A Phase I/II, Open-label, Dose-escalation and Expansion Study to Assess the Safety, Pharmacokinetics and Clinical Activity of NUC-7738, a Nucleotide Analogue, in Patients With Advanced Solid Tumours and Lymphoma

Status: Recruiting
Location: See all (9) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is a Phase I/II, dose-escalation and expansion study of NUC-7738 administered by intravenous infusion as a monotherapy and in combination with pembrolizumab. In Phase I, NUC-7738 monotherapy is evaluated across two administration schedules (weekly or fortnightly) in a dose-escalation design in patients with advanced solid tumours. The main objectives are to assess the safety and tolerability of NUC-7738, in addition to establishing the Maximum Tolerated Dose (MTD) and dose administration schedule of NUC-7738 for further exploration in the Phase II part of the study. In Phase II, the selected dose and designated dosing schedule will be further evaluated in dose-confirmation expansion cohorts enrolling a total of approximately 40 additional patients with advanced solid tumours. Based on emerging data, approximately 6 patients with cutaneous melanoma will be enrolled to these expansion cohorts and will receive NUC-7738 monotherapy. A further cohort will assess NUC-7738 in combination with pembrolizumab in approximately 6-12 patients with cutaneous melanoma. Based on efficacy signals observed in the initial melanoma combination cohort, a further expansion cohort will be initiated to expand to a total of 40 patients to allow a powered analysis. In addition, 12 patients with lymphoma (with potential expansion to a total of 25 patients) may be enrolled to receive NUC-7738 monotherapy.

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

• Provision of signed written informed consent.

• Solid tumour cohorts only (Phase I and Phase II; excluding NUC-7738 + pembrolizumab cohort): Histologically confirmed diagnosis of an advanced solid tumour with measurable disease as per RECIST v1.1 criteria and/or evaluable disease (evaluable: cytologically or radiologically detectable disease such as ascites, peritoneal deposits, or lesions, which do not fulfil RECIST v1.1 criteria for measurable disease) for solid tumours.

• NUC-7738 + pembrolizumab cohort only (Phase II): Histologically confirmed diagnosis of metastatic cutaneous melanoma with measurable disease as per RECIST v1.1 criteria. Must have progressed on ≤2 prior lines of therapy for advanced/metastatic disease (may include one line in the neoadjuvant/adjuvant setting). At least one prior line must have included a PD-1/PD-L1-containing regimen (either monotherapy or in combination) and the patient must have progressed on this regimen within the last 12 months (may have received another therapy in the interim as long as progression on the PD-1/PD-L1-containing regimen was no more than 12 months ago).

• Patients with documented BRAF V600 mutation status may have received prior BRAF-directed therapy (with or without a MEK inhibitor). These patients should be discussed on a case-by-case basis with the Medical Monitor.

• Lymphoma cohort only (Phase II): Relapsed refractory lymphoma (high grade and low grade B-NHL, Hodgkin's Lymphoma and T-cell lymphomas), which is not amenable to standard of care, is refractory to standard of care or for which no standard of care exists. Patients must have bi-dimensionally measurable disease as per Cheson et al, 2007 criteria for lymphoma.

• For solid tumours in single-agent Phase II cohorts only: patients should have received no more than 3 prior lines of treatment for metastatic disease.

• Age ≥18 years (no upper age limit).

• Eastern Cooperative Oncology Group performance status of 0 or 1.

• Life expectancy of ≥12 weeks.

• Adequate bone marrow, liver, and renal function.

⁃ Ability to comply with protocol requirements.

⁃ Female patients of child-bearing potential must have a negative serum pregnancy test within 3 days prior to the first NUC-7738 administration. All patients of child-bearing potential must agree to practice true abstinence or to use two forms of contraception, one of which must be a highly effective method of contraception, from the time of screening until 6 months after the last dose of study medication.

⁃ Phase I and Phase II dose-confirmation cohorts only: Patient must be willing to undergo a new tumour biopsy at Screening and during therapy on the study. Biopsies are mandatory for patient inclusion, except where taking a biopsy would be associated with unacceptable clinical risk due to the location of the disease. Such patients may be discussed on a case-by-case basis with the study Medical Monitor to determine their eligibility. A prior (archival) biopsy that is less than 3 months old may be substituted for a fresh tumour biopsy at Screening with agreement from the Medical Monitor. From protocol v3.4 onwards, biopsies are no longer required.

⁃ Patients must have been advised to take measures to avoid or minimise exposure of the skin and eyes to UV light, including avoiding sunbathing and visits to the solarium, for the duration of study participation and for a period of 4 weeks following the last dose of study medication.

Locations
Other Locations
United Kingdom
Cambridge University Hospitals NHS Foundation Trust (Addenbrookes Hospital)
NOT_YET_RECRUITING
Cambridge
Edinburgh Cancer Centre, Western General Hospital
RECRUITING
Edinburgh
The Beatson West of Scotland Cancer Centre
RECRUITING
Glasgow
The Royal Marsden NHS Foundation Trust
NOT_YET_RECRUITING
London
University College London Hospital
NOT_YET_RECRUITING
London
The Christie NHS Foundation Trust
RECRUITING
Manchester
Freeman Hospital
RECRUITING
Newcastle
Oxford University Hospitals NHS Foundation Trust
RECRUITING
Oxford
Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital
NOT_YET_RECRUITING
Preston
Contact Information
Primary
NuTide:701 Project Manager
NuTide701@nucana.com
+44 (0)131 357 1111
Time Frame
Start Date: 2019-06-17
Estimated Completion Date: 2026-08
Participants
Target number of participants: 135
Treatments
Experimental: NUC-7738
NUC-7738 administered by intravenous infusion on a weekly or fortnightly schedule. In the weekly dosing schedule, NUC-7738 is administered on Days 1 and 8 of a 14-day cycle. In the fortnightly dosing schedule, NUC-7738 is administered on Day 1 of a 14-day cycle.
Experimental: NUC-7738 + pembrolizumab
NUC-7738 administered by intravenous infusion on a weekly schedule on Days 1, 8 and 15 of a 21-day cycle. Pembrolizumab administered by intravenous infusion every 3 weeks on Day 1 of a 21-day cycle.
Related Therapeutic Areas
Sponsors
Leads: NuCana plc

This content was sourced from clinicaltrials.gov

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