A Phase 1/2, Open-Label, Multi-Center, First-in-Human Study of the Safety, Tolerability, Pharmacokinetics, and Anti-Tumor Activity of TPX-0005 in Patients With Advanced Solid Tumors Harboring ALK, ROS1, or NTRK1-3 Rearrangements (TRIDENT-1)

Who is this study for? Adult subjects with advanced solid malignancies harboring an ALK, ROS1, NTRK1, NTRK2, or NTRK3 gene rearrangement
What treatments are being studied? Repotrectinib
Status: Recruiting
Location: See all (165) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

Phase 1 dose escalation will determine the first cycle dose-limiting toxicities (DLTs), the maximum tolerated dose (MTD), the biologically effective dose and recommended Phase 2 dose (RP2D) of repotrectinib given to adult subjects with advanced solid malignancies harboring an ALK, ROS1, NTRK1, NTRK2, or NTRK3 gene rearrangement. Midazolam DDI substudy will examine effect of of repotrectinib on CYP3A induction. Phase 2 will determine the confirmed Overall Response Rate (ORR) as assessed by Blinded Independent Central Review (BICR) of repotrectinib in each subject population expansion cohort of advanced solid tumors that harbor a ROS1, NTRK1, NTRK2, or NTRK3 gene rearrangement. The secondary objective will include the duration of response (DOR), time to response (TTR), progression-free survival (PFS), overall survival (OS) and clinical benefit rate (CBR) of repotrectinib in each expansion cohort of advanced solid tumors that harbor a ROS1, NTRK1, NTRK2, or NTRK3 gene rearrangement.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 12
Healthy Volunteers: f
View:

• Histologically or cytologically confirmed diagnosis of locally advanced, or metastatic solid tumor (including primary CNS tumors) (Stage IV, American Joint Committee on Cancer v.7) that harbors an ALK, ROS1, NTRK1, NTRK2, or NTRK3 gene rearrangement by protocol specified tests.

• ECOG PS 0-1.

• Age ≥18 (or age ≥ 20 of age as required by local regulation).

• Capability to swallow capsules intact (without chewing, crushing, or opening).

• At least 1 measurable target lesion according to RECIST version 1.1. CNS-only measurable disease as defined by RECIST version 1.1 is allowed.

• Prior cytotoxic chemotherapy is allowed.

• Prior immunotherapy is allowed.

• Resolution of all acute toxic effects (excluding alopecia) of any prior anti-cancer therapy to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03 Grade less than or equal to 1.

• Patients with asymptomatic CNS metastases (treated or untreated) and/or asymptomatic leptomeningeal carcinomatosis are eligible to enroll if they satisfy the protocol specified criteria.

⁃ Baseline laboratory values fulfilling the following requirements:Absolute neutrophils count (ANC) ≥1500/mm3 (1.5 × 109/L); Platelets (PLTs) ≥100,000/mm3 (100 × 109/L); Hemoglobin ≥ 9.0 g/dL transfusions are allowed; Serum creatinine or creatinine clearance Within normal limits or \> 40 mL/min; Total serum bilirubin \< 1.5 × ULN; Liver transaminases (ASTs/ALTs) \< 2.5 × ULN; \< 5 × ULN if liver metastases are present Alkaline phosphatase (ALP); \< 2.5 × ULN; \< 5 × ULN if liver and/or bone metastasis are present; Serum calcium, magnesium, and potassium Normal or CTCAE grade ≤ 1 with or without supplementation

⁃ Life expectancy ≥ 3 months.

⁃ PHASE 2 Key Inclusion Criteria

• Histologically or cytologically confirmed diagnosis of locally advanced, or metastatic solid tumor (including primary CNS tumors) that harbors a ROS1, or NTRK1-3 gene fusion.

• Subject must have a documented ROS1 or NTRK1-3 gene fusion determined by tissue-based local testing using either:

∙ a next-generation sequencing (NGS) or quantitative polymerase chain reaction (qPCR) test will be accepted to determine molecular eligibility.

∙ • Adequate tumor tissue needs to be sent to the Sponsor designated central diagnostic laboratory for retrospective confirmation by a central diagnostic laboratory test selected by the Sponsor.

∙ OR

‣ a fluorescence in situ hybridization (FISH) test AND prospective confirmation of fusion status by a central diagnostic laboratory test selected by the Sponsor PRIOR to enrollment will be accepted to determine molecular eligibility.

