This study is an open-label, multi-center, dose-escalation, dose-finding and expansion study in adult subjects with advanced solid tumors for whom no standard therapy is available. The study will evaluate the safety, tolerability, PK, PD, and preliminary anti-tumor efficacy of SM08502 administered orally, once daily, following a 28-day treatment cycle (Part 1A). Alternative dosing schedules will be explored in Part 1B and the recommended Part 2 dose and schedule will be further evaluated in Part 2. Subjects will participate in a screening period of up to 14 days. Dosing in 28-day cycles will continue within each subject, unless treatment is discontinued due to toxicity, disease progression, initiation of a new anti-neoplastic therapy, withdrawal of consent, the Sponsor terminates the study, or the subject no longer meets retreatment criteria. Approximately 10 subjects enrolled in Part 2, irrespective of the tumor type, will be included in a food effect substudy to assess the preliminary effect of a high-fat, high-calorie meal on the PK of SM08502. Subjects participating in the food effect substudy will continue on study and complete assessments as per the Part 2 schedule and receive SM08502 at the recommended Part 2 dose (or another previously assessed dose level and schedule).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
82
SM08502 tablets to be administered orally.
Honor Health Research Institute
Scottsdale, Arizona, United States
University of Arizona Cancer Center
Tucson, Arizona, United States
City of Hope Medical Center
Duarte, California, United States
UC Davis - Comprehensive Cancer Center
Sacramento, California, United States
Sarah Cannon Research Institute at HealthONE
Denver, Colorado, United States
Florida Cancer Specialists
Sarasota, Florida, United States
Northside Hospital
Atlanta, Georgia, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
START Midwest
Grand Rapids, Michigan, United States
Washington University School of Medicine
St Louis, Missouri, United States
...and 9 more locations
Part 1A, Part 1B: Maximum tolerated dose (MTD) of SM08502 based on the frequency and severity of dose-limiting toxicities (DLTs)
Time frame: DLT period of 28 days per dose level
Part 1A, Part 1B and Part 2: Number of participants with treatment-emergent adverse events (TEAEs) as assessed by CTCAE v5.0
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameters: blood urea nitrogen [BUN], creatinine, glucose, potassium, sodium, calcium (micromoles per liter)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameters: aspartate aminotransferase [AST], alanine aminotransferase (ALT), alkaline phosphatase [ALP] (international units per liter)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameters: albumin (grams per day)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameters: chloride, bicarbonate (millimoles per liter)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameter: lactic acid dehydrogenase [LDH] (units per liter)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in hematology parameter: hemoglobin [Hb] (grams per liter)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in hematology parameter: hematocrit (proportion of red blood cells in blood)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in hematology parameter: red blood cells [RBC] count (trillion cells per liter)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in hematology parameters: neutrophils, lymphocytes, monocytes, eosinophils, basophils, platelet count (cells/microliter)
Time frame: Approximately 5 years
Part 1A: Change from baseline in prothrombin time [PT] (seconds)
Time frame: Approximately 5 years
Part 1A: Change from baseline in partial thromboplastin time [PTT] (seconds)
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: clarity
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: specific gravity (ratio)
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: urine pH
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: protein
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: glucose (millimole per liter)
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: ketones (millimoles per liter)
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: occult blood (10^9 cells per liter)
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: nitrite
Time frame: Approximately 5 years
Part 1A: Change from baseline in urinalysis parameter: leukocytes (counts per high power field)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in body temperature (degrees celsius)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in pulse rate (beats per minute)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in respiratory rate (breaths per minute)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in blood pressure (systolic and diastolic) (millimeters of mercury)
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Change from baseline in electrocardiogram (ECG) parameters: PR interval, QRS interval, QT interval, QTcF (milliseconds)
Time frame: Approximately 5 years
Part 1A and Part 1B: Cmax of SM08502 and its metabolite (SM08955) following single dose administration of SM08502
Time frame: Approximately 5 years
Part 1A and Part 1B: tmax of SM08502 and SM08955 following single dose administration of SM08502
Time frame: Approximately 5 years
Part 1A and Part 1B: AUC0-24 of SM08502 and SM08955 following single dose administration of SM08502
Time frame: Approximately 5 years
Part 1A and Part 1B: AUClast of SM08502 and SM08955 following single dose administration of SM08502
Time frame: Approximately 5 years
Part 1A and Part 1B: Cmax,ss of SM08502 and SM08955 following repeat dose administration of SM08502
Time frame: Approximately 5 years
Part 1A and Part 1B: Cmin,ss of SM08502 and SM08955 following repeat dose administration of SM08502
Time frame: Approximately 5 years
Part 1A and Part 1B: tmax,ss of SM08502 and SM08955 following repeat dose administration of SM08502
Time frame: Approximately 5 years
Part 1A and Part 1B: AUC0-24,ss of SM08502 and SM08955 following repeat dose administration of SM08502
Time frame: Approximately 5 years
Part 2: Tumor response as measured by RECIST 1.1 (Response Evaluation Criteria In Solid Tumors) or PCWG3 (Prostate Cancer Working Group 3) criteria where appropriate
Time frame: Approximately 5 years
Part 1A and Part 1B: Tumor response as measured by RECIST 1.1 or PCWG3 criteria where appropriate
Time frame: Approximately 5 years
Part 1A, Part 1B and Part 2: Gene expression profile of RNA isolated from whole blood
Time frame: Approximately 5 years
Part 2: Cmax of SM08502 and SM08955 following single dose administration of SM08502
Time frame: Approximately 5 years
Part 2: tmax of SM08502 and SM08955 following single dose administration of SM08502
Time frame: Approximately 5 years
Part 2: AUC0-24 of SM08502 and SM08955 following single dose administration of SM08502
Time frame: Approximately 5 years
Part 2: AUClast of SM08502 and SM08955 following single dose administration of SM08502
Time frame: Approximately 5 years
Part 2: Cmax,ss of SM08502 and SM08955 following repeat dose administration of SM08502
Time frame: Approximately 5 years
Part 2: Cmin,ss of SM08502 and SM08955 following repeat dose administration of SM08502
Time frame: Approximately 5 years
Part 2: tmax,ss of SM08502 and SM08955 following repeat dose administration of SM08502
Time frame: Approximately 5 years
Part 2: AUC0-24,ss of SM08502 and SM08955 following repeat dose administration of SM08502
Time frame: Approximately 5 years
Part 2: Gene expression and splicing alterations in post-treatment compared to pre-treatment tumor specimens
Time frame: Approximately 5 years
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Part 2 Food Effect substudy: Cmax of SM08502 and SM08955 following single dose administration of SM08502 in fed and fasted states.
Time frame: Approximately 5 years
Part 2 Food effect substudy: tmax of SM08502 and SM08955 following single dose administration of SM08502 in fed and fasted states.
Time frame: Approximately 5 years
Part 2: AUC0-24 of SM08502 and SM08955 following single dose administration of SM08502 in fed and fasted states.
Time frame: Approximately 5 years