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RecruitingInterventionalPhase 1

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

NCT ID: NCT04855656Sponsor: Debiopharm International SALast updated: 2026-05-28

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

Sex: AllAge: 12 Years and olderHealthy volunteers: No
Inclusion Criteria: * Male or female and ≥12 years-of-age at the time of informed consent. * Lansky performance status ≥50% for patients ≤16 years of age, or ECOG score of 0, 1, (or 2 for module 1) for patients \>16 years of age. * Locally advanced or metastatic resistant or refractory solid tumors. * Patients \<18 years of age must weigh at least 40 kg. * Submission of available tumor tissue at screening or willingness to have a biopsy performed if safe and feasible * Next generation sequencing (NGS) report obtained in a CLIA-certified or equivalent laboratory demonstrating eligible tumor biomarker. * CCNE1 amplification (non-equivocal) as determined by either a tumor or plasma NGS test, or FISH * FBXW7 deleterious mutations identified by either a tumor or plasma NGS test * PPP2R1A deleterious mutations identified by either a tumor or plasma NGS test * Measurable disease as per RECIST v1.1. For certain modules, patients with prostate cancer or ovarian cancer that have non-measurable disease but have elevated tumor markers (PSA or CA-125, respectively) can also be eligible * Ability to swallow and retain oral medications. * Acceptable hematologic and organ function at screening. * Negative pregnancy test (serum) for women of childbearing potential (WOCBP) at Screening. * Resolution of all toxicities of prior therapy or surgical procedures. * Any prior radiation must have been completed at least 7 days prior to the start of study drugs, and patients must have recovered from any acute adverse effects prior to the start of study treatment. Exclusion Criteria: * Chemotherapy or small molecule antineoplastic agent given within 21 days or \<5 half-lives, whichever is shorter, prior to first dose of study drug. * History or current condition, therapy, or laboratory abnormality that might confound the study results or interfere with the patient's participation for the full duration of the study treatment. * Patients who are pregnant or breastfeeding. * Life-threatening illness, medical condition, active uncontrolled infection, or organ system dysfunction or other reasons which, in the investigator's opinion, could compromise the participating patient's safety. * Major surgery within 4 weeks prior to first dose of lunresertib. * Uncontrolled, symptomatic brain metastases. * Uncontrolled hypertension. * Certain prior anti-cancer therapy * Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol and/or follow-up procedures outlined in the protocol.

Study locations (17)

# 1019, UCLA, Westwood Cancer Center

Los Angeles, California, 90095

Completed

#1025, University of California San Francisco

San Francisco, California, 94158

Recruiting

#1012, Yale

New Haven, Connecticut, 06520

Recruiting

#1017, Mayo Clinic

Jacksonville, Florida, 32224

Recruiting

#1002, Dana Farber Cancer Institute

Boston, Massachusetts, 02215

Recruiting

#1023, START Midwest

Grand Rapids, Michigan, 49503

Recruiting

#1016, Mayo Clinic

Rochester, Minnesota, 55902

Recruiting

#1011, Washington University

St Louis, Missouri, 63130

Recruiting

#1032, Northwell Health Cancer Institute

New Hyde Park, New York, 11042

Recruiting

#1008, Columbia University

New York, New York, 10032

Completed

#1004, Memorial Sloan Kettering Cancer Institute

New York, New York, 10065

Recruiting

#1010, University of Pennsylvania

Philadelphia, Pennsylvania, 19104

Completed

#1007, Rhode Island Hospital

Providence, Rhode Island, 02903

Recruiting

#1030, Women & Infants Hospital of Rhode Island

Providence, Rhode Island, 02903

Recruiting

#1001, The University of Texas M.D. Anderson Cancer Center

Houston, Texas, 77030

Recruiting

#1013, The University of Utah

Salt Lake City, Utah, 84112

Recruiting

#1027, University of Virginia

Charlottesville, Virginia, 22903

Recruiting
Study of Lunresertib Alone or in Combination With RP-3500 or Debio 0123 in Patients With Advanced Solid Tumors | Cancerify