This is a first-in-human, phase I clinical research study with TT-00420, an investigational, oral, multi-target, dual mechanism kinase inhibitor targeting both mitosis and tumor micro-environment, for the treatment of triple negative breast cancer (TNBC) and other advanced solid tumors. The study consists of a dose escalation part followed by a MTD expansion part.
Dose Escalation Cohorts: Eligible adult patients with advanced solid tumors will be enrolled into Dose Escalation cohorts. Starting dose of TT-00420 mono-therapy will be 1 mg p.o., q.d. TT-00420 capsule will be administered once daily on a continuous schedule. A treatment cycle consists of 28 days. An ABLRM guided by the EWOC principle will evaluate the risk of under-dose or over-dose for the dose tested in each cohort and provide the recommendation dose for next cohort. Dose limiting toxicity (DLT) will be evaluated per the pre-defined DLT criteria and managed by the pre-defined rules detailed in the protocol. Maximum Tolerated Dose (MTD) and/or Dose Recommend for Dose Expansion (DRDE) will be determined in Dose Escalation cohorts. Dose Expansion Cohorts: TNBC Cohort: TNBC Dose-Expansion cohort will be opened to enroll the patients with advanced TNBC and evaluate the safety, PK and preliminary efficacy of TT-00420 to identify the optimal biological dose (OBD), when feasible, in patients with advanced TNBC. SAT Cohort: A parallel basket SAT Dose Expansion Cohort will be open to enroll patients with selected advanced tumors (SAT) to evaluate the safety, PK and preliminary efficacy of TT-00420 to identify the optimal biological dose (OBD), when feasible, in patients with SATs. Recruitment in dose expansion cohorts may be put on hold if any significant safety finding(s) that was not observed in dose escalation cohorts is identified. Bayesian modeling will be updated with the new findings to evaluate if the previously determined MTD or DRDE still suitable for further enrollment.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
TT-00420 is an investigational, oral, multi-target, dual mechanism kinase inhibitor targeting both mitosis and tumor microenvironment, for the treatment of triple negative breast cancer (TNBC) and other advanced solid tumors. TT-00420 capsule will be administered once daily on a continuous schedule. A treatment cycle consists of 28 days. The proposed dosage form for early clinical research is powder filled hard gelatin capsule (PIC) with dosage strengths as of 1 mg, 5 mg and 20 mg.
MD Anderson Cancer Center
Houston, Texas, United States
Cancer Hopital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
Maximum Tolerated Dose (MTD) and/or Dose Limiting Toxicity (DLT)
FIH Dose Finding
Time frame: At the end of Cycle 1 (each cycle is 28 days)
Dose Recommended for Dose Expansion (DRDE)
Dose Recommended for Dose Expansion
Time frame: At the end of Cycle 1 (each cycle is 28 days)
Optimal Biological Dose (OBD)
Dose Recommended for Dose Expansion
Time frame: At the end of Cycle 1 (each cycle is 28 days)
Number of Participants With Abnormal Laboratory Values
Safety and tolerability of TT-00420
Time frame: Up to 30 days from study discontinuation
Number of Participants With Adverse Events That Are Related to Treatment
Safety and tolerability of TT-00420
Time frame: Up to 30 days from study discontinuation
Peak Plasma Concentration (Cmax) of TT-00420
PK parameters of TT-00420
Time frame: through study completion, an average of 6 months
Time at which Cmax was first observed (Tmax) of TT-00420
PK parameters of TT-00420
Time frame: through study completion, an average of 6 months
Half-life (T1/2) of TT-00420
PK parameters of TT-00420
Time frame: through study completion, an average of 6 months
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Enrollment
48
Objective Response Rate (ORR)
ORR of TT-00420 in patients with TNBC or SAT treated in Dose Expansion cohorts
Time frame: through study completion, an average of 1 year
Disease Control Rate (DCR)
DCR of TT-00420 in patients with TNBC or SAT treated in Dose Expansion cohorts
Time frame: through study completion, an average of 1 year
Duration of Response (DOR)
DOR of TT-00420 in patients with TNBC or SAT treated in Dose Expansion cohorts
Time frame: through study completion, an average of 1 year
Progression Free Survival (PFS)
PFS of TT-00420 in patients with TNBC or SAT treated in Dose Expansion cohorts
Time frame: through study completion, an average of 1 year
Overall Survival (OS)
OS of TT-00420 in patients with TNBC or SAT treated in Dose Expansion cohorts
Time frame: through study completion, an average of 1 year