A Phase 2 Multi-center Open-label Basket Trial of Nab-sirolimus for Adult and Adolescent Patients With Malignant Solid Tumors Harboring Pathogenic Inactivating Alterations in TSC1 or TSC2 Genes.

Who is this study for? Adult and adolescent patients with malignant solid tumors harboring pathogenic inactivating alterations in TSC1 or TSC2 genes
What treatments are being studied? Nab-sirolimus
Status: Active_not_recruiting
Location: See all (166) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

A Phase 2 multi-center open-label basket trial of nab-sirolimus for adult and adolescent patients with malignant solid tumors harboring pathogenic inactivating alterations in TSC1 or TSC2 genes

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

• Patients must have a malignant solid tumor with a pathogenic inactivating TSC1 or TSC2 alteration. Genetic alterations should be identified using NGS in tumor tissue or liquid biopsy).

• • Patients will be enrolled after the central evaluation of NGS report confirms eligibility.

• Patients must have solid tumors that are metastatic or locally advanced where surgical resection is not an option or likely to result in severe morbidity.

• Patients must have received all standard therapies appropriate for their tumor type and stage of disease or, in the opinion of the Investigator, the patient would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard of care therapy, or the patient has no satisfactory alternative treatments.

• Patients must have 1 or more measurable target lesions by computed tomography (CT) scan or magnetic resonance imaging (MRI) (RECIST v1.1).

• Age: 12 years or older.

• Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 or Karnofsky Performance Status (KPS) ≥80 or Lansky play-performance scale for pediatric patients ≥80.

• Adequate liver function:

∙ Total bilirubin ≤1.5 × upper limit of normal (ULN) (unless due to Gilbert's syndrome, then ≤3 × ULN)

‣ Aspartate aminotransferase (AST) ≤2.5 × ULN (≤5 × ULN if attributable to liver metastases)

• Adequate renal function: creatinine clearance ≥30 mL/min, Cockcroft-Gault CCr = ((140-age) × weight\[kg\]) / (72 × SCr\[mL/min\]) × 0.85, if female

• Adequate hematologic parameters:

∙ Absolute neutrophil count (ANC) ≥1.0 × 109/L (growth factor support allowed)

‣ Platelet count ≥100,000/mm3 (100 × 109/L) (transfusion and/or growth factor support allowed)

‣ Hemoglobin ≥8.0 g/dL (transfusion and/or growth factor support allowed)

⁃ Fasting serum triglyceride must be ≤300 mg/dL; fasting serum cholesterol must be ≤350 mg/dL.

⁃ Minimum of 4 weeks since any major surgery, completion of radiation, or completion of prior systemic anticancer therapy, or at least 5 half-lives if the prior therapy is a single agent small-molecule therapeutic, and adequately recovered from the acute toxicities of any prior therapy, including neuropathy, to Grade ≤1.

⁃ Male or non-pregnant and non-breastfeeding female:

• Females of childbearing potential must agree to use effective contraception or abstinence without interruption from 28 days prior to starting investigational product (IP) throughout 3 months after last dose of IP and have a negative serum pregnancy test (beta human chorionic gonadotropin, β-hCG) result at screening and agree to ongoing pregnancy testing during the course of the study, and after the end of study treatment. A second form of birth control is required even if she has had a tubal ligation.

∙ Male patients must agree not to donate sperm and must practice abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study and throughout 3 months after last dose of IP. A second form of birth control is required even if he has undergone a successful vasectomy.

⁃ The patient or the patient's parent(s) or legal guardian(s) understand(s) and sign(s) the informed consent.

⁃ Willingness and ability to comply with scheduled visits, laboratory tests, and other study procedures.

