This clinical trial is a Phase 1-2, open-label, sequential-group, dose-escalation and cohort-expansion study evaluating the safety, pharmacokinetics (PK), pharmacodynamics, and antitumor activity of Zotatifin (eFT226) in subjects with selected advanced solid tumor malignancies.
Part 1 (Dose Escalation): Completed; Recommended Phase 2 Dose (RP2D) and Maximum Tolerated Dose (MTD) identified Part 1a (Dose Escalation) This cohort will enroll patients with an advanced breast cancer that is refractory or intolerant to SOC therapy. Part 1b (Dose Escalation) This cohort will enroll patients with an advanced breast cancer that is refractory or intolerant to SOC therapy. Part 2 (Expansion Cohort) provides defined expansion cohorts to further explore the safety, pharmacology, and clinical activity of eFT226 monotherapy and in various combinations in subjects with previously treated advanced solid tumor malignancies.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
eFT226 is a novel small-molecule, investigational drug being developed by eFFECTOR Therapeutics as an anticancer therapy. eFT226 is a potent and selective inhibitor of eIF4A1-mediated translation and selectively regulates the translation of a subset of mRNAs based on sequence specific recognition motifs in their 5'-UTR. eIF4A1 inhibition by eFT226 downregulates expression of receptor tyrosine kinases and KRAS, leading to decreased signaling through the PI3K/AKT and MAPK pathways. Preclinical efficacy testing of eFT226 demonstrates activity across models of solid tumor cancers with amplifications in HER2, FGFR1/2 and mutations in KRAS (including breast, NSCLC and CRC).
Recommended dosage: 960 mg orally once daily
500 mg administered intramuscularly on Days 1, 15, 29, and once monthly thereafter
University of Southern California
Los Angeles, California, United States
RECRUITINGValkyrie Clinical Trials
Los Angeles, California, United States
Parts 1a and 1b: MTD
determined by occurrence of first cycle DLTs within a 3+3 or 3+3+3 clinical trial design
Time frame: Through study completion, approximately 12 months
Parts 1a and 1b; incidence of AEs, serious adverse events (SAEs), and DLTs
according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE)
Time frame: Through study completion, approximately 12 months
Parts 1a and 1b: RP2D
determined by Incidence and type of DLTs
Time frame: Through study completion, approximately 12 months
Parts 1a and 1b: RP2D
determine by Incidence, type, and severity of AEs and SAEs graded as per NCI CTCAE
Time frame: Through study completion, approximately 12 months
Part 2: Objective Response Rate- Efficacy
defined as confirmed Complete Response (CR) or Partial Response (PR)
Time frame: Through study completion, approximately 12 months
Part 2: (Combination Cohorts) Determine MTD
determined by occurrence of first cycle Dose Limiting Toxicities (DLTs) within the study design
Time frame: Through study completion, approximately 12 months
Part 2: (Combination Cohorts) Incidence, type, and severity of AEs and SAEs
via adverse event monitoring
Time frame: Through study completion, approximately 12 months
Part 2: (Combination Cohorts) Determine RP2D
determined by incidence and type of DLTs, and incidence, type, and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
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Dose in combination with fulvestrant: 150 mg twice daily
600 mg every 3 weeks
Hoag Memorial Hospital Presbyterian
Newport Beach, California, United States
COMPLETEDStanford University
Palo Alto, California, United States
RECRUITINGSTART Midwest
Grand Rapids, Michigan, United States
RECRUITINGComprehensive Cancer Centers of Nevada
Las Vegas, Nevada, United States
COMPLETEDMemorial Sloan Kettering Cancer Center- Monmouth
Middletown, New Jersey, United States
RECRUITINGMemorial Sloan Kettering Cancer Center- Commack
Commack, New York, United States
RECRUITINGMemorial Sloan Kettering Cancer Center- Westchester
Harrison, New York, United States
RECRUITINGMemorial Sloan Kettering Cancer Center- David H. Koch Center for Cancer Care
New York, New York, United States
RECRUITING...and 4 more locations
Time frame: Through study completion, approximately 12 months
Part 2: Percent change in tumor dimensions of target lesions- Efficacy
calculated by the percentage change from baseline in the sum of the LD of target lesions
Time frame: Through study completion, approximately 12 months
Part 2: Time to Response (TTR)- Efficacy
defined as the interval from the start of study therapy to the first documentation of an objective response
Time frame: Through study completion, approximately 12 months
Part 2: Duration of Response (DOR)- Efficacy
defined as the interval from the first documentation of objective response to the earlier of the first documentation of disease progression or death from any cause
Time frame: Through study completion, approximately 12 months
Parts 1a and 1b: Objective response
determined by confirmed CR or PR
Time frame: Through study completion, approximately 12 months
Parts 1a and 1b: Percent change in tumor dimensions of target lesions
calculated by the percentage change from baseline in the sum of the LD of target lesions
Time frame: Through study completion, approximately 12 months
Parts 1a and 1b: TTR
defined as the interval from the start of study therapy to the first documentation of an objective response
Time frame: Through study completion, approximately 12 months
Parts 1a and 1b: DOR
defined as the interval from the first documentation of objective response to the earlier of the first documentation of disease progression or death from any cause
Time frame: Through study completion, approximately 12 months
Parts 1a and 1b: PFS
defined as the interval from the start of study therapy to the earlier of the first documentation of disease progression or death from any cause
Time frame: Through study completion, approximately 12 months
Part 2: (Monotherapy and Combination Cohorts) Incidence and severity of AEs, SAEs, and additional safety parameters
via adverse event monitoring
Time frame: Through study completion, approximately 12 months
Part 2: Progression Free Survival
defined as the interval from the start of study therapy to the earlier of the first documentation of disease progression or death from any cause
Time frame: Through study completion, approximately 12 months
Evaluate plasma Pharmacokinetic (PK) parameters of eFT226
including area under the plasma concentration-time curve
Time frame: Through study completion, approximately 12 months
Evaluate plasma Pharmacokinetic (PK) parameters of eFT226
including maximum concentration
Time frame: Through study completion, approximately 12 months
Evaluate plasma Pharmacokinetic (PK) parameters of eFT226
including terminal phase rate constant
Time frame: Through study completion, approximately 12 months
Evaluate plasma Pharmacokinetic (PK) parameters of eFT226
including estimated steady-state volume of distribution \[Vss\]
Time frame: Through study completion, approximately 12 months
Evaluate plasma Pharmacokinetic (PK) parameters of eFT226
including half-life (t½)
Time frame: Through study completion, approximately 12 months
Evaluate plasma Pharmacokinetic (PK) parameters of eFT226
including total body clearance
Time frame: Through study completion, approximately 12 months
Evaluate plasma Pharmacokinetic (PK) parameters of eFT226including terminal state volume of distribution
including terminal state volume of distribution
Time frame: Through study completion, approximately 12 months
Evaluate plasma Pharmacokinetic (PK) parameters of eFT226 including terminal phase rate constant
including terminal phase rate constant
Time frame: Through study completion, approximately 12 months