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A Study of Sovilnesib in Subjects With Ovarian Cancer

Primary Purpose

High Grade Serous Adenocarcinoma of Ovary, Fallopian Tube Cancer, Primary Peritoneal Carcinoma

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Sovilnesib
Sponsored by
Volastra Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for High Grade Serous Adenocarcinoma of Ovary focused on measuring KIF18A Inhibitor

Eligibility Criteria

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

Key Inclusion Criteria: All Parts: Age ≥ 18 years, ECOG Performance Status ≤ 1, at least 1 site of measurable disease evaluable by CT scan or MRI per RECIST 1.1, able to take oral medication without alteration High Grade Serous Ovarian Cancer, Fallopian Tube or Primary Peritoneal Cancer - histologically or cytologically confirmed; metastatic or unresectable; platinum resistant (defined as recurrence within 6 months of platinum containing therapy) or platinum refractory; prior bevacizumab treatment, or ineligible or intolerant to bevacizumab, or did not receive bevacizumab based on Investigator judgement; if germline and/or somatic BRCA1/2 mutation, previously treated with PARP-inhibitor or ineligible or intolerant. Key Exclusion Criteria: MSI-H, dMMR, POLE gene hotspot mutated, or known hypermutator phenotype Endometrioid, clear cell, mucinous, sarcomatoid, low-grade/borderline ovarian tumor or mixed tumors containing any of the above histologies Previously received KIF18A inhibitor Current CNS metastases or leptomeningeal disease Cardiac parameters: MI or stroke ≤ 6 months, unstable angina/PE/DVT/CABG ≤ 6 months, NYHA Class ≥ II, LVEF < 50% Any gastrointestinal condition (e.g. malabsorption syndrome, surgical anastomosis, short bowel syndrome) that might affect the absorption of oral medications including the study drug

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Dose Level 1

    Dose Level 2

    Dose Level 3

    Dose Level 4

    Arm Description

    Subjects will receive sovilnesib once daily at Dose Level 1 in 28-day cycles.

    Subjects will receive sovilnesib once daily at Dose Level 2 in 28-day cycles.

    Subjects will receive sovilnesib once daily at Dose Level 3 in 28-day cycles.

    Subjects will receive sovilnesib once daily at Dose Level 4 in 28-day cycles.

    Outcomes

    Primary Outcome Measures

    Determination of the Recommended Phase 2 Dose (RP2D) of Sovilnesib
    Frequency and duration of Serious Adverse Events (SAEs) graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0
    Frequency and duration of Treatment-related Adverse Events (AEs) graded per NCI-CTCAE version 5.0
    Frequency and duration of Treatment-Emergent AEs (TEAEs) graded per NCI-CTCAE version 5.0
    Frequency of Dose Interruptions and Permanent Treatment Discontinuations
    Objective Response Rate (ORR) as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

    Secondary Outcome Measures

    Duration of Response (DOR) as assessed by RECIST version 1.1
    Disease Control Rate (DCR) as assessed by RECIST version 1.1
    Progression Free Survival (PFS) as assessed by RECIST version 1.1
    Evaluation of CA-125 response by Gynecologic Cancer InterGroup (GCIG) criteria
    Plasma level of Sovilnesib

    Full Information

    First Posted
    October 10, 2023
    Last Updated
    October 13, 2023
    Sponsor
    Volastra Therapeutics, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06084416
    Brief Title
    A Study of Sovilnesib in Subjects With Ovarian Cancer
    Official Title
    A Phase 1b Dose Optimization Study of Sovilnesib (an Oral KIF18A Inhibitor) in Subjects With Advanced High Grade Serous Ovarian Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    February 2024 (Anticipated)
    Primary Completion Date
    March 2025 (Anticipated)
    Study Completion Date
    July 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Volastra Therapeutics, 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 randomized, phase 1b study to assess the safety, tolerability, pharmacokinetics (PK), and efficacy of sovilnesib at different dose levels to establish the Recommended Phase 2 Dose (RP2D) of sovilnesib in subjects with high grade serous ovarian cancer (HGSOC).
    Detailed Description
    This is a randomized, phase 1b dose optimization study of sovilnesib in subjects with platinum-resistant HGSOC. The focus of the proposed clinical study is to establish the RP2D of sovilnesib in HGSOC. An adaptive multi-cohort design will be used to assess the safety, tolerability, PK, and efficacy of multiple dose levels in parallel to establish the RP2D of sovilnesib. The study will be conducted in 2 parts. Part 1: 10 subjects will be randomized to each of the open dose levels to generate preliminary PK, pharmacodynamic (PD), safety, tolerability and efficacy data. Early stopping rules for safety based on a Bayesian Toxicity Monitoring Design will be applied. Part 2: Based on review of the data from Part 1, 20-30 additional subjects will be randomized to 2 or more dose levels examined in Part 1. At the end of Part 2, PK, PD, safety, tolerability and efficacy data will be used to determine the RP2D. Early stopping rules for safety based on a Bayesian Toxicity Monitoring Design and for futility based on a Bayesian Efficacy Monitoring via Predictive Probability Design will be applied. Sovilnesib will be given orally in 28-day cycles at selected dose levels of interest. Dosing will continue until disease progression, unacceptable toxicity, withdrawal of consent, or other stopping criteria are met.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    High Grade Serous Adenocarcinoma of Ovary, Fallopian Tube Cancer, Primary Peritoneal Carcinoma, Chromosomal Instability
    Keywords
    KIF18A Inhibitor

