The purpose of this study is to assess the safety and tolerability of ASP8273 and to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D). This study will also determine the pharmacokinetics (PK) of ASP8273, evaluate the potential inhibition of CYP3A4 by ASP8273 and the antitumor activity of ASP8273 as well as determine the effect of food on the bioavailability of ASP8273.
This study is composed of 2 parts: part 1 is the dose escalation phase and part 2 is the recommended Phase 2 dose (RP2D) phase, Food Effect (FE) cohort and Exon 20 cohort.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
133
oral
oral
Site US10010
Washington D.C., District of Columbia, United States
Site US10006
Baltimore, Maryland, United States
Site US10012
Boston, Massachusetts, United States
Site US10001
Boston, Massachusetts, United States
Site US10011
Boston, Massachusetts, United States
Site US10008
New York, New York, United States
Site US10004
Chapel Hill, North Carolina, United States
Site US10005
Cleveland, Ohio, United States
Site US10009
Philadelphia, Pennsylvania, United States
Site US10002
Nashville, Tennessee, United States
...and 2 more locations
Safety and tolerability as assessed by Dose Limiting Toxicities (DLTs)
A DLT is defined as any pre-determined toxicity that is related to study drug per the investigator and which occurs during Cycle 0 and Cycle 1 using NCI CTCAE v4.03.
Time frame: up to 18 months
Safety and tolerability as assessed by adverse events (AEs)
An AE is defined as any untoward medical occurrence in a subject administered a study drug or has undergone study procedures and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Time frame: up to 18 months
Safety and tolerability as assessed by laboratory tests
Laboratory tests to be conducted are hematology, biochemistry, urinalysis, coagulation profile, lipid panel and lymphocyte subpopulation.
Time frame: up to 18 months
Safety and tolerability as assessed by vital signs
Vital signs to be measured includes blood pressure, pulse rate and temperature.
Time frame: up to 18 months
Safety and tolerability as assessed by 12-lead electrocardiograms (ECGs)
Time frame: up to 18 months
Composite of pharmacokinetics of ASP8273 concentration and its metabolites (plasma): Cmax, tmax, AUClast, AUCinf, t1/2, CL/F, and Vz/F
Maximum concentration (Cmax), the time after dosing when Cmax occurs (tmax), area under the concentration - time curve from time 0 up to the last quantifiable concentration (AUClast), area under the concentration - time curve from time 0 extrapolated to infinity (AUCinf), apparent terminal elimination half-life (t1/2), apparent oral systemic clearance (CL/F), Apparent volume of distribution (Vz/F)
Time frame: Cycle 0: Dose Escalation Days 1-2, FE Days 1-6; Cycle 1: Dose Escalation/Response Expansion/RP2D/FE Days 1,8,15, RP2D Day 21, Exon 20 Days 8,15; Cycle 2 & 3: Dose Escalation/Response Expansion/RP2D Days 1,2, FE Day 1; Exon 20 days 1, 2 & Cycle 3
Composite of pharmacokinetics of midazolam concentration and its metabolites (plasma): Cmax, tmax, AUClast, AUCinf, t1/2, CL/F, and Vz/F
Time frame: Day -1 and Day 1 of cycle 1; Day 1 and Day 2 of cycle 2
Best overall response rate
Defined as proportion of subjects whose best overall response is Complete Response (CR) or Partial Response (PR) among all analyzed subjects.
Time frame: Up to 18 months
Disease control rate
Defined as the proportion of subjects whose best overall response is rated as CR, PR or Stable Disease (SD) among all analyzed subjects.
Time frame: Up to 18 months
Progression free survival
Defined as the time from the start of the study treatment until death from any cause or radiographic disease progression assessed according to RECIST 1.1, whichever occurs first.
Time frame: Up to 18 months
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