• Adequate tumor tissue must be sent to the Sponsor designated central diagnostic laboratory for prospective confirmation by a central diagnostic laboratory test selected by the Sponsor PRIOR to enrollment.

• Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.

• Age ≥12 (or age ≥ 20 as required by local regulation).

• Willing and able to provide written institutional review board (IRB)/institutional ethics committee-approved Informed Consent or an Assent signed by a parent or legal guardian for subjects age 12 to 17.

• At least 1 measurable target lesion according to RECIST (v1.1) prospectively confirmed by Blinded Independent Central Radiology Review (BICR), selected by Sponsor, PRIOR to enrollment. Subjects with CNS-only measurable disease ≥10 mm as defined by RECIST (v1.1) are eligible.

• Subjects with advanced solid tumors harboring ROS1, NTRK1, NTRK2, or NTRK3 rearrangement will be assigned into 6 distinct expansion (EXP) cohorts provided all inclusion and exclusion criteria are met.

• i. EXP-1: ROS1 TKI-naïve ROS1+ NSCLC ii. EXP-2: 1 Prior ROS1 TKI and 1 Platinum based chemo ROS1+ NSCLC iii. EXP-3: 2 Prior ROS1 TKIs ROS1+ NSCLC (No Chemo or IO) iv. EXP-4: 1 Prior ROS1 TKI ROS1+ NSCLC (No Chemo or IO) v. EXP-5: TRK TKI-naïve NTRK+ solid tumors vi. EXP-6: TRK TKI-pretreated NTRK+ solid tumors

• Subjects with asymptomatic CNS metastases (treated or untreated) and/or asymptomatic leptomeningeal carcinomatosis are eligible to enroll if they satisfy the protocol specified criteria.

• Baseline laboratory values fulfilling the following requirements:Absolute neutrophils count (ANC) ≥1500/mm3 (1.5 × 109/L); Platelets (PLTs) ≥100,000/mm3 (100 × 109/L); Hemoglobin ≥ 9.0 g/dL transfusions are allowed; Serum creatinine or creatinine clearance \> 40 mL/min; Total serum bilirubin \< 1.5 × ULN; Liver transaminases (ASTs/ALTs) \< 2.5 × ULN; \< 5 × ULN if liver metastases are present Alkaline phosphatase (ALP); \< 2.5 × ULN; \< 5 × ULN if liver and/or bone metastasis are present; Serum calcium, magnesium, and potassium Normal or CTCAE grade ≤ 1 with or without supplementation

⁃ Life expectancy ≥ 3 months.

