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A Study to Investigate the Safety, Tolerability, PK, PD, and Efficacy of ONO-7018 in Patients With R/R NHL or CLL

Primary Purpose

Lymphoma, Non-Hodgkin, Leukemia, Lymphocytic, Chronic, B-Cell

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ONO-7018
ONO-7018
Sponsored by
Ono Pharmaceutical Co. Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lymphoma, Non-Hodgkin focused on measuring ONO-7018, MALT1 inhibitor, Lymphoma, Leukemia

Eligibility Criteria

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

Inclusion Criteria:

  1. Patient aged ≥ 18 years
  2. Written informed consent by the patient or the patient's legally authorized representative
  3. Patient with histologically/cytologically confirmed diagnosis of NHL or CLL
  4. Patient with relapsed or refractory disease who has no available therapeutic options known to provide clinical benefit
  5. Patient who has measurable disease
  6. All acute toxic effects of any prior antitumor therapy, including investigational therapy, resolved to Grade ≤ 1 before the start of study therapy
  7. Eastern Cooperative Oncology Group Performance Status 0 to 2
  8. Adequate bone marrow, renal and hepatic functions

Exclusion Criteria:

  1. History of lymphoid malignancy other than those allowed per inclusion criteria
  2. Patient with central nervous system involvement
  3. Patient with systemic and active infection
  4. Any serious or uncontrolled medical disorder that may increase the risk associated with study participation or study treatment, or interfere with the interpretation of study results
  5. Prior treatment with a MALT1 inhibitor
  6. Patient receiving any other investigational drug within 4 weeks prior to study entry
  7. Patient is unable to swallow tablets
  8. Patient is found to be otherwise ineligible for the study by the investigator or sub investigator

Sites / Locations

  • Jonsson Comprehensive Cancer Center
  • Emory University Hospital
  • Dana-Farber Cancer Institute
  • AMR Kansas CityRecruiting
  • Summit Medical GroupRecruiting
  • Leo Jenkins Cancer Center/ECU School of Medicine
  • University of Cincinnati
  • University of Pennsylvania
  • Thomas Jefferson University
  • Baylor Scott & White Research Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Dose Escalation Phase (Part 1)

Dose Expansion Phase (Part 2)

Arm Description

Up to 4 dose levels will be evaluated. Eligible patients will be assigned to a dose level cohort according to a traditional 3+3 dose escalation design.

Eligible patients will be assigned to the recommended dose level(s) selected from Part 1.

Outcomes

Primary Outcome Measures

Estimate of Maximum Tolerated Dose (MTD)
MTD will be estimated based on Dose limiting toxicity (DLT) observed during the first 3 weeks of treatment
Incidence, causality, and severity of Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
Adverse events with the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 used as a guide for the grading of severity.

Secondary Outcome Measures

Plasma Concentration of ONO-7018
Plasma concentration will be assessed to evaluate Pharmacokinetics
Antitumor Activity of ONO-7018 (Overall Response Rate [ORR])
Antitumor activity of ONO-7018 as measured by ORR will be assessed according to the response criteria for Lymphoma.Lymphoma.
Antitumor Activity of ONO-7018 (Duration of Response [DOR])
Antitumor activity of ONO-7018 as measured by DOR will be assessed according to the response criteria for Lymphoma.
Antitumor Activity of ONO-7018 (Progression Free Survival [PFS])
Antitumor activity of ONO-7018 as measured by PFS will be assessed according to the response criteria for Lymphoma.
Antitumor Activity of ONO-7018 (Overall Survival [OS])
Antitumor activity of ONO-7018 as measured by OS will be assessed.

Full Information

First Posted
August 18, 2022
Last Updated
June 16, 2023
Sponsor
Ono Pharmaceutical Co. Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05515406
Brief Title
A Study to Investigate the Safety, Tolerability, PK, PD, and Efficacy of ONO-7018 in Patients With R/R NHL or CLL
Official Title
A Phase I, Open-label, Dose Escalation Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of ONO-7018 in Patients With Relapsed or Refractory NHL or CLL
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 13, 2023 (Actual)
Primary Completion Date
December 2027 (Anticipated)
Study Completion Date
December 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ono Pharmaceutical Co. Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a Phase 1, open-label, multicenter study. This will be the first-in-human clinical study for ONO-7018 and will be conducted in two phases: a Dose Escalation Phase (Part 1) and a Dose Expansion Phase (Part 2).
Detailed Description
ONO-7018 is a selective inhibitor of mucosa associated lymphoid tissue protein 1 (MALT1) and is expected to exhibit antitumor activity in NHL and CLL. The purpose of this study is to determine the MTD and to evaluate the safety, tolerability, PK, pharmacodynamics (biomarkers), and efficacy of ONO-7018 in patients with relapsed or refractory NHL or CLL.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoma, Non-Hodgkin, Leukemia, Lymphocytic, Chronic, B-Cell
Keywords
ONO-7018, MALT1 inhibitor, Lymphoma, Leukemia

