Research
City
Farmington Hills
State/Province
Michigan
ZIP/Postal Code
48334
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rameez Umer
Phone
248-747-4383
Email
rameez.umer@michmer.com
First Name & Middle Initial & Last Name & Degree
Richard P Zekman, DO
Facility Name
Alliance for Multispecialty Research, LLC
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer Ross
Phone
816-943-0770
Email
jennifer.ross@amrllc.com
First Name & Middle Initial & Last Name & Degree
Jaswinder Singh, MD
Facility Name
Gabrail Cancer Center
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kim Roby
Phone
330-492-3345
Ext
227
Email
kroby@gabrailcancercenter.com
First Name & Middle Initial & Last Name & Degree
Nashat Gabrail, MD
Facility Name
Pan American Center for Oncology Trials (PanOncology Trials)
City
Rio Piedras
ZIP/Postal Code
00935
Country
Puerto Rico
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maria R Cruz-Correa, MD,PhD,AGAF,FASGE
Phone
787-407-3333
Email
marcia.cruzcorrea@panoncologytrials.com
First Name & Middle Initial & Last Name & Degree
Marcia R Cruz-Correa, MD,PhD,AGAF,FASGE

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Dose Escalation Study of HBI-2438 in Patients With Solid Tumors Harboring KRAS G12C Mutation

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