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A Study to Investigate Fadraciclib (CYC065), 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
Fadraciclib
Sponsored by
Cyclacel Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solid Tumor, Adult focused on measuring Solid tumor, lymphoma

Eligibility Criteria

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

Inclusion criteria

  1. Age ≥ 18 years
  2. 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

    1. For Phase 1, all tumor types may be enrolled
    2. For Phase 2, subjects will be enrolled as per the study design section above
  3. ECOG performance status of 0 or 1
  4. 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.
  5. 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.
  6. Able to agree to and sign t he informed consent and to comply with the protocol.

Exclusion criteria

  1. 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.
  2. Subjects who have not received vaccines for SARS-COV-2 within last 3 months and have suspected signs and symptoms of COVID-19 or a recent history (within 14 days) of contact with any COVID-19 positive subject/isolation/quarantine or subjects with confirmed COVID-19.
  3. Subjects with a history of another primary malignancy, other than:

    1. Carcinomas in situ, e.g., breast, cervix, and prostate
    2. Locally excised nonmelanoma skin cancer
    3. No evidence of disease from another primary cancer for 2 or more years and has not taken any anti-cancer treatment in 2 years.
  4. 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.
  5. Diseases that significantly affect GI absorption of fadraciclib.
  6. Subjects who have impaired cardiac function or clinically significant cardiac disease.
  7. Presence of active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or GI perforation within 6 months of enrollment
  8. Presence of an active infection requiring intravenous antibiotics
  9. Presence of known history of human immunodeficiency virus-1/2 with uncontrolled viral load and on medications that may interfere with metabolism
  10. Presence of active hepatitis B virus (HBV) or hepatitis C virus (HCV).
  11. 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.
  12. Major surgery/surgical therapy for any cause within 4 weeks of the first dose

Sites / Locations

  • City of HopeRecruiting
  • MD Anderson Cancer CenterRecruiting
  • Seoul National University HospitalRecruiting
  • Hospital Universitario Vall d'HebronRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Phase I Dose escalation

Arm Description

Phase I = Fadraciclib administered orally in escalating doses starting at 50mg bid MWF 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 Fadraciclib 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
Fadraciclib plasma concentrations
Cmax
Fadraciclib plasma concentrations
Tmax
Fadraciclib plasma concentrations
T1/2
Fadraciclib plasma concentrations

Full Information

First Posted
July 12, 2021
Last Updated
April 1, 2022
Sponsor
Cyclacel Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04983810
Brief Title
A Study to Investigate Fadraciclib (CYC065), 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 Fadraciclib (CYC065), an Oral CDK 2/9 Inhibitor, in Subjects With Advanced Solid Tumors and Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Recruiting
Study Start Date
July 12, 2021 (Actual)
Primary Completion Date
October 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (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, PK, pharmacodynamics, PGx, and efficacy of fadraciclib administered orally BID. 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: Endometrial or Ovarian cancer Group 2: Biliary tract cancer Group 3: HCC Group 4: Breast cancer, meeting any of the following criteria: HER-2 refractory MBC HR positive, HER-2 negative, MBC post-CDK4/6 inhibitor Triple-negative breast cancer (TNBC) Group 5: B-cell lymphoma Group 6: T-cell lymphoma (CTCL and PTCL) Group 7: mCRC, including KRAS mutated mCRC Group 8: Basket cohort: Tumor types suspected to have a related mechanism of action such as MCL1, MYC or CCNE amplification/overexpression not included in previous groups.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Adult, Lymphoma
Keywords
Solid tumor, 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
N/A
Enrollment
330 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase I Dose escalation
Arm Type
Experimental
Arm Description
Phase I = Fadraciclib administered orally in escalating doses starting at 50mg bid MWF 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 Fadraciclib phase 2 dose and schedule administered orally in 28 day cycles.
Intervention Type
Drug
Intervention Name(s)
Fadraciclib
Other Intervention Name(s)
CYC065
Intervention Description
Fadraciclib is a highly selective, orally- and intravenously- available, 2nd generation amino-purine inhibitor of CDK2 and CDK9.
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
Fadraciclib plasma concentrations
Time Frame
6 months
Title
Cmax
Description
Fadraciclib plasma concentrations
Time Frame
6 months
Title
Tmax
Description
Fadraciclib plasma concentrations
Time Frame
6 months
Title
T1/2
Description
Fadraciclib plasma concentrations
Time Frame
6 months
Other Pre-specified Outcome Measures:
Title
Pharmacodynamics
Description
To investigate CDK9-dependent transcription inhibition as assessed by differential target gene expression relative to baseline.
Time Frame
6 months
Title
Pharmacogenomics
Description
To investigate plasma cell-free DNA mutation and copy number variation profile of fadraciclib as determined by NGS.
Time Frame
24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria Age ≥ 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 or 1 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 t he 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 SARS-COV-2 within last 3 months and have suspected signs and symptoms of COVID-19 or a recent history (within 14 days) of contact with any COVID-19 positive subject/isolation/quarantine or subjects with confirmed COVID-19. Subjects with a history of another primary malignancy, other than: Carcinomas in situ, 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 fadraciclib. 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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark H Kirschbaum, MD
Organizational Affiliation
Cyclacel Pharmaceuticals, Inc.
Official's Role
Study Chair
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
Aruna Parikh
Email
arparikh@coh.org
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 Fadraciclib (CYC065), in Subjects With Advanced Solid Tumors and Lymphoma

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