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation Phase (Part 1)
Arm Type
Experimental
Arm Description
Up to 4 dose levels will be evaluated. Eligible patients will be assigned to a dose level cohort according to a traditional 3+3 dose escalation design.
Arm Title
Dose Expansion Phase (Part 2)
Arm Type
Experimental
Arm Description
Eligible patients will be assigned to the recommended dose level(s) selected from Part 1.
Intervention Type
Drug
Intervention Name(s)
ONO-7018
Intervention Description
ONO-7018 tablet(s) are administered orally
Intervention Type
Drug
Intervention Name(s)
ONO-7018
Intervention Description
ONO-7018 tablet(s) are administered orally
Primary Outcome Measure Information:
Title
Estimate of Maximum Tolerated Dose (MTD)
Description
MTD will be estimated based on Dose limiting toxicity (DLT) observed during the first 3 weeks of treatment
Time Frame
Up to 3 weeks
Title
Incidence, causality, and severity of Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
Description
Adverse events with the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 used as a guide for the grading of severity.
Time Frame
Through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
Plasma Concentration of ONO-7018
Description
Plasma concentration will be assessed to evaluate Pharmacokinetics
Time Frame
Up to 48 weeks
Title
Antitumor Activity of ONO-7018 (Overall Response Rate [ORR])
Description
Antitumor activity of ONO-7018 as measured by ORR will be assessed according to the response criteria for Lymphoma.Lymphoma.
Time Frame
Through study completion, an average of 1 year
Title
Antitumor Activity of ONO-7018 (Duration of Response [DOR])
Description
Antitumor activity of ONO-7018 as measured by DOR will be assessed according to the response criteria for Lymphoma.
Time Frame
Through study completion, an average of 1 year
Title
Antitumor Activity of ONO-7018 (Progression Free Survival [PFS])
Description
Antitumor activity of ONO-7018 as measured by PFS will be assessed according to the response criteria for Lymphoma.
Time Frame
Through study completion, an average of 1 year
Title
Antitumor Activity of ONO-7018 (Overall Survival [OS])
Description
Antitumor activity of ONO-7018 as measured by OS will be assessed.
Time Frame
Through study completion, an average of 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient aged ≥ 18 years Written informed consent by the patient or the patient's legally authorized representative Patient with histologically/cytologically confirmed diagnosis of NHL or CLL Patient with relapsed or refractory disease who has no available therapeutic options known to provide clinical benefit Patient who has measurable disease All acute toxic effects of any prior antitumor therapy, including investigational therapy, resolved to Grade ≤ 1 before the start of study therapy Eastern Cooperative Oncology Group Performance Status 0 to 2 Adequate bone marrow, renal and hepatic functions Exclusion Criteria: History of lymphoid malignancy other than those allowed per inclusion criteria Patient with central nervous system involvement Patient with systemic and active infection Any serious or uncontrolled medical disorder that may increase the risk associated with study participation or study treatment, or interfere with the interpretation of study results Prior treatment with a MALT1 inhibitor Patient receiving any other investigational drug within 4 weeks prior to study entry Patient is unable to swallow tablets Patient is found to be otherwise ineligible for the study by the investigator or sub investigator
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ono Pharma USA, Inc.
Email
clinical_trial@ono-pharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Project Leader
Organizational Affiliation
Ono Pharma USA Inc
Official's Role
Study Director
Facility Information:
Facility Name
Jonsson Comprehensive Cancer Center
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Emory University Hospital
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
AMR Kansas City
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer Ross
Phone
913-386-7556
Email
jennifer.ross@amrllc.com
First Name & Middle Initial & Last Name & Degree
Jaswinder Singh, MD
Facility Name
Summit Medical Group
City
Florham Park
State/Province
New Jersey
ZIP/Postal Code
07932
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michelle Mackenzie
Phone
973-436-1755
Email
mmackenzie@summithealth.com
First Name & Middle Initial & Last Name & Degree
David Gallinson, DO
Facility Name
Leo Jenkins Cancer Center/ECU School of Medicine
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27858
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
University of Cincinnati
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45267
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Thomas Jefferson University
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Baylor Scott & White Research Institute
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing URL
https://www.ono-pharma.com/en/company/policies/clinical_trial_data_transparency_policy.html

Learn more about this trial

A Study to Investigate the Safety, Tolerability, PK, PD, and Efficacy of ONO-7018 in Patients With R/R NHL or CLL

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