This study is primarily designed to assess the safety and the tolerability of Debio1347 (CH5183284) in patients with advanced solid malignancies, whose tumours have an alteration of the Fibroblast Growth Factor Receptor (FGFR) 1, 2 or 3 genes, for whom standard treatment does not exist or is not indicated. The main objective of Part A is to identify the dose-limiting toxicities (DLTs) and estimate the maximum tolerated dose (MTD) based on the safety and tolerability of Debio1347 orally administered daily to these patients, in order to determine the recommended dose. The main objective of Part B is to evaluate the safety profile at the recommended dose, in a larger cohort of these patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
77
Debio1347 (CH5183284) tablets for oral administration
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Memorial Sloan-Kettering Hospital
New York, New York, United States
The University of Texas; MD Anderson Cancer Center
Houston, Texas, United States
National Cancer Center Singapore
Singapore, Singapore
Seoul National University Hospital
Seoul, South Korea
Vall d'Hebron University Hospital
Barcelona, Spain
Taipei Medical University Hospital
Taipei, Taiwan
Part A: Percentage of Participants With Dose-Limiting Toxicities (DLTs) From Debio 1347
Time frame: within approximately 18 months
Part B: Percentage of Participants With Treatment-Emergent Serious Adverse Events (SAEs)
Time frame: within 2 years of starting treatment
Part B: Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment
Time frame: within 2 years of starting treatment
Part B: Severity of Treatment-Emergent AEs
Categories: NCI-Common Terminology Criteria for Adverse Events (CTCAE) version 4 severity criteria
Time frame: within 2 years of starting treatment
Part B: Severity of Laboratory Abnormalities
Categories: NCI-Common Terminology Criteria for Adverse Events (CTCAE) version 4 severity criteria
Time frame: within 2 years of starting treatment
Part A: Percentage of Participants With Treatment-Emergent Serious Adverse Events (SAEs)
Time frame: within 2 years of starting treatment
Part A: Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment
Time frame: within 2 years of starting treatment
Part A: Severity of Treatment-Emergent AEs
Categories: NCI-CTCAE version 4 severity criteria
Time frame: within 2 years of starting treatment
Part A: Severity of Laboratory Abnormalities
Categories: NCI-CTCAE version 4 severity criteria
Time frame: within 2 years of starting treatment
Part A and Part B: Percentage of Participants With Treatment Discontinuations or Modifications due to AEs and Laboratory Abnormalities
Time frame: within 2 years of starting treatment
Part A and Part B: Number of Participants With Change From Baseline in Blood Pressure (BP)
Change in BP will be evaluation based on three criteria- "Change to Low" (decrease from pre-treatment \> 20 millimeter of mercury \[mmHg\]), "No change" (change from pre-treatment within ± 20 mmHg) and "Change to High" (increase from pre-treatment \> 20 mmHg).
Time frame: within 2 years of starting treatment
Part A and Part B: Number of Participants With Change From Baseline in Pulse Rate
Number of participants with change of more than 20 beats per minute from baseline will be reported.
Time frame: within 2 years of starting treatment
Part A and Part B: Number of Participants With Change From Baseline in Electrocardiogram (ECG) Parameters
ECG parameters will include PR, RR, QRS, QTcB and QTcF intervals.
Time frame: within 2 years of starting treatment
Part A and Part B: Change From Baseline in Left Ventricular Ejection Fraction (LVEF)
Time frame: within 2 years of starting treatment
Part A and Part B: Change From Baseline in Eastern Cooperative Oncology Group Performance Status (ECOG PS)
Time frame: within 2 years of starting treatment
Part A: Number of Participants With Tumour Response, According to Response Evaluation Criteria in Solid Tumours (RECIST) Version 1.1 Criteria
Includes: Best overall response, disease control, tumour size
Time frame: within 2 years of starting treatment
Part B: Number of Participants With Tumour Response, According to Response Evaluation Criteria in Solid Tumours (RECIST) Version 1.1 Citeria or Response Assessment in Neuro-Oncology (RANO) (for glioblastoma participants)
Includes: Best overall response, disease control, tumour size
Time frame: within 2 years of starting treatment
Part A and Part B: Progression-Free Survival Rate After Treatment Initiation
Categories: overall, 6 months, 1 year, 2 years
Time frame: within 2 years of starting treatment
Part A and Part B: Number of Participants With Changes in Ophthalmological Exams
Opthalmological exams includes visual acuity testing, slit-lamp ophthalmoscopy and indirect ophthalmoscopy.
Time frame: within 2 years of starting treatment
Part A: Area Under Concentration-Time Curve (AUC) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Concentration at the end of a Dosing Interval (Ctrough) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Maximum Observed Concentration (Cmax) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Time of Maximum Concentration (tmax) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Apparent Terminal Half-Life (t1/2) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Mean Residence Time (MRT) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Apparent Clearance (CL/F) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Apparent Volume of Distribution (Vz/F) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Accumulation Ratios (RAC) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Linearity Index (LI) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part A: Peak-to-Trough fluctuation (PTF) Following Single- and Repeated-Dose Administration of Debio 1347
Time frame: Day -9, Day -2, Day 28; Ctrough on Day 8, Day 15, Day 22 of Cycle 1, and on Day 1 of Cycle 2 and Cycle 3
Part B: Area Under Concentration-Time Curve (AUC), Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Concentration at the end of a Dosing Interval (Ctrough) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Maximum Observed Concentration (Cmax) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Time of Maximum Concentration (tmax) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Apparent Terminal Half-Life (t1/2) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Mean Residence Time (MRT) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Apparent clearance (CL/F) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Apparent Volume of Distribution (Vz/F) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Peak-to-Trough Fluctuation (PTF) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Renal Clearance (CLR) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Percentage of the Dose Excreted in Urine (Ae%) Following Repeated-Dose Administration of Debio 1347 in the PK Subset
Time frame: Day 28
Part B: Ctrough in all Participants
Time frame: Day 8, Day 15, Day 22 of Cycle 1, and Day 1 of Cycle 2 and Cycle 3
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.