Locations
United States
California
Local Institution - 2129
COMPLETED
Duarte
Local Institution - 2120
COMPLETED
Glendale
Local Institution - 2114
COMPLETED
La Jolla
Local Institution - 2136
WITHDRAWN
La Jolla
Local Institution - 2121
COMPLETED
Long Beach
Local Institution - 2101
COMPLETED
Orange
University of California Irvine Medical Center
RECRUITING
Orange
Local Institution - 2126
COMPLETED
Santa Rosa
Colorado
Local Institution - 1003
NOT_YET_RECRUITING
Aurora
Local Institution - 2103
COMPLETED
Aurora
Washington, D.c.
Local Institution - 2106
COMPLETED
Washington D.c.
Local Institution - 2110
COMPLETED
Washington D.c.
Florida
Local Institution - 2128
COMPLETED
Hollywood
Local Institution - 2113
COMPLETED
Tampa
Georgia
Local Institution - 2139
COMPLETED
Athens
Local Institution - 2134
COMPLETED
Columbus
Illinois
Local Institution - 2125
COMPLETED
Chicago
Local Institution - 2142
COMPLETED
Peoria
Louisiana
Local Institution - 2116
NOT_YET_RECRUITING
New Orleans
Massachusetts
Local Institution - 1004
NOT_YET_RECRUITING
Boston
Local Institution - 2104
COMPLETED
Boston
Local Institution - 2131
COMPLETED
Boston
Maryland
Local Institution - 2133
COMPLETED
Baltimore
Michigan
Local Institution - 2105
COMPLETED
Ann Arbor
Local Institution - 2111
COMPLETED
Detroit
Local Institution - 2140
COMPLETED
Detroit
Minnesota
Local Institution - 2132
COMPLETED
Saint Paul
Missouri
Local Institution - 2147
COMPLETED
Bolivar
Local Institution - 2115
COMPLETED
St Louis
North Carolina
Local Institution - 2144
COMPLETED
Goldsboro
New Jersey
Local Institution - 2122
COMPLETED
New Brunswick
New York
Local Institution - 2102
COMPLETED
New York
Local Institution - 2117
COMPLETED
New York
Memorial Sloan Kettering Cancer Center
RECRUITING
New York
Ohio
Local Institution - 2112
COMPLETED
Canton
Local Institution - 2143
COMPLETED
Cincinnati
Local Institution - 2109
COMPLETED
Cleveland
Local Institution - 2123
COMPLETED
Columbus
Local Institution - 2119
COMPLETED
Toledo
Pennsylvania
Local Institution - 2108
COMPLETED
Philadelphia
Tennessee
Local Institution - 2148
COMPLETED
Memphis
Texas
Local Institution - 2130
COMPLETED
Dallas
Local Institution - 2127
COMPLETED
Houston
Local Institution - 2138
COMPLETED
Houston
Local Institution - 2146
COMPLETED
Kingwood
Virginia
Local Institution - 2137
COMPLETED
Fairfax
Washington
Local Institution - 2107
COMPLETED
Seattle
Local Institution - 2141
WITHDRAWN
Tacoma
Wisconsin
Local Institution - 2145
COMPLETED
Appleton
Other Locations
Australia
Local Institution - 6103
COMPLETED
Adelaide
Local Institution - 6102
COMPLETED
Camperdown
Local Institution - 3301
COMPLETED
East Melbourne
Local Institution - 6101
COMPLETED
Melbourne
Belgium
Local Institution - 4802
COMPLETED
Antwerp
Local Institution - 4801
COMPLETED
Leuven
Canada
Local Institution - 2202
COMPLETED
Edmonton
Local Institution - 2203
COMPLETED
Ontario
Local Institution - 2204
COMPLETED
Ottawa
Local Institution - 2201
COMPLETED
Toronto
Local Institution - 6503
ACTIVE_NOT_RECRUITING
Toronto
Local Institution - 2205
WITHDRAWN
Vancouver
China
Beijing Cancer hospital
RECRUITING
Beijing
Local Institution - 6702
COMPLETED
Beijing
Jilin Cancer Hospital/Medical Oncology Department
RECRUITING
Changchun
Jilin Cancer Hospital/Medical Oncology Department
RECRUITING
Changchun
The first hospital of Jilin university-Oncology Department
RECRUITING
Changchun
Hunan Cancer Hospital-thoracic oncology II
RECRUITING
Changsha
Local Institution - 6705
COMPLETED
Changsha
The Third Xiangya Hospital of Central South University/Department of Respiratory and Critical Care Medicine
RECRUITING
Changsha
Sichuan Cancer Hospital/Medical Oncology Department
RECRUITING
Chengdu
West China Hospital Sichuan University/Lung cancer center
RECRUITING
Chengdu
The First Hospital Affiliated To AMU - Southwest Hospital
RECRUITING
Chongqing
