A Study to Investigate CYC140, in Subjects With Advanced Solid Tumors and Lymphoma
Primary Purpose
Solid Tumor, Adult Lymphoma
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
CYC140
Sponsored by

About this trial
This is an interventional treatment trial for Solid Tumor, Adult Lymphoma
Eligibility Criteria
Inclusion Criteria:
- Males or females aged ≥ 18 years.
Subjects with histological- or cytological-confirmed, advanced cancer who have progressed on (or not been able to tolerate) standard therapy or for whom no standard anticancer therapy exists
- For Phase 1, all tumor types may be enrolled
- For Phase 2, subjects will be enrolled as per the study design section above
- ECOG performance status of 0-2.
- Subjects who relapsed post-autologous or post-allogeneic transplant are eligible. Post-transplant subjects must be without active fungal disease or significant acute graft-versus-host disease
- Women of childbearing potential (WOCBP) must have a negative pregnancy test (urine or serum) within 7 days prior to starting the study drug. Both males and females must agree to use effective birth control during the study (prior to the first dose and for 6 months after the last dose) if conception is possible during this interval.
- Subjects must be able to swallow and retain orally administered medication and not have any clinically significant GI abnormalities that may alter the absorption, such as malabsorption syndrome or major resection of the stomach or bowels.
- Able to agree to and sign the informed consent and to comply with the protocol.
Exclusion Criteria:
- Subjects with a history of brain metastases or who have signs/symptoms attributable to brain metastases and have not been assessed with radiologic imaging to rule out the presence of brain metastases. Subjects with treated brain metastases that are asymptomatic and have been clinically stable for at least 4 weeks will be eligible.
- Subjects who have not received vaccines for severe acute respiratory syndrome-corona virus-2 (SARS-COV-2) and have suspected signs and symptoms of the novel coronavirus infection (COVID-19) or have confirmed COVID-19.
Subjects with a history of another primary malignancy, other than:
- In situ carcinomas, e.g., breast, cervix, and prostate
- Locally excised nonmelanoma skin cancer
- No evidence of disease from another primary cancer for 2 or more years and has not taken any anti-cancer treatment in 2 years.
- Any other clinically significant acute or chronic medical or psychiatric condition or any laboratory abnormality that may increase the risk associated with study drug administration or may interfere with the interpretation of study results.
- Diseases that significantly affect GI absorption of CYC140.
- Subjects who have impaired cardiac function or clinically significant cardiac disease.
- Presence of active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or GI perforation within 6 months of enrollment
- Presence of an active infection requiring intravenous antibiotics
- Presence of known history of human immunodeficiency virus-1/2 with uncontrolled viral load and on medications that may interfere with metabolism
- Presence of active hepatitis B virus (HBV) or hepatitis C virus (HCV).
- Chemotherapy, biologic therapy, targeted therapy, immunotherapy, extended-field radiotherapy, or investigational agents within 5 half-lives or 3 weeks (whichever is shorter) prior to administration of first dose of study drug on Day 1 or have not recovered from the side effects of such therapy.
- Major surgery/surgical therapy for any cause within 4 weeks of the first dose
Sites / Locations
- City of HopeRecruiting
- UPMC Hillman Cancer CenterRecruiting
- MD Anderson Cancer CenterRecruiting
- Seoul National University HospitalRecruiting
- Hospital Universitario Vall d'HebronRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Phase 1 Dose Escalation
Phase 2
Arm Description
Phase 1 = CYC140 administered orally in escalating doses starting at 5mg QD M-F week 1 to 3 for 3 weeks of a 4 week cycle. Subsequent cohorts will escalate in dose and schedule until optimized phase 2 dose and schedule is achieved.
Phase 2 = Recommended CYC140 phase 2 dose and schedule administered orally in 28-day cycles.
Outcomes
Primary Outcome Measures
Maximum tolerated dose
The incidence rate of dose-limiting toxicities (first cycle only) at each dose level
Overall Response Rate (ORR)
Assessment of response criteria according to RESIST, Lugano or mSWAT.
Secondary Outcome Measures
Adverse events
Type, frequency, and severity of adverse drug reactions
AUC
CYC140 plasma concentrations
Cmax
CYC140 plasma concentrations
Tmax
CYC140 plasma concentrations
T1/2
CYC140 plasma concentrations
Disease Control Rate
To evaluate the disease control rate (DCR) in subjects receiving CYC140.
