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A Study of PRT3645 in Participants With Select Advanced or Metastatic Solid Tumors

Primary Purpose

Breast Cancer, Glioblastoma, Head and Neck Squamous Cell Carcinoma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
PRT3645
Sponsored by
Prelude Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring Advanced Solid Tumors, Breast Cancer, CDK4/6, Cyclin-dependent Kinase 4, Cyclin-dependent Kinase 6, Glioblastoma, Head and Neck Squamous Cell Carcinoma, HNSCC, Malignant Mesothelioma, Metastatic Solid Tumors, Non-small Cell Lung Cancers, NSCLC, PRT3645, Sarcoma, Endometrial Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically confirmed advanced, recurrent, or metastatic solid tumor malignancy that have either progress or ineligible for standard of care therapy:

    1. HR+ and HER2-negative or HR+ and HER2+breast cancer
    2. Recurrent GBM (IDH wild type) or CDKN2A/B homozygous deleted IDH-mutant astrocytoma
    3. KRAS-mutant NSCLC
    4. CDK pathway alternation in any of the following tumor types: malignant mesothelioma, HPV-negative HNSCC (including oral cavity, oropharynx, hypopharynx, and larynx), sarcoma, or NSCLC
  • Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures
  • Must have measurable or non-measureable (but evaluable) disease
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 and Karnofsky Performance Status (KPS) ≥80%.
  • Adequate organ function.
  • Able to swallow and retain oral medication.
  • Must provide either archival or fresh tumor tissue sample during screening.

Exclusion Criteria:

  • Participants with advanced, symptomatic, extensive visceral disease.
  • Active inflammatory bowel disease or chronic diarrhea, short bowel syndrome, any upper gastrointestinal surgery including gastric resection, known malabsorption syndrome, or other condition that may impair absorption of PRT3645.
  • Treatment with strong inhibitors of CYP3A4.
  • History of another malignancy within 3 years except for adequately treated basal cell or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancies, or malignancies previously treated with curative intent and not on active therapy or expected to require treatment or recurrence during the study.
  • Clinically significant or uncontrolled cardiac disease, uncontrolled electrolyte disorders, uncontrolled or symptomatic CNS metastases or leptomeningeal disease.

Sites / Locations

  • Smilow Cancer Hospital Phase 1 UnitRecruiting
  • AdventHealth Medical Group Oncology Research at CelebrationRecruiting
  • Miami Cancer InstituteRecruiting
  • Florida Cancer SpecialistsRecruiting
  • Winship Cancer Institute, Emory UniversityRecruiting
  • Laura and Isaac Perlmutter Cancer Center/ NYU Langone HealthRecruiting
  • Cleveland ClinicRecruiting
  • Hospital of the University of PennsylvaniaRecruiting
  • Thomas Jefferson University, Sidney Kimmel Cancer CenterRecruiting
  • Tennessee Oncology, PLLCRecruiting
  • South Texas Accelerated Research Therapeutics, LLCRecruiting
  • NEXT VirginiaRecruiting
  • National Cancer Centre SingaporeRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PRT3645

Arm Description

PRT3645 capsules will be self-administered once daily, continuously, at the dose-level assigned

Outcomes

Primary Outcome Measures

Dose limiting toxicity (DLT) of PRT3645
Dose limiting toxicity will be evaluated over the 28-day observation period
Safety and tolerability of PRT3645: AEs, CTCAE Assessments
Safety and tolerability will be evaluated by incidence of DLTs, laboratory measurements, severity of adverse events (AEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0.
Maximally tolerated dose (MTD)/Recommended phase 2 dose (RP2D) of PRT3645
The MTD/RP2D will be established for further investigation in participants with advanced solid tumors

Secondary Outcome Measures

Efficacy of PRT3645: Tumor assessment and responses
Objective response rate (ORR), Progression-free survival (PFS), Disease control rate (DCR) and Duration of response (DOR) will use RECIST v1.1, mRECIST v1.1, and/or RANO as primary measure for tumor assessment and response.
Pharmacokinetic profile of PRT3645: Minimum and maximum observed plasma concentration
PRT3645 pharmacokinetics will be calculated including the minimum and maximum observed plasma concentration.
Pharmacodynamic effect of PRT3645: Target engagement
Pharmacodynamic effect of PRT3645 demonstrating target engagement by assessment of phosphorylation of Rb.

