This study is an open-label, multi-center, dose-escalation, dose expansion study in adult subjects with advanced solid tumors. The study will evaluate the safety, tolerability, PK, and preliminary anti-tumor efficacy of SM08502 administered orally (PO), once daily (QD), following a 5 days on 2 days off treatment schedule in combination with chemotherapy or hormonal therapy. Alternative dosing schedules may be explored in Part 1 if necessary. The recommended Part 2 dose and schedule for each combination will then be further evaluated in the Part 2 expansion. Dosing will occur in 21- or 28-day cycles (depending on the combination partner) and treatment with SM08502 will continue within each subject unless treatment is discontinued due to toxicity, disease progression, initiation of a new anti-neoplastic therapy, withdrawal of consent, the Sponsor terminates the study, or the subject no longer meets retreatment criteria.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
SM08502 to be administered orally.
Abiraterone to be administered orally.
Prednisone to be administered orally.
Docetaxel to be administered intravenously.
FOLFIRI Protocol to be administered intravenously.
Panitumumab to be administered intravenously.
The University of Arizona Cancer Center (UACC) - North Campus
Tucson, Arizona, United States
University of Colorado, Anschutz
Aurora, Colorado, United States
University of Colorado
Aurora, Colorado, United States
Maine Center for Cancer Medicine
Scarborough, Maine, United States
START Midwest
Grand Rapids, Michigan, United States
Memorial Sloan-Kettering Cancer Center
New York, New York, United States
Duke Cancer Institute (DCI) - Duke Cancer Center
Durham, North Carolina, United States
The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital, LLC
Cincinnati, Ohio, United States
Vanderbilt University
Nashville, Tennessee, United States
Texas Oncology
Fort Worth, Texas, United States
...and 10 more locations
Part 1 - Incidence of Treatment Emergent Adverse Events (TEAEs)
As measured by NCI CTCAE version 5.0.
Time frame: Consent date to 28 days after the last dose of study treatment
Part 1 - Maximum tolerated dose (MTD) of SM08502 when combined with standard of care agents.
Based on frequency and severity of dose-limiting toxicities (DLTs).
Time frame: DLT period of 21 or 28 days per dose level depending on cycle length
Part 1 - Blood samples for measurement of the plasma levels of SM08502 and its metabolite
Maximum (Cmax) and minimum (Cmin) Plasma concentration of SM08502 and its metabolite SM08955.
Time frame: Sample collection timepoints: Cycle1 (Day1 (0,2,4,6, hrs), Day2, Day8, Day15, Day22) Cycle 2 (Day1, Day2) Cycle3-5 (Day1) and EOT. Each cycle is 21 or 28 days depending on tumor type.
Part 1 - Blood samples for measurement of the plasma levels of SM08502 and its metabolite
Area under the plasma concentration time curve (AUC) from zero to 24 hours: AUC0-24 for SM08502 and its metabolite SM08955
Time frame: Sample collection timepoints: Cycle1 (Day1 (0,2,4,6, hrs), Day2, Day8, Day15, Day22) Cycle 2 (Day1, Day2) Cycle3-5 (Day1) and EOT. Each cycle is 21 or 28 days depending on tumor type.
Part 1 - Blood samples for measurement of the plasma levels of SM08502 and its metabolite
Area under the plasma concentration time curve (AUC) from zero to the last measurable concentration: AUClast for SM08502 and its metabolite SM08955.
Time frame: Sample collection timepoints: Cycle1 (Day1 (0,2,4,6, hrs), Day2, Day8, Day15, Day22) Cycle 2 (Day1, Day2) Cycle3-5 (Day1) and EOT. Each cycle is 21 or 28 days depending on tumor type.
Part 1 - Plasma drug concentration
Maximum steady-state plasma drug concentration (Cmaxss) during a dosage interval.
Time frame: Sample collection timepoints: Cycle1 (Day1 (0,2,4,6, hrs), Day2, Day8, Day15, Day22) Cycle 2 (Day1, Day2) Cycle3-5 (Day1) and EOT. Each cycle is 21 or 28 days depending on tumor type.
Part 2 - Incidence of Safety and tolerability of SM08502
As measured by treatment emergent adverse events (TEAEs) as measured by NCI CTCAE version 5 from subjects treated at the recommended Part 2 dose and schedule.
Time frame: Consent date to 28 days after the last dose of study treatment
Part 2 - Objective response rate
Using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or Prostate Cancer Working Group 3 Criteria (PCWG3) where appropriate.
Time frame: Approximately 5 years
Part 1 - Objective Response rate
Tumor response using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or Prostate Cancer Working Group 3 Criteria (PCWG3) where appropriate.
Time frame: Approximately 5 years
Part 2 - Blood samples for measurement of the plasma levels of SM08502 and its metabolite
Maximum (Cmax) and minimum (Cmin) Plasma concentration of SM08502 and its metabolite SM08955.
Time frame: Sample collection timepoints: Cycle1 (Day1 (0,2,4,6, hrs), Day2, Day8, Day15,) Cycle 2-5 (Day1). Each cycle is 21 or 28 days depending on tumor type.
Part 2 - Blood samples for measurement of the plasma levels of SM08502 and its metabolite
Area under the plasma concentration time curve (AUC) from zero to 24 hours: AUC0-24 for SM08502 and its metabolite SM08955
Time frame: Sample collection timepoints: Cycle1 (Day1 (0,2,4,6, hrs), Day2, Day8, Day15,) Cycle 2-5 (Day1). Each cycle is 21 or 28 days depending on tumor type.
Part 2 - Blood samples for measurement of the plasma levels of SM08502 and its metabolite
Area under the plasma concentration time curve (AUC) from zero to the last measurable concentration: AUClast for SM08502 and its metabolite SM08955.
Time frame: Sample collection timepoints: Cycle1 (Day1 (0,2,4,6, hrs), Day2, Day8, Day15,) Cycle 2-5 (Day1). Each cycle is 21 or 28 days depending on tumor type.
Part 2 - Blood samples for measurement of the plasma levels of SM08502 and its metabolite
Maximum steady-state plasma drug concentration (Cmaxss) during a dosage interval.
Time frame: Sample collection timepoints: Cycle1 (Day1 (0,2,4,6, hrs), Day2, Day8, Day15,) Cycle 2-5 (Day1). Each cycle is 21 or 28 days depending on tumor type.
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