This is an open label, multicenter, phase 1/1b study to assess safety/tolerability and preliminary clinical activity of E7766 as a single agent administered intravesically in participants with NMIBC. Both intermediate risk and BCG-unresponsive NMIBC participants will be included.
The Phase 1/1b study consist of two parts: Dose Escalation and Dose Expansion. In the Dose Escalation Part, E7766 will be administered intravesically to participants with intermediate risk NMIBC or participants with BCG unresponsive NMIBC with increased dose levels to assess safety/tolerability profile of E7766 and to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of E7766. In the Dose Expansion Part, E7766 at RP2D will be administered to participants with NMIBC with or without carcinoma in situ (CIS) to confirm safety and assess preliminary clinical activity of E7766 as a single agent. Clinical activity will be evaluated by complete response (CR) rates at 3 months, 6 months, 12 months, 18 months, 24 months, and by duration of complete response (DOCR) in all participants who have achieved CR on treatment with E7766.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
E7766, solution, intravesically.
Banner MD Anderson Cancer Center
Gilbert, Arizona, United States
University of Southern California
Los Angeles, California, United States
UCLA
Santa Monica, California, United States
Mayo Clinic Jacksonville
Jacksonville, Florida, United States
Dose Escalation Part: Number of Participants with Dose-limiting Toxicities (DLTs)
DLTs are any of the toxicities occurring during the 6 weeks of the Induction Cycle and assessed by the investigator as related to study drug. Toxicity will be evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI CTCAE v.5.0).
Time frame: Baseline up to 6 weeks of the Induction Cycle (Cycle length is equal to [=] 6 weeks)
Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Baseline up to 30 days after the last dose of study drug (approximately 42 months)
Dose Expansion Part: Complete Response Rate (CRR) at 3 Months
Time frame: Up to 3 months
Dose Expansion Part: CRR at 6 Months
Time frame: Up to 6 months
Dose Expansion Part: CRR at 12 Months
Time frame: Up to 12 months
Dose Expansion Part: CRR at 18 Months
Time frame: Up to 18 months
Dose Expansion Part: CRR at 24 Months
Time frame: Up to 24 months
Dose Escalation Part: CRR at 3, 6, 12, 18 and 24 Months
Time frame: At Months 3, 6, 12, 18, and 24
DOCR
Time frame: From the date of first documented CR until the first documentation of confirmed disease recurrence (approximately 42 months)
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Indiana University
Indianapolis, Indiana, United States
Washington University
St Louis, Missouri, United States
The Mount Sinai Hospital
New York, New York, United States
Cleveland Clinic
Cleveland, Ohio, United States
Ohio State University
Columbus, Ohio, United States
Local Recurrence Free Rates
Time frame: At Months 6, 12, 18, and 24
Cmax: Maximum Observed Plasma Concentration for E7766
Time frame: Dose Escalation: Induction Phase: Day 1: 0-24 hour post dose; Day 15: 0-8 hour post dose; Maintenance Phase: Cycle 1: Day :0- 8 hours post dose; Dose Expansion: Induction Phase: Day 1, Day 15: 0-8 hour post dose (Cycle length is 3 weeks)
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for E7766
Time frame: Dose Escalation: Induction Phase: Day 1: 0-24 hour post dose; Day 15: 0-8 hour post dose; Maintenance Phase: Cycle 1: Day :0- 8 hours post dose; Dose Expansion: Induction Phase: Day 1, Day 15: 0-8 hour post dose (Cycle length is 3 weeks)
AUC: Area Under the Plasma Concentration Versus Time Curve for E7766
Time frame: Dose Escalation: Induction Phase: Day 1: 0-24 hour post dose; Day 15: 0-8 hour post dose; Maintenance Phase: Cycle 1: Day :0- 8 hours post dose; Dose Expansion: Induction Phase: Day 1, Day 15: 0-8 hour post dose (Cycle length is 3 weeks)