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First-in Human Phase I Study of ISM3091 in Patients With Advanced Solid Tumors

Primary Purpose

Advanced Solid Tumor

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ISM3091
Sponsored by
InSilico Medicine Hong Kong Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor focused on measuring breast cancers, ovarian cancer, prostate cancer, recommended Phase II dose, ubiquitin specific peptidase 1 (USP1), Advanced HRD Solid Tumors

Eligibility Criteria

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

Inclusion Criteria: Patient should understand, sign, and date the written informed consent form (ICF) prior to screening Male or female aged 18 years or older Patients with for histologically confirmed locally advanced/metastatic breast cancer, ovarian cancer, prostate cancer who relapsed, progressed, or were intolerant to standard therapy, have no therapy with a known overall survival benefit exists or are not a candidate for these therapies Eastern Cooperative Oncology Group performance status 0, 1, or 2 Life expectancy ≥ 3 months Adequate bone marrow and organ function at study entry Exclusion Criteria: Prior treatment with a ubiquitin specific peptidase 1 (USP1) inhibitor Active infection with human immunodeficiency virus (HIV) or hepatitis B virus or hepatitis C virus Any unresolved toxicities from prior therapy greater than NCI-CTCAE version 5.0 Grade 1 or that have not resolved to baseline at the time of starting study. Exceptions include alopecia, peripheral neuropathy, and, upon discussion with and approval by the medical monitor, other toxicities that are not thought to present a risk to patient safety Other severe, acute, or chronic medical condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration, or that may interfere with the interpretation of the study results, and in the judgement of the investigator, would make the patient inappropriate for the study Patient inability or unwillingness to comply with requirement for oral drug administration or presence of a gastrointestinal condition

Sites / Locations

  • Oncology Consultants - Clinical ResearchRecruiting
  • The University of Texas MDACC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Part 1 - Dose Escalation

Part 2 - Dose optimization

Arm Description

Patients will receive ISM3091 once daily in sequential cohorts of increasing doses.

Participants will be randomized to receive one of the two selected dose levels of ISM3091 once daily determined by Study Review Committee.

Outcomes

Primary Outcome Measures

Number of participants with treatment-emergent adverse events (TEAEs) and Serious Adverse events (SAEs)
To assess the safety and tolerability of ISM3091.
Number of participants with dose-limiting toxicity (DLTs)
To assess the safety and tolerability of ISM3091. DLTs will be measured only during the dose escalation part.

Secondary Outcome Measures

Area under the plasma concentration-time curve from time zero to time t (AUC0-t)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Maximum observed concentration (Cmax)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time to reach maximum plasma concentration (Tmax)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Apparent terminal elimination half-life (t1/2)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Area under the plasma concentration-time curve from time zero extrapolated to infinity (AUCinf)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
AUC from time zero to the time of the dosing interval (AUC0-τ)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Accumulation ratio (AR)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Apparent total body clearance of drug (CL/F)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Apparent volume of distribution associated with the terminal phase (Vz/F)
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Overall response rate (ORR)
ORR defined as the proportion of patients with a best overall response of either complete response (CR) or partial response (PR). ORR will be calculated based on disease status evaluated by the investigator according to Prostate Cancer Working Group 3 (PCWG3) for prostate cancer and Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 for all other tumors.
Duration of response (DoR)
DoR defined as the time between the date of first response and the date of disease progression or death, whichever occurs first, will be computed for patients with a response (CR or PR).
Progression-free survival (PFS)
PFS defined as the time between date of first dose of ISM3091 and date of progression according to Prostate Cancer Working Group 3 (PCWG3) or Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, or death.
Overall survival (OS)
OS defined as length of time from the first dose of ISM3091 to the date of death, regardless of the cause of death, will be computed for all treated patients with measurable disease at baseline. Overall survival will be measured according to PCWG3 for prostate cancer and RECIST version 1.1 for all other tumors.
Number of participants of Prostate specific antigen (PSA) response
To assess the preliminary antitumor activity of ISM3091.
Time-to-PSA progression
To assess preliminary antitumor activity of ISM3091.

Full Information

First Posted
June 27, 2023
Last Updated
September 28, 2023
Sponsor
InSilico Medicine Hong Kong Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05932862
Brief Title
First-in Human Phase I Study of ISM3091 in Patients With Advanced Solid Tumors
Official Title
A Phase I, Open-Label, Multicenter Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ISM3091 in Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 17, 2023 (Actual)
Primary Completion Date
July 27, 2024 (Anticipated)
Study Completion Date
December 9, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
InSilico Medicine Hong Kong Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a first-in-human, multicenter, open-label Phase I study. The study will be comprised of a dose escalation part followed by a dose selection optimization part.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor
Keywords
breast cancers, ovarian cancer, prostate cancer, recommended Phase II dose, ubiquitin specific peptidase 1 (USP1), Advanced HRD Solid Tumors

