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Study of the CHK1 Inhibitor BBI-355, an ecDNA-directed Therapy, in Subjects With Tumors With Oncogene Amplifications (POTENTIATE)

Primary Purpose

Non-small Cell Lung Cancer, Non-Small Cell Lung Adenocarcinoma, Non-Small Cell Squamous Lung Cancer

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BBI-355
Sponsored by
Boundless Bio
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-small Cell Lung Cancer focused on measuring ecDNA, extrachromosomal DNA, Amplification, Oncogene Amplification, Checkpoint kinase 1, CHK1

Eligibility Criteria

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

Key Inclusion Criteria: Locally advanced or metastatic non-resectable solid tumors, whose disease has progressed despite all standard therapies or for whom no further standard or clinically acceptable therapy exists, Evidence of oncogene amplification, Availability of FFPE tumor tissue, archival or newly obtained, Measurable disease as defined by RECIST Version 1.1, Adequate hematologic function, Adequate hepatic and renal function, Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1, Other inclusion criteria per study protocol. Key Exclusion Criteria: Prior exposure to CHK1 inhibitors, Hematologic malignancies, Primary CNS malignancy, leptomeningeal disease, or symptomatic active CNS metastases, with exceptions per study protocol, Prior or concurrent malignancies, with exceptions per study protocol, History of HBV, HCV or HIV infection, Clinically significant cardiac condition, Active or history of interstitial lung disease (ILD) or pneumonitis, or history of ILD or pneumonitis requiring steroids or other immunosuppressive medications, QTcF > 470 msec, Prior organ allograft transplantations or allogeneic peripheral blood stem cell/bone marrow transplantation, Other exclusion criteria per study protocol.

Sites / Locations

  • START MidwestRecruiting
  • Memorial Sloan Kettering Cancer CenterRecruiting
  • MD Anderson Cancer CenterRecruiting
  • NEXT OncologyRecruiting
  • NEXT OncologyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Single Agent Therapy Dose Escalation

Single Agent Therapy Dose Expansion

Arm Description

Single agent therapy BBI-355, administered orally every other day in 28-day cycles

Single agent therapy BBI-355, administered orally every other day in 28-day cycles

Outcomes

Primary Outcome Measures

Frequency and severity of treatment emergent adverse events (TEAEs) of BBI-355
TEAEs will be assessed and severity assigned by using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.
Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of BBI-355
The MTD and/or RP2D of BBI-355 will be determined.

Secondary Outcome Measures

Maximum observed plasma concentration (Cmax) of BBI-355
Maximum observed plasma concentration (Cmax) of BBI-355 will be determined.
Trough observed plasma concentration (Ctrough) of BBI-355
Trough observed plasma concentration (Ctrough) of BBI-355 will be determined.
Time to Cmax (Tmax) of BBI-355
Time to Cmax (Tmax) of BBI-355 will be determined.
Area under the concentration time curve (AUC) of BBI-355
Area under the concentration time curve (AUC) of BBI-355 will be determined.
Anti-tumor activity of BBI-355
Tumor response will be determined by RECISTv1.1.

Full Information

First Posted
March 27, 2023
Last Updated
May 5, 2023
Sponsor
Boundless Bio
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1. Study Identification

Unique Protocol Identification Number
NCT05827614
Brief Title
Study of the CHK1 Inhibitor BBI-355, an ecDNA-directed Therapy, in Subjects With Tumors With Oncogene Amplifications
Acronym
POTENTIATE
Official Title
An Open-Label, First-in-Human, Dose-Escalation and Dose-Expansion, Phase 1/2 Study of BBI-355 and BBI-355 in Combination With Select Therapies in Subjects With Locally Advanced or Metastatic Solid Tumors With Oncogene Amplifications
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 24, 2023 (Actual)
Primary Completion Date
January 31, 2025 (Anticipated)
Study Completion Date
January 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boundless Bio

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
BBI-355 is an orally available, potent, and selective checkpoint kinase 1 (or CHK1) small molecule inhibitor in development as an ecDNA (extrachromosomal DNA) directed therapy (ecDTx). This is a first-in-human, open-label, non-randomized, 3-part, Phase 1/2 study to determine the safety profile and identify the maximum tolerated dose and recommended Phase 2 dose of BBI-355 administered as a single agent or in combination with select therapies.
Detailed Description
BBI-355 will be administered orally every other day to subjects with locally advanced or metastatic non-resectable solid tumors harboring oncogene amplifications, whose disease has progressed despite all standard therapies or for whom no further standard or clinically acceptable therapy exists.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-small Cell Lung Cancer, Non-Small Cell Lung Adenocarcinoma, Non-Small Cell Squamous Lung Cancer, Head and Neck Squamous Cell Carcinoma, Esophageal Cancer, Gastric Cancer, Breast Cancer, Bladder Cancer, Ovarian Cancer, Endometrial Cancer, Liposarcoma
Keywords
ecDNA, extrachromosomal DNA, Amplification, Oncogene Amplification, Checkpoint kinase 1, CHK1

