This is a Phase Ib/II, multicenter, open-label study to evaluate the safety and preliminary efficacy of TT-00420 tablet, as monotherapy or in combination regimens, in patients with advanced solid tumors (solid tumor, BTC and TNBC).
Study consists of three arms, Arm A is a Phase Ib/II study of TT-00420 tablet monotherapy, Arm B is a Phase Ib/II study of TT-00420 tablet in combination with atezolizumab (Tecentriq®), and Arm C is a Phase Ib/II study of TT-00420 tablet in combination with nab-paclitaxel (Abraxane®). Arm A: TT-00420 Tablet Monotherapy Phase Ib will enroll patients with preferred indications including advanced cholangiocarcinoma, small cell lung cancer, HER2-negative breast cancer including TNBC, bladder cancer, prostate cancer, thyroid cancer, gastric cancer, gallbladder cancer and other advanced solid tumors to receive TT-00420 monotherapy. Phase Ib will be a dose escalation study of TT-00420 in combination, guided by 3+3 design, to determine a Recommended Phase 2 Dose (RP2D). Based on preliminary efficacy results, Phase II will enroll additional patients in select indications to evaluate the efficacy of TT-00420 monotherapy. Arm B: TT-00420 tablet in combination with atezolizumab (Tecentriq®) Arm B will enroll patients with advanced biliary tract cancer. Phase Ib will be a dose escalation study of TT-00420 in combination with nab-paclitaxel, guided by 3+3 design, to determine a Recommended Phase 2 Dose (RP2D). Phase II will enroll additional patients with advanced biliary tract cancer to further evaluate the efficacy of the combination regimen. Arm C: TT-00420 tablet in combination with nab-paclitaxel (Abraxane®) Arm C will enroll patients with advanced triple-negative breast cancer (TNBC). Phase Ib will be a dose escalation study of TT-00420 in combination with nab-paclitaxel, guided by 3+3 design, to determine a Recommended Phase 2 Dose (RP2D). Phase II will enroll additional patients with advanced TNBC to further evaluate the efficacy of the combination regimen.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
84
TT-00420 tablet will be administered orally once daily per protocol defined schedule.
Atezolizumab would be administered via infusion on Day 1 of 21-day cycle
Nab-Paclitaxel would be administered via infusion on Day 1 and 8 of 21-day cycle
The First Affiliated Hospital of Wannan Medical College
Wuhu, Anhui, China
Henan Cancer Hospital
Zhengzhou, Henan, China
Hunan Cancer Hospital
Changsha, Hunan, China
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, China
Jilin Cancer Hospital
Changchun, Jilin, China
Shandong Cancer Hospital
Jinan, Shandong, China
Beijing Cancer Hospital
Beijing, China
Peking University Third Hospital
Beijing, China
Fudan Univisity Shanghai Cancer Center
Shanghai, China
Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment
As assessed per NCI Common Toxicity Criteria for Adverse Events, version 5.0
Time frame: Up to 30 days from the last dose
Dose limiting toxicity (DLT)
Dose escalation cohorts are monitored and assessed using the NCI Common Toxicity Criteria for Adverse Events, version 5.0.
Time frame: Up to 21 days from the first dose
Objective Response Rate (ORR)
The proportion of subjects who achieved a complete response (CR) or a partial response (PR) based on RECIST version 1.1.
Time frame: Through study completion, an average of 9 months
Disease Control Rate (DCR)
Defined as CR + PR + stable disease (SD) based on RECIST version 1.1.
Time frame: Through study completion, an average of 9 months
Duration of Objective Response (DOR)
Duration of response for CR or PR based on RECIST version 1.1.
Time frame: Through study completion, an average of 9 months
Progression Free Survival (PFS)
Time frame: From first study drug administration until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months
Overall Survival (OS)
Time frame: From first study drug administration until the date of death from any cause, assessed up to 24 months
Area under the curve (AUC0-∞)
Blood samples will be collected at designated time points for pharmacokinetic analysis of TT-00420
Time frame: From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 21 days)
Area under the curve (AUC0-t)
Blood samples will be collected at designated time points for pharmacokinetic analysis of TT-00420
Time frame: From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 21 days)
Maximum observed concentration (Cmax)
Blood samples will be collected at designated time points for pharmacokinetic
Time frame: From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 21 days)
Half-life (T1/2)
Time frame: From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 21 days)
Time to Maximum Concentration (Tmax)
Time frame: From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 21 days)
Volume of Distribution
Time frame: From Cycle 1 Day 1 to Cycle 2 Day 1 (each cycle is 21 days)
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