Daping Hospital, the Third Affiliated Hospital of Third Military Medical University /Cancer Center
RECRUITING
Daping
Local Institution - 6719
COMPLETED
Fuzhou
Guangdong Provincial People'S Hospital
RECRUITING
Guangzhou
Local Institution - 6733
COMPLETED
Guangzhou
Local Institution - 6725
COMPLETED
Hangzhou
The First Affiliated Hospital - Zhejiang University School of Medicine
RECRUITING
Hangzhou
Zhejiang Cancer Hospital-Oncology
RECRUITING
Hangzhou
The Affiliated Tumor Hospital of Harbin Medical University
RECRUITING
Harbin
Anhui Provincial Hospital
RECRUITING
Hefei
Local Institution - 6748
COMPLETED
Nanjing
Shanghai Chest Hospital
RECRUITING
Shanghai
Shanghai Chest Hospital
RECRUITING
Shanghai
Local Institution - 6504
ACTIVE_NOT_RECRUITING
Shatin
Liaoning Cancer Hospital
RECRUITING
Shenyang
Local Institution - 6505
ACTIVE_NOT_RECRUITING
Shenzhen
Shanxi Bethune Hospital
RECRUITING
Taiyuan
Weifang People's Hospital/Medical Oncology Department
RECRUITING
Weifang
Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology/Cancer Center Department
RECRUITING
Wuhan
Tangdu Hospital
RECRUITING
Xi'an
The First Affiliated hospital of Xiamen University-oncology
RECRUITING
Xiamen
XuZhou Central Hospital/Oncology Department
RECRUITING
Xuzhou
Henan Cancer Hospital/The 1st pneumology department
RECRUITING
Zhengzhou
Denmark
Local Institution - 4901
COMPLETED
Copenhagen
France
Local Institution - 4207
COMPLETED
Brest
Local Institution - 4204
COMPLETED
Dijon
Local Institution - 4206
COMPLETED
Grenoble
Local Institution - 4201
COMPLETED
Marseille
Centre Antoine-Lacassagne
RECRUITING
Nice
Chu Poitiers
RECRUITING
Poitiers
Local Institution - 4203
COMPLETED
Saint-mandé
Institute Gustave Roussy
RECRUITING
Villejuif
Germany
Local Institution - 4704
COMPLETED
Berlin
Local Institution - 4701
COMPLETED
Cologne
Local Institution - 4703
COMPLETED
Dresden
Local Institution - 4702
COMPLETED
Heidelberg
Hong Kong Special Administrative Region
Local Institution - 6501
ACTIVE_NOT_RECRUITING
Hong Kong
Local Institution - 6502
ACTIVE_NOT_RECRUITING
Hong Kong
Hungary
Local Institution - 5101
COMPLETED
Budapest
Local Institution - 5103
COMPLETED
Budapest
Italy
Local Institution - 4301
COMPLETED
Milan
Local Institution - 4306
COMPLETED
Milan
Local Institution - 4307
WITHDRAWN
Palermo
Local Institution - 4303
COMPLETED
Pordenone
Local Institution - 4304
NOT_YET_RECRUITING
Ravenna
Local Institution - 4305
COMPLETED
Reggio Emilia
Local Institution - 4308
COMPLETED
Roma
Local Institution - 4302
COMPLETED
Terni
Japan
National Cancer Center Hospital.
RECRUITING
Chuo-ku
National Cancer Center Hospital East
RECRUITING
Kashiwa
Nagoya University Hospital
RECRUITING
Nagoya
Osaka City General Hospital
RECRUITING
Osaka
Osaka International Cancer institute
RECRUITING
Osaka
Hokkaido University Hospital
RECRUITING
Sapporo
Ehime University Hospital
RECRUITING
Tōon
Kanagawa cancer center
RECRUITING
Yokohama
Tottori University Hospital
RECRUITING
Yonago
Netherlands
Local Institution - 4502
COMPLETED
Amsterdam
Local Institution - 4501
COMPLETED
Groningen
Poland
Ośrodek Badań Klinicznych Wczesnych Faz, Uniwersyteckie Centrum Kliniczne
RECRUITING
Gdansk
Local Institution - 4604
COMPLETED
Lublin
Local Institution - 4605
COMPLETED
Poznan
Local Institution - 4603
COMPLETED
Szczecin
Local Institution - 4602
COMPLETED
Warsaw
Republic of Korea
Local Institution - 6306
COMPLETED
Cheongju-si
Local Institution - 6308
COMPLETED
Hwasun-eup, Hwasun-gun
Local Institution - 3002
WITHDRAWN
Seoul
Local Institution - 3003
COMPLETED
Seoul
Local Institution - 6301
COMPLETED
Seoul
Local Institution - 6302
COMPLETED
Seoul
Local Institution - 6303
COMPLETED
Seoul
Local Institution - 6304
COMPLETED
Seoul
Local Institution - 6305
COMPLETED
Seoul
Local Institution - 6307
COMPLETED
Seoul
Seoul National University Hospital
RECRUITING
Seoul
Yonsei University Health System
