Clinical trial

A Phase 1 Study of Oral Debio 0123 in Combination With Carboplatin in Patients With Advanced Solid Tumors

Aliases
Debio 0123-101
Name
Debio 0123-101
Description
This study has two parts: Dose Escalation and Dose Expansion. The primary objective of the study, in the Dose Escalation Part is to determine the recommended phase 2 dose (RP2D) of Debio 0123 when administered in combination with carboplatin in participants with advanced solid tumors that recurred or progressed after prior cisplatin or carboplatin containing therapy and for which no standard therapy of proven benefit is available. The primary objective of the study, in the Dose Expansion Part is to characterize the safety and tolerability of Debio 0123 when administered in combination with carboplatin at the RP2D determined during the dose escalation part of the study and to evaluate the preliminary antitumor activity of Debio 0123 when administered in combination with carboplatin.
Trial arms
Arm 1
Arm A
Sample size
38
Dosage information
30-720 mg
Dosage schedule
Debio 0123 monotherapy in cycle 1 (single dose on day -3; qd over days 1-3), with Carboplatin from cycle 2 (days 1-3 q21d)
Population
Recurring or progressing after platinum-based therapy, Median age 62 years, 82% female, Median 3 prior lines of systemic therapy
Arm 2
Arm B
Sample size
17
Dosage information
30-720 mg
Dosage schedule
Debio 0123 with Carboplatin on days 1-3 and 8-10, from cycle 1 to EOT
Population
Recurring or progressing after platinum-based therapy, Median age 62 years, 82% female, Median 3 prior lines of systemic therapy
Trial start
2019-07-30
Estimated PCD
2025-06-05
Trial end
2027-04-01
Status
Recruiting
Phase
Early phase I
Treatment
Debio 0123
Debio 0123 will be given as an oral capsule for 3 days during each 21-day cycle, except Cycle 1 which is of 24 days.
Arms:
Dose Escalation: Group A: Debio 0123
Carboplatin
Carboplatin will be given as an IV infusion in combination with Debio 0123 on Day 1 from Cycle 2 onwards in Group A.
Arms:
Dose Escalation: Group A: Debio 0123
Debio 0123
Debio 0123 will be given as an oral capsule for 3 or 6 days during each 21-day cycle.
Arms:
Dose Escalation: Group B: Debio 0123, Dose Expansion: Debio 0123
Carboplatin
Carboplatin will be given as an IV infusion in combination with Debio 0123 on Day 1 from Cycle 1 onwards.
Arms:
Dose Escalation: Group B: Debio 0123, Dose Expansion: Debio 0123
Size
115
Primary endpoint
Dose Escalation: Recommended Phase 2 Dose (RP2D) of Debio 0123 When Administered in Combination with Carboplatin
2 Cycles i.e., 45 days (Cycle 1 = 24 days; Cycle 2 onwards = 21 day-cycles)
Dose Expansion: Percentage of Participants with Treatment-Emergent Serious Adverse Events (SAEs)
Up to 46 months
Dose Expansion: Percentage of Participants with Treatment Discontinuations and Treatment Modifications Due to Adverse Events (AEs) and Laboratory Abnormalities
Up to 46 months
Dose Expansion: Overall Response Rate (ORR)
From the start of study treatment until disease progression/recurrence is documented or analysis cut-off, whichever occurs first (up to 46 months)
Eligibility criteria
Inclusion Criteria: Dose Escalation: * Histologically or cytologically confirmed locally advanced or metastatic solid and nonbleeding tumors that had recurred or progressed following standard therapy, has not responded to standard therapy or for which no standard therapy of proven benefit is available * Able and willing to undergo tumor biopsy * Prior platinum-based therapy (carboplatin or cisplatin). * Life expectancy of at least 3 months * ECOG PS 0-1 Dose Expansion: * Histologically or cytologically confirmed, recurrent solid tumors of selected types. * Participants must have progressed after at least 1 prior platinum-based line of therapy for advanced/metastatic disease. * Participants must be platinum resistant (defined as progression within 6 months of completion of their most recent platinum-based chemotherapy). Prior poly (ADP-ribose) polymerase (PARP) inhibitor therapy is allowed. Platinum-based therapy does not need to be the last treatment prior to study entry. * Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 * Documented progressive or recurrent disease according to RECIST 1.1 since the last anti-cancer therapy and prior to study entry * Able and willing to undergo tumor biopsy * ECOG PS 0-1 * Life expectancy of at least 3 months Exclusion Criteria: Dose Escalation and Dose Expansion: * History of other malignancies requiring active treatment in the last 6 months * Brain tumors and/or symptomatic brain metastases * Receiving other investigating agents * Presence of significant cardiovascular disease or other co-morbidities such as symptomatic ascites * Prior exposure to any WEE1 inhibitor
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 115, 'type': 'ESTIMATED'}}
Updated at
2024-05-29

1 organization

1 product

1 drug

1 abstract

1 indication

Organization
Debiopharm
Product
Debio 0123
Indication
Cancer
Drug
AN0025
Abstract
Debio 0123-101: A phase 1 trial of Debio 0123 in combination with carboplatin in advanced solid tumors—Safety, pharmacokinetic, and preliminary antitumor activity data.
Org: Leiden University Medical Center, Department of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) “Dino Amadori”, Meldola, Italy, Italy, University Medical Center Groningen, Radboud University Medical Center and Radboud Institute for Molecular Life Sciences, Vall d'Hebron Institute of Oncology,