Locations
United States
Alabama
Alabama Oncology
Birmingham
Southern Cancer Center
Mobile
Arizona
Arizona Oncology Associates
Goodyear
Honor Health
Phoenix
Arizona Oncology Associates
Prescott Valley
Yuma Regional Medical Center
Yuma
California
PCR Oncology
Arroyo Grande
Nextgen Oncology
Beverly Hills
City of Hope
Duarte
Providence Medical Foundation (Fullerton)
Fullerton
MemorialCare
Long Beach
UCLA - Jonsson Comprehensive Cancer Center
Los Angeles
USC Norris Comprehensive Cancer Center
Los Angeles
Providence Medical Foundation (Napa)
Napa
Hoag Memorial Hospital Presbyterian
Newport Beach
Sharp HealthCare
San Diego
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco
Ridley-Tree Cancer Center
Santa Barbara
Sarcoma Oncology Research Center
Santa Monica
Providence Medical Foundation
Santa Rosa
Stanford Cancer Center
Stanford
The Oncology Institute of Hope & Innovation
Whittier
Colorado
Rocky Mountain Cancer Centers
Aurora
Rocky Mountain Cancer Centers
Boulder
Rocky Mountain Cancer Centers
Colorado Springs
Rocky Mountain Cancer Centers
Denver
Rocky Mountain Cancer Centers (Williams St)
Denver
Rocky Mountain Cancer Centers
Lakewood
Rocky Mountain Cancer Centers
Littleton
Rocky Mountain Cancer Centers
Lone Tree
Rocky Mountain Cancer Centers
Longmont
Rocky Mountain Cancer Centers
Pueblo
Rocky Mountain Cancer Centers
Thornton
Connecticut
Hartford Healthcare
Hartford
Eastern Connecticut Hematology and Oncology
Norwich
Florida
Florida Cancer Specialists - North Division
Altamonte Springs
Florida Cancer Specialists - South Division
Bonita Springs
Florida Cancer Specialists - South Division
Bradenton
Florida Cancer Specialists - South Division
Bradenton
Florida Cancer Specialists - North Division
Brandon
Florida Cancer Specialists - South Division
Cape Coral
Florida Cancer Specialists - North Division
Clearwater
Cancer Specialist - East
Daytona Beach
Holy Cross Hospital
Fort Lauderdale
Florida Cancer Specialists - South
Fort Myers
Florida Cancer Specialists - South
Fort Myers
Florida Cancer Specialists South Division
Fort Myers
Florida Cancer Specialists - North Division
Gainesville
Cancer Specialists of North Florida
Jacksonville
The Oncology Institute of Hope and Innovation
Lakeland
TOI Florida
Lakeland
Florida Cancer Specialists - North Division
Largo
Florida Cancer Specialists - North Division
Lecanto
Florida Cancer Specialists - South Division
Naples
Florida Cancer Specialists - North Division
Ocala
Ocala Oncology
Ocala
Florida Cancer Specialists - North Division
Orange City
Florida Cancer Specialists - North Division
Orlando
Florida Cancer Specialists - South Division
Port Charlotte
Florida Cancer Specialists - South Division
Sarasota
Florida Cancer Specialists - South Division
Sarasota
Florida Cancer Specialists - North
St. Petersburg
Florida Cancer Specialists and Research Institute - North Division
St. Petersburg
Florida Cancer Specialist - East
Stuart
Florida Cancer Specialists - North Division
Tampa
Florida Cancer Specialists - North Division
Tavares
Florida Cancer Specialists - North Division
Trinity
Florida Cancer Specialists - South Division
Venice
Florida Cancer Specialists - South Division
Venice
Florida Cancer Specialists - East
Vero Beach
Florida Cancer Specialists - East
Wellington
Florida Cancer Specialists - East
West Palm Beach
Georgia
Morehouse School of Medicine
Atlanta
Hawaii
Hawaii Cancer Center
Honolulu
Illinois
Hope and Healing Cancer Services
Hinsdale
Northwest Oncology and Hematology
Rolling Meadows
Indiana
Urology of Indiana
Carmel
Fort Wayne Medical Oncology and Hematology
Fort Wayne
Goshen Health
Goshen
Louisiana
Our Lady of the Lake
Baton Rouge
Pontchartrain
Hammond
Massachusetts
Dana Farber Cancer Institute
Boston
Southcoast Centers for Cancer Care
Fairhaven
Maryland
American Oncology Partners of Maryland PA (Center for Cancer & Blood Disorders)
Bethesda
Frederick Health
Frederick
Maryland Oncology Hematology
Rockville