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    120 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Dose Level 1
    Arm Type
    Experimental
    Arm Description
    Subjects will receive sovilnesib once daily at Dose Level 1 in 28-day cycles.
    Arm Title
    Dose Level 2
    Arm Type
    Experimental
    Arm Description
    Subjects will receive sovilnesib once daily at Dose Level 2 in 28-day cycles.
    Arm Title
    Dose Level 3
    Arm Type
    Experimental
    Arm Description
    Subjects will receive sovilnesib once daily at Dose Level 3 in 28-day cycles.
    Arm Title
    Dose Level 4
    Arm Type
    Experimental
    Arm Description
    Subjects will receive sovilnesib once daily at Dose Level 4 in 28-day cycles.
    Intervention Type
    Drug
    Intervention Name(s)
    Sovilnesib
    Intervention Description
    Sovilnesib tablets will be given orally.
    Primary Outcome Measure Information:
    Title
    Determination of the Recommended Phase 2 Dose (RP2D) of Sovilnesib
    Time Frame
    Up to 24 months
    Title
    Frequency and duration of Serious Adverse Events (SAEs) graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0
    Time Frame
    Up to 24 months
    Title
    Frequency and duration of Treatment-related Adverse Events (AEs) graded per NCI-CTCAE version 5.0
    Time Frame
    Up to 24 months
    Title
    Frequency and duration of Treatment-Emergent AEs (TEAEs) graded per NCI-CTCAE version 5.0
    Time Frame
    Up to 24 months
    Title
    Frequency of Dose Interruptions and Permanent Treatment Discontinuations
    Time Frame
    Up to 24 months
    Title
    Objective Response Rate (ORR) as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
    Time Frame
    Up to 24 months
    Secondary Outcome Measure Information:
    Title
    Duration of Response (DOR) as assessed by RECIST version 1.1
    Time Frame
    Up to 24 months
    Title
    Disease Control Rate (DCR) as assessed by RECIST version 1.1
    Time Frame
    Up to 24 months
    Title
    Progression Free Survival (PFS) as assessed by RECIST version 1.1
    Time Frame
    Up to 24 months
    Title
    Evaluation of CA-125 response by Gynecologic Cancer InterGroup (GCIG) criteria
    Time Frame
    Up to 24 months
    Title
    Plasma level of Sovilnesib
    Time Frame
    Up to 24 months

    10. Eligibility

    Sex
    Female
    Gender Based
    Yes
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Key Inclusion Criteria: All Parts: Age ≥ 18 years, ECOG Performance Status ≤ 1, at least 1 site of measurable disease evaluable by CT scan or MRI per RECIST 1.1, able to take oral medication without alteration High Grade Serous Ovarian Cancer, Fallopian Tube or Primary Peritoneal Cancer - histologically or cytologically confirmed; metastatic or unresectable; platinum resistant (defined as recurrence within 6 months of platinum containing therapy) or platinum refractory; prior bevacizumab treatment, or ineligible or intolerant to bevacizumab, or did not receive bevacizumab based on Investigator judgement; if germline and/or somatic BRCA1/2 mutation, previously treated with PARP-inhibitor or ineligible or intolerant. Key Exclusion Criteria: MSI-H, dMMR, POLE gene hotspot mutated, or known hypermutator phenotype Endometrioid, clear cell, mucinous, sarcomatoid, low-grade/borderline ovarian tumor or mixed tumors containing any of the above histologies Previously received KIF18A inhibitor Current CNS metastases or leptomeningeal disease Cardiac parameters: MI or stroke ≤ 6 months, unstable angina/PE/DVT/CABG ≤ 6 months, NYHA Class ≥ II, LVEF < 50% Any gastrointestinal condition (e.g. malabsorption syndrome, surgical anastomosis, short bowel syndrome) that might affect the absorption of oral medications including the study drug
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Volastra Therapeutics, Inc.
    Phone
    (646) 344-1248
    Email
    clinicaltrials@volastratx.com

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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    A Study of Sovilnesib in Subjects With Ovarian Cancer

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