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First in Human, Dose Escalation, Dose Expansion Study of AUR105 (SURYA-1)

Primary Purpose

Solid Tumor, Adult, Non-hodgkin Lymphoma, Hodgkin Lymphoma

Status
Recruiting
Phase
Phase 1
Locations
India
Study Type
Interventional
Intervention
AUR105
Sponsored by
Aurigene Discovery Technologies Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor, Adult

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Males and females ≥ 18 years of age Eastern Cooperative Oncology Group (ECOG) Performance status of 0 or 1 Acceptable bone marrow and organ function at screening as described below: ANC ≥ 1500/μL (without WBC growth factor support) Platelet count ≥ 100,000/μL without transfusion support (Patients with lymphoma are allowed with Platelet count ≥ 75,000 / μL) Hemoglobin ≥ 9 g/dL (Transfusion is allowed to achieve this Hb) Total Bilirubin ≤ 1.5 x ULN; (Patients with known Gilbert's syndrome are allowed with a Total Bilirubin ≤ 2.5 x ULN) AST (SGOT) ≤ 3 x ULN (≤ 5 × ULN if known liver metastases) ALT (SGPT) ≤ 3 x ULN (≤ 5 × ULN if known liver metastases) Creatinine clearance (CrCl) ≥ 60 mL/min (either measured or estimated by the Cockcroft-Gault formula). (Cockcroft-Gault formula for estimated creatinine clearance [eCrCl]: eCrCl = [140- Age] × Weight [kg] × [0.85 if Female] / [72 × serum creatinine (mg/dL)]). Ability to swallow and retain oral medications Histo-pathological diagnosis of a solid tumor, Non-Hodgkin lymphoma or Hodgkin Lymphoma Evidence of measurable disease per RECIST, v1.1 for solid tumors (Eisenhauer et al. 2009) and per Lugano Criteria for Lymphoma (Cheson et al. 2014). Standard curative measures do not exist, and patient must have exhausted all effective therapies, available locally. At a minimum, solid tumor patients must have received at least two lines of systemic therapies in the metastatic incurable settings(these two lines must be in the metastatic setting and not in the earlier stage of cancer). At a minimum, lymphoma patients must have received at least 2 prior lines of systemic therapies. These systemic therapies could be either in the stage II, III or IV. Exclusion Criteria: Systemic anti-cancer therapy, such as chemotherapy, or biological therapy, immunomodulatory drug therapy, received within the past 28 days or 5 half-lives, whichever is longer, from the Cycle 1 Day 1 of the study. Presence of an acute or chronic toxicity resulting from prior anticancer treatment, with the exception of alopecia or nail changes, that has not resolved to Grade ≤ 1, as determined by NCI CTCAE v 5.0 Definitive Radiotherapy within the last 21 days of Cycle 1 Day 1 (limited field palliative radiation is allowed and no restrictions during the screening period or during the trial) Use of any investigational agent within 28 days or 5 half-lives (whichever is longer) prior to Cycle 1 Day 1 Use of moderate / strong CYP3A4 inhibitors/inducers or moderate / strong P-gp inhibitor/inducers within 2 weeks or 5 half-lives (whichever is longer) prior to Cycle 1 Day 1 (The list of these medications is provided in the first four rows of Table 5) Known symptomatic or untreated or recently treated (≤ 6 months of screening) central nervous system (CNS) metastases or CNS lymphoma. Patients with previously treated (> 6 months of screening) CNS metastases or CNS lymphoma and are now stable and asymptomatic, from CNS perspective, are allowed Major surgery ≤ 28 days from Cycle 1 Day 1 (major surgery is defined as a procedure requiring general anesthesia) Patients with leukemia or myelodysplastic syndrome or multiple myeloma Active infection requiring systemic therapy. 10. Prophylactic use of antibiotics is allowed. Any infection detected during screening period which is resolved adequately according to investigator before the Cycle 1 Day 1, is allowed. Known to be human immunodeficiency virus (HIV) positive or have an acquired immunodeficiency syndrome-related illnessKnown active or chronic hepatitis B (HBsAg +ve) or hepatitis C infection (HCV antibody +ve) The patient who is expected to require any other form of antineoplastic therapy or targeted therapy while on study. Uncontrolled congestive heart failure (New York Heart Association [NYHA] Class 2-4), angina, myocardial infarction, cerebrovascular accident, coronary/peripheral artery bypass graft surgery, or transient ischemic attack, or pulmonary embolism within 3 months prior to Cycle 1 Day 1 Ongoing cardiac dysrhythmias requiring treatment of any grade or treatment of cardiac dysrhythmias in past 3 months, before Cycle 1 Day 1 QTc (Bazzett) interval >450 ms for male patients or >460 ms for female patients on ECG at screening and/or at Cycle 1 Day 1 predose. Uncontrolled intercurrent illness including, but not limited to, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia, active peptic ulcer disease or significant gastritis, active bleeding diatheses, presence Current swab-positive or suspected (under investigation) Covid19 infection or fever and other signs or symptoms suggestive of Covid-19 infection with recent contact of person(s) with confirmed Covid-19 infection, at screening or Day 1 of Cycle 1 History of another primary malignancy within 5 years prior to starting study drug, except for adequately treated basal or squamous cell carcinoma of the skin or cancer of the cervix in situ and the disease under study. Positive pregnancy test for women of child-bearing potential (WOCBP) at the screening or enrolment visit Lactating women or WOCBP who are neither surgically sterilized nor willing to use reliable contraceptive methods (hormonal contraceptive, IUD, or any double combination of male or female condom, spermicidal gel, diaphragm, sponge, cervical cap)

