Study of LYC-55716 in Adult Subjects With Locally Advanced or Metastatic Cancer
Primary Purpose
Cancer
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LYC-55716
Sponsored by
About this trial
This is an interventional treatment trial for Cancer
Eligibility Criteria
Inclusion Criteria:
- Subject is male or female and at least 18 years of age.
- Histological or cytological confirmation of advanced unresectable solid tumors, including those subjects who have progressed on standard anticancer therapy and for whom no further therapy that confers clinical benefit is available.
- Subject has an Eastern Cooperative Oncology Group (ECOG) score of 0 1 or Karnofsky Performance Status Score ≥ 70.
- Subject has a life expectancy of at least 12 weeks.
Subject has adequate organ function as determined by the following laboratory values:
- Absolute Neutrophil Count* ≥ 1,500/mm3 (≥ 1.5 x 109/L)
- Platelets* ≥ 100,000/mm3 (≥ 100 x 109/L)
- Lymphocytes ≥ 0.5 x 109/L
- Hemoglobin* > 9.0 g/dL
- Serum Creatinine or Creatinine Clearance** ≤ 1.5 x ULN, > 50 mL/min
- Total Serum Bilirubin ≤ 1.5 x ULN (< 3.0 mg/dL if subject has Gilbert's syndrome)
Liver Transaminases (ALT/AST) ≤ 2.5 x ULN, ≤ 5.0 x ULN if liver metastases present
- (* = without ongoing growth factor or transfusion support)
- (** = calculated by Cockcroft and Gault's formula)
- (ALT = alanine aminotransferase, AST = aspartate aminotransferase, ULN = upper limit of normal)
Exclusion Criteria:
- Subject has received an investigational drug in the 28 day period before the first dose of study drug (or within 5 half-lives if longer) or is currently participating in another interventional clinical trial.
- Subject has known symptomatic brain metastases or leptomeningeal involvement as assessed by CT scan or MRI. Subjects with stable asymptomatic brain metastases or leptomeningeal disease are eligible if they have not required new treatments for this disease in a 28 day period before the first dose of study drug, and anticonvulsants and steroids have not been administered for a period of 2 weeks prior to the first dose of study drug.
- Subject has not recovered from adverse reactions to prior cancer treatment or procedures (surgery, chemotherapy, immunotherapy, radiation therapy) to Common Terminology Criteria for Adverse Events (CTCAE) Grade 2 or better.
- Subject has a previous (within 5 years) or current malignancy other than the target cancer with the exception of curatively treated local tumors such as carcinoma in situ of the breast or cervix, basal or squamous cell carcinoma of the skin, or prostate cancer with Gleason Grade < 6 and prostate-specific antigen within normal range.
Modifications to Eligibility Criteria for the following specific tumor types:
Phase 2A will be limited to enrolling the following tumor types:
- NSCLC
- Gastric, Esophageal, and G-E Junction Adenocarcinoma
- SCCHN
- Ovarian Carcinoma
- Renal Cell Carcinoma
- Urothelial Carcinoma
Sites / Locations
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
- Lycera Investigational Site
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Single Agent 55716
Arm Description
Outcomes
Primary Outcome Measures
Assess Tumor Activity
Evaluated according to RECIST v1.1
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02929862
Brief Title
Study of LYC-55716 in Adult Subjects With Locally Advanced or Metastatic Cancer
Official Title
A Phase 1/2A Multicenter, Open-Label Study of LYC-55716 in Adult Subjects With Locally Advanced or Metastatic Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
December 2016 (undefined)
Primary Completion Date
May 31, 2019 (Actual)
Study Completion Date
May 31, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lycera Corp.
4. Oversight
5. Study Description
Brief Summary
This is a Phase 1/2A study designed to evaluate the safety and tolerability of increased repeated doses of LYC-55716 in subjects with locally advanced or metastatic solid tumors.
Detailed Description
Approximately 30 subjects across approximately 5 United States (US) sites will be enrolled in the Phase 1 portion of the study and approximately 69-84 subjects across approximately 15 US sites will be enrolled in the Phase 2A portion of the study.
The Phase 1 portion of the study will follow a 3 + 3 dose-escalation design to evaluate twice-daily (BID) administration of LYC-55716 for DLTs and to determine the MTD and the RP2D for further assessment in Phase 2A. A treatment cycle will consist of 28 days of treatment and subjects may continue to receive subsequent cycles of therapy as long as they do not have clinically significant progressive disease.
In the Phase 2A portion of the study, 69-84 subjects with locally advanced or metastatic solid tumors considered most likely to be responsive to a RORγ agonist will be enrolled and treated at the MTD or RP2D.
Six cohorts of subjects with advanced cancer will be enrolled. Cohorts 1 to 3 will enroll 14 to 19 subjects per cohort. Tumor types include NSCLC (Cohort 1); gastric, esophageal and G-E junction adenocarcinoma (Cohort 2); and SCCHN (Cohort 3). Cohorts 4 to 6 will enroll up to 9 subjects per cohort. Tumor types include ovarian carcinoma (Cohort 4), renal cell carcinoma (Cohort 5), and urothelial carcinoma (Cohort 6).