Duration of Response
To evaluate the duration of response (DOR) in subjects receiving CYC140.
Progression-free Survival
To evaluate progression-free survival (PFS) in subjects receiving CYC140.
Overall Survival
To evaluate overall survival (OS) in subjects receiving CYC140.
Full Information
NCT ID
NCT05358379
First Posted
April 19, 2022
Last Updated
October 18, 2022
Sponsor
Cyclacel Pharmaceuticals, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT05358379
Brief Title
A Study to Investigate CYC140, in Subjects With Advanced Solid Tumors and Lymphoma
Official Title
A Phase 1/2, Open-label, Multicenter Study to Investigate the Safety, Pharmacokinetics, and Efficacy of CYC140, an Oral PLK1 Inhibitor, in Subjects With Advanced Solid Tumors and Lymphoma
Study Type
Interventional
2. Study Status
Record Verification Date
October 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 14, 2022 (Actual)
Primary Completion Date
August 2025 (Anticipated)
Study Completion Date
November 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cyclacel Pharmaceuticals, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a 2-part, phase 1/2, open-label, multicenter study designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, pharmacogenomics, and efficacy of CYC140 administered orally daily. This study consists of Phase 1 and Phase 2 components in subjects with advanced solid tumors and lymphoma who have progressed despite having standard therapy or for which no standard therapy exists.
Detailed Description
Phase 1 part of the study will consist of a dose-escalation and a dose-finding component.
Phase 2 will enroll subjects with locally advanced, recurrent, or metastatic, histologically confirmed advanced solid tumors or lymphoma, who have failed all standard therapies or for whom standard therapy does not exist, into 8 groups:
Group 1: Bladder cancer
Group 2: Breast cancer: Triple-negative breast cancer (TNBC)
Group 3: Lung cancer (non-small cell lung cancer [NSCLC] and small cell lung cancer [SCLC])
Group 4: Hepatocellular carcinoma (HCC) and biliary tract cancer (BTC)
Group 5: Metastatic colorectal cancer (mCRC) including KRAS-mutated mCRC
Group 6: B-cell lymphoma including diffuse large B-cell lymphoma (DLBCL)
Group 7: T-cell lymphoma (cutaneous T-cell lymphoma [CTCL] and peripheral T-cell lymphoma [PTCL])
Group 8: Basket cohort: tumor types that are suspected to have a related mechanism of action but are not included in previous groups including, esophageal, prostate, ovarian and pancreatic cancers
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Adult Lymphoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Dose escalation in Phase 1 part
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
330 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Phase 1 Dose Escalation
Arm Type
Experimental
Arm Description
Phase 1 = CYC140 administered orally in escalating doses starting at 5mg QD M-F week 1 to 3 for 3 weeks of a 4 week cycle. Subsequent cohorts will escalate in dose and schedule until optimized phase 2 dose and schedule is achieved.
Arm Title
Phase 2
Arm Type
Experimental
Arm Description
Phase 2 = Recommended CYC140 phase 2 dose and schedule administered orally in 28-day cycles.
Intervention Type
Drug
Intervention Name(s)
CYC140
Intervention Description
CYC140 is a highly selective, orally- and intravenously- available, ATP-competitive inhibitor of PLK1.
Primary Outcome Measure Information:
Title
Maximum tolerated dose
Description
The incidence rate of dose-limiting toxicities (first cycle only) at each dose level
Time Frame
6 months
Title
Overall Response Rate (ORR)
Description
Assessment of response criteria according to RESIST, Lugano or mSWAT.
Time Frame
18 months
Secondary Outcome Measure Information:
Title
Adverse events
Description
Type, frequency, and severity of adverse drug reactions
Time Frame
24 months
Title
AUC
Description
CYC140 plasma concentrations
Time Frame
6 months
Title
Cmax
Description
CYC140 plasma concentrations
Time Frame
6 months
Title
Tmax
Description
CYC140 plasma concentrations
Time Frame
6 months
Title
T1/2
Description
CYC140 plasma concentrations
Time Frame
6 months
Title
Disease Control Rate
Description
To evaluate the disease control rate (DCR) in subjects receiving CYC140.
Time Frame
24 months
Title
Duration of Response
Description
To evaluate the duration of response (DOR) in subjects receiving CYC140.
Time Frame
24 months
Title
Progression-free Survival
Description
To evaluate progression-free survival (PFS) in subjects receiving CYC140.
