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Trial Title: A Study to Assess IPN01194 When Administered Alone in Adults With Advanced Solid Tumours

NCT ID: NCT06305247

Condition: Melanoma
Head and Neck Squamous Cell Carcinoma
Pancreatic Ductal Adenocarcinoma
Colorectal Cancer
Solid Tumor

Conditions: Official terms:
Squamous Cell Carcinoma of Head and Neck

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Sequential Assignment

Intervention model description: Phase I is a dose escalation with backfill in participants with selected MAPKm advanced solid tumours. Phase IIa (cohort expansion) is an open label randomised study.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: IPN01194
Description: IPN01194 will be taken orally over a period of 28 days (a "Cycle") at the assigned dose level. The dose limiting toxicity (DLT) observation period consists of the first 28 days of treatment with IPN01194 (Cycle 1). Participants will receive IPN01194 treatment beyond Cycle 1 until treatment is precluded by toxicity, disease progression, or upon participant's request or investigator decision.
Arm group label: Phase I (Dose Escalation with Backfilling)

Intervention type: Drug
Intervention name: IPN01194
Description: All participants will receive IPN01194 orally for 28-day cycles at one of the two dose levels determined at the end of Phase I. Participants will receive IPN01194 treatment until treatment is precluded by toxicity, disease progression, or upon participant's request or investigator decision
Arm group label: Phase IIa (Cohort Expansion)

Summary: The purpose of this study is to determine the appropriate dosage, safety and effectiveness of the study drug, IPN01194 in adults with advanced solid tumours. The participants in this study will have advanced solid tumours. 'Advanced solid tumours' refers to cancers that can occur in several places, including cancers in organs or tissues that have spread from their original site to nearby tissues or other parts of the body. In this study, all participants will receive the study drug, which will be taken by mouth (orally).

Detailed description: The study consists of two parts, called Phase I and Phase IIa. Phase I is designed to assess the safety of increasing doses of IPN01194 in participants with specific types of advanced solid tumours. The aim of this "dose escalation" phase is to find the dose range showing activity on the tumor that can be tolerated by the participants, and to determine the two doses for further testing in Phase IIa. Phase I will assess how the body processes and responds to the study drug when administered with and without food. In Phase IIa, participants with selected single tumour type will be invited to take part. During this phase, the two dose levels of the study drug identified from Phase I will be tested. Participants will take the study drug one of the two dose levels. Each participant will be assigned to a dose level at random (by chance). Each phase will consist of three periods: 1. A period to assess eligibility (screening period) that will take up to 28 days. 2. A treatment period of at least 28 days that will require at least two visits for the first month followed by one visit every month. There will be also one visit, at the end of treatment, at least 30 days after the last administration of study drug. 3. A follow-up period (Phase IIa participants only), where every 3 months, participants will be contacted by phone, until death or the study cut-off date, whichever comes first. Participants will undergo blood samplings, urine collections, physical examinations, and clinical evaluations. They may continue some other medications, but the details need to be recorded. If in the opinion of the investigator a participant is continuing to experience clinical benefit after the cut-off date, the participant may remain in the study and continue to receive the study drug until either disease progression, unacceptable toxicity or other withdrawal criteria are met.

Criteria for eligibility:
Criteria:
Inclusion Criteria : - Participants must be ≥18 years of age - Participants with histologically confirmed metastatic solid tumour (melanoma, metastatic colorectal cancer (CRC), pancreatic ductal adenocarcinoma (PDAC) or head and neck squamous cell carcinoma (HNSCC)) for whom no suitable alternative standard therapy exists. - Participants must bear tumours harbouring selected classes of genetic mutations, (MAPKm). - Participants must have measurable disease per Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1 - Eastern Cooperative Oncology Group (ECOG)/performance status (PS) of 0 or 1. - Participants must consent to the use of archival tumour tissue or, if not available, collection of fresh tumour biopsy at screening - Male and female participants Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical trials. Exclusion Criteria - Gastrointestinal conditions that could impair absorption of IPN01194 or inability to swallow oral medications. - Any evidence of severe active infection or inflammatory condition. - Non-adequate cardiac function - Have one or more of study defined ophthalmological findings/conditions - Known psychiatric or substance abuse disorder, or any other cognitive disorder per the opinion of the investigator that would interfere with the participant's ability to cooperate with the requirements of the study. - Underlying medical conditions that, in the investigator's or sponsor's opinion, will obscure the interpretation of toxicity determination or AEs. - Known second malignancy within the last 2 years prior to first dose of study intervention.. - Major surgery within 28 days prior to first dose of study intervention. - Ongoing AEs caused by any prior anti-cancer therapy ≥Grade 2 (National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0). - Active brain metastases or leptomeningeal metastases - Current enrolment or past participation in any other clinical trial involving an investigational study treatment within the last 28 days. - Live vaccine(s) within 28 days prior to first dose of study intervention - Concurrent treatment with any other anti-cancer therapy (including radiotherapy or investigational agents). - Treatment with medications that prolong the QT/QTc interval. - Treatment with strong and moderate CYP3A4 inducers - Treatment with strong or moderate inhibitors of CYP3A4 - Only for Phase I participants assigned to dose escalation and low-dose backfill participants: treatment with proton pump inhibitors within 14 days prior to first dose of study intervention. - Non-adequate bone marrow function - Non-adequate renal function - Non-adequate hepatic function - Non adequate coagulation function. - Known uncontrolled human immunodeficiency virus (HIV) infection or hepatitis B or C - Sensitivity to IPN01194 or any of its components.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: The Angeles Clinic and Research Institute - California

Address:
City: Los Angeles
Zip: 90025
Country: United States

Status: Not yet recruiting

Facility:
Name: UC San Diego Health System - La Jolla

Address:
City: San Diego
Zip: 92037
Country: United States

Status: Not yet recruiting

Facility:
Name: Yale Cancer Center - New Heaven

Address:
City: New Haven
Zip: 06510
Country: United States

Status: Not yet recruiting

Facility:
Name: Sarah Cannon Research Institute (SCRI) - Nashville

Address:
City: Nashville
Zip: 37203
Country: United States

Status: Recruiting

Facility:
Name: Virginia Cancer Specialist

Address:
City: Fairfax
Zip: 22031
Country: United States

Status: Recruiting

Facility:
Name: Centre Léon Bérard - Lyon

Address:
City: Lyon
Country: France

Status: Not yet recruiting

Facility:
Name: Paris Saint-Louis

Address:
City: Paris
Country: France

Status: Recruiting

Facility:
Name: Institut de Cancerologie de l'Ouest (St-Herblain)

Address:
City: Saint-Herblain
Country: France

Status: Not yet recruiting

Facility:
Name: IGR-Villejuif

Address:
City: Villejuif
Country: France

Status: Not yet recruiting

Facility:
Name: Barcelona - Val D'Hebron

Address:
City: Barcelona
Country: Spain

Status: Not yet recruiting

Facility:
Name: Fundacion Jimenez Diaz - Madrid

Address:
City: Madrid
Country: Spain

Status: Recruiting

Facility:
Name: M.D. Anderson Cancer Center Madrid

Address:
City: Madrid
Country: Spain

Status: Recruiting

Start date: April 3, 2024

Completion date: March 20, 2028

Lead sponsor:
Agency: Ipsen
Agency class: Industry

Source: Ipsen

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06305247

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