search
Back to results

NBM-BMX Administered Orally to Patients With Solid Tumors or Newly Diagnosed Glioblastoma

Primary Purpose

Malignant Neoplasm, Malignant Neoplasm of Brain

Status
Recruiting
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
NBM-BMX Capsule
Temozolomide
Standard radiotherapy
Sponsored by
NatureWise Biotech & Medicals Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malignant Neoplasm

Eligibility Criteria

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

Inclusion Criteria: Arm A (advanced solid tumors) Having signed and dated the informed consent form. Females or males > 18 years old. Histologically or cytologically confirmed advanced solid tumors refractory to standard of care therapy, or for which no standard of care therapy is available. Disease that is measurable or evaluable as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Response Assessment in Neuro-Oncology (RANO) criteria (for CNS tumors). Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2. Adequate organ function as defined by the following criteria: Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 3 × upper limits of normal (ULN), unless liver metastases present, then ≤ 5 × ULN Total serum bilirubin ≤ 1.5 × ULN unless bilirubin elevation is related to Gilbert's Syndrome for which bilirubin ≤ 3 × ULN Absolute neutrophil count (ANC) ≥ 1,000/μL Platelets ≥ 75,000/μL Hemoglobin ≥ 8.0 g/dL Non-indexed estimated glomerular filtration rate (eGFR) ≥ 50 mL/min/1.73 m2 × BSA (m2)/1.73. Transfusion is not allowed to meet entry criteria. QTcF ≤ 480 msec Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures. Arm B (newly diagnosed GBM) Having signed and dated the informed consent form. Females or males > 18 years old. Newly diagnosed, histologically confirmed glioblastoma, non-resectable, partially resected or resected. Karnofsky performance status (KPS) ≥ 60 at screening and before the initiation (Day 1) of concomitant therapy. Disease that is measurable or evaluable as defined by Response Assessment in Neuro-Oncology (RANO) criteria. Adequate organ function as defined by the following criteria: Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 3 × upper limit of normal (ULN), unless liver metastases present, then ≤ 5 × ULN Total serum bilirubin ≤ 1.5 × ULN unless bilirubin elevation is related to Gilbert's Syndrome for which bilirubin ≤ 3 × ULN Absolute neutrophil count (ANC) ≥ 1,500/μL Platelets ≥ 100,000/μL Hemoglobin ≥ 8.0 g/dL Non-indexed estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m2 × BSA (m2)/1.73. Transfusion is not allowed to meet entry criteria. QTcF ≤ 480 msec Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures. Exclusion Criteria: Arm A (advanced solid tumors) Systemic anti-cancer treatment (investigational or approved) within 28 days or 5 half-lives of that drug (whichever is shorter) of the first dose of NBM-BMX. Curative radiation therapy within 28 days or palliative RT within 7 days of the first dose of NBM-BMX. Currently taking strong inhibitors (e.g., gemfibrozil) or inducers of CYP2C8. Any of the following within 6 months of the first dose of NBM-BMX: pulmonary embolism events, deep vein thrombosis (DVT) events, myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack. A positive test for hepatitis B (HBsAg) and/or hepatitis C (anti-HCV antibody), unless the HBV DNA level and/or HCV RNA level is below the limit of detection. Known history of human immunodeficiency virus (HIV) infection. Men and women of childbearing potential who are unwilling to use highly effective contraceptive methods during the study period. Highly effective contraceptive methods include implants, injectables, combined oral contraceptives, intra-uterine devices (IUDs), sexual abstinence, surgical sterilization or a partner who is sterile. Females who are pregnant or breastfeeding. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that would impart, in the judgement of the investigator and/or sponsor, excess risks associated with study participation or study drug administration. Arm B (newly diagnosed GBM) Prior systemic therapy (including Gliadel wafer implant), immunotherapy, investigational agents, or radiotherapy for glioblastoma. Currently taking strong inhibitors (e.g., gemfibrozil) or inducers of CYP2C8. Corticosteroid use of > 8 mg/day dexamethasone or equivalent within 5 days before the first dose of NBM-BMX. A history of hypersensitivity reaction to temozolomide or dacarbazine. Any of the following within 6 months of the first dose of NBM-BMX: pulmonary embolism events, deep vein thrombosis (DVT) events, myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack. A positive test for hepatitis B (HBsAg) and/or hepatitis C (anti-HCV antibody), unless the HBV DNA level and/or HCV RNA level is below the limit of detection. Known history of human immunodeficiency virus (HIV) infection. Note: HIV testing is not required. Men and women of childbearing potential who are unwilling to use highly effective contraceptive methods during the study period and for at least 6 months after the final dose of temozolomide. Highly effective contraceptive methods include implants, injectables, combined oral contraceptives, intra-uterine devices (IUDs), sexual abstinence, surgical sterilization or a partner who is sterile. Female who are pregnant or breastfeeding. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that would impart, in the judgement of the investigator and/or sponsor, excess risks associated with study participation or study drug administration.

