The ATR (ataxia-telangiectasia and Rad3 related protein) inhibitor BAY1895344 is developed for the treatment of patients with advanced solid tumors and lymphomas. The purpose of the proposed trial is to evaluate the safety and tolerability of BAY1895344, and to identify the maximum tolerated dose of BAY1895344 that could be safely given to cancer patients. Further, the response of the cancer to the treatment will be determined.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
229
Solution or tablet, oral, to be administered until evidence of tumor progression, unacceptable toxicity, consent withdrawal, or withdrawal from the study at the discretion of the investigator.
The maximum tolerated dose (MTD) and / or recommended Phase II dose (RP2D) of BAY1895344
MTD and/or R2PD will be determined in Cycle 1 of Part A, Part A.1 and J-arm of Part A. The MTD is defined as the maximum dose at which the incidence of dose-limiting toxicities (DLTs) during Cycle 1 is below 30%, or the maximum dose tested, whichever is achieved first during dose-escalation.
Time frame: Up to 6 months, minimum: 1 cycle (= 21days)
Incidence of DLTs during Cycle 1 in dose-escalation cohorts during Part A of the study
Time frame: During Cycle 1, 1 cycle=21 days
Incidence of DLTs during Cycle 1 in dose-escalation cohorts during Part A.1 of the study
Time frame: During Cycle 1, 1 cycle=28 days
Incidence of DLTs during Cycle 1 in dose-escalation cohorts during J-arm of the study
Time frame: During Cycle 1, 1 cycle=21 days
The incidence of serious and nonserious treatment-emergent adverse events (TEAEs)
Time frame: After first administration of study drug up to 30 days after the last dose of study drug
Area under the plasma concentration of BAY1895344 vs. time curve from zero to 12 hours after single-dose (AUC[0-12]) and multiple-dose administrations (AUC[0-12]md) in Cycle 1
AUC(0-12) and AUC(0-12)md will be evaluated in Part A, A.1 and J-arm of Part A.
Time frame: Pre-dose and up to 12 hours post-dose at Day 1 of Cycle 1 and Day 10 (Part A and J-arm) or Day 17 (Part A.1) of Cycle 1
Maximum observed drug concentration in plasma of BAY1895344 after single-dose (Cmax) and multiple-dose administrations (Cmax,md) in Cycle 1
Cmax and Cmax,md will be evaluated in Part A, A.1 and J-arm of Part A.
Time frame: Pre-dose and up to 12 hours post-dose at Day 1 of Cycle 1 and Day 10 (Part A and J-arm) or Day 17 (Part A.1) of Cycle 1
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City of Hope National Medical Center
Duarte, California, United States
H. Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, United States
Emory University
Atlanta, Georgia, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
Weill Cornell Medical College
New York, New York, United States
Gabrail Cancer Center
Canton, Ohio, United States
University Hospitals Cleveland Medical Center
Cleveland, Ohio, United States
US Oncology / Eugene
Eugene, Oregon, United States
Jefferson Medical College
Philadelphia, Pennsylvania, United States
...and 19 more locations
Incidence of solid tumor responses (except CRPC) consistent with the RECIST 1.1 criteria
Responses include: CR (complete response), PR (partial response), SD (stable disease), PD (progressive disease). CRPC: castration resistant prostate cancer; RECIST: Response Evaluation Criteria in Solid Tumors
Time frame: Through study completion, an average of 4 months
Incidence of lymphoma responses consistent with the Lugano Classification
Responses include: CR (complete response), PR (partial response), SD (stable disease), PD (progressive disease).
Time frame: Through study completion, an average of 4 months
Incidence of CRPC tumor responses consistent with the recommendations of the PCWG3
Responses include: CR (complete response), PR (partial response), SD (stable disease), PD (progressive disease). PCWG3: Prostate Cancer Working Group 3
Time frame: Through study completion, an average of 4 months