A Phase 3, Multicenter, Randomized, Open-label, Study Evaluating the Efficacy and Safety of Nanvuranlat in Patients With Previously Treated Advanced Biliary Tract Cancer

Status: Recruiting
Location: See all (18) locations...
Intervention Type: Other, Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

This study is designed to 1) select a dose regimen for continued development and 2) evaluate nanvuranlat versus Physicians Best Choice (PBC) (FOLFOX, FOLFIRI, or Best Supportive Care (BSC)) in participants aged 18 years and over with BTC. Participants enrolling in Part A the trial will be randomly assigned to receive 1 of 3 nanvuranlat dose regimens or PBC. In Part B, participants will be randomly assigned to receive nanvuranlat or PBC. Participants will receive treatment every 2 weeks for as long as they do not experience safety issues, or their cancer gets worse, and the study doctor feels they should stop treatment. Health measurements including physical examinations, vital signs, ECGs, and safety laboratory tests will be performed to monitor safety, and tumor imaging will be performed to monitor cancer response to treatment. Other exploratory makers will be measured to better understand how nanvuranlat works.

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

⁃ \- Individuals are eligible to be included in the study only if all of the following criteria apply:

• At least 18 years of age inclusive at the time of signing the informed consent.

• Provides informed written consent according to local laws or regulations.

• Able and willing to comply with scheduled visits, treatment plans, procedures, and laboratory tests, including peripheral blood and urine sampling during the study.

• Willing to participate in LAT1 testing and NAT2 and transporter genotyping. Note: For LAT1 testing, if the participant does not have archival tissue and a fresh biopsy is not in the best interest of the participant, they will still be eligible for the trial.

• Cancer must be metastatic, locally advanced and unresectable, or not amenable to treatment with local therapies that could offer a reasonable likelihood of clinical benefit.

• Histologic or cytologic diagnosis of BTC.

• Has BTC that is classified as either an IHC, EHC, or GBC based on surgical, clinical, or laparoscopic findings and/or radiological imaging (eg, CT, MRI).

• Has received 1 prior appropriate platinum (cisplatin, carboplatin, or oxaliplatin)-based therapy for advanced disease (locally advanced or metastatic) with or without a mAb targeting PD-1 or PD-L1.

∙ Disease progression during or within 6 months of neoadjuvant or adjuvant treatment with a platinum-containing regimen will count as having received 1 prior regimen.

‣ If a patient has a mutation/fusion of IDH1, FGFR2 or NTRK, or an amplified, mutated, or overexpressed form of HER2, or a recognized aberration in a validated driver of BTC, and was treated with an appropriate targeted agent, or the patient's tumor was determined to be MSI-H and an appropriate PD-1/PD-L1 mAb was administered, the targeted therapy or immunotherapy will NOT count as a separate line of treatment.

• ECOG PS of 0 or 1.

⁃ Expected life expectancy of at least 90 days after the first day of treatment as per the site Investigator.

⁃ At least 1 measurable lesion by RECIST v1.1 based on imaging (eg, CT, MRI) performed within 28 days prior to initiation of study intervention. Those who have received prior local therapy, including but not limited to embolization, chemoembolization, radiation therapy, and/or other appropriate ablative procedures to a measurable lesion that is within the treatment and shown ≥ 20% growth in size since posttreatment assessment.

⁃ Resolution to ≤ Grade 1 by the NCI CTCAE v 5.0 (or higher) of all clinically significant toxic effects of prior chemotherapy or other treatments, except for alopecia and peripheral neuropathy (these must have resolved to ≤ Grade 2). If medical therapy is required for the treatment of a laboratory abnormality, the dose and laboratory value(s) should be stable.

⁃ Adequate hematologic function:

• ANC ≥ 1.5 × 109/L. Myeloid growth factors must not have been administered within 7 days before the participant's first dose of study intervention.

∙ Hemoglobin ≥ 8.5 g/dL and no RBC transfusions during the 14 days before the participant's first dose of study intervention.

∙ Platelet count ≥ 100 × 109/L and no platelet transfusions during the 14 days before the participant's first dose of study intervention.

⁃ Adequate baseline organ function, as demonstrated by the following:

• eGFR ≥ 50 mL/min as estimated by CKD-EPI 2021.

∙ Bilirubin ≤ 2 × ULN (local institution).

∙ AST and ALT ≤ 5 × ULN (local institution).

⁃ Adequate coagulation function as defined by INR ≤ 1.5 OR a PT ≤ 1.5 × ULN AND an aPTT ≤ 1.5 × ULN if not receiving anticoagulation therapy. Note: Participants may receive subtherapeutic doses of warfarin while on study to maintain patency of venous devices but not with therapeutic doses of warfarin. Participants may be treated with low-molecular weight heparin.

