This is a phase I clinical trial to primarily evaluate the safety, tolerability, and addtionally assess pharmacokinetics, pharmacodynamics, and antitumor activity of investigational product, TXN10128. The target subjects will be consisted of patients with locally advanced (unresectable) or metastatic soild tumors. This study includes a dose-escalation part and a dose-expansion part, and a TXN10128 monotherapy part and a TXN10128 + Irinotecan or Paclitaxel combination therapy part.
This study includes a dose-escalation part and a dose-expansion part, and a TXN10128 monotherapy part and a TXN10128 + Irinotecan or Paclitaxel combination therapy part. The study includes dose-escalation and dose-expansion parts across three cohorts: TXN10128 monotherapy (Cohorts A) TXN10128 + Irinotecan (Cohorts B) and TXN10128+ Paclitaxel (Cohorts C).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
96
TXN10128: Oral administration once daily everyday
Intravenous (IV) administration at 150 mg/m2 twice (Day 1 and Day 15) at intervals of 2 weeks in one cycle
IV administration at 80 mg/m2 three times (Day 1, Day 8, and Day 15) at intervals of 1 week in one cycle (IV administration at 90 mg/m2 for patients with breast cancer)
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
RECRUITINGChungbuk National University Hospital
Cheonju, North Chungcheong, South Korea
RECRUITINGSeoul National Univ. Hospital
Seoul, Seoul, South Korea
DLT
A DLT is defined as any of the following AEs (graded using NCI CTCAE v5.0) whose relationship to TXN10128 cannot be ruled out.
Time frame: Day 1 up to Day 21 for Cohort A(TXN10128 mono cohort) and Day 1 up to Day 28 for Cohort B,C(TXN10128 combination with Irinotecan or paclitaxel cohort) in dose escalation period
Adverse events (AE)
Adverse events (AE) defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria version 5.0 at each dose level
Time frame: Up to 30 days from end of treatment
Cmax
The time to reach the maximum observed concentration (time)
Time frame: Up to 21 days from Day 1 dose
AUC inf
The area under the concentration-time curve extrapolated to infinity (mass\*time/volume)
Time frame: Up to 21 days from Day 1 dose
AUC last
The area under the concentration (AUC) -time curve calculated to the last quantifiable concentration point (mass\* time/volume)
Time frame: Up to 21 days from Day 1 dose
Tmax
The time to reach the maximum observed concentration (time)
Time frame: Up to 21 days from Day 1 dose
T1/2
Elimination half-life, determined as 0.693/Lambda\_z (time)
Time frame: Up to 21 days from Day 1 dose
Vss
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Asan Medical Center
Seoul, Seoul, South Korea
RECRUITINGGachon University Gil Medical Center
Incheon, South Korea
RECRUITINGSAMSUNG Medical Center
Seoul, South Korea
RECRUITINGVolume of distribution during the steady state phase (volume)
Time frame: Up to 21 days from Day 1 dose
Best overall response (BOR)
Best overall response will be summarized
Time frame: Up to 30 days from end of treatment
Progression free survival (PFS)
The survival function will be estimated using the Kaplan-Meier product limit method. Median duration, with a two-sided Brookmeyer-Crowley 90% confidence interval and Kaplan-Meier estimates of survival proportions will be provided at specified time points.
Time frame: Up to 30 days from end of treatment
Disease control rate (DCR)
The disease control rate is calculated as the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease
Time frame: Up to 30 days from end of treatment
Duration of Response (DOR)
Duration of response is defined as the time from the date of the first documented response (CR or PR), to the date of first documented progression, or death due to study indication. Estimates will use Kaplan-Meier method
Time frame: Up to 30 days from end of treatment
Overall response rate (ORR)
Overall response rate will be summarized with accompanying 90% exact binomial confidence interval (CI).
Time frame: Up to 30 days from end of treatment