Sites / Locations

  • Kailash Cancer Hospital and Research CentreRecruiting
  • Moraya Multi-Speciality HospitalRecruiting
  • Krupamayi HospitalRecruiting
  • Sparsh Hospital and Critical CareRecruiting
  • All India Institute of Medical SciencesRecruiting
  • IMS&SUM HospitalRecruiting
  • ALL India Institute of medical ScienecesRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

AUR105 50mg to 750mg

Arm Description

Currently planned dose levels in Part 1 are 50mg, 100mg, 200mg, 300mg, 450mg, 600mg and 740mg once daily

Outcomes

Primary Outcome Measures

Primary Endpoints
First cycle DLT
Primary Endpoints
PK parameters - Cmax
Primary Endpoints
PK parameters- AUC
Primary Endpoints
PK parameters- Tmax
Primary Endpoints
Recommended Phase 2 Dose determination

Secondary Outcome Measures

Exploratory Endpoints:
PD biomarkers (SDMA)
Exploratory Endpoints:
Efficacy assessments overall response rate
Exploratory Endpoints:
Efficacy assessments- duration of response
Exploratory Endpoints:
Efficacy assessments- PFS
Exploratory Endpoints:
Change in Tumor Specific Markers - CA-125 in ovarian cancer
Exploratory Endpoints:
Change in Tumor Specific Markers - PSA in Castrate Resistant Prostate Cancer
Exploratory Endpoints:
Change in Tumor Specific Markers - CEA in colorectal cancer

Full Information

First Posted
October 5, 2022
Last Updated
December 14, 2022
Sponsor
Aurigene Discovery Technologies Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05605119
Brief Title
First in Human, Dose Escalation, Dose Expansion Study of AUR105
Acronym
SURYA-1
Official Title
A Phase 1, Open Label, Dose Escalation, Dose Expansion, Multicenter, First in Human (FIH) Study Evaluating the Safety, Pharmacokinetics and Pharmacodynamics of Oral AUR105 in Patients With Relapsed Advanced Malignancies (SURYA-1)
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Recruiting
Study Start Date
November 30, 2022 (Actual)
Primary Completion Date
December 30, 2025 (Anticipated)
Study Completion Date
May 30, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aurigene Discovery Technologies Limited

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
This is a multi-center, open-label, First in Human, Phase 1 study of AUR 105 in adult patients with advanced malignancies. The study will have two parts: a Dose Escalation Part and Dose Expansion Part.
Detailed Description
This is a Phase I, Open label First in Human Study in adult patients with relapsed advanced malignancies. The study will have two parts. Dose escalation part and Dose expansion part

