This is a Phase I, multi-center, open-label study of ATG-017 administered orally, alone or in combination with nivolumab in patients with advanced solid tumors and hematological malignancies. The study is composed of two modules: ATG-017 monotherapy (Module A) and ATG-017 in combination with nivolumab (Module B). Both Modules A and B will include Dose Escalation Phase and Dose Expansion Phase.
The dose escalation of ATG 017 will be conducted with intensive safety monitoring to ensure the safety of the patients with solid tumors (Module A and Module B) and hematological malignancies (Module A) harbouring activating alterations in the RAS-MAPK pathway, and will include the continuous and intermittent dosing schedules. The Dose Expansion Phase will start based on dose level and schedule (continuous or intermittent)
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Dosing will begin at 5 mg QD ATG-017 as starting dose. A treatment cycle will be 21 days for continuous dosing and 28 days for 7 days on/7 days off intermittent dosing of ATG-017 treatment.
With the combination with nivolumab, a cycle of study treatment will be defined as 28 days. ATG-017 is planned initially to be continuously given 28 days in each cycle. ATG-017 dosing schedule in combination therapy will follow a similar dose escalation principle as with monotherapy but starting at 5 mg BID. Nivolumab will be specified dose on specified days.
Peter MacCallum Cancer Centre
East Melbourne, Victoria, Australia
Austin Hospital
Heidelberg, Victoria, Australia
Alfred Hospital
Melbourne, Victoria, Australia
Scientia Clinical Research
Randwick, Australia
AEs/SAEs
Toxicity will be graded according to the NCI CTCAE, Version 5.0.
Time frame: 18 months
Plasma concentrations
Venous blood samples for determination of total concentrations of ATG 017 in plasma to characterise the PK profile of ATG-017 for a particular dose level
Time frame: 18 months
Overall Response Rate (ORR)
To determine the overall response rate according to RECIST1.1, Chenson 2014, IWG 2003 and 2006
Time frame: 18 months
DOR
Duration of time from first occurrence of CR or PR until the first date that disease progression is objectively documented
Time frame: 18 months
Progression-Free Survival (PFS)
The time from the first dose date until disease progression or death from any cause
Time frame: 18 months
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Chris O'Brien Lifehouse
Sydney, Australia