A Phase 1, First-in-human, Open-label Study to Evaluate the Safety, Tolerability, PK, and Preliminary Anti-tumor Activity of the Novel Oral CDK2 Degrader NKT3964 in Adults With Advanced/Metastatic Solid Tumors

Status: Recruiting
Location: See all (8) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The goal of the Dose Escalation phase of the study is to evaluate the safety, tolerability, pharmacokinetics (PK) and preliminary anti-tumor activity to determine the preliminary recommended dose for expansion (RDE) of NKT3964 in adults with advanced or metastatic solid tumors. The goal of the Expansion phase of the study is to evaluate the preliminary anti-tumor activity of NKT3964 at the RDEs based on objective response rate (ORR) and determine the preliminary recommended Phase 2 dose (RP2D).

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

‣ \- Must have a pathologically confirmed advanced and unresectable or metastatic solid tumor listed below with documented disease progression on last standard treatment. Part 1 only: subjects must be refractory to, or intolerant of existing therapy(ies) known to provide clinical benefit for their condition.

‣ Dose Escalation:

⁃ Ovarian cancer with CCNE1 amplification

⁃ Endometrial cancer with CCNE1 amplification

⁃ Gastric, gastroesophageal junction (GEJ) or esophageal adenocarcinoma with CCNE1 amplification

⁃ Small cell lung cancer (SCLC)

⁃ Triple-negative breast cancer (TNBC; HER2, estrogen receptor and progesterone receptor negative)

⁃ HR+ (includes estrogen-receptor or progesterone-receptor) and HER2- breast cancer (must have progressed following treatment with a CDK4/6 inhibitor, and is not suitable for endocrine therapy \[ET\])

⁃ Other solid tumors with CCNE1 amplification

‣ Dose Expansion:

‣ Part 2A: HR+ and HER2- breast cancer that is locally advanced and unresectable (Stage III) or metastatic (Stage IV); previously treated with ≥1 line of standard of care (SOC) including CDK4/6 inhibitor plus ET and not suitable for further ET. Subjects must have progressed after receiving therapy for ≥3 months in the metastatic setting or for ≥6 months in the adjuvant setting. Subjects must have received ≤2 lines of systemic cytotoxic therapy (chemotherapy or cytotoxic antibody drug conjugate \[ADC\]) in the metastatic setting..

‣ Part 2B: Advanced platinum-based-chemotherapy resistant or refractory epithelial ovarian/fallopian/primary peritoneal carcinoma or clear cell ovarian cancer (defined as recurrence ≤6 months after completing platinum-based regimen) with progression on at least one platinum containing therapy and previously treated with ≤4 prior lines of systemic therapy administered for advanced/metastatic disease with CCNE1 amplification as determined by NGS by local liquid or tissue test.

‣ Part 2C: Advanced unresectable or metastatic gastric, GEJ or esophageal adenocarcinoma with progression on at least one systemic therapy and previously treated with ≤3 prior lines of systemic therapy administered for advanced/metastatic disease, with CCNE1 amplification as determined by NGS by local liquid or tissue test.

‣ Part 2D: Advanced endometrial adenocarcinoma or uterine papillary serous carcinoma previously treated with ≤4 prior lines of systemic therapy administered for advanced/metastatic disease, with CCNE1 amplification as determined by NGS by local liquid or tissue test.

‣ Part 2E: Advanced/recurrent uterine carcinosarcoma previously treated with 1 prior platinum-based chemotherapy regimen and ≤3 prior lines of systemic therapy, with CCNE1 amplification as determined by NGS by local liquid or tissue test. Prior bevacizumab or PARP inhibitors are allowed and must be at least 3 weeks prior to the start of study drug.

• Have adequate organ function

• Subjects with female reproductive organs must be surgically sterile, post-menopausal, or must be willing to use highly effective method(s) of contraception

• Ability to swallow oral medications.

• Consent to provide archived tumor tissues and paired tumor biopsy at pretreatment

Locations
United States
Arkansas
University of Arkansas Medical School
RECRUITING
Little Rock
Florida
Florida Cancer Specialists & Research Institute
RECRUITING
Lake Mary
Massachusetts
Dana Farber Cancer Institute
RECRUITING
Boston
New Jersey
John Theurer Cancer Center at Hackensack UMC
RECRUITING
Hackensack
Pennsylvania
Sidney Kimmell Cancer Center - Jefferson Health
RECRUITING
Philadelphia
Tennessee
Sarah Cannon Research Institute (SCRI)
RECRUITING
Nashville
Texas
NEXT Oncology
RECRUITING
Austin
Utah
Intermountain Health
RECRUITING
Salt Lake City
Contact Information
Primary
Sponsor Contact
clinicaltrials@nikangtx.com
(302) 596-8654
Time Frame
Start Date: 2024-09-19
Estimated Completion Date: 2029-05
Participants
Target number of participants: 150
Treatments
Experimental: Dose Escalation
Dose escalation will assess the safety, efficacy, and PK/PD data of oral dosing NKT3964 at increasing dosage levels to determine the MTD and/or preliminary RDEs.
Experimental: Dose Expansion
Dose expansion will include 2 RDEs selected to determine the preliminary antitumor activity and the RP2D.
Sponsors
Leads: NiKang Therapeutics, Inc.

This content was sourced from clinicaltrials.gov

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