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Phase Ia/Ib Study of RS-0139 in Patients With a Recurrent, Locally Advanced or Metastatic NSCLC

Primary Purpose

NSCLC

Status
Recruiting
Phase
Phase 1
Locations
Turkey
Study Type
Interventional
Intervention
RS-0139
Sponsored by
RS Arastirma Egitim Danismanlik Ilac Sanayi Ticaret A.S.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for NSCLC focused on measuring lung cancer, chemotherapy, targeted therapy

Eligibility Criteria

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

Inclusion Criteria:

  • Patients who have consented for the participation to the trial.
  • Patients of both sexes aged between 18-75 years.
  • Patients who have biopsy material prior to the participation in order to confirm the expression of integrin αvβ6 (for Phase Ib only).
  • Patients with stage IIIB or IV NSCLC and measurable disease by Response Evaluation Criteria in Solid Tumors and availability of at least one measurable tumor focus under RECIST v.1.1 criteria.
  • Patients with NSCLC who progressed after standard therapy options consisting of chemotherapy and/or immunotherapy.
  • Patients who completed the previous treatments 21 days before the first dose of the study drug.
  • Patients who have at least three months of life expectancy.
  • Patients with ECOG performance score 0-1
  • Patients with the following laboratory results:

    • Hemoglobin ≥10 mg/dl
    • Neutrophil ≥1,500/µL
    • Platelet ≥100,000/µL
    • Creatinine ≤1.5xULN or creatinine clearance ≥60mL/sec/1.73m2
    • Total bilirubin ≤ 1.5xULN
    • AST/ALT ≤2.5xULN; for patients who have confirmed liver metastasis: AST/ALT ≤5xULN.
    • Prothrombin time ≤1.5xULN (in case of no anticoagulant treatment).
    • Normal levels of serum magnesium and potassium concentrations

Exclusion Criteria:

  • Patients who have active and/or uncontrolled central nervous system (CNS) metastasis.
  • Patients who have pulmonary carcinosarcoma.
  • Patients who have presence of small cell lung cancer components.
  • Patients who have interstitial lung disease or interstitial pneumonia.
  • Patients who have cavitary lung lesions.
  • Patients who have serious cardiac dysfunction.
  • Patients who have insufficient target organ function.
  • Patients who experienced Grade 3 or higher toxicity related to the previous docetaxel treatment.
  • Patients who are pregnant or breastfeeding.
  • Patients who are enrolled in a clinical trial.
  • Patients who have serious medical conditions such as uncontrolled infection or untreated wound.
  • Patients who have bone marrow transplantation history.
  • Patients who have hypersensitivity to docetaxel and/or similar medicines.
  • Patients who, in the judgment of the Investigator, are likely to be non-compliant or unable to cooperate.
  • Patients who cannot be contacted in case of emergency.
  • Patients who are the investigator or sub-investigator, research assistant, pharmacist, study coordinator or other staff directly involved in conducting the study.

Sites / Locations

  • Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma HastanesiRecruiting
  • Koç University Hospital Phase I CenterRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

RS-0139

Arm Description

There will be only RS-0139 arm in the study.

Outcomes

Primary Outcome Measures

Maximum tolerated dose
The maximum tolerated dose and the appropriate dose range of RS-0139 in recurrent, locally advanced or metastatic non-small cell lung cancer patients.

Secondary Outcome Measures

Dose-limiting toxicities
The incidence of dose-limiting toxicities occurring after each dose given to the patients
Dose reductions or treatment interruptions
Dose reductions or treatment interruptions due to the possible adverse events

Full Information

First Posted
February 5, 2020
Last Updated
December 28, 2022
Sponsor
RS Arastirma Egitim Danismanlik Ilac Sanayi Ticaret A.S.
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1. Study Identification

Unique Protocol Identification Number
NCT04261413
Brief Title
Phase Ia/Ib Study of RS-0139 in Patients With a Recurrent, Locally Advanced or Metastatic NSCLC
Official Title
A Multicenter, Open Label, Two-step, Phase Ia/Ib Study of Tumor Targeted Prodrug RS-0139 in Patients With a Recurrent, Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC)
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Recruiting
Study Start Date
December 13, 2021 (Actual)
Primary Completion Date
June 2024 (Anticipated)
Study Completion Date
August 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
RS Arastirma Egitim Danismanlik Ilac Sanayi Ticaret A.S.

