A Phase Ib/II, Open-label Study of NBM-BMX As Monotherapy or in Combination with Radiotherapy and Temozolomide in Subjects with Solid Tumors or Newly Diagnosed Glioblastoma
NBM-BMX is an orally available new chemical entity to inhibit histone deacetylases 8 (HDAC8) activity specifically, being developed as a potential anti-cancer therapeutic by NatureWise. This study aims to evaluate the safety, pharmacokinetics, and preliminary efficacy of NBM-BMX as monotherapy in subjects with advanced solid tumors or combination with the standard of care treatment in subjects with newly diagnosed glioblastoma.
∙ Arm A (advanced solid tumors)
• Having signed and dated the informed consent form.
• Females or males \> 18 years old.
• Histologically or cytologically confirmed advanced solid tumors refractory to standard of care therapy, or for which no standard of care therapy is available.
• Disease that is measurable or evaluable as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Response Assessment in Neuro-Oncology (RANO) criteria (for CNS tumors).
• Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2.
• Adequate organ function as defined by the following criteria:
‣ Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 3 × upper limits of normal (ULN), unless liver metastases present, then ≤ 5 × ULN
⁃ Total serum bilirubin ≤ 1.5 × ULN unless bilirubin elevation is related to Gilbert's Syndrome for which bilirubin ≤ 3 × ULN
⁃ Absolute neutrophil count (ANC) ≥ 1,000/μL
⁃ Platelets ≥ 75,000/μL
⁃ Hemoglobin ≥ 8.0 g/dL
⁃ Non-indexed estimated glomerular filtration rate (eGFR) ≥ 50 mL/min/1.73 m2 × BSA (m2)/1.73.
• Transfusion is not allowed to meet entry criteria.
• QTcF ≤ 480 msec
• Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures.
∙ Arm B (newly diagnosed GBM)
• Having signed and dated the informed consent form.
• Females or males \> 18 years old.
• Newly diagnosed, histologically confirmed glioblastoma, non-resectable, partially resected or resected.
• Karnofsky performance status (KPS) ≥ 60 at screening and before the initiation (Day 1) of concomitant therapy.
• Disease that is measurable or evaluable as defined by Response Assessment in Neuro-Oncology (RANO) criteria.
• Adequate organ function as defined by the following criteria:
‣ Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤ 3 × upper limit of normal (ULN), unless liver metastases present, then ≤ 5 × ULN
⁃ Total serum bilirubin ≤ 1.5 × ULN unless bilirubin elevation is related to Gilbert's Syndrome for which bilirubin ≤ 3 × ULN
⁃ Absolute neutrophil count (ANC) ≥ 1,500/μL
⁃ Platelets ≥ 100,000/μL
⁃ Hemoglobin ≥ 8.0 g/dL
⁃ Non-indexed estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m2 × BSA (m2)/1.73.
• Transfusion is not allowed to meet entry criteria.
• QTcF ≤ 480 msec
• Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures.