An Open-label, First-in-human, Dose-escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Maximum Tolerated Dose and / or Recommended Phase II Dose of the ATR Inhibitor BAY1895344 in Patients With Advanced Solid Tumors and Lymphomas

Status: Completed
Location: See all (29) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The ATR (ataxia-telangiectasia and Rad3 related protein) inhibitor BAY1895344 is developed for the treatment of patients with advanced solid tumors and lymphomas. The purpose of the proposed trial is to evaluate the safety and tolerability of BAY1895344, and to identify the maximum tolerated dose of BAY1895344 that could be safely given to cancer patients. Further, the response of the cancer to the treatment will be determined.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

∙ Part A - single-agent dose-escalation:

∙ \- Patients with histologically confirmed solid tumors or NHL. Patients with tumors known to be positive for deoxyribonucleic acid damage repair (DDR) defects (such as ataxia-telangiectasia mutated \[ATM\] deleterious mutation or low ATM expression) can be included.

∙ J-arm of Part A - single-agent dose-escalation in Japanese:

∙ \- Japanese patients with histologically confirmed solid tumors. Patients with tumors known to be positive for DDR defects (such as ATM deleterious mutation or low ATM expression) can be included.

∙ Part A.1 - single-agent dose-escalation with alternative dosing schedule:

∙ \- Patients with histologically confirmed solid tumors or NHL known to be positive for ATM loss and/or ATM deleterious mutations will be included. The biomarker status of patients in Part A.1 will be evaluated before general screening and only patients with the presence of the putative biomarkers of DDR deficiency will be recruited into general screening.

∙ Part B - single-agent expansion:

• Patients with DDR deficiency biomarker-positive advanced solid tumors of the following histologies: i) CRPC; ii) HER2-negative BC that is hormone-receptor positive (estrogen-receptor positive, progesterone-receptor positive, or both) or TNBC; iii) CRC, and iv) gynecological tumors (ovarian, primary peritoneal, and fallopian tube cancers, endometrial cancer, or cervical cancer).

• Patients with histologically confirmed advanced solid cancer, regardless of the cancer type, or NHL and loss of ATM protein by IHC.

• The biomarker status of patients in Part B will be evaluated before general screening and only patients with the presence of the putative biomarkers of DDR deficiency will be recruited into general screening.

∙ Part A.1 And Part B:

∙ \- Patients must be able to provide either samples of archival tumor tissue not older than 6 months or a fresh tumor biopsy during general screening.

∙ Part B.1 - single-agent expansion with alternative dosing schedule:

∙ \- Patients with histologically confirmed R/R MCL. These patients do not undergo biomarker testing to determine eligibility. The provision of baseline tumor tissue (archival or fresh) is strongly encouraged. If archival tissue ≤ 6 months old is unavailable, a fresh baseline biopsy may be obtained if safe and feasible.

∙ The following inclusion criteria apply to ALL (dose-escalation and expansion) patients:

• Patients with tumors resistant or refractory to standard treatment and in which, in the opinion of the investigator, experimental treatment with BAY1895344 may be of benefit. Furthermore, no standard therapy would confer clinical benefit to the patient. Patients in the MCL cohort of Part B.1 are to be relapsed or refractory to standard treatments.

• Patients must have measurable disease (as per Response Evaluation Criteria in Solid Tumors, version 1.1 \[RECIST 1.1\] or the Lugano classification as applicable, with the exception of prostate cancer patients who must have measurable or evaluable disease per the recommendations of the Prostate Cancer Clinical Trial Working Group 3 \[PCWG3\]).

• Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. For MCL patients: ECOG of 0 to 2.

• Patients must have adequate bone marrow function as assessed by the following laboratory tests to be conducted within 7 (+2) days before the first dose of study drug. Note that the below values are to be independent of red blood cell transfusions or granulocytes colony-stimulating factor (G-CSF) (i.e., no red blood cell or platelets transfusion within 28 days prior to the screening complete blood count \[CBC\] result, or administration of G-CSF is to occur within 14 days prior to the CBC result). Requirements for MCL patients are indicated below.