Sites / Locations

  • Hualien Tzu Chi Hospital
  • Kaohsiung Medical University Chung-Ho Memorial Hospital
  • Taichung Veterans General Hospital
  • Koo Foundation Sun Yat-Sen Cancer Center
  • Linkou Chang-Gung Memorial HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

monotherapy in advanced solid tumors

combination therapy in newly diagnosed glioblastoma

Arm Description

Subjects with advanced solid tumors will be treated with NBM-BMX monotherapy at different dose levels depending on the order of their enrollment.

Subjects with newly diagnosed glioblastoma will be treated with NBM-BMX at different dose levels in combination with the standard of care treatment (concomitant RT/TMZ followed by adjuvant TMZ). In the expansion study, Subjects will be treated with NBM-BMX at the recommended Phase 2 dose (RP2D) in combination with RT/TMZ.

Outcomes

Primary Outcome Measures

[Arm A, Phase Ib] Frequency of dose-limiting toxicity (DLT) at each dose level
To determine the maximum tolerated dose (MTD) for NBM-BMX monotherapy in subjects with advanced solid tumors, toxicities will be graded according to the National Cancer Institute Common Terminology.
[Arm B, Phase Ib] Frequency of dose-limiting toxicity (DLT) at each dose level
To determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for NBM-BMX in combination with RT and TMZ in subjects with newly diagnosed GBM, toxicities will be graded according to the National Cancer Institute Common Terminology.
[Arm B, Phase II] Progression-free survival rate at 6 months (PFS6)
To assess the preliminary efficacy of NBM-BMX in combination with RT and TMZ in subjects with newly diagnosed GBM, the investigators will evaluate anti-tumor activity using RANO criteria.

Secondary Outcome Measures

Frequency, types, severity, and relationship to NBM-BMX of adverse events (AEs)
The severity of AEs will be graded using NCI CTCAE Version 5.0 by the investigator.
Preliminary assessment of anti-tumor activity by response evaluation criteria
Tumor response and progression will be assessed using the RECIST v1.1 or Response Assessment in Neuro-Oncology (RANO) criteria.
Area under the plasma concentration versus time curve (AUC) of NBM-BMX
Blood samples will be collected at each pre-specified time point for measuring concentrations of NBM-BMX in plasma using a validated bioanalytical method.
Peak plasma concentration (Cmax) of NBM-BMX
Blood samples will be collected at each pre-specified time point for measuring concentrations of NBM-BMX in plasma using a validated bioanalytical method.
Time to maximum plasma concentration (Tmax) of NBM-BMX
Blood samples will be collected at each pre-specified time point for measuring concentrations of NBM-BMX in plasma using a validated bioanalytical method.
Terminal elimination half-life (T1/2) of NBM-BMX
Blood samples will be collected at each pre-specified time point for measuring concentrations of NBM-BMX in plasma using a validated bioanalytical method.

