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Study to Determine the Safety and Pharmacokinetics of DO-2 in Patients With Advanced or Refractory Solid Tumours

Primary Purpose

Adult Solid Tumor, Advanced Solid Tumor, Refractory Tumor

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
DO-2
Sponsored by
DeuterOncology
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Adult Solid Tumor

Eligibility Criteria

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

Inclusion Criteria: 18 years or older histologically or cytologically confirmed advanced or refractory solid tumour and no longer eligible for approved, available standard therapies. Tumour types must have: proven MET activating mutations, determined by previous next generation sequencing (NGS), whole exome sequencing (WES), whole transcriptome sequencing (WTS) or other genomic analysis methods, or proven amplification (≥ 10 copies) on archived tumour tissue. or Hereditary Renal Papillary Cancer Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 adequate bone marrow function, without the support of cytokines adequate liver function adequate renal function agree to follow the contraception requirements of the trial signed informed consent, indicating study patients understand the purpose of and procedures required for the study and are willing to participate in the study. Exclusion Criteria: major surgery within 3 weeks before enrollment chemotherapy (in the case of nitrosoureas and mitomycin C within 6 weeks), radiotherapy, immunotherapy, or any other study drug within 3 weeks before study drug administration antibody based cancer therapy within 4 weeks before administration of the first dose of DO-2 patients with brain metastases are excluded unless all of the following criteria are met: CNS lesions are asymptomatic and previously treated No ongoing requirement for corticosteroids as therapy for CNS metastases Imaging demonstrates stability of disease > 28 days from last treatment for CNS metastases leptomeningeal involvement (leptomeningeal carcinomatosis) history of uncontrolled heart disease including unstable angina, congestive heart failure, myocardial infarction within preceding 12 months, clinically significant rhythm or conduction abnormality, congenital long QT syndrome, obligate use of a cardiac pacemaker, QTc at screening greater than 450 milliseconds in males and greater than 470 milliseconds in females uncontrolled arterial hypertension despite appropriate therapy positive pregnancy test (urinary beta-hCG) at screening (applicable to women of child-bearing potential who are sexually active) mental status alteration or history of major psychiatric illness, which may potentially impair patient's compliance with study procedures signs and symptoms of active infection requiring systemic therapy other medical condition (e.g. pre-existing kidney dysfunction) that in the opinion of the investigator makes it undesirable for a patient to participate

Sites / Locations

  • Institut Roi Albert II - UC LouvainRecruiting
  • UZARecruiting
  • Erasmus Medical CentreRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1 (starting dose)

Cohort 2 (dose level 2)

Cohort 3 (dose level 3)

Cohort 4 (dose level 4)

Cohort 5 (dose level 5)

Cohort 6 (dose level 6)

Cohort 7 (dose level 7)

Arm Description

Oral administration, once a day for 28 days, in a 4-week cycle

Oral administration, once a day for 28 days, in a 4-week cycle

Oral administration, once a day for 28 days, in a 4-week cycle

Oral administration, once a day for 28 days, in a 4-week cycle

Oral administration, once a day for 28 days, in a 4-week cycle

Oral administration, once a day for 28 days, in a 4-week cycle

Oral administration, once a day for 28 days, in a 4-week cycle

Outcomes

Primary Outcome Measures

Number of subjects who experience Dose Limiting Toxicities (DLTs)
Only toxicities that occur during Cycle 1 will be considered for the purposes of defining DLT and for dose escalation, but toxicities that occur in all cycles will be recorded and considered in decisions about the Maximum Tolerated Dose. DLTs are defined as toxicities that meet pre-defined severity criteria. Toxicity grading will be performed in accordance with NCI-CTC Version 5.0.
Number of subjects who experience specific treatment-emergent adverse events (TEAEs)
Number of subjects with specific treatment-emergent adverse events for each dose group. AE refers to any untoward medical occurrence or deterioration of existing medical event after the subject signed the ICF, whether or not considered related to the study treatment. TEAEs are any event that occurs after the subject has received study treatment. AE grading will be performed in accordance with NCI-CTC Version 5.0.
Number of subjects who discontinue DO-2 treatment due to adverse event
Number of subjects who discontinue DO-2 treatment because of an adverse event for each dose group. AE grading will be performed in accordance with NCI-CTC Version 5.0.
Determination of the Maximum Tolerated Dose (MTD)
The MTD in milligram is defined as the highest dose at which less than one third of the subjects in a dose level cohort experience DLT.

