This is a multicenter, open-label, Phase 1/2, dose-escalation and dose expansion study of a CXCR4 inhibitor, USL311, alone and in combination with lomustine in subjects with advanced solid tumors (Phase 1) and subjects with relapsed/recurrent GBM (Phase 2). The study is designed to explore the safety, tolerability, pharmacokinetics, and preliminary efficacy of USL311 alone and in combination with lomustine.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
26
Washington University
St Louis, Missouri, United States
University of Oklahoma Stephenson Cancer Center
Oklahoma City, Oklahoma, United States
University of Texas/MD Anderson Cancer Center
Houston, Texas, United States
South Texas Accelerated Research Therapeutics (START)
San Antonio, Texas, United States
Phase 1: Maximum Tolerated Dose (MTD)
The MTD was defined as the highest safe dose (mg/m\^2) administered where safe is defined by having at least a 50% probability that the dose limiting toxicity (DLT) rate is less than 33%, as determined by a modified continuous reassessment model.
Time frame: Assessed weekly during treatment period. Median duration of exposure was 5.14 (range 2.1-17.3) weeks.
Phase 1: Maximum Tolerated Dose (MTD)
The MTD was defined as the highest safe dose (mg) administered where safe is defined by having at least a 50% probability that the dose limiting toxicity (DLT) rate is less than 33%, as determined by a modified continuous reassessment model.
Time frame: Assessed weekly during treatment period. Median duration of exposure was 6.00 (range 0.3-30.0) weeks.
Percentage Progression Free Survival (PFS) at 6 Months (PFS-6m)
Percentage of subjects who were without progression at 6 months as assessed radiographically with response to treatment determined by Response Evaluation Criteria in Solid Tumors (RECIST) or Response Assessment in Neuro-Oncology (RANO) criteria.
Time frame: Once every 6 weeks during treatment
Overall Survival (OS)
Percentage of subjects alive five years after start of treatment.
Time frame: Weekly during treatment or every 12 weeks during follow-up
Median Progression Free Survival (PFS)
Time after initiation of treatment before disease progression
Time frame: Every 6 weeks during treatment
Objective Response Rate (ORR%)
Percentage of patients whose disease decreased (Partial response) and/or disappears (Complete response) after initiation of treatment
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Administered once every 6 weeks in a 42-day cycle
UT Health San Antonio Cancer Center
San Antonio, Texas, United States
South Texas Accelerated Research Therapeutics (START) - FJD
Madrid, Spain
Time frame: Every 6 weeks
Peak Concentration (Cmax)
Peak USL311 concentration (Cmax) in plasma
Time frame: Day 1
Time to Peak Concentration (Tmax)
Time to peak concentration of USL311 in plasma
Time frame: Day 1
Area Under the Concentration Versus Time Curve (AUC)
Area under the curve versus time from time 0 to infinity for USL311 concentration in plasma
Time frame: Day 1