The primary objective of this study is to determine the maximum tolerated dose (MTD) of KX2-391 in Combination with paclitaxel in Phase I, and to evaluate the efficacy of KX2-391 in combination with paclitaxel in patients who are diagnosed as gastric and breast cancer, respectively in Phase II.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
60
A treatment cycle in phase I will consist of 28 days, according to the following schedule: KX2-391 20 mg PO once daily, Weekly paclitaxel 80 mg/m2 given intravenously over 1 hour on day 1, 8, and 15 of a 28 day cycle. The trial will initially test the combination of weekly paclitaxel and KX2-391 given PO, once daily , continuously. In case of 2 dose-limiting toxicities (DLT) in the first cohort, this intervention will be terminated A treatment cycle in phase II will consist of 28 days, according to the following schedule: KX2-391 MTD PO once daily, Weekly paclitaxel 80 mg/m2 given intravenously over 1 hour on day 1, 8, and 15 of a 28 day cycle.
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
RECRUITINGSeoul National University Hospital
Seoul, Seoul, South Korea
RECRUITINGDose-limiting Toxicities (DLTs) in Phase I Portion
Maximum tolerated dose (MTD) of KX2-391 in combination with weekly paclitaxel as determined by number of participants With DLTs related to KX2-391 in combination with weekly paclitaxel
Time frame: From start of the treatment to end of cycle 1, which are 4 weeks
Tumor Overall Response Rates (ORRs) in Phase II Portion
The efficacy (overall response rate; ORR; complete response (CR) + partial response (PR)) of KX2-391 in combination with weekly paclitaxel at the MTD established during the phase I portion of this trial based on Response Evaluation Criteria in Solid Tumor (RECIST) 1.1
Time frame: In every 2 cycles up to end of the treatment, an expected average of 16 weeks
Pharmacokinetic (PK) Evaluation in Phase I Portion
PK parameters, including but not limited to, plasma concentration, AUC (Area Under Curve) 0-t, Cmax, Tmax, and T1/2 of KX2-391 alone and in combination with weekly paclitaxel
Time frame: Time points at day 0, 1 and 8 in cycle 1
The Preliminary Efficacy Data in Phase I Portion
The preliminary efficacy of KX2-391 in combination with weekly paclitaxel as determined by ORRs based on RECIST 1.1
Time frame: In every 2 cycles up to end of the treatment, an expected average of 8 weeks
Safety in Phase II Portion
Adverse events and their frequency, duration and severity, physical examination, laboratory parameters, vital signs and ECG change monitoring as determined based on CTCAE (Common Toxicity Criteria for Adverse Effects) 4.03
Time frame: From start of the treatment to end of the treatment, an expected average of 16 weeks
The Efficacy Data in Phase II Portion
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Overall survival (OS), progression free survival (PFS), time to tumor progression (TTP) and duration of response
Time frame: Up to die, an expected average of 24 weeks
Pharmacokinetic (PK) Evaluation in Phase II Portion
PK parameters, including but not limited to, plasma concentration, AUC0-t, Cmax, Tmax, and T1/2 of KX2-391 alone and in combination with weekly paclitaxel
Time frame: Time points at day 1 and 8 in cycle 1