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Trial Title: Study to Determine the Safety and Pharmacokinetics of DO-2 in Patients with Advanced or Refractory Solid Tumours

NCT ID: NCT05752552

Condition: Adult Solid Tumor
Advanced Solid Tumor
Refractory Tumor
Non-small Cell Lung Cancer
Non-small Cell Carcinoma
Lung Cancer
Hereditary Renal Papillary Cancer

Conditions: Official terms:
Neoplasms
Lung Neoplasms

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: DO-2
Description: Deuterated MET kinase inhibitor
Arm group label: Cohort 1 (starting dose)
Arm group label: Cohort 2 (dose level 2)
Arm group label: Cohort 3 (dose level 3)
Arm group label: Cohort 4 (dose level 4)
Arm group label: Cohort 5 (dose level 5)
Arm group label: Cohort 6 (dose level 6)
Arm group label: Cohort 7 (dose level 7)

Summary: This study is a first-in-human, open-label, 2-part, Phase 1 dose escalation study of DO-2, administered orally to patients with advanced or refractory solid tumours, with MET aberrations, and no available, approved therapeutic alternative.

Detailed description: In Part 1, a Simon Design 3 accelerated titration design will be followed. One patient will be enrolled per cohort, until grade 2 toxicity is observed. Three sequential patients per cohort will be enrolled thereafter, with a minimum of 1 week between first dose administration in the first patient and the subsequent ones, in those latter cohorts.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 18 years or older - histologically or cytologically confirmed advanced or refractory solid tumour and no longer eligible for approved, available standard therapies. Tumour types must have: 1. proven MET activating mutations, determined by previous next generation sequencing (NGS), whole exome sequencing (WES), whole transcriptome sequencing (WTS) or other genomic analysis methods, or 2. proven amplification (≥ 10 copies) on archived tumour tissue. or 3. Hereditary Renal Papillary Cancer - measurable disease in accordance with RECIST 1.1 - Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 - adequate bone marrow function, without the support of cytokines - adequate liver function - adequate renal function - agree to follow the contraception requirements of the trial - signed informed consent, indicating study patients understand the purpose of and procedures required for the study and are willing to participate in the study. Exclusion Criteria: - major surgery within 3 weeks before enrollment - chemotherapy (in the case of nitrosoureas and mitomycin C within 6 weeks), radiotherapy, immunotherapy, or any other study drug within 3 weeks before study drug administration - antibody based cancer therapy within 4 weeks before administration of the first dose of DO-2 - patients who became progressive on previous treatment with a MET-kinase inhibitor - patients with brain metastases are excluded unless all of the following criteria are met: 1. CNS lesions are asymptomatic and previously treated 2. No ongoing requirement for corticosteroids as therapy for CNS metastases 3. Imaging demonstrates stability of disease > 28 days from last treatment for CNS metastases - leptomeningeal involvement (leptomeningeal carcinomatosis) - history of uncontrolled heart disease including unstable angina, congestive heart failure, myocardial infarction within preceding 12 months, clinically significant rhythm or conduction abnormality, congenital long QT syndrome, obligate use of a cardiac pacemaker, QTc at screening greater than 450 milliseconds in males and greater than 470 milliseconds in females - uncontrolled arterial hypertension despite appropriate therapy - positive pregnancy test (urinary beta-hCG) at screening (applicable to women of child-bearing potential who are sexually active) - mental status alteration or history of major psychiatric illness, which may potentially impair patient's compliance with study procedures - signs and symptoms of active infection requiring systemic therapy - other medical condition (e.g. pre-existing kidney dysfunction) that in the opinion of the investigator makes it undesirable for a patient to participate

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Institut Roi Albert II - UC Louvain

Address:
City: Bruxelles
Country: Belgium

Status: Recruiting

Contact:
Last name: Jean-Pascal Machiels, Prof.

Phone: +3227645457
Email: jean-pascal.machiels@saintluc.uclouvain.be

Contact backup:
Email: rachel.galot@saintluc.uclouvain.be

Contact backup:
Last name: Rachel Galot, Dr

Facility:
Name: UZA

Address:
City: Edegem
Country: Belgium

Status: Recruiting

Contact:
Last name: Hans Prenen, Prof

Phone: +3238213646
Email: Hans.Prenen@uza.be

Facility:
Name: Universitair Ziekenhuis Gent

Address:
City: Gent
Zip: 9000
Country: Belgium

Status: Recruiting

Contact:
Last name: Sylvie Rottey, Prof. MD.

Facility:
Name: Centre Georges-François Leclerc - CHU Dijon

Address:
City: Dijon
Country: France

Status: Recruiting

Contact:
Last name: François Ghiringhelli, Prof. MD

Facility:
Name: Institut Cœur Poumon - CHU Lille

Address:
City: Lille
Country: France

Status: Recruiting

Contact:
Last name: Alexis Cortot, Prof. MD

Facility:
Name: Centre Léon Bérard

Address:
City: Lyon
Country: France

Status: Recruiting

Contact:
Last name: Aurélie Swalduz, MD

Facility:
Name: Radboud UMC

Address:
City: Nijmegen
Country: Netherlands

Status: Recruiting

Contact:
Last name: Carla Van Herpen, Prof. MD

Facility:
Name: Erasmus Medical Centre

Address:
City: Rotterdam
Country: Netherlands

Status: Recruiting

Contact:
Last name: Debbie Robbrecht, Dr
Email: d.robbrecht@erasmusmc.nl

Contact backup:

Phone: +31107041733

Start date: December 20, 2022

Completion date: December 2026

Lead sponsor:
Agency: DeuterOncology
Agency class: Industry

Source: DeuterOncology

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05752552
https://www.deuteroncology.com/

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