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Dose Escalation "3+3" dose escalation
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
AUR105 50mg to 750mg
Arm Type
Experimental
Arm Description
Currently planned dose levels in Part 1 are 50mg, 100mg, 200mg, 300mg, 450mg, 600mg and 740mg once daily
Intervention Type
Drug
Intervention Name(s)
AUR105
Intervention Description
Once daily
Primary Outcome Measure Information:
Title
Primary Endpoints
Description
First cycle DLT
Time Frame
28 Days
Title
Primary Endpoints
Description
PK parameters - Cmax
Time Frame
Day 16
Title
Primary Endpoints
Description
PK parameters- AUC
Time Frame
Day 16
Title
Primary Endpoints
Description
PK parameters- Tmax
Time Frame
Day 16
Title
Primary Endpoints
Description
Recommended Phase 2 Dose determination
Time Frame
Through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
Exploratory Endpoints:
Description
PD biomarkers (SDMA)
Time Frame
Day 15
Title
Exploratory Endpoints:
Description
Efficacy assessments overall response rate
Time Frame
Through study completion, an average of 1 year
Title
Exploratory Endpoints:
Description
Efficacy assessments- duration of response
Time Frame
Through study completion, an average of 1 year
Title
Exploratory Endpoints:
Description
Efficacy assessments- PFS
Time Frame
Through study completion, an average of 1 year
Title
Exploratory Endpoints:
Description
Change in Tumor Specific Markers - CA-125 in ovarian cancer
Time Frame
Through study completion, an average of 1 year
Title
Exploratory Endpoints:
Description
Change in Tumor Specific Markers - PSA in Castrate Resistant Prostate Cancer
Time Frame
Through study completion, an average of 1 year
Title
Exploratory Endpoints:
Description
Change in Tumor Specific Markers - CEA in colorectal cancer
Time Frame
Through study completion, an average of 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females ≥ 18 years of age Eastern Cooperative Oncology Group (ECOG) Performance status of 0 or 1 Acceptable bone marrow and organ function at screening as described below: ANC ≥ 1500/μL (without WBC growth factor support) Platelet count ≥ 100,000/μL without transfusion support (Patients with lymphoma are allowed with Platelet count ≥ 75,000 / μL) Hemoglobin ≥ 9 g/dL (Transfusion is allowed to achieve this Hb) Total Bilirubin ≤ 1.5 x ULN; (Patients with known Gilbert's syndrome are allowed with a Total Bilirubin ≤ 2.5 x ULN) AST (SGOT) ≤ 3 x ULN (≤ 5 × ULN if known liver metastases) ALT (SGPT) ≤ 3 x ULN (≤ 5 × ULN if known liver metastases) Creatinine clearance (CrCl) ≥ 60 mL/min (either measured or estimated by the Cockcroft-Gault formula). (Cockcroft-Gault formula for estimated creatinine clearance [eCrCl]: eCrCl = [140- Age] × Weight [kg] × [0.85 if Female] / [72 × serum creatinine (mg/dL)]). Ability to swallow and retain oral medications Histo-pathological diagnosis of a solid tumor, Non-Hodgkin lymphoma or Hodgkin Lymphoma Evidence of measurable disease per RECIST, v1.1 for solid tumors (Eisenhauer et al. 2009) and per Lugano Criteria for Lymphoma (Cheson et al. 2014). Standard curative measures do not exist, and patient must have exhausted all effective therapies, available locally. At a minimum, solid tumor patients must have received at least two lines of systemic therapies in the metastatic incurable settings(these two lines must be in the metastatic setting and not in the earlier stage of cancer). At a minimum, lymphoma patients must have received at least 2 prior lines of systemic therapies. These systemic therapies could be either in the stage II, III or IV. Exclusion Criteria: Systemic anti-cancer therapy, such as chemotherapy, or biological therapy, immunomodulatory drug therapy, received within the past 28 days or 5 half-lives, whichever is longer, from the Cycle 1 Day 1 of the study. Presence of an acute or chronic toxicity resulting from prior anticancer treatment, with the exception of alopecia or nail changes, that has not resolved to Grade ≤ 1, as determined by NCI CTCAE v 5.0 Definitive Radiotherapy within the last 21 days of Cycle 1 Day 1 (limited field palliative radiation is allowed and no restrictions during the screening period or during the trial) Use of any investigational agent within 28 days or 5 half-lives (whichever is longer) prior to Cycle 1 Day 1 Use of moderate / strong CYP3A4 inhibitors/inducers or moderate / strong P-gp inhibitor/inducers within 2 weeks or 5 half-lives (whichever is longer) prior to Cycle 1 Day 1 (The list of these medications is provided in the first four rows of Table 5) Known symptomatic or untreated or recently treated (≤ 6 months of screening) central nervous system (CNS) metastases or CNS lymphoma. Patients with previously treated (> 6 months of screening) CNS metastases or CNS lymphoma and are now stable and asymptomatic, from CNS perspective, are allowed Major surgery ≤ 28 days from Cycle 1 Day 1 (major surgery is defined as a procedure requiring general anesthesia) Patients with leukemia or myelodysplastic syndrome or multiple myeloma Active infection requiring systemic therapy. 