Secondary Outcome Measures

Maximum observed concentration (Cmax) of DO-2
Determine the Cmax of DO-2 and its primary metabolite in plasma sampled at different timepoints during Cycle 1.
Objective response rate (ORR)
ORR is defined as the proportion of subjects with confirmed CR or confirmed PR. Radiologic assessment will be repeated after every second cycle (or more frequently if clinically indicated) and using same methodology as at baseline. Response assessment (radiologic) will be determined in accordance with RECIST (version 1.1) and current disease specific solid tumour response criteria.
Duration of response (DoR)
DoR is defined as the duration from the first documentation of objective response to the first documented disease progression (based on RECIST Version 1.1) or death due to any cause, whichever occurs first.
Time to response (TTR)
TTR is defined as the time from the start of the treatment to the first objective tumor response observed for patients who achieved CR or PR (based on RECIST Version 1.1).
Progression-free survival (PFS)
PFS is defined as the time from the start of treatment until the first documentation of disease progression or death due to any cause, whichever occurs first (based on RECIST Version 1.1).
Overall survival (OS)
OS defined as the time from the first dose to death from any cause.

Full Information

First Posted
February 7, 2023
Last Updated
May 17, 2023
Sponsor
DeuterOncology
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1. Study Identification

Unique Protocol Identification Number
NCT05752552
Brief Title
Study to Determine the Safety and Pharmacokinetics of DO-2 in Patients With Advanced or Refractory Solid Tumours
Official Title
A Phase 1 Study to Determine the Safety, and Pharmacokinetics of the Selective MET Kinase Inhibitor, DO-2 in Patients With Advanced or Refractory Solid Tumours
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 20, 2022 (Actual)
Primary Completion Date
April 2024 (Anticipated)
Study Completion Date
November 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
DeuterOncology