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
66 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1 - Dose Escalation
Arm Type
Experimental
Arm Description
Patients will receive ISM3091 once daily in sequential cohorts of increasing doses.
Arm Title
Part 2 - Dose optimization
Arm Type
Experimental
Arm Description
Participants will be randomized to receive one of the two selected dose levels of ISM3091 once daily determined by Study Review Committee.
Intervention Type
Drug
Intervention Name(s)
ISM3091
Intervention Description
ISM3091 will be administered orally once daily.
Primary Outcome Measure Information:
Title
Number of participants with treatment-emergent adverse events (TEAEs) and Serious Adverse events (SAEs)
Description
To assess the safety and tolerability of ISM3091.
Time Frame
Approximately 1 year
Title
Number of participants with dose-limiting toxicity (DLTs)
Description
To assess the safety and tolerability of ISM3091. DLTs will be measured only during the dose escalation part.
Time Frame
Cycle 1 (each cycle is 28 days)
Secondary Outcome Measure Information:
Title
Area under the plasma concentration-time curve from time zero to time t (AUC0-t)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
Maximum observed concentration (Cmax)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
Time to reach maximum plasma concentration (Tmax)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
Apparent terminal elimination half-life (t1/2)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
Area under the plasma concentration-time curve from time zero extrapolated to infinity (AUCinf)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
AUC from time zero to the time of the dosing interval (AUC0-τ)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
Accumulation ratio (AR)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
Apparent total body clearance of drug (CL/F)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
Apparent volume of distribution associated with the terminal phase (Vz/F)
Description
To characterize the PK of ISM3091 following a single dose administration and at a steady state after multiple dosing.
Time Frame
Cycle1 Day 1, 8, 15, 28, Cycle 2 Day 1, Cycle 4 Day 1, and Cycle 6 Day 1 (each cycle is 28 days)
Title
Overall response rate (ORR)
Description
ORR defined as the proportion of patients with a best overall response of either complete response (CR) or partial response (PR). ORR will be calculated based on disease status evaluated by the investigator according to Prostate Cancer Working Group 3 (PCWG3) for prostate cancer and Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 for all other tumors.
Time Frame
Approximately 1 year
Title
Duration of response (DoR)
Description
DoR defined as the time between the date of first response and the date of disease progression or death, whichever occurs first, will be computed for patients with a response (CR or PR).
Time Frame
Approximately 1 year
Title
Progression-free survival (PFS)
Description
PFS defined as the time between date of first dose of ISM3091 and date of progression according to Prostate Cancer Working Group 3 (PCWG3) or Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, or death.
Time Frame
Approximately 1 year
Title
Overall survival (OS)
Description
OS defined as length of time from the first dose of ISM3091 to the date of death, regardless of the cause of death, will be computed for all treated patients with measurable disease at baseline. Overall survival will be measured according to PCWG3 for prostate cancer and RECIST version 1.1 for all other tumors.
Time Frame
Approximately 1 year
Title
Number of participants of Prostate specific antigen (PSA) response
Description
To assess the preliminary antitumor activity of ISM3091.
Time Frame
From Screening (Day-28 to Day-1), Day 1, Cycle 1 , Day 1, Cycle 2, end-of-treatment visit (each cycle is 28 days) (approximately 1 year)
Title
Time-to-PSA progression
Description
To assess preliminary antitumor activity of ISM3091.
Time Frame
From Screening (Day-28 to Day-1), Day 1, Cycle 1, Day 1, Cycle 2, end-of-treatment visit (each cycle is 28 days) (approximately 1 year)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient should understand, sign, and date the written informed consent form (ICF) prior to screening Male or female aged 18 years or older Patients with for histologically confirmed locally advanced/metastatic breast cancer, ovarian cancer, prostate cancer who relapsed, progressed, or were intolerant to standard therapy, have no therapy with a known overall survival benefit exists or are not a candidate for these therapies Eastern Cooperative Oncology Group performance status 0, 1, or 2 Life expectancy ≥ 3 months Adequate bone marrow and organ function at study entry Exclusion Criteria: Prior treatment with a ubiquitin specific peptidase 1 (USP1) inhibitor Active infection with human immunodeficiency virus (HIV) or hepatitis B virus or hepatitis C virus Any unresolved toxicities from prior therapy greater than NCI-CTCAE version 5.0 Grade 1 or that have not resolved to baseline at the time of starting study. Exceptions include alopecia, peripheral neuropathy, and, upon discussion with and approval by the medical monitor, other toxicities that are not thought to present a risk to patient safety Other severe, acute, or chronic medical condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration, or that may interfere with the interpretation of the study results, and in the judgement of the investigator, would make the patient inappropriate for the study Patient inability or unwillingness to comply with requirement for oral drug administration or presence of a gastrointestinal condition
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Franz Espiritu, Clinical Project Manager
Phone
(626) 232-8778
Email
Franz@insilicomedicine.com
Facility Information:
Facility Name
Oncology Consultants - Clinical Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
The University of Texas MDACC
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Learn more about this trial

First-in Human Phase I Study of ISM3091 in Patients With Advanced Solid Tumors

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