Clinical trial

A Phase 1 Study to Investigate the Mass Balance of [14C]-Nanatinostat and to Evaluate the Relative Bioavailability of Nanatinostat in Patients With Selected Advanced Cancers

Name
VT3996-102
Description
This study will determine how nanatinostat is absorbed, modified, and removed from the body (Part A), the amount of nanatinostat that becomes available to the body (Part B), and will evaluate the safety and tolerability of nanatinostat (Part C) in patients with advanced cancers.
Trial arms
Trial start
2024-02-28
Estimated PCD
2025-02-01
Trial end
2025-10-01
Status
Recruiting
Phase
Early phase I
Treatment
[14C]-Nanatinostat
A single oral dose administered on Day 1 in a fasted state.
Arms:
Part A: [14C]-Nanatinostat
Nanatinostat (free base) tablets in combination with Valganciclovir
Treatment A: a single, oral dose of nanatinostat (free base) tablets (20 mg) in combination with valganciclovir (900 mg) under fed conditions.
Arms:
Part B (Treatment A): Nanatinostat (free base) tablets in combination with Valganciclovir
Nanatinostat mesylate tablets in combination with Valganciclovir
Treatment B: a single, oral dose of nanatinostat mesylate tablets (20 mg) in combination with valganciclovir (900 mg) under fed conditions.
Arms:
Part B (Treatment B): Nanatinostat mesylate tablets in combination with Valganciclovir
Single-agent Nanatinostat (free base) tablets
40 mg once daily under fed conditions until disease progression or unacceptable toxicity, whichever occurs first.
Arms:
Part C: Single-agent Nanatinostat (free base) tablets
Size
14
Primary endpoint
The amount of radioactivity in excreta [Part A]
8 weeks after the last discharge visit in Part A
Pharmacokinetic Parameter: area under the plasma concentration versus time curve (AUC) [Part B]
8 weeks after the last discharge visit in Part B
Pharmacokinetic Parameter: maximum plasma concentration (Cmax) [Part B]
8 weeks after the last discharge visit in Part B
Pharmacokinetic Parameter: time to maximum observed plasma concentration (Tmax) [Part B]
8 weeks after the last discharge visit in Part B
Pharmacokinetic Parameter: Fraction of the administered dose in comparison with a standard (Frel) [Part B]
8 weeks after the last discharge visit in Part B
Incidence of adverse events and serious adverse events [Part C]
28 days after the last dose of study treatment in Part C
Eligibility criteria
Key Inclusion Criteria: * Have histologically confirmed advanced stage cancers (excluding gastrointestinal tumors), have received standard therapies appropriate for their tumor type and stage with disease progression on or after the most recent treatment, and have no available treatment with curative intent. * Eastern Cooperative Oncology Group Performance Status of ≤2 at Screening. * Body mass index ≥18.5 but ≤30.0 kg/m2 at Screening. * Adequate bone marrow, liver, and kidney function. Key Exclusion Criteria: * Presence of active central nervous system and/or leptomeningeal disease. * Anticancer therapy including chemotherapy, radiotherapy, endocrine therapy, immunotherapy, or use of other investigational agents within 4 weeks before study entry. * Inability to take or tolerate oral medication. * Any gastrointestinal, liver, or kidney condition that may affect drug absorption and metabolism. * Active infection requiring systemic therapy. * Has received radiolabeled material \<12 months (excluding that required for imaging) prior to study entry.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'CROSSOVER', 'interventionModelDescription': 'This clinical trial is divided into 3 parts (Part A, Part B, and Part C).\n\nPatients may begin their study participation in Part A or Part B. Part B (for patients who participate in Part A) and Part C (for patients who participate in Part A and/or Part B) are optional for patients who meet certain conditions for crossover.\n\nIn Part A, patients will be given a single dose of radiolabeled nanatinostat by mouth on Day 1. Patients may stay in the hospital up to 8 days.\n\nIn Part B, patients will receive both nanatinostat in a salt form and a non-salt form, coadministered with valganciclovir in different order across 2 treatment days. Patients will be randomly assigned to either receive the salt or the non-salt form of nanatinostat first. Patients may stay in the hospital up to 4 days.\n\nPart C will allow patients to continue receiving nanatinostat treatment as long as they are deriving clinical benefit. This part will not require a hospital stay.', 'primaryPurpose': 'BASIC_SCIENCE', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 14, 'type': 'ESTIMATED'}}
Updated at
2024-03-29

1 organization

3 products

1 indication

Indication
Advanced Cancer