Full Information

First Posted
August 11, 2023
Last Updated
August 22, 2023
Sponsor
NatureWise Biotech & Medicals Corporation
search

1. Study Identification

Unique Protocol Identification Number
NCT06012695
Brief Title
NBM-BMX Administered Orally to Patients With Solid Tumors or Newly Diagnosed Glioblastoma
Official Title
A Phase Ib/II, Open-label Study of NBM-BMX as Monotherapy or in Combination With Radiotherapy and Temozolomide in Subjects With Solid Tumors or Newly Diagnosed Glioblastoma
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 11, 2023 (Actual)
Primary Completion Date
May 30, 2028 (Anticipated)
Study Completion Date
September 30, 2029 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NatureWise Biotech & Medicals Corporation

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
NBM-BMX is an orally available new chemical entity to inhibit histone deacetylases 8 (HDAC8) activity specifically, being developed as a potential anti-cancer therapeutic by NatureWise. This study aims to evaluate the safety, pharmacokinetics, and preliminary efficacy of NBM-BMX as monotherapy in subjects with advanced solid tumors or combination with the standard of care treatment in subjects with newly diagnosed glioblastoma.
Detailed Description
This is a multi-center, open-label, 2-arm, phase Ib/II study to evaluate the safety, pharmacokinetics, and preliminary efficacy of NBM-BMX as monotherapy in the treatment of solid tumors (Arm A) or in combination with radiotherapy/temozolomide in the treatment of glioblastoma (Arm B). Arm A consists of dose escalation cohorts in subjects with advanced solid tumors who will be treated with NBM-BMX monotherapy at different dose levels. Arm B consists of dose escalation cohorts (Phase Ib) and expansion cohorts (Phase II) in subjects with newly diagnosed glioblastoma (GBM). Subjects will be treated with NBM-BMX at different dose levels in combination with the first-line standard of care treatment (i.e., concomitant Radiotherapy (RT)/TMZ followed by adjuvant TMZ) in Phase Ib. After the recommended Phase 2 dose (RP2D) is determined in Phase Ib, additional subjects will be enrolled and treated at the RP2D to evaluate the efficacy of NBM-BMX combination therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malignant Neoplasm, Malignant Neoplasm of Brain