10. Prophylactic use of antibiotics is allowed. Any infection detected during screening period which is resolved adequately according to investigator before the Cycle 1 Day 1, is allowed. Known to be human immunodeficiency virus (HIV) positive or have an acquired immunodeficiency syndrome-related illnessKnown active or chronic hepatitis B (HBsAg +ve) or hepatitis C infection (HCV antibody +ve) The patient who is expected to require any other form of antineoplastic therapy or targeted therapy while on study. Uncontrolled congestive heart failure (New York Heart Association [NYHA] Class 2-4), angina, myocardial infarction, cerebrovascular accident, coronary/peripheral artery bypass graft surgery, or transient ischemic attack, or pulmonary embolism within 3 months prior to Cycle 1 Day 1 Ongoing cardiac dysrhythmias requiring treatment of any grade or treatment of cardiac dysrhythmias in past 3 months, before Cycle 1 Day 1 QTc (Bazzett) interval >450 ms for male patients or >460 ms for female patients on ECG at screening and/or at Cycle 1 Day 1 predose. Uncontrolled intercurrent illness including, but not limited to, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia, active peptic ulcer disease or significant gastritis, active bleeding diatheses, presence Current swab-positive or suspected (under investigation) Covid19 infection or fever and other signs or symptoms suggestive of Covid-19 infection with recent contact of person(s) with confirmed Covid-19 infection, at screening or Day 1 of Cycle 1 History of another primary malignancy within 5 years prior to starting study drug, except for adequately treated basal or squamous cell carcinoma of the skin or cancer of the cervix in situ and the disease under study. Positive pregnancy test for women of child-bearing potential (WOCBP) at the screening or enrolment visit Lactating women or WOCBP who are neither surgically sterilized nor willing to use reliable contraceptive methods (hormonal contraceptive, IUD, or any double combination of male or female condom, spermicidal gel, diaphragm, sponge, cervical cap)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Divyesh Dr Mandavia
Phone
9427181182
Email
divyesh_m@aurigene.com
First Name & Middle Initial & Last Name or Official Title & Degree
Suresh Mr Oduru
Phone
9866225593
Email
suresh_o@aurigene.com
Facility Information:
Facility Name
Kailash Cancer Hospital and Research Centre
City
Vadodara
State/Province
Gujarat
ZIP/Postal Code
391760
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Santhosh Dr Vandanasetti
Phone
9427423693
Email
Vandanasetti.santhosh@greenashram.org
Facility Name
Moraya Multi-Speciality Hospital
City
Pune
State/Province
Maharasthra
ZIP/Postal Code
411033
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rakesh Dr Neve
Phone
9881143140
Email
rakesh.neve@gmail.com
Facility Name
Krupamayi Hospital
City
Aurangabad
State/Province
Maharastra
ZIP/Postal Code
431001
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Viraj Vijay Dr Borgaonkar
Phone
9673073555
Email
viraj.oncosurg@gmail.com
Facility Name
Sparsh Hospital and Critical Care
City
Bhubaneswar
State/Province
Odisha
ZIP/Postal Code
751007
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ghanshyam Dr Biswas
Phone
9937500878
Email
drgbiswas@gmail.com
Facility Name
All India Institute of Medical Sciences
City
Bhubaneswar
State/Province
Odisha
ZIP/Postal Code
751019
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sourav Dr Mishra
Phone
7008651823
Email
drskmishra1984@gmail.com
Facility Name
IMS&SUM Hospital
City
Bhubaneswar
ZIP/Postal Code
751003
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lalatendu Dr Moharana
Phone
9538752579
Email
drlalatendu@gmail.com
Facility Name
ALL India Institute of medical Scieneces
City
New Delhi
ZIP/Postal Code
110029
Country
India
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Deepam Dr Pushpam
Phone
9650629370
Email
deepampushpam@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

First in Human, Dose Escalation, Dose Expansion Study of AUR105

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