Phase 1/1b Study of the Safety, Pharmacokinetics, Pharmacodynamics and Preliminary Clinical Activity of Lunresertib Alone or in Combination With RP-3500 or Debio 0123 in Patients With Advanced Solid Tumors
Summary
The primary purpose of this study is to assess the safety and tolerability of lunresertib alone and in combination with RP-3500 or in combination with Debio 0123 in patients with eligible advanced solid tumors, determine the maximum tolerated dose (MTD) and assess preliminary anti-tumor activity.
Detailed description
Phase 1/1b, multi-center, open-label, dose-escalation study to: * Evaluate the safety profile and MTD of lunresertib alone and in combination with RP-3500 or in combination with Debio 0123 when administered orally to establish the recommended Phase 2 dose and schedule * Characterize the PK and pharmacodynamics of lunresertib alone and in combination with RP-3500 or in combination with Debio 0123 * Assess preliminary anti-tumor activity associated with lunresertib alone and in combination with RP-3500 or in combination with Debio 0123 This study was previously posted by Repare Therapeutics. In September 2025, sponsorship of the trial was transferred to Debiopharm International S.A Expanded Access Status: There is no expanded access program available for the investigational products in this study at this time.
Arms & interventions
- DrugLunresertib
Oral PKMYT1 Inhibitor
- DrugRP-3500
Oral ATR Inhibitor
- DrugDebio0123
Oral WEE1 Inhibitor
Outcome measures
Primary
Safety and Tolerability of lunresertib either in monotherapy or in combination with RP-3500 or with Debio 0123 in patients with eligible advanced solid tumors
Assessed by treatment-emergent adverse events (TEAEs), physical examinations (PEs), safety laboratory assessments, electrocardiograms (ECGs), and vital sign measurements
Time frame: Up to 90 days after last administration of study intervention
To define the MTD of lunresertib monotherapy, and determine a recommended Phase 2 dose (RP2D) and preferred schedule
Assessed by the incidence of Dose-limiting toxicities (DLTs) and the incidence and severity of cumulative safety data
Time frame: Up to 90 days after last administration of study intervention
To define the MTD of lunresertib in combination with RP-3500 or in combination with Debio 0123, and determine a recommended Phase 2 dose (RP2D) and preferred schedule
Assessed by the incidence of dose-limiting toxicities (DLTs) and the incidence and severity of cumulative safety data
Time frame: Up to 90 days after last administration of study intervention
The relative bioavailability of lunresertib capsule formulation as compared to lunresertib tablet formulation in the fasted state
Assessed by the plasma concentrations of lunresertib with calculation of pharmacokinetic (PK) parameters including maximum observed plasma concentration (Cmax), time to maximum observed plasma concentration (Tmax), area under the plasma concentration-time curve (AUC) , for both formulations in the fasted state.
Time frame: Time 0 (time of dosing) to 72 hours post-dose for each treatment condition
The effect of food on the PK of tablet formulation of lunresertib when administered in fed conditions compared to administration under fasted conditions
Assessed by the plasma concentrations of lunresertib with calculation of the ratio of PK parameters (e.g., Cmax and AUC) between the tablet formulation under fasted and fed state.
Time frame: Time 0 (time of dosing) to 72 hours post-dose for each treatment condition
To assess the safety and tolerability of lunresertib tablets in combination with RP-3500, confirm the MTD of lunresertib tablets in combination with RP-3500, and determine a RP2D and preferred schedule
Assessed by DLTs, TEAEs, safety laboratory assessments, the incidence of DLTs and the incidence and severity of cumulative safety data
Time frame: Up to 90 days after last administration of study intervention
Secondary
The plasma concentrations of lunresertib monotherapy (capsule formulation) in the fasted and fed states
Time frame: Up to 90 days after last administration of study intervention
To assess the relationship between pharmacodynamic biomarkers and PK of lunresertib at different dose levels and/or schedules
Time frame: Up to 90 days after last administration of study intervention
The plasma concentrations of lunresertib and RP-3500 when dosed in combination
Time frame: Up to 90 days after last administration of study intervention
To assess preliminary anti-tumor activity achieved with lunresertib monotherapy, lunresertib in combination with RP-3500 or lunresertib in combination with Debio 0123
Time frame: Through Study Completion, an average of 1 year
To assess the safety and anti-tumor effects of lunresertib capsule + RP-3500
Time frame: Through Study Completion, an average of 1 year
To further characterize the PK of lunresertib tablets and assess preliminary anti-tumor
Time frame: Through Study Completion, an average of 1 year
Eligibility criteria
Study locations (17)
# 1019, UCLA, Westwood Cancer Center
Los Angeles, California, 90095
#1025, University of California San Francisco
San Francisco, California, 94158
#1012, Yale
New Haven, Connecticut, 06520
#1017, Mayo Clinic
Jacksonville, Florida, 32224
#1002, Dana Farber Cancer Institute
Boston, Massachusetts, 02215
#1023, START Midwest
Grand Rapids, Michigan, 49503
#1016, Mayo Clinic
Rochester, Minnesota, 55902
#1011, Washington University
St Louis, Missouri, 63130
#1032, Northwell Health Cancer Institute
New Hyde Park, New York, 11042
#1008, Columbia University
New York, New York, 10032
#1004, Memorial Sloan Kettering Cancer Institute
New York, New York, 10065
#1010, University of Pennsylvania
Philadelphia, Pennsylvania, 19104
#1007, Rhode Island Hospital
Providence, Rhode Island, 02903
#1030, Women & Infants Hospital of Rhode Island
Providence, Rhode Island, 02903
#1001, The University of Texas M.D. Anderson Cancer Center
Houston, Texas, 77030
#1013, The University of Utah
Salt Lake City, Utah, 84112
#1027, University of Virginia
Charlottesville, Virginia, 22903