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
79 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
monotherapy in advanced solid tumors
Arm Type
Experimental
Arm Description
Subjects with advanced solid tumors will be treated with NBM-BMX monotherapy at different dose levels depending on the order of their enrollment.
Arm Title
combination therapy in newly diagnosed glioblastoma
Arm Type
Experimental
Arm Description
Subjects with newly diagnosed glioblastoma will be treated with NBM-BMX at different dose levels in combination with the standard of care treatment (concomitant RT/TMZ followed by adjuvant TMZ). In the expansion study, Subjects will be treated with NBM-BMX at the recommended Phase 2 dose (RP2D) in combination with RT/TMZ.
Intervention Type
Drug
Intervention Name(s)
NBM-BMX Capsule
Intervention Description
Each capsule contains 100 mg of the active ingredient.
Intervention Type
Drug
Intervention Name(s)
Temozolomide
Other Intervention Name(s)
Temodal® Capsules
Intervention Description
TMZ will be administered orally at a 75 mg/m2 dose daily during concomitant therapy. In the maintenance period, days 1-5 of each cycle will be administered 150-200 mg/m2.
Intervention Type
Radiation
Intervention Name(s)
Standard radiotherapy
Intervention Description
A total dose of 60 Gy will be administered in 6 weeks.
Primary Outcome Measure Information:
Title
[Arm A, Phase Ib] Frequency of dose-limiting toxicity (DLT) at each dose level
Description
To determine the maximum tolerated dose (MTD) for NBM-BMX monotherapy in subjects with advanced solid tumors, toxicities will be graded according to the National Cancer Institute Common Terminology.
Time Frame
up to 28 days
Title
[Arm B, Phase Ib] Frequency of dose-limiting toxicity (DLT) at each dose level
Description
To determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for NBM-BMX in combination with RT and TMZ in subjects with newly diagnosed GBM, toxicities will be graded according to the National Cancer Institute Common Terminology.
Time Frame
up to 10 weeks
Title
[Arm B, Phase II] Progression-free survival rate at 6 months (PFS6)
Description
To assess the preliminary efficacy of NBM-BMX in combination with RT and TMZ in subjects with newly diagnosed GBM, the investigators will evaluate anti-tumor activity using RANO criteria.
Time Frame
up to 6 months
Secondary Outcome Measure Information:
Title
Frequency, types, severity, and relationship to NBM-BMX of adverse events (AEs)
Description
The severity of AEs will be graded using NCI CTCAE Version 5.0 by the investigator.
Time Frame
up to 28 days
Title
Preliminary assessment of anti-tumor activity by response evaluation criteria
Description
Tumor response and progression will be assessed using the RECIST v1.1 or Response Assessment in Neuro-Oncology (RANO) criteria.
Time Frame
at least 8 weeks
Title
Area under the plasma concentration versus time curve (AUC) of NBM-BMX
Description
Blood samples will be collected at each pre-specified time point for measuring concentrations of NBM-BMX in plasma using a validated bioanalytical method.
Time Frame
Day 1, 8 and 15 for Cycle 1 only (each cycle is 28 days)
Title
Peak plasma concentration (Cmax) of NBM-BMX
Description
Blood samples will be collected at each pre-specified time point for measuring concentrations of NBM-BMX in plasma using a validated bioanalytical method.
Time Frame
Day 1, 8 and 15 for Cycle 1 only (each cycle is 28 days)
Title
Time to maximum plasma concentration (Tmax) of NBM-BMX
Description
Blood samples will be collected at each pre-specified time point for measuring concentrations of NBM-BMX in plasma using a validated bioanalytical method.
Time Frame
Day 1, 8 and 15 for Cycle 1 only (each cycle is 28 days)
Title
Terminal elimination half-life (T1/2) of NBM-BMX
Description
Blood samples will be collected at each pre-specified time point for measuring concentrations of NBM-BMX in plasma using a validated bioanalytical method.
Time Frame
Day 1, 8 and 15 for Cycle 1 only (each cycle is 28 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Arm A (advanced solid tumors) Having signed and dated the informed consent form. Females or males > 18 years old. Histologically or cytologically confirmed advanced solid tumors refractory to standard of care therapy, or for which no standard of care therapy is available. Disease that is measurable or evaluable as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Response Assessment in Neuro-Oncology (RANO) criteria (for CNS tumors). Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2. Adequate organ function as defined by the following criteria: Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 3 × upper limits of normal (ULN), unless liver metastases present, then ≤ 5 × ULN Total serum bilirubin ≤ 1.5 × ULN unless bilirubin elevation is related to Gilbert's Syndrome for which bilirubin ≤ 3 × ULN Absolute neutrophil count (ANC) ≥ 1,000/μL Platelets ≥ 75,000/μL Hemoglobin ≥ 8.0 g/dL Non-indexed estimated glomerular filtration rate (eGFR) ≥ 50 mL/min/1.73 m2 × BSA (m2)/1.73. Transfusion is not allowed to meet entry criteria. QTcF ≤ 480 msec Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures. Arm B (newly diagnosed GBM) Having signed and dated the informed consent form. Females or males > 18 years old. Newly diagnosed, histologically