4. Oversight

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

5. Study Description

Brief Summary
This study designed as a multicenter, open label, two-step study to determine the optimum dose, pharmacokinetics, and the safety of RS-0139 in patients with a recurrent, locally advanced or metastatic non-small cell lung cancer (NSCLC). The research is planned as a two-step study (Phase Ia and phase Ib) and accelerated titration design (ATD) is used.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
NSCLC
Keywords
lung cancer, chemotherapy, targeted therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
RS-0139
Arm Type
Experimental
Arm Description
There will be only RS-0139 arm in the study.
Intervention Type
Drug
Intervention Name(s)
RS-0139
Intervention Description
RS-0139 will be administered for the indication of NSCLC.
Primary Outcome Measure Information:
Title
Maximum tolerated dose
Description
The maximum tolerated dose and the appropriate dose range of RS-0139 in recurrent, locally advanced or metastatic non-small cell lung cancer patients.
Time Frame
21 days for Phase Ia and 100 days for Phase Ib
Secondary Outcome Measure Information:
Title
Dose-limiting toxicities
Description
The incidence of dose-limiting toxicities occurring after each dose given to the patients
Time Frame
21 days for Phase Ia and 100 days for Phase Ib
Title
Dose reductions or treatment interruptions
Description
Dose reductions or treatment interruptions due to the possible adverse events
Time Frame
21 days for Phase Ia and 100 days for Phase Ib

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients who have consented for the participation to the trial. Patients of both sexes aged between 18-75 years. Patients who have biopsy material prior to the participation in order to confirm the expression of integrin αvβ6 (for Phase Ib only). Patients with stage IIIB or IV NSCLC and measurable disease by Response Evaluation Criteria in Solid Tumors and availability of at least one measurable tumor focus under RECIST v.1.1 criteria. Patients with NSCLC who progressed after standard therapy options consisting of chemotherapy and/or immunotherapy. Patients who completed the previous treatments 21 days before the first dose of the study drug. Patients who have at least three months of life expectancy. Patients with ECOG performance score 0-1 Patients with the following laboratory results: Hemoglobin ≥10 mg/dl Neutrophil ≥1,500/µL Platelet ≥100,000/µL Creatinine ≤1.5xULN or creatinine clearance ≥60mL/sec/1.73m2 Total bilirubin ≤ 1.5xULN AST/ALT ≤2.5xULN; for patients who have confirmed liver metastasis: AST/ALT ≤5xULN. Prothrombin time ≤1.5xULN (in case of no anticoagulant treatment). Normal levels of serum magnesium and potassium concentrations Exclusion Criteria: Patients who have active and/or uncontrolled central nervous system (CNS) metastasis. Patients who have pulmonary carcinosarcoma. Patients who have presence of small cell lung cancer components. Patients who have interstitial lung disease or interstitial pneumonia. Patients who have cavitary lung lesions. Patients who have serious cardiac dysfunction. Patients who have insufficient target organ function. Patients who experienced Grade 3 or higher toxicity related to the previous docetaxel treatment. Patients who are pregnant or breastfeeding. Patients who are enrolled in a clinical trial. Patients who have serious medical conditions such as uncontrolled infection or untreated wound. Patients who have bone marrow transplantation history. Patients who have hypersensitivity to docetaxel and/or similar medicines. Patients who, in the judgment of the Investigator, are likely to be non-compliant or unable to cooperate. Patients who cannot be contacted in case of emergency. Patients who are the investigator or sub-investigator, research assistant, pharmacist, study coordinator or other staff directly involved in conducting the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Gulsah Nomak
Phone
00905333020180
Email
gn@rsresearch.net
First Name & Middle Initial & Last Name or Official Title & Degree
Sena Nomak
Phone
00905307606762
Email
sn@rsresearch.net
Facility Information:
Facility Name
Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi
City
Ankara
Country
Turkey
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Selim Şentürk
Email
drselim32@gmail.com
Facility Name
Koç University Hospital Phase I Center
City
Istanbul
Country
Turkey
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hakan S Orer
Email
horer@ku.edu.tr

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase Ia/Ib Study of RS-0139 in Patients With a Recurrent, Locally Advanced or Metastatic NSCLC

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