TP-1287 is an oral phosphate prodrug of the CDK9 inhibitor, alvocidib. This is a Phase 1, open-label, dose-escalation, dose-expansion, safety, pharmacokinetics, and pharmacodynamic study, with a purpose of determining the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of oral TP-1287 in patients with advanced metastatic or progressive solid tumors who are refractory to, or intolerant of, established therapy known to provide clinical benefit for their condition.
Primary Objective: * During Dose Escalation: To determine the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of oral TP-1287 in patients with advanced metastatic or progressive solid tumors who are refractory to, or intolerant of, established therapy known to provide clinical benefit for their condition. * During Dose Escalation: To establish the Recommended Phase 2 Dose (RP2D) for future studies with TP-1287 * During Dose Expansion: To evaluate the preliminary antitumor activity of TP-1287 in terms of objective response rate (ORR) when administered at the RP2D in patients with sarcoma subtypes (ie, EWS, DDLPS and SS) * During Dose Expansion: To evaluate the preliminary antitumor activity of TP-1287 in terms of clinical benefit rate (CBR) at week 16 when administered at the RP2D in patients with the defined sarcoma subtypes Secondary Objectives: * During Dose Escalation: To establish the pharmacokinetics of orally administered TP-1287 * During Dose Escalation: To observe patients for any evidence of antitumor activity of TP-1287 by objective radiographic assessment * During Dose Escalation: To study the pharmacodynamics of TP-1287 therapy * During Dose Expansion: To determine the median progression-free survival (PFS) rate in patients with sarcoma * During Dose Expansion: To evaluate the safety of TP-1287 when administered at the RP2D in patients with sarcoma
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
74
TP-1287 by oral administration
USC Norris Comprehensive Cancer Center
Los Angeles, California, United States
University of Miami Sylvester Comprehensive Cancer Center
Miami, Florida, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
US Oncology - Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, United States
Memorial Sloan Kettering
New York, New York, United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States
US Oncology - Greenville Health System
Greenville, South Carolina, United States
US Oncology - Texas Oncology - Tyler
Tyler, Texas, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, United States
During Dose Escalation: Incidence of dose-limiting toxicities (DLTs) and treatment emergent adverse events
A DLT is defined as a drug-related toxicity that is observed to occur within the first 28 days of treatment
Time frame: 21 days
During Dose Escalation: Determine maximum tolerated dose (MTD)
MTD will be determined based upon toxicity grades which are defined by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Time frame: 20 months
During Dose Expansion: Determine preliminary antitumor activity of TP-1287 in terms of objective response rate (ORR) when administered at the Recommended Phase 2 Dose (RP2D) in patients with sarcoma
Objective radiographic assessment to be performed to determine antitumor activity by modified RECIST criteria
Time frame: 20 months
During Dose Expansion: Determine preliminary antitumor activity of TP-1287 in terms of clinical benefit rate (CBR) at week 16 when administered at the RP2D in patients with sarcoma.
Clinical benefit rate assessment is to be performed for all patients with measureable disease at baseline by modified RECIST criteria, who achieve a CR, PR or SD and sustain the response for more than 16 weeks
Time frame: 16 weeks
During Dose Escalation: Recommended Phase 2 Dose of TP-1287
To establish the Recommended Phase 2 Dose (RP2D) for future studies with TP-1287, MTD data to be reviewed
Time frame: 23 months
During Dose Escalation: Determine antitumor activity of TP-1287
Objective radiographic assessment to be performed to determine antitumor activity by modified RECIST criteria
Time frame: 20 months
During Dose Expansion: Determine the median progression-free survival (PFS) rate in patients with sarcoma
Survival rate without progression
Time frame: 24 weeks
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