Michigan
Barbara Ann Karmanos Cancer Institute
Detroit
Sparrow Hospital
Lansing
Minnesota
Minnesota Oncology Hematology
Minneapolis
Missouri
Central Care Cancer Center
Bolivar
Lake Regional
Osage Beach
Mosaic Life Care
Saint Joseph
Oncology Hematology Associates
Springfield
Washington University School of Medicine
St Louis
North Carolina
Southeastern Medical Oncology
Goldsboro
North Dakota
Sanford Health-Fargo
Fargo
Nebraska
Nebraska Cancer Specialists
Grand Island
Nebraska Methodist Hospital
Omaha
New Jersey
New Jersey Cancer Care and Blood Disorders
Belleville
Englewood Hospital and Medical Center
Englewood
Summit Medical Group - NJ
Florham Park
Atlantic Health System - Morristown Medical Center
Morristown
Nevada
Comprehensive Cancer Centers of Nevada
Las Vegas
OptumCare Cancer Care-Parent
Las Vegas
New York
Roswell Park Comprehensive Cancer Center
Buffalo
HOACNY
East Syracuse
Cayuga Medical Center
Ithaca
David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
New York
Ohio
Aultman Medical Group
Canton
TriHealth
Cincinnati
University of Cincinnati (UC) - Cancer Institute
Cincinnati
Cleveland Clinic
Cleveland
The Toledo Clinic
Toledo
Oklahoma
Oklahoma State University (OSU) - Stephenson Cancer Center
Oklahoma City
Oklahoma Cancer Specialist
Tulsa
Pennsylvania
Gettysburg-PCSRI
Gettysburg
Alliance Cancer Specialists
Langhorne
Thomas Jefferson University
Philadelphia
Cancer Care Associates of York - Parent
York
South Carolina
Prisma Health Cancer Institute
Greenville
South Dakota
Avera Cancer Institute
Sioux Falls
Sanford Health
Sioux Falls
Tennessee
Sarah Cannon and HCA Research Institute
Dickson
Sarah Cannon and HCA Research Institute
Franklin
Sarah Cannon and HCA Research Institute
Gallatin
West Cancer Center
Germantown
Sarah Cannon and HCA Research Institute
Henderson
Sarah Cannon and HCA Research Institute
Hermitage
Sarah Cannon and HCA Research Institute
Lebanon
Baptist Cancer Center
Memphis
Sarah Cannon and HCA Research Institute
Murfreesboro
Sarah Cannon and HCA Research Institute
Nashville
Sarah Cannon and HCA Research Institute
Nashville
Sarah Cannon and HCA Research Institute
Nashville
Sarah Cannon and HCA Research Institute
Nashville
Sarah Cannon and HCA Research Institute
Shelbyville
Sarah Cannon and HCA Research Institute
Smyrna
Texas
Mary Crowley Cancer Research
Dallas
Texas Oncology - DFW
Dallas
Texas Oncology
El Paso
MD Anderson Cancer Center
Houston
Oncology Consultants
Houston
Arizona Oncology Associates
Irving
Lumi Research
Kingwood
Texas Oncology Central-South
Mcallen
South Texas Accelerated Research Therapeutics (START)
San Antonio
Texas Oncology
Tyler
Utah
Community Cancer Trials of Utah
Ogden
Utah Cancer Specialists
Salt Lake City
Virginia
Virginia Cancer Specialists
Fairfax
Hematology Oncology Associates of Fredericksburg
Fredericksburg
Virginia Urology
Richmond
Washington
University of Washington Cancer Consortium
Seattle
Cancer Care Northwest
Spokane
Spokane Urology
Spokane
Northwest Medical Specialties
Tacoma
Wisconsin
ThedaCare
Appleton
Gunderson Health System
La Crosse
University of Wisconsin - Carbone Cancer Center
Madison
Other Locations
Puerto Rico
Pan Oncology Trials, LLC
San Juan
Republic of Korea
Inje University Haeundae Paik Hospital
Busan
Asan Medical Center
Seoul
Korea University Guro Hospital
Seoul
Samsung Medical Center
Seoul
Seoul National University Hospital
Seoul
Severance Hospital, Yonsei University Health System
Seoul
Time Frame
Start Date: 2022-02-15
Completion Date: 2025-12-31
Participants
Target number of participants: 120
Treatments
Experimental: Arm A: Pathogenic inactivating TSC1 alterations
Patients with pathogenic inactivating TSC1 alterations.
Experimental: Arm B: Pathogenic inactivating TSC2 alterations
Patients with pathogenic inactivating TSC2 alterations.
Sponsors
Leads: Aadi Bioscience, Inc.

This content was sourced from clinicaltrials.gov

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