Time Frame
24 months
Title
Overall Survival
Description
To evaluate overall survival (OS) in subjects receiving CYC140.
Time Frame
24 months
Other Pre-specified Outcome Measures:
Title
Pharmacodynamics
Description
Pharmacodynamic response to CYC140 will be assessed by mRNA sequencing of blood samples to determine differential expression of PLK1 target genes (including MYC, PLK1, CDKN1A) relative to baseline.
Time Frame
6 months
Title
Pharmacogenomics
Description
Genomic alterations will be assessed by next generation sequencing (NGS) at baseline and various time points during treatment with CYC140 in order to investigate the relationship between genetic alterations in CYC140 related pathways and response to CYC140.
Parameters of genetic variations (DNA mutations) and copy number variations using plasma cell-free DNA derived from peripheral blood will be assessed.
Time Frame
24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males or females aged ≥ 18 years.
Subjects with histological- or cytological-confirmed, advanced cancer who have progressed on (or not been able to tolerate) standard therapy or for whom no standard anticancer therapy exists
For Phase 1, all tumor types may be enrolled
For Phase 2, subjects will be enrolled as per the study design section above
ECOG performance status of 0-2.
Subjects who relapsed post-autologous or post-allogeneic transplant are eligible. Post-transplant subjects must be without active fungal disease or significant acute graft-versus-host disease
Women of childbearing potential (WOCBP) must have a negative pregnancy test (urine or serum) within 7 days prior to starting the study drug. Both males and females must agree to use effective birth control during the study (prior to the first dose and for 6 months after the last dose) if conception is possible during this interval.
Subjects must be able to swallow and retain orally administered medication and not have any clinically significant GI abnormalities that may alter the absorption, such as malabsorption syndrome or major resection of the stomach or bowels.
Able to agree to and sign the informed consent and to comply with the protocol.
Exclusion Criteria:
Subjects with a history of brain metastases or who have signs/symptoms attributable to brain metastases and have not been assessed with radiologic imaging to rule out the presence of brain metastases. Subjects with treated brain metastases that are asymptomatic and have been clinically stable for at least 4 weeks will be eligible.
Subjects who have not received vaccines for severe acute respiratory syndrome-corona virus-2 (SARS-COV-2) and have suspected signs and symptoms of the novel coronavirus infection (COVID-19) or have confirmed COVID-19.
Subjects with a history of another primary malignancy, other than:
In situ carcinomas, e.g., breast, cervix, and prostate
Locally excised nonmelanoma skin cancer
No evidence of disease from another primary cancer for 2 or more years and has not taken any anti-cancer treatment in 2 years.
Any other clinically significant acute or chronic medical or psychiatric condition or any laboratory abnormality that may increase the risk associated with study drug administration or may interfere with the interpretation of study results.
Diseases that significantly affect GI absorption of CYC140.
Subjects who have impaired cardiac function or clinically significant cardiac disease.
Presence of active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or GI perforation within 6 months of enrollment
Presence of an active infection requiring intravenous antibiotics
Presence of known history of human immunodeficiency virus-1/2 with uncontrolled viral load and on medications that may interfere with metabolism
Presence of active hepatitis B virus (HBV) or hepatitis C virus (HCV).
Chemotherapy, biologic therapy, targeted therapy, immunotherapy, extended-field radiotherapy, or investigational agents within 5 half-lives or 3 weeks (whichever is shorter) prior to administration of first dose of study drug on Day 1 or have not recovered from the side effects of such therapy.
Major surgery/surgical therapy for any cause within 4 weeks of the first dose
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mark H Kirschbaum, MD
Phone
626-316-3394
Email
mkirschbaum@cyclacel.com
First Name & Middle Initial & Last Name or Official Title & Degree
Julius Huang, PhD
Email
jhuang@cyclacel.com
Facility Information:
Facility Name
City of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Miguel Villalona-Calero, MD
Email
mvillalona@coh.org
Facility Name
UPMC Hillman Cancer Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Julie Urban
Email
IDDCreferrals@upmc.edu
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Meng Gao
Email
mgao@mdanderson.org
Facility Name
Seoul National University Hospital
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Do-Youn Oh, Prof. MD
Email
ohdoyoun@snu.ac.kr
Facility Name
Hospital Universitario Vall d'Hebron
City
Barcelona
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elena Garralda Cabanas, MD
Email
egarralda@vhio.net
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Study to Investigate CYC140, in Subjects With Advanced Solid Tumors and Lymphoma
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