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ME-344 and Bevacizumab in Previously Treated Metastatic Colorectal Cancer

Primary Purpose

Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ME-344
Bevacizumab
Sponsored by
MEI Pharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer

Eligibility Criteria

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

Inclusion Criteria: Age ≥18 years Histological or cytological documentation of adenocarcinoma of the colon or rectum that is metastatic (all other histological types are excluded) Subjects who progressed or demonstrated intolerability to prior standard approved therapies which include fluoropyrimidine, oxaliplatin, and irinotecan-based chemotherapies, cetuximab/panitumumab (if clinically indicated e.g., RAS wild-type tumors) PD-1 or BRAF inhibitors (if clinically indicated), and/or other checkpoint inhibitors in the metastatic setting. Previous treatment with any investigational drug or anticancer treatment must be completed >28 days or 5 half-lives, whichever is longer, before the first dose of study treatment. Adequate bone marrow, liver, and renal function Exclusion Criteria: Untreated brain metastases, spinal cord compression, or primary brain tumor Symptomatic brain metastases, leptomeningeal disease, spinal cord compression, or primary brain tumor Evidence of uncontrolled or unstable cardiovascular disease, myocardial infarction (within 6 months), unstable angina pectoris, congestive heart failure, serious arrhythmias requiring drug therapy History of CNS disease Bevacizumab or aflibercept therapy ≤ 3 weeks prior to starting study treatment Peripheral neuropathy Grade ≥ 2 Uncontrolled hypertension or diabetes mellitus, active peptic ulcers, unhealed wounds, clinically significant disease or systemic infections Known seropositive for, or active infection with hepatitis B or C virus Symptomatic or uncontrolled infection with human T-cell leukemia virus Venous thromboembolism (unless appropriately treated and stable on anticoagulant for at least 2 weeks).

Sites / Locations

  • University of Southern CaliforniaRecruiting
  • Mount Sinai MiamiRecruiting
  • Rutgers UniversityRecruiting
  • Vanderbilt -Ingram Cancer CenterRecruiting
  • University of UtahRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ME-344 and Bevacizumab

Arm Description

ME-344 (IV) Cohort 1: Days 1, 8, and 15 of each 28-day cycle. Cohort 2: Days 1 and 15 of each 28-day cycle. Bevacizumab (IV) Cohorts 1 and 2: Days 1 and 15 of each 28-day cycle.

Outcomes

Primary Outcome Measures

Progression Free Survival (PFS) rate at 16 weeks
This will be measured using the Kaplan Meir (KM) method, and calculated from day of first study drug until observation of disease progression.

Secondary Outcome Measures

Overall Response Rate (ORR)
This will be measure by the proportion of patients achieving complete response [CR] or partial response [PR] per RECIST v.1.1).
Safety and tolerability of ME-344 administered in combination with bevacizumab
This will be measured by the number of participants with treatment emergent Adverse Events, with abnormal physical examination findings, abnormal vital signs, abnormal ECG QT interval and abnormal clinical laboratory results

Full Information

First Posted
March 22, 2023
Last Updated
October 24, 2023
Sponsor
MEI Pharma, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05824559
Brief Title
ME-344 and Bevacizumab in Previously Treated Metastatic Colorectal Cancer
Official Title
A Phase 1b Study of the OxPhos Inhibitor ME-344 Combined With Bevacizumab in Previously Treated Metastatic Colorectal Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 7, 2023 (Actual)
Primary Completion Date
April 30, 2024 (Anticipated)
Study Completion Date
June 30, 2024 (Anticipated)