Primary Study Objectives
Phase 1
Evaluate the safety and tolerability of LYC-55716
Determine the maximum tolerated dose (MTD) and the recommended Phase 2 dose (RP2D)
Phase 2A
• Determine the objective response rate according to response evaluation criteria in solid tumors (RECIST) v1.1.
Secondary Study Objectives
Phase 1
Evaluate the activity of LYC-55716 by objective response according to RECIST v1.1.
Determine the durability of any observed objective response
Phase 2A
Determine the duration of response
Determine progression-free survival (PFS) and overall survival (OS)
Determine suitability of the RP2D for further study
Characterize the pharmacokinetics (PK) of LYC-55716
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
119 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Single Agent 55716
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
LYC-55716
Intervention Description
For Phase 1, increasing doses of oral 55716 given BID for a 28 day cycle. For Phase 2A, the RP2D will be administered to patients for 28 day cycles.
Primary Outcome Measure Information:
Title
Assess Tumor Activity
Description
Evaluated according to RECIST v1.1
Time Frame
8 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject is male or female and at least 18 years of age.
Histological or cytological confirmation of advanced unresectable solid tumors, including those subjects who have progressed on standard anticancer therapy and for whom no further therapy that confers clinical benefit is available.
Subject has an Eastern Cooperative Oncology Group (ECOG) score of 0 1 or Karnofsky Performance Status Score ≥ 70.
Subject has a life expectancy of at least 12 weeks.
Subject has adequate organ function as determined by the following laboratory values:
Absolute Neutrophil Count* ≥ 1,500/mm3 (≥ 1.5 x 109/L)
Platelets* ≥ 100,000/mm3 (≥ 100 x 109/L)
Lymphocytes ≥ 0.5 x 109/L
Hemoglobin* > 9.0 g/dL
Serum Creatinine or Creatinine Clearance** ≤ 1.5 x ULN, > 50 mL/min
Total Serum Bilirubin ≤ 1.5 x ULN (< 3.0 mg/dL if subject has Gilbert's syndrome)
Liver Transaminases (ALT/AST) ≤ 2.5 x ULN, ≤ 5.0 x ULN if liver metastases present
(* = without ongoing growth factor or transfusion support)
(** = calculated by Cockcroft and Gault's formula)
(ALT = alanine aminotransferase, AST = aspartate aminotransferase, ULN = upper limit of normal)
Exclusion Criteria:
Subject has received an investigational drug in the 28 day period before the first dose of study drug (or within 5 half-lives if longer) or is currently participating in another interventional clinical trial.
Subject has known symptomatic brain metastases or leptomeningeal involvement as assessed by CT scan or MRI. Subjects with stable asymptomatic brain metastases or leptomeningeal disease are eligible if they have not required new treatments for this disease in a 28 day period before the first dose of study drug, and anticonvulsants and steroids have not been administered for a period of 2 weeks prior to the first dose of study drug.
Subject has not recovered from adverse reactions to prior cancer treatment or procedures (surgery, chemotherapy, immunotherapy, radiation therapy) to Common Terminology Criteria for Adverse Events (CTCAE) Grade 2 or better.
Subject has a previous (within 5 years) or current malignancy other than the target cancer with the exception of curatively treated local tumors such as carcinoma in situ of the breast or cervix, basal or squamous cell carcinoma of the skin, or prostate cancer with Gleason Grade < 6 and prostate-specific antigen within normal range.
Modifications to Eligibility Criteria for the following specific tumor types:
Phase 2A will be limited to enrolling the following tumor types:
NSCLC
Gastric, Esophageal, and G-E Junction Adenocarcinoma
SCCHN
Ovarian Carcinoma
Renal Cell Carcinoma
Urothelial Carcinoma
Facility Information:
Facility Name
Lycera Investigational Site
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35805
Country
United States
Facility Name
Lycera Investigational Site
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Lycera Investigational Site
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
Lycera Investigational Site
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34232
Country
United States
Facility Name
Lycera Investigational Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Lycera Investigational Site
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912
Country
United States
Facility Name
Lycera Investigational Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Lycera Investigational Site
City
Saint Cloud
State/Province
Minnesota
ZIP/Postal Code
56303
Country
United States
Facility Name
Lycera Investigational Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
Facility Name
Lycera Investigational Site
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Lycera Investigational Site
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Lycera Investigational Site
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Lycera Investigational Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97213
Country
United States
Facility Name
Lycera Investigational Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States
Facility Name
Lycera Investigational Site
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29605
Country
United States
Facility Name
Lycera Investigational Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Lycera Investigational Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Lycera Investigational Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Lycera Investigational Site
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22908
Country
United States
Facility Name
Lycera Investigational Site
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Study of LYC-55716 in Adult Subjects With Locally Advanced or Metastatic Cancer
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