4. Oversight

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

5. Study Description

Brief Summary
This study is a first-in-human, open-label, 2-part, Phase 1 dose escalation study of DO-2, administered orally to patients with advanced or refractory solid tumours, with MET aberrations, and no available, approved therapeutic alternative.
Detailed Description
In Part 1, a Simon Design 3 accelerated titration design will be followed. One patient will be enrolled per cohort, until grade 2 toxicity is observed. Three sequential patients per cohort will be enrolled thereafter, with a minimum of 1 week between first dose administration in the first patient and the subsequent ones, in those latter cohorts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adult Solid Tumor, Advanced Solid Tumor, Refractory Tumor, Non-small Cell Lung Cancer, Non-small Cell Carcinoma, Lung Cancer, Hereditary Renal Papillary Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 (starting dose)
Arm Type
Experimental
Arm Description
Oral administration, once a day for 28 days, in a 4-week cycle
Arm Title
Cohort 2 (dose level 2)
Arm Type
Experimental
Arm Description
Oral administration, once a day for 28 days, in a 4-week cycle
Arm Title
Cohort 3 (dose level 3)
Arm Type
Experimental
Arm Description
Oral administration, once a day for 28 days, in a 4-week cycle
Arm Title
Cohort 4 (dose level 4)
Arm Type
Experimental
Arm Description
Oral administration, once a day for 28 days, in a 4-week cycle
Arm Title
Cohort 5 (dose level 5)
Arm Type
Experimental
Arm Description
Oral administration, once a day for 28 days, in a 4-week cycle
Arm Title
Cohort 6 (dose level 6)
Arm Type
Experimental
Arm Description
Oral administration, once a day for 28 days, in a 4-week cycle
Arm Title
Cohort 7 (dose level 7)
Arm Type
Experimental
Arm Description
Oral administration, once a day for 28 days, in a 4-week cycle
Intervention Type
Drug
Intervention Name(s)
DO-2
Intervention Description
Deuterated MET kinase inhibitor
Primary Outcome Measure Information:
Title
Number of subjects who experience Dose Limiting Toxicities (DLTs)
Description
Only toxicities that occur during Cycle 1 will be considered for the purposes of defining DLT and for dose escalation, but toxicities that occur in all cycles will be recorded and considered in decisions about the Maximum Tolerated Dose. DLTs are defined as toxicities that meet pre-defined severity criteria. Toxicity grading will be performed in accordance with NCI-CTC Version 5.0.
Time Frame
Baseline up to Week 4
Title
Number of subjects who experience specific treatment-emergent adverse events (TEAEs)
Description
Number of subjects with specific treatment-emergent adverse events for each dose group. AE refers to any untoward medical occurrence or deterioration of existing medical event after the subject signed the ICF, whether or not considered related to the study treatment. TEAEs are any event that occurs after the subject has received study treatment. AE grading will be performed in accordance with NCI-CTC Version 5.0.
Time Frame
Baseline up to Week 20
Title
Number of subjects who discontinue DO-2 treatment due to adverse event
Description
Number of subjects who discontinue DO-2 treatment because of an adverse event for each dose group. AE grading will be performed in accordance with NCI-CTC Version 5.0.
Time Frame
Baseline up to Week 20
Title
Determination of the Maximum Tolerated Dose (MTD)
Description
The MTD in milligram is defined as the highest dose at which less than one third of the subjects in a dose level cohort experience DLT.
Time Frame
Baseline up to Week 20
Secondary Outcome Measure Information:
Title
Maximum observed concentration (Cmax) of DO-2
Description
Determine the Cmax of DO-2 and its primary metabolite in plasma sampled at different timepoints during Cycle 1.
Time Frame
Baseline up to Day 23
Title
Objective response rate (ORR)
Description
ORR is defined as the proportion of subjects with confirmed CR or confirmed PR. Radiologic assessment will be repeated after every second cycle (or more frequently if clinically indicated) and using same methodology as at baseline. Response assessment (radiologic) will be determined in accordance with RECIST (version 1.1) and current disease specific solid tumour response criteria.
Time Frame
Baseline through study completion, an average of 1 year
Title
Duration of response (DoR)
Description
DoR is defined as the duration from the first documentation of objective response to the first documented disease progression (based on RECIST Version 1.1) or death due to any cause, whichever occurs first.
Time Frame
Baseline through study completion, an average of 1 year
Title
Time to response (TTR)
Description
TTR is defined as the time from the start of the treatment to the first objective tumor response observed for patients who achieved CR or PR (based on RECIST Version 1.1).
Time Frame
Baseline through study completion, an average of 1 year
Title
Progression-free survival (PFS)
Description
PFS is defined as the time from the start of treatment until the first documentation of disease progression or death due to any cause, whichever occurs first (based on RECIST Version 1.1).
Time Frame
Baseline through study completion, an average of 1 year
Title
Overall survival (OS)
Description
OS defined as the time from the first dose to death from any cause.
Time Frame
Baseline 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: 18 years or older histologically or cytologically confirmed advanced or refractory solid tumour and no longer eligible for approved, available standard therapies. Tumour types must have: proven MET activating mutations, determined by previous next generation sequencing (NGS), whole exome sequencing (WES), whole transcriptome sequencing (WTS) or other genomic analysis methods, or proven amplification (≥ 10 copies) on archived tumour tissue. or Hereditary Renal Papillary Cancer Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 adequate bone marrow function, without the support of cytokines adequate liver function adequate renal function agree to follow the contraception requirements of the trial signed informed consent, indicating study patients understand the purpose of and procedures required for the study and are willing to participate in the study. Exclusion Criteria: major surgery within 3 weeks before enrollment chemotherapy (in the case of nitrosoureas and mitomycin C within 6 weeks), radiotherapy, immunotherapy, or any other study drug within 3 weeks before study drug administration antibody based cancer therapy within 4 weeks before administration of the first dose of DO-2 patients with brain metastases are excluded unless all of the following criteria are met: CNS lesions are asymptomatic and previously treated No ongoing requirement for corticosteroids as therapy for CNS metastases Imaging demonstrates stability of disease > 28 days from last treatment for CNS metastases leptomeningeal involvement (leptomeningeal carcinomatosis) history of uncontrolled heart disease including unstable angina, congestive heart failure, myocardial infarction within preceding 12 months, clinically significant rhythm or conduction abnormality, congenital long QT syndrome, obligate use of a cardiac pacemaker, QTc at screening greater than 450 milliseconds in males and greater than 470 milliseconds in females uncontrolled arterial hypertension despite appropriate therapy positive pregnancy test (urinary beta-hCG) at screening (applicable to women of child-bearing potential who are sexually active) mental status alteration or history of major psychiatric illness, which may potentially impair patient's compliance with study procedures signs and symptoms of active infection requiring systemic therapy other medical condition (e.g. pre-existing kidney dysfunction) that in the opinion of the investigator makes it undesirable for a patient to participate
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Timothy Perera, PhD
Phone
+32473558353
Email
tperera@deuteroncology.com
First Name & Middle Initial & Last Name or Official Title & Degree
Florence Wastelin
Email
fwastelin@deuteroncology.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jaap Verweij, MD
Organizational Affiliation
CMO DeuterOncology
Official's Role
Study Chair
Facility Information:
Facility Name
Institut Roi Albert II - UC Louvain
City
Bruxelles
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jean-Pascal Machiels, Prof.
Phone
+3227645457
Email
jean-pascal.machiels@saintluc.uclouvain.be
Email
rachel.galot@saintluc.uclouvain.be
First Name & Middle Initial & Last Name & Degree
Rachel Galot, Dr
Facility Name
UZA
City
Edegem
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hans Prenen, Prof
Phone
+3238213646
Email
Hans.Prenen@uza.be
Facility Name
Erasmus Medical Centre
City
Rotterdam
Country
Netherlands
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Debbie Robbrecht, Dr
Email
d.robbrecht@erasmusmc.nl
Phone
+31107041733

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://www.deuteroncology.com/
Description
DeuterOncology Internet site

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Study to Determine the Safety and Pharmacokinetics of DO-2 in Patients With Advanced or Refractory Solid Tumours

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