The goal of this clinical trial is To establish the safety profile and determine the dose-limited toxicity (DLT) of PEP07 monotherapy in patients with advanced or metastatic solid tumors. To determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of PEP07 monotherapy. Participants will receive PEP07 administered orally once daily (QD) for 2 consecutive days and 5 days off, every week for 4 weeks until disease progression, intolerable toxicity, confirmed pregnancy, death, consent withdrawal, or other anti-cancer treatment is required, or the Sponsor ends the study, whichever occurs first.
This is a Phase 1, open-label, multi-center study recruiting patients with advanced or metastatic solid tumors. The study will utilize an Accelerated Titration Design in the lower dose levels followed by a traditional 3+3 dose escalation design at higher dose levels until RP2D is determined. The starting dose will be 40 mg. All potential study candidates will provide informed consent and will undergo screening procedures before participating in the study. After a screening period of up to 28 days, qualified patients will be enrolled to receive their assigned dose regimen of PEP07 monotherapy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
54
PEP07 is a potent, highly selective, orally bioavailable small molecule inhibitor of Chk1. PEP07 will be provided as 20 mg and 150 mg strength capsules to be administrated orally. Patients allocated to different dose levels of PEP07 monotherapy will receive either 20 mg or 150 mg oral capsules for 2 consecutive days followed by 5 days treatment off (2-on/5-off) schedule every week, 4 weeks as a treatment cycle.
China Medical University Hospital
Taichung, Taiwan
RECRUITINGNational Taiwan University Hospital
Taipei, Taiwan
RECRUITINGTaipei Veterans General Hospital
Taipei, Taiwan
RECRUITINGto find out the DLT
To establish the safety profile and determinate the dose-limited toxicity (DLT) of PEP07 monotherapy
Time frame: 4 weeks after first dosing
to find out the MTD and RP2D
To determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of PEP07 monotherapy
Time frame: 4 weeks after first dosing
to know the PK profile
To assess the area under the plasma concentration versus time curve (AUC) of PEP07 as a monotherapy
Time frame: 6 months
to know the PK profile
To assess the time to maximun (peak) plasma concentration (Tmax) of PEP07 as a monotherapy
Time frame: 6 months
to know the PK profile
To assess the apparent half-life (t 1/2) of PEP07 as a monotherapy
Time frame: 6 months
to know the PK profile
To assess the peak plasma concentration (Cmax) of PEP07 as a monotherapy
Time frame: 6 months
to know the efficacy
To assess the preliminary evidence of anti-tumor activities of PEP07 by objective response rate (ORR)
Time frame: from date of first dosing until the date of disease progressionfrom date of first dosing until the date of disease progression, assessed up to 12 months
to know the efficacy
To assess the preliminary evidence of anti-tumor activities of PEP07 by objective To assess the preliminary evidence of anti-tumor activities of PEP07 by progression free survival (PFS)
Time frame: from date of first dosing until the date of disease progressionfrom date of first dosing until the date of disease progression, assessed up to 12 months
to know the efficacy
To assess the preliminary evidence of anti-tumor activities of PEP07 by overall survival (OS)
Time frame: from date of first dosing until the date of disease progressionfrom date of first dosing until the date of disease progression, assessed up to 12 months
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