A Phase I/IIa, Open-label, Multi-center Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of the DNA Polymerase Theta Inhibitor ART6043 Administered Orally as Monotherapy and in Combination to Patients With Advanced or Metastatic Solid Tumors
Summary
This interventional study will evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ART6043 as monotherapy or in combination with olaparib.
Detailed description
ART6043 is being developed as an oral anti-cancer agent in combination with a poly (adenosine diphosphate ribose) polymerase (PARP) inhibitor (PARPi) in patients with cancers that harbor defects in DNA repair. The study will consist of two parts: 1. Part A (Dose-escalation phase): Part A will evaluate ART6043 as monotherapy (Part A1) in patients with advanced or metastatic cancer and in combination with olaparib (Part A2), in patients with advanced or metastatic cancer with genetic lesions that cause loss of function of known DNA Damage Response (DDR) genes. Olaparib is also referred as PARPi. 2. Part B (dose-expansion phase): To further confirm the safety of ART6043 and assess its initial effectiveness in combination compared to olaparib alone (Part B2) in patients with a germline BRCA mutation who have HER2-ve advanced or metastatic breast cancer Patients may continue to receive ART6043 and/or olaparib as long as they may be continuing to derive clinical benefit as assessed by the investigator and/or until disease progression, withdrawal of consent or until they experience unacceptable drug-related toxicity.
Arms & interventions
- DrugART6043
ART6043 will be given orally.
- DrugOlaparib
Olaparib will be given orally.
Outcome measures
Primary
Part A: Number of participants with Dose Limiting Toxicities (DLTs)
Severity of adverse events as assessed by the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE) v5.0.
Time frame: From first dose of study treatment until the end of Cycle 1 (each cycle is 21-days)
Part B2: Progression free survival (PFS)
PFS is defined as the time from randomization until objective disease progression as defined by Response evaluation criteria in solid tumors (RECIST) v1.1 or death by any cause in the absence of progression, regardless of whether the patient withdraws from study medication or receives another anti-cancer therapy prior to progression.
Time frame: Until disease progression (Upto 3.7 years).
Secondary
Part B2: Number of participants with Adverse events
Time frame: Screening (≤28 days) Until follow-up visit (90 days after discontinuation)] (up to 3.7 years)
Best overall response (BOR)
Time frame: Screening (≤28 days) Until disease progression/recurrence (Upto 3.7 years)
Objective Response Rate (ORR)
Time frame: Screening (≤28 days) Until disease progression/recurrence (Upto 3.7 years)
Disease control rate (DCR)
Time frame: Screening (≤28 days) Until disease progression (Upto 3.7 years)
Duration of response (DOR)
Time frame: Screening (≤28 days) Until disease progression (Upto 3.7 years)
Change in tumor size
Time frame: Screening (≤28 days) Until disease progression (Upto 3.7 years)
Change in level of cancer antigen 125 (CA-125)
Time frame: Screening (≤28 days) Until follow-up visit (Upto 3.7 years)
Part A: Progression free survival (PFS)
Time frame: Screening (≤28 days) Until disease progression (Upto 3.7 years)
Overall survival (OS)
Time frame: Screening (≤28 days) Until overall survival follow-up (Upto 3.7 years)
Plasma concentration
Time frame: Pre-dose Cycle 0 Days -2, -1 , Cycle 1 Days 1, 8, 15, 16, Cycle 2 Days 1, 8, 15, Cycle 3 Day 1 Upto 3.7 Years (Each Cycle is 21-Days)
Cancer antigen 125 levels in pre-dose tumor samples
Time frame: At Screening (≤28 days)
Eligibility criteria
Study locations (7)
South Texas Accelerated Research Therapeutics (START) - Midwest
Grand Rapids, Michigan, 49546
Memorial Sloan-Kettering Cancer Center (MSKCC)
New York, New York, 10065-6800
Stephenson Cancer Center - Oncology
Oklahoma City, Oklahoma, 73104
Jefferson University Hospitals - Kimmel Cancer Center
Philadelphia, Pennsylvania, 17107
SCRI oncology partners
Nashville, Tennessee, 37203
Mary Crowley Cancer Center - Clinic
Dallas, Texas, 75251
The University of Texas - MD Anderson Cancer Center
Houston, Texas, 77030