RECRUITING
Seoul
Singapore
Local Institution - 6401
COMPLETED
Singapore
Local Institution - 6402
COMPLETED
Singapore
Spain
Local Institution - 4101
COMPLETED
Barcelona
Local Institution - 4102
COMPLETED
Barcelona
Local Institution - 4103
COMPLETED
Madrid
Local Institution - 4104
COMPLETED
Madrid
Local Institution - 4105
COMPLETED
Madrid
Local Institution - 4106
COMPLETED
Madrid
Clinica Universidad de Navarra
RECRUITING
Pamplona
Instituto Valenciano de Oncología (IVO) - Unidad de Investigación Clínica FINCIVO
RECRUITING
Valencia
Taiwan
Local Institution - 6201
ACTIVE_NOT_RECRUITING
Taiepi
Local Institution - 6203
ACTIVE_NOT_RECRUITING
Tainan City
Local Institution - 6202
COMPLETED
Taipei
United Kingdom
Local Institution - 4401
COMPLETED
London
Local Institution - 4402
COMPLETED
London
Local Institution - 4404
COMPLETED
London
Local Institution - 4403
COMPLETED
Manchester
Local Institution - 4405
COMPLETED
Sutton
Contact Information
Primary
BMS Study Connect Contact Center www.BMSStudyConnect.com
Clinical.Trials@bms.com
855-907-3286
Backup
First line of the email MUST contain the NCT# and Site #.
Time Frame
Start Date: 2017-03-07
Estimated Completion Date: 2028-02-29
Participants
Target number of participants: 500
Treatments
Experimental: Repotrectinib (TPX-0005)
Phase 1~Oral repotrectinib (TPX-0005):~Phase 1a dose escalation, Phase 1b food-effect sub-study, and Phase 1c dose escalation with food, and Midazolam drug-drug interaction sub-study.~Phase 2~Oral repotrectinib (TPX-0005): 6 distinct expansion cohorts~* EXP-1: ROS1 TKI-naïve ROS1+ NSCLC~* EXP-2: 1 Prior ROS1 TKI and 1 Platinum based chemo ROS1+ NSCLC~* EXP-3: 2 Prior ROS1 TKIs ROS1+ NSCLC (No Chemo or IO)~* EXP-4: 1 Prior ROS1 TKI ROS1+ NSCLC (No Chemo or IO)~* EXP-5: TRK TKI-naïve NTRK+ solid tumors~* EXP-6: TRK TKI-pretreated NTRK+ solid tumors
Authors
Huaqiu Shi, Arkadiusz Dudek, Faisal Adhami, John Nemunaitis, Viola Zhu, Benjamin Levy, Samuel Ejadi, Scott Moerdler, Misako Nagasaka, Luis Raez, Mihran Shirinian, Saleha Sajid, Samer Kasbari, Nashat Gabrail, Yasir Elamin, Lyudmila Bazhenova, Shirish Gadgeel, Alice Shaw, Andrew Pippas, Robert Doebele, Dwight Owen, Vamsidhar Velcheti, Syed Kazmi, Haeseong Park, Benjamin Creelan, Marianna Koczywas, Sophie Sun, Alexander Drilon, Petros Nikolinakos, Dipesh Uprety, Katherine Scilla, Nicolas Isambert, Alice Hervieu, Benjamin Besse, Denis Moro-Sibilot, Anna Patrikidou, Christian Grohe, Carole Helissey, Laurent Greillier, Martin Wermke, Veronika Muller, Gilles Robinet, Esma Saada-Bouzid, Jurgen Wolf, Julio Peguero, Peter Anderson, Mark Awad, Christina Baik, Stephen Liu, Christine Bestvina, Christian Rolfo, Karen Reckamp, Marina Garassino, Jin-Hyoung Kang, Christophe Dooms, Gen Lin, Jinji Yang, Dariusz Kowalski, Ignacio Gil-Bazo, Wenxiu Yao, Christos Karapetis, Chia-Jui Yen, Angel Guerrero, Tsang-En Wang, Emiliano Calvo, Steven Kao, Kejing Ying, Yong He, Jiuwei Cui, Yasushi Goto, Valentina Boni, Paul Wheatley-Price, Ross Soo, Hans Prenen, Haichuan Su, Matthew Krebs, Francesco Verderame, Masahiro Kodani, James Ho, Anthonie Van der Wekken, Parneet Cheema, Rafal Dziadziuszko, Jingxun Wu, Victor Moreno, Enriqueta Felip, Koichi Goto, Meili Sun, Enrique Grande, James Yang, Motohiro Tamiya, Shun Lu, Ying Cheng, Yueyin Pan, Jian Fang, Kristoffer Rohrberg, Liyun Miao, Xiaorong Dong, Sergio Bracarda, Alessandra Bearz, Luis Paz-Ares, Francesco Grossi, Herbert Loong, Sanjay Popat, Jung Yong Hong, Darren Lim, David Pinato, Terufumi Kato, Masahiro Morise, Byoung Chul Cho, Naozumi Hashimoto, Xiufeng Hu, Haruko Daga, Rodryg Ramlau, Federico Cappuzzo, Sang-We Kim, Naoyuki Nogami
Sponsors
Collaborators: Zai Lab (Shanghai) Co., Ltd.
Leads: Turning Point Therapeutics, Inc.

This content was sourced from clinicaltrials.gov

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