⁃ Women of childbearing potential must be willing to use a highly effective method of contraception throughout the study and study follow up or for at least 9 months after the last dose of study intervention. Note: A woman is of nonchildbearing potential if she meets 1 of the following criteria: a) postmenopausal with at least 12 months of spontaneous amenorrhea; b) has had a bilateral oophorectomy; or c) has had a hysterectomy. Highly effective methods of contraception include:

∙ Abstinence from sexual activity.

‣ Hormonal contraception (eg, injection, implant, pill, patch, or vaginal ring as available in each country) associated with inhibition of ovulation (both estrogen and progestogen and progestogen only) in use for at least 30 days before administration of study intervention.

‣ Intrauterine device in use for at least 30 days before administration of study intervention.

‣ Intrauterine hormone-releasing system in use for at least 30 days before administration of study intervention.

‣ Bilateral tubal occlusion/ligation at least 6 months before administration of study intervention.

‣ Partner who has been vasectomized at least 6 months before administration of study intervention.

⁃ Males and their female partners must use a highly effective method of birth control if female partner(s) is of childbearing potential, and males must not donate sperm during the study and for 9 months after the last dose of study intervention.

Locations
United States
Arizona
Banner MD Anderson Cancer Center (Site 106)
NOT_YET_RECRUITING
Gilbert
California
City of Hope (Site 107)
NOT_YET_RECRUITING
Duarte
University of California at Irvine (Site 101)
NOT_YET_RECRUITING
Orange
UCLA Medical Center (Site 117)
NOT_YET_RECRUITING
Santa Monica
Kentucky
Norton Cancer Institute (Site 115)
NOT_YET_RECRUITING
Louisville
Louisiana
Ochsner Medical Center (Site 120)
NOT_YET_RECRUITING
New Orleans
Michigan
Henry Ford Cancer Center (Site 113)
NOT_YET_RECRUITING
Detroit
Karmanos Cancer Center (Site 109)
NOT_YET_RECRUITING
Detroit
Minnesota
Masonic Cancer Center, University of Minnesota (Site 116)
NOT_YET_RECRUITING
Minneapolis
New Jersey
Rutgers Cancer Institute of New Jersey (Site 103)
RECRUITING
New Brunswick
New York
Rosewell Park Comprehensive Cancer Center (Site 114)
NOT_YET_RECRUITING
Buffalo
Memorial Sloan Kettering Cancer Center (Site 108)
NOT_YET_RECRUITING
New York
Ohio
University Hospitals Cleveland Medical Center Seidman Cancer Center (Site 111)
NOT_YET_RECRUITING
Cleveland
James Cancer Hospital and Solove Research Institute (Site 119)
NOT_YET_RECRUITING
Columbus
Oklahoma
Mercy Clinic (Site 110)
NOT_YET_RECRUITING
Oklahoma City
Pennsylvania
Allegheny Health Network (Site 121)
NOT_YET_RECRUITING
Pittsburgh
Texas
University of Texas Southwestern Medical Center (Site 104)
NOT_YET_RECRUITING
Dallas
University of Texas MD Anderson Cancer Center (Site 102)
NOT_YET_RECRUITING
Hosuton
Contact Information
Primary
Masuhiro Yoshitake
yoshitake@j-pharma.com
+81-3-6432-4270
Backup
Kazuo Sekiguchi
sekiguchi.k@j-pharma.com
+81-3-6432-4270
Time Frame
Start Date: 2026-01
Estimated Completion Date: 2027-10
Participants
Target number of participants: 480
Treatments
Experimental: Nanvuranlat 50mg
Nanvuranlat 50mg administered via a 90-minute intravenous infusion once daily for 5 consecutive days, followed by 9 days off treatment
Experimental: Navuranlat 75mg
Nanvuranlat 75mg administered via a 90-minute intravenous infusion once daily for 5 consecutive days, followed by 9 days off treatment
Experimental: Navuranlat 375mg
Nanvuranlat 375mg administered via a 46-hour continuous intravenous infusion once every 14 days
Other: Physicians Best Choice (PBC)
1. FOLFOX regimen (Leucovorin, 5-Flurouracil and Oxaliplatin) administered on Day 1 of each 14 day cycle, or~2. FOLFIRI regimen (Leucovorin, 5-Flurouracil and Irinotecan) administered once during 14 day cycle, or~3. Best Supportive Care (BSC) including symptomatic therapeutics, palliative radiation for pre-existing metastases and transfusion of blood products administered at discretion of Investigator.
Related Therapeutic Areas
Sponsors
Leads: J-Pharma Co., Ltd.
Collaborators: Uniphar Development, LLC

This content was sourced from clinicaltrials.gov

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