Full Information

First Posted
September 9, 2022
Last Updated
September 27, 2023
Sponsor
Prelude Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT05538572
Brief Title
A Study of PRT3645 in Participants With Select Advanced or Metastatic Solid Tumors
Official Title
A Phase 1 Open-Label, Multi-Center, Safety and Efficacy Study of PRT3645 in Participants With Select Advanced or Metastatic Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 27, 2022 (Actual)
Primary Completion Date
December 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Prelude Therapeutics

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 1 dose-escalation study of PRT3645, a Cyclin-dependent Kinase 4/6 (CDK4/6) inhibitor, in patients with advanced or metastatic solid tumors. The purpose of this study is to investigate the safety, tolerability, dose limiting toxicity, and to determine maximally tolerated dose and recommended phase 2 dose to be used in subsequent development of PRT3645.
Detailed Description
This is an open-label, multicenter, dose-escalation Phase 1 study of PRT3645, a CDK4/6 inhibitor, evaluating patients with selected advanced or metastatic solid tumors including breast cancer (BC), glioblastoma (GBM), non-small cell lung cancer (NSCLC), sarcomas, head and neck squamous cell carcinoma (HNSCC), malignant mesothelioma, and endometrial cancer. The study plan expects to evaluate approximately eight dose levels however additional dose levels may be explored. Taking into account pharmacokinetic and pharmacodynamic data from the preceding dose levels, the dose may be escalated until a dose limiting toxicity is identified. Up to 15 patients may be enrolled at a dose shown to be tolerated for confirmation of the MTD and/or RP2D.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer, Glioblastoma, Head and Neck Squamous Cell Carcinoma, Malignant Mesothelioma, Non-small Cell Lung Cancers, Sarcoma, Endometrial Cancer
Keywords
Advanced Solid Tumors, Breast Cancer, CDK4/6, Cyclin-dependent Kinase 4, Cyclin-dependent Kinase 6, Glioblastoma, Head and Neck Squamous Cell Carcinoma, HNSCC, Malignant Mesothelioma, Metastatic Solid Tumors, Non-small Cell Lung Cancers, NSCLC, PRT3645, Sarcoma, Endometrial Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
PRT3645
Arm Type
Experimental
Arm Description
PRT3645 capsules will be self-administered once daily, continuously, at the dose-level assigned
Intervention Type
Drug
Intervention Name(s)
PRT3645
Intervention Description
PRT3645 capsules will be self-administered once daily, continuously, at the dose-level assigned
Primary Outcome Measure Information:
Title
Dose limiting toxicity (DLT) of PRT3645
Description
Dose limiting toxicity will be evaluated over the 28-day observation period
Time Frame
Baseline through Day 28
Title
Safety and tolerability of PRT3645: AEs, CTCAE Assessments
Description
Safety and tolerability will be evaluated by incidence of DLTs, laboratory measurements, severity of adverse events (AEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0.
Time Frame
Baseline through approximately 2 years
Title
Maximally tolerated dose (MTD)/Recommended phase 2 dose (RP2D) of PRT3645
Description
The MTD/RP2D will be established for further investigation in participants with advanced solid tumors
Time Frame
Baseline through approximately 2 years
Secondary Outcome Measure Information:
Title
Efficacy of PRT3645: Tumor assessment and responses
Description
Objective response rate (ORR), Progression-free survival (PFS), Disease control rate (DCR) and Duration of response (DOR) will use RECIST v1.1, mRECIST v1.1, and/or RANO as primary measure for tumor assessment and response.
Time Frame
Baseline through approximately 2 years
Title
Pharmacokinetic profile of PRT3645: Minimum and maximum observed plasma concentration
Description
PRT3645 pharmacokinetics will be calculated including the minimum and maximum observed plasma concentration.
Time Frame
Baseline through approximately 2 years
Title
Pharmacodynamic effect of PRT3645: Target engagement
Description
Pharmacodynamic effect of PRT3645 demonstrating target engagement by assessment of phosphorylation of Rb.