‣ a. Hemoglobin ≥ 9 g/dL. Patients with chronic erythropoietin treatment consistent with institutional guidelines can be included. For MCL patients: ≥ 8 g/dL; red blood cell transfusions during the screening period are allowed, and patients with chronic erythropoietin treatment consistent with institutional guidelines can be included

⁃ b. Absolute neutrophil count (ANC) ≥ 1.5 X 10\^9/L (≥ 1500/mm\^3). For MCL patients: ANC ≥ 1.0 X 10\^9/L. Patients with ANC ≤ 1.0 X 10\^9/L due to marrow infiltration may receive G-CSF during screening to bring pretreatment ANC levels to ≥ 1.0 X 10\^9/L

⁃ c. Platelet count ≥ 100 X 10\^9/L (≥100,000/mm\^3). For MCL patients: ≥ 75 X 10\^9/L

Locations
United States
California
City of Hope National Medical Center
Duarte
Florida
H. Lee Moffitt Cancer Center & Research Institute
Tampa
Georgia
Emory University
Atlanta
Massachusetts
Dana-Farber Cancer Institute
Boston
Massachusetts General Hospital
Boston
New York
Weill Cornell Medical College
New York
Ohio
Gabrail Cancer Center
Canton
University Hospitals Cleveland Medical Center
Cleveland
Oregon
US Oncology / Eugene
Eugene
Pennsylvania
Jefferson Medical College
Philadelphia
Texas
University of Texas MD Anderson Cancer Center
Houston
Texas Oncology- San Antonio Northeast
San Antonio
Utah
University of Utah - Oncology
Salt Lake City
Virginia
Fairfax-Northern Virginia Hematology/Oncology, PC
Fairfax
Other Locations
Canada
Cross Cancer Institute
Edmonton
OHRI - The Ottawa Hospital
Ottawa
Integrated Cancer Center of the CHU de Québec
Québec
China
Beijing Cancer Hospital
Beijing
Japan
National Cancer Center Hospital
Chuo-ku
National Cancer Center Hospital East
Kashiwa
Shizuoka Cancer Center
Sunto
Singapore
National Cancer Center Singapore
Singapore
National University Hospital
Singapore
Switzerland
Oncology Institute of Southern Switzerland
Bellinzona
Hôpital Cantonal Universitaire de Genève
Geneva
Kantonsspital St. Gallen
Sankt Gallen
United Kingdom
Velindre Hospital
Cardiff
Freeman Hospital
Newcastle Upon Tyne
Royal Marsden NHS Trust (Surrey)
Sutton
Time Frame
Start Date: 2017-07-06
Completion Date: 2023-09-13
Participants
Target number of participants: 229
Treatments
Experimental: Part A: single-agent dose-escalation
Patients with histologically confirmed solid tumors or non-Hodgkin's lymphoma (NHL) receive BAY1895344 in a 21-day cycle.
Experimental: Part A.1: Single-agent dose escalation with alternative dosing schedule
Patients with histologically confirmed solid tumors or NHL known to be positive for ATM loss and/or ATM deleterious mutations receive BAY1895344 in a 28-day cycle.
Experimental: J-arm of Part A: dose escalation cohort in Japanese patients
Japanese patients with histologically confirmed solid tumors receive BAY1895344 at two dose levels: MTD-1 and MTD.
Experimental: Part B: single-agent expansion
Patients with a) DDR deficiency biomarker-positive advanced solid tumors: castration-resistant prostate cancer (CRPC), HER2-negative breast cancer (BC), colorectal cancer (CRC), and gynecological tumors; OR b) histologically confirmed advanced cancer and loss of ATM regardless of the cancer type receive BAY1895344 at MTD determined at the end of dose escalation.
Experimental: Part B.1: single-agent expansion with alternative dosing schedule
Patients with histologically confirmed relapsed or refractory MCL receive BAY1895344 at a dose determined after evaluation of multiple BAY1895344 doses in Part A.1
Sponsors
Leads: Bayer

This content was sourced from clinicaltrials.gov