3. Sponsor/Collaborators

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

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 1b open-label, multiple dose/schedule sequential study to determine the safety and efficacy of the oxidative phosphorylation (OxPhos) pathway inhibitor ME-344 in combination with bevacizumab in subjects with recurrent mCRC.
Detailed Description
This is a Phase 1b open-label, multiple dose/schedule sequential study to determine the safety and efficacy of the oxidative phosphorylation (OxPhos) pathway inhibitor ME-344 in combination with bevacizumab in subjects with recurrent mCRC. This study will enroll subjects with metastatic CRC, including but not limited to subjects with RAS wild-type or mutant tumors, MSI-H/pMMR, and BRAF V600E, who have progressed or demonstrated intolerability to standard approved therapies which include fluoropyrimidine, oxaliplatin, irinotecan-based chemotherapies, cetuximab/panitumumab, PD-1 inhibitors, or BRAF inhibitors (if clinically indicated), and/or other checkpoint inhibitors. Approximately 40 subjects will be enrolled in the study, in 2 cohorts of 20 subjects each. Subjects will continue treatment with ME-344 and bevacizumab until radiological progressive disease, unacceptable AEs, withdrawal of consent, start of new anticancer therapy, or death.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
This is a Phase 1b open-label, multiple dose/schedule sequential study to determine the safety and efficacy of the oxidative phosphorylation (OxPhos) pathway inhibitor ME-344 in combination with bevacizumab in subjects with recurrent mCRC. Subjects in Cohort 1 will receive ME-344 (IV) on Days 1, 8 and 15 combined with bevacizumab (IV) on Days 1 and 15 of each 28-day cycle. Subjects in Cohort 2 will receive ME 344 (IV) on Days 1 and 15 combined with bevacizumab (IV) on Days 1 and 15 of each 28-day cycle.
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ME-344 and Bevacizumab
Arm Type
Experimental
Arm Description
ME-344 (IV) Cohort 1: Days 1, 8, and 15 of each 28-day cycle. Cohort 2: Days 1 and 15 of each 28-day cycle. Bevacizumab (IV) Cohorts 1 and 2: Days 1 and 15 of each 28-day cycle.
Intervention Type
Drug
Intervention Name(s)
ME-344
Intervention Description
ME-344 will be administered intravenously (IV)
Intervention Type
Drug
Intervention Name(s)
Bevacizumab
Intervention Description
Bevacizumab will be administered intravenously (IV)
Primary Outcome Measure Information:
Title
Progression Free Survival (PFS) rate at 16 weeks
Description
This will be measured using the Kaplan Meir (KM) method, and calculated from day of first study drug until observation of disease progression.
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Overall Response Rate (ORR)
Description
This will be measure by the proportion of patients achieving complete response [CR] or partial response [PR] per RECIST v.1.1).
Time Frame
6 months
Title
Safety and tolerability of ME-344 administered in combination with bevacizumab
Description
This will be measured by the number of participants with treatment emergent Adverse Events, with abnormal physical examination findings, abnormal vital signs, abnormal ECG QT interval and abnormal clinical laboratory results
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥18 years Histological or cytological documentation of adenocarcinoma of the colon or rectum that is metastatic (all other histological types are excluded) Subjects who progressed or demonstrated intolerability to prior standard approved therapies which include fluoropyrimidine, oxaliplatin, and irinotecan-based chemotherapies, cetuximab/panitumumab (if clinically indicated e.g., RAS wild-type tumors) PD-1 or BRAF inhibitors (if clinically indicated), and/or other checkpoint inhibitors in the metastatic setting. Previous treatment with any investigational drug or anticancer treatment must be completed >28 days or 5 half-lives, whichever is longer, before the first dose of study treatment. Adequate bone marrow, liver, and renal function Exclusion Criteria: Untreated brain metastases, spinal cord compression, or primary brain tumor Symptomatic brain metastases, leptomeningeal disease, spinal cord compression, or primary brain tumor Evidence of uncontrolled or unstable cardiovascular disease, myocardial infarction (within 6 months), unstable angina pectoris, congestive heart failure, serious arrhythmias requiring drug therapy History of CNS disease Bevacizumab or aflibercept therapy ≤ 3 weeks prior to starting study treatment Peripheral neuropathy Grade ≥ 2 Uncontrolled hypertension or diabetes mellitus, active peptic ulcers, unhealed wounds, clinically significant disease or systemic infections Known seropositive for, or active infection with hepatitis B or C virus Symptomatic or uncontrolled infection with human T-cell leukemia virus Venous thromboembolism (unless appropriately treated and stable on anticoagulant for at least 2 weeks).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sylwia Sobolewska
Phone
347-522-0549
Email
ssobolewska@criterium.com
Facility Information:
Facility Name
University of Southern California
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Individual Site Status
Recruiting
Facility Name
Mount Sinai Miami
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Individual Site Status
Recruiting
Facility Name
Rutgers University
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Individual Site Status
Recruiting
Facility Name
Vanderbilt -Ingram Cancer Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Utah
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84108
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

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ME-344 and Bevacizumab in Previously Treated Metastatic Colorectal Cancer

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