Part A of this study will investigate the Maximum Tolerated Dose of Debio 0932 in combination with standard of care chemotherapy for the first- and second-line treatment of advanced NSCLC.
Part A of this study will determine the Maximum Tolerated Dose of Debio 0932 in combination with cisplatin/pemetrexed and cisplatin/gemcitabine in treatment-naïve patients with Stage IIIb or IV NSCLC, and with docetaxel in previously treated patients with Stage IIIb or IV NSCLC. Escalating doses of Debio 0932 will be given to subsequent patients in combination with standard doses of these 3 background chemotherapies.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
82
Debio 0932 will be administered as daily oral tablets at a starting dose of 250 mg four times per day (QD).
Cisplatin 75 mg/m2 body surface area (BSA) will be administered on Day 1 of each 21-day treatment cycle.
Pemetrexed 500 mg/m2 BSA will be administered on Day 1 of each 21 day treatment cycle.
Centre GF Leclerc
Dijon, France
Centre Léon Bérard
Lyon, France
Institut de Cancérologie de l'Ouest- Institut René Gauduchau
Nantes, France
Institut Claudius Regaud
Toulouse, France
Occurrence of Dose Limiting Toxicities
Time frame: 6 weeks
Change in vital signs and Eastern Cooperative Oncology Group Performance Status (ECOG PS)
Time frame: Day 1 of each treatment cycle until disease progression or study drug toxicity
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Every treatment cycle until disease progression or study drug toxicity
Incidence of laboratory abnormalities
Time frame: 2 to 4 times every treatment cycle until disease progression or study drug toxicity
Incidence of treatment discontinuations due to AEs and SAEs
Time frame: Every treatment cycle until diseases progression or study drug toxicity
Change in left ventricular ejection fraction (LVEF)
Time frame: Baseline and after 4 weeks of treatment
Pharmacokinetic parameters of Debio 0932 and its metabolite Debio 0932-MET1
Time frame: 22 days
Pharmacokinetic parameters of cisplatin/pemetrexed, cisplatin/gemcitabine, and docetaxel
Time frame: 22 days
Best overall tumor response
Time frame: 22 days
Pharmacodynamic biomarkers
Time frame: 22 days
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Gemcitabine 1250 mg/m2 BSA will be administered on Days 1 and 8 of each 21-day treatment cycle.
Docetaxel 60 or 75 mg/m2 BSA will be administered on Day 1 of each 21-day treatment cycle.
Hospital Universitari Vall d'Hebron
Barcelona, Spain
Hospital Puerta de Hierro Majadahonda
Madrid, Spain
Hospital Universitario Virgen del Rocío
Seville, Spain
Freeman Hospital
Newcastle, United Kingdom
Pharmacogenomic, tumour pharmacogenetic, proteomic, and pharmacogenetic factors predictive of response to Debio 0932
Time frame: 7 days