confirmed glioblastoma, non-resectable, partially resected or resected. Karnofsky performance status (KPS) ≥ 60 at screening and before the initiation (Day 1) of concomitant therapy. Disease that is measurable or evaluable as defined by Response Assessment in Neuro-Oncology (RANO) criteria. Adequate organ function as defined by the following criteria: Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 3 × upper limit of normal (ULN), unless liver metastases present, then ≤ 5 × ULN Total serum bilirubin ≤ 1.5 × ULN unless bilirubin elevation is related to Gilbert's Syndrome for which bilirubin ≤ 3 × ULN Absolute neutrophil count (ANC) ≥ 1,500/μL Platelets ≥ 100,000/μL Hemoglobin ≥ 8.0 g/dL Non-indexed estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m2 × BSA (m2)/1.73. Transfusion is not allowed to meet entry criteria. QTcF ≤ 480 msec Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures. Exclusion Criteria: Arm A (advanced solid tumors) Systemic anti-cancer treatment (investigational or approved) within 28 days or 5 half-lives of that drug (whichever is shorter) of the first dose of NBM-BMX. Curative radiation therapy within 28 days or palliative RT within 7 days of the first dose of NBM-BMX. Currently taking strong inhibitors (e.g., gemfibrozil) or inducers of CYP2C8. Any of the following within 6 months of the first dose of NBM-BMX: pulmonary embolism events, deep vein thrombosis (DVT) events, myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack. A positive test for hepatitis B (HBsAg) and/or hepatitis C (anti-HCV antibody), unless the HBV DNA level and/or HCV RNA level is below the limit of detection. Known history of human immunodeficiency virus (HIV) infection. Men and women of childbearing potential who are unwilling to use highly effective contraceptive methods during the study period. Highly effective contraceptive methods include implants, injectables, combined oral contraceptives, intra-uterine devices (IUDs), sexual abstinence, surgical sterilization or a partner who is sterile. Females who are pregnant or breastfeeding. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that would impart, in the judgement of the investigator and/or sponsor, excess risks associated with study participation or study drug administration. Arm B (newly diagnosed GBM) Prior systemic therapy (including Gliadel wafer implant), immunotherapy, investigational agents, or radiotherapy for glioblastoma. Currently taking strong inhibitors (e.g., gemfibrozil) or inducers of CYP2C8. Corticosteroid use of > 8 mg/day dexamethasone or equivalent within 5 days before the first dose of NBM-BMX. A history of hypersensitivity reaction to temozolomide or dacarbazine. Any of the following within 6 months of the first dose of NBM-BMX: pulmonary embolism events, deep vein thrombosis (DVT) events, myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, or cerebrovascular accident including transient ischemic attack. A positive test for hepatitis B (HBsAg) and/or hepatitis C (anti-HCV antibody), unless the HBV DNA level and/or HCV RNA level is below the limit of detection. Known history of human immunodeficiency virus (HIV) infection. Note: HIV testing is not required. Men and women of childbearing potential who are unwilling to use highly effective contraceptive methods during the study period and for at least 6 months after the final dose of temozolomide. Highly effective contraceptive methods include implants, injectables, combined oral contraceptives, intra-uterine devices (IUDs), sexual abstinence, surgical sterilization or a partner who is sterile. Female who are pregnant or breastfeeding. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that would impart, in the judgement of the investigator and/or sponsor, excess risks associated with study participation or study drug administration.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Chia-Chung Hou, Ph.D.
Phone
+886 2 26559109
Ext
201
Email
alison.hou@naturewise.com.tw
First Name & Middle Initial & Last Name or Official Title & Degree
Karis Chiang
Phone
+886 2 27891060
Ext
306
Email
karis.chiang@effpha.com
Facility Information:
Facility Name
Hualien Tzu Chi Hospital
City
Hualien City
ZIP/Postal Code
970
Country
Taiwan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tsung-Lang Chiu, M.D.
Phone
+886 3 8561825
Facility Name
Kaohsiung Medical University Chung-Ho Memorial Hospital
City
Kaohsiung City
ZIP/Postal Code
807
Country
Taiwan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ann-Shung Lieu, M.D.
Phone
+886 7 3121101
Facility Name
Taichung Veterans General Hospital
City
Taichung City
ZIP/Postal Code
407
Country
Taiwan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wen-Yu Cheng, M.D.
Phone
+886 4 23592525
Facility Name
Koo Foundation Sun Yat-Sen Cancer Center
City
Taipei City
ZIP/Postal Code
112
Country
Taiwan
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chi-Feng Chung, M.D.
Phone
+886 2 28970011
Facility Name
Linkou Chang-Gung Memorial Hospital
City
Taoyuan City
ZIP/Postal Code
333
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kuo-Chen Wei, M.D.
Phone
+886 3 3281200

12. IPD Sharing Statement

Learn more about this trial

NBM-BMX Administered Orally to Patients With Solid Tumors or Newly Diagnosed Glioblastoma

We'll reach out to this number within 24 hrs