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
BBI-355 single agent therapy dose escalation and expansion
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
47 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Single Agent Therapy Dose Escalation
Arm Type
Experimental
Arm Description
Single agent therapy BBI-355, administered orally every other day in 28-day cycles
Arm Title
Single Agent Therapy Dose Expansion
Arm Type
Experimental
Arm Description
Single agent therapy BBI-355, administered orally every other day in 28-day cycles
Intervention Type
Drug
Intervention Name(s)
BBI-355
Intervention Description
Oral CHK1 inhibitor
Primary Outcome Measure Information:
Title
Frequency and severity of treatment emergent adverse events (TEAEs) of BBI-355
Description
TEAEs will be assessed and severity assigned by using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.
Time Frame
Start of Cycle 1 until 30 days following last dose (each cycle is 28 days)
Title
Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of BBI-355
Description
The MTD and/or RP2D of BBI-355 will be determined.
Time Frame
Start of Cycle 1 until 30 days following last dose (each cycle is 28 days)
Secondary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax) of BBI-355
Description
Maximum observed plasma concentration (Cmax) of BBI-355 will be determined.
Time Frame
Start of Cycle 1 until Day 1 of last treatment cycle (each cycle is 28 days)
Title
Trough observed plasma concentration (Ctrough) of BBI-355
Description
Trough observed plasma concentration (Ctrough) of BBI-355 will be determined.
Time Frame
Start of Cycle 1 until Day 1 of last treatment cycle (each cycle is 28 days)
Title
Time to Cmax (Tmax) of BBI-355
Description
Time to Cmax (Tmax) of BBI-355 will be determined.
Time Frame
Start of Cycle 1 until Day 1 of last treatment cycle (each cycle is 28 days)
Title
Area under the concentration time curve (AUC) of BBI-355
Description
Area under the concentration time curve (AUC) of BBI-355 will be determined.
Time Frame
Start of Cycle 1 until Day 1 of last treatment cycle (each cycle is 28 days)
Title
Anti-tumor activity of BBI-355
Description
Tumor response will be determined by RECISTv1.1.
Time Frame
1-2 years: Start of Cycle 1 until documented disease progression or death (each cycle is 28 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Locally advanced or metastatic non-resectable solid tumors, whose disease has progressed despite all standard therapies or for whom no further standard or clinically acceptable therapy exists, Evidence of oncogene amplification, Availability of FFPE tumor tissue, archival or newly obtained, Measurable disease as defined by RECIST Version 1.1, Adequate hematologic function, Adequate hepatic and renal function, Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1, Other inclusion criteria per study protocol. Key Exclusion Criteria: Prior exposure to CHK1 inhibitors, Hematologic malignancies, Primary CNS malignancy, leptomeningeal disease, or symptomatic active CNS metastases, with exceptions per study protocol, Prior or concurrent malignancies, with exceptions per study protocol, History of HBV, HCV or HIV infection, Clinically significant cardiac condition, Active or history of interstitial lung disease (ILD) or pneumonitis, or history of ILD or pneumonitis requiring steroids or other immunosuppressive medications, QTcF > 470 msec, Prior organ allograft transplantations or allogeneic peripheral blood stem cell/bone marrow transplantation, Other exclusion criteria per study protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sara Weymer
Phone
16198211090
Email
ClinicalDevelopment@boundlessbio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Rebecca Reynolds
Phone
16198211090
Email
ClinicalDevelopment@boundlessbio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Klaus Wagner, MD, PhD
Organizational Affiliation
Boundless Bio
Official's Role
Study Director
Facility Information:
Facility Name
START Midwest
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49546
Country
United States
Individual Site Status
Recruiting
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77054
Country
United States
Individual Site Status
Recruiting
Facility Name
NEXT Oncology
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Individual Site Status
Recruiting
Facility Name
NEXT Oncology
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34752712
Citation
Wu S, Bafna V, Chang HY, Mischel PS. Extrachromosomal DNA: An Emerging Hallmark in Human Cancer. Annu Rev Pathol. 2022 Jan 24;17:367-386. doi: 10.1146/annurev-pathmechdis-051821-114223. Epub 2021 Nov 9.
Results Reference
background
PubMed Identifier
28178237
Citation
Turner KM, Deshpande V, Beyter D, Koga T, Rusert J, Lee C, Li B, Arden K, Ren B, Nathanson DA, Kornblum HI, Taylor MD, Kaushal S, Cavenee WK, Wechsler-Reya R, Furnari FB, Vandenberg SR, Rao PN, Wahl GM, Bafna V, Mischel PS. Extrachromosomal oncogene amplification drives tumour evolution and genetic heterogeneity. Nature. 2017 Mar 2;543(7643):122-125. doi: 10.1038/nature21356. Epub 2017 Feb 8.
Results Reference
background
PubMed Identifier
36123406
Citation
Lange JT, Rose JC, Chen CY, Pichugin Y, Xie L, Tang J, Hung KL, Yost KE, Shi Q, Erb ML, Rajkumar U, Wu S, Taschner-Mandl S, Bernkopf M, Swanton C, Liu Z, Huang W, Chang HY, Bafna V, Henssen AG, Werner B, Mischel PS. The evolutionary dynamics of extrachromosomal DNA in human cancers. Nat Genet. 2022 Oct;54(10):1527-1533. doi: 10.1038/s41588-022-01177-x. Epub 2022 Sep 19.
Results Reference
background
PubMed Identifier
32807987
Citation
Kim H, Nguyen NP, Turner K, Wu S, Gujar AD, Luebeck J, Liu J, Deshpande V, Rajkumar U, Namburi S, Amin SB, Yi E, Menghi F, Schulte JH, Henssen AG, Chang HY, Beck CR, Mischel PS, Bafna V, Verhaak RGW. Extrachromosomal DNA is associated with oncogene amplification and poor outcome across multiple cancers. Nat Genet. 2020 Sep;52(9):891-897. doi: 10.1038/s41588-020-0678-2. Epub 2020 Aug 17.
Results Reference
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Study of the CHK1 Inhibitor BBI-355, an ecDNA-directed Therapy, in Subjects With Tumors With Oncogene Amplifications

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