Time Frame
Baseline through approximately 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed advanced, recurrent, or metastatic solid tumor malignancy that have either progress or ineligible for standard of care therapy: HR+ and HER2- or HR+ and HER2+ breast cancer Recurrent GBM (IDH wild type) or CDKN2A/B homozygous deleted IDH-mutant astrocytoma KRAS-mutant or SMARCA4 loss NSCLC CDK pathway alternation in any of the following tumor types: malignant mesothelioma, HPV-negative HNSCC (including oral cavity, oropharynx, hypopharynx, and larynx), sarcoma, or NSCLC Estrogen receptor positive with TP53 wild type endometrial cancer Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures Must have measurable or non-measureable (but evaluable) disease Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 or Karnofsky Performance Status (KPS) ≥80% (KPS is for GBM only) Adequate organ function. Able to swallow and retain oral medication. Must provide either archival or fresh tumor tissue sample during screening. Exclusion Criteria: Participants with advanced, symptomatic, extensive visceral disease. Active inflammatory bowel disease or chronic diarrhea, short bowel syndrome, any upper gastrointestinal surgery including gastric resection, known malabsorption syndrome, or other condition that may impair absorption of PRT3645. Treatment with strong inhibitors of CYP3A4. History of another malignancy within 3 years except for adequately treated basal cell or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancies, or malignancies previously treated with curative intent and not on active therapy or expected to require treatment or recurrence during the study. Clinically significant or uncontrolled cardiac disease, uncontrolled electrolyte disorders, uncontrolled or symptomatic CNS metastases or leptomeningeal disease except for GBM. Endometrial cancer patients who had received prior treatment with a CDK 4/6 inhibitor.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Study Contact (Please Do Not Disclose Personal Information)
Phone
See Email
Email
PRT3645-01study@preludetx.com
Facility Information:
Facility Name
Smilow Cancer Hospital Phase 1 Unit
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06511
Country
United States
Individual Site Status
Recruiting
Facility Name
AdventHealth Medical Group Oncology Research at Celebration
City
Celebration
State/Province
Florida
ZIP/Postal Code
34747
Country
United States
Individual Site Status
Recruiting
Facility Name
Miami Cancer Institute
City
Miami
State/Province
Florida
ZIP/Postal Code
33176
Country
United States
Individual Site Status
Recruiting
Facility Name
Florida Cancer Specialists
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34232
Country
United States
Individual Site Status
Recruiting
Facility Name
Winship Cancer Institute, Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Recruiting
Facility Name
Laura and Isaac Perlmutter Cancer Center/ NYU Langone Health
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Individual Site Status
Recruiting
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Individual Site Status
Recruiting
Facility Name
Hospital of the University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Individual Site Status
Recruiting
Facility Name
Thomas Jefferson University, Sidney Kimmel Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Individual Site Status
Recruiting
Facility Name
Tennessee Oncology, PLLC
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Name
South Texas Accelerated Research Therapeutics, LLC
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Individual Site Status
Recruiting
Facility Name
NEXT Virginia
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Individual Site Status
Recruiting
Facility Name
National Cancer Centre Singapore
City
Singapore
ZIP/Postal Code
168583
Country
Singapore
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

A Study of PRT3645 in Participants With Select Advanced or Metastatic Solid Tumors

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