To estimate the maximum tolerated dose (MTD) or recommended dose for phase II (RP2D) of CLR457 and to investigate the anti-tumor activity of CLR457
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
31
Massachusetts General Hospital SC-9
Boston, Massachusetts, United States
Memorial Sloan Kettering SC-4
New York, New York, United States
Tennessee Oncology SC
Nashville, Tennessee, United States
Novartis Investigative Site
Toronto, Ontario, Canada
Incidence of DLT
Time frame: First 28 days of dosing
Objective response rate (ORR) as per RECIST v1.1
Time frame: Baseline, every 8 weeks until discontinuation for an expected average of 4 months
Incidence of Adverse Events (AEs) and Serious Advers Events (SAEs)
Time frame: Continously throughout the study until 30 days after treatment discontinuation
Severity of AEs and SAEs and dose reductions and interruptions
Time frame: Continously throughout the study until 30 days after treatment discontinuation
Duration of response (DOR)
per RECIST v1.1
Time frame: Baseline, every 8 weeks until discontinuation for an expected average of 4 months
Progression free survival (PFS)
per RECIST v1.1
Time frame: Baseline, every 8 weeks until discontinuation for an expected average of 4 months
Best overall response (BOR)
per RECIST v1.1
Time frame: Baseline and every 8 weeks for an expected average of 4 months
Plasma concentration and Pharmacokinetics (PK) parameters of CLR457
Parameters including but not limited to Cmax, Cmin, AUCinf, AUCtlast, AUCtau and T1/2
Time frame: During phase I: Baseline; Cycle 1 (C1) Day 1 (D1), 2, 8, 15, 16 and 22; Cycle 2 Day 1, 2, from Cycle 3 to cycle 6 on Day 1 During Phase II: Baseline; Cycle 1 Day 1, 2, 8, 15, 16 and 22
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Novartis Investigative Site
Kashiwa, Chiba, Japan
Novartis Investigative Site
Singapore, Singapore
Novartis Investigative Site
Barcelona, Catalonia, Spain
Changes from baseline in glucose metabolism markers (fasting glucose and insulin)
Time frame: For Phase I and II C1D1, C1D2, C1D15, C1D16 and for Phase I only C2D1 and C2D2
Pre- and post- treatment immunohistochemistry of PI3K pathway molecules in newly obtained paired tumor samples
Time frame: Baseline, C2D1