This is a phase I clinical, first-in-human study of SIGX1094R monotherapy. The goal of this trial is to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), anti-tumor activity and food effect of SIGX1094R in patients with advanced solid tumors.
The study consists of two parts: SIGX1094R dose escalation study; food effect and SIGX1094R multiple-dose expansion study. Part of SIGX1094R dose escalation study: * the primary objective is to evaluate the safety and tolerability of SIGX1094R, and to define the maximum tolerated dose (MTD) and recommended Phase II dose (RP2D). * the secondary objective is to evaluate the PK profile and preliminary efficacy of SIGX1094R, and to explore the relationship between PD parameters and efficacy. Part of food effect and SIGX1094R multiple-dose expansion study: * the primary objective is to evaluate the food effect on PK profile of SIGX1094R. * the secondary objective is to further evaluate the anti-tumor activity, safety and tolerability of SIGX1094R, and to further evaluate the relationship between PD parameters and efficacy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
102
Single drug treatment by SIGX1094R, orally administered once daily.
Beijing Cancer Hospital
Beijing, China
RECRUITINGIncidence of adverse events (AEs)
To evaluate the safety and tolerability of SIGX1094R. AEs will be evaluated per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE),Version 5.0.
Time frame: From the first dose to 28 days after the last dose. Last for approximately 18 months.
Incidence of serious adverse events (SAEs)
To evaluate the safety and tolerability of SIGX1094R. SAEs will be evaluated per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE),Version 5.0.
Time frame: From the first dose to 28 days after the last dose. Last for approximately 18 months.
Abnormalities or changes in laboratory tests
To evaluate the safety and tolerability of SIGX1094R.
Time frame: Approximately 18 months
Abnormalities or changes in vital signs
To evaluate the safety and tolerability of SIGX1094R.
Time frame: Approximately 18 months
Abnormalities or changes in electrocardiograms (ECGs)
To evaluate the safety and tolerability of SIGX1094R.
Time frame: Approximately 18 months
Abnormalities or changes in physical examinations
To evaluate the safety and tolerability of SIGX1094R.
Time frame: Approximately 18 months
Abnormalities or changes in Eastern Oncology Collaborative Group (ECOG) scores
To evaluate the safety and tolerability of SIGX1094R.
Time frame: Approximately 18 months
Incidence of dose-limiting toxicity (DLT) events
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Collect the incidence, classification, severity, and frequency of DLT. To evaluate the safety and tolerability of SIGX1094R.
Time frame: From the first treatment of single dosing (5 days in single dosing period ) to the end of Cycle 1 (21 days a Cycle in multiple dosing period ).
Maximum tolerated dose (MTD)
To determine the MTD of SIGX1094R.
Time frame: Approximately 18 months
Recommended phase 2 dose (RP2D)
To determine the RP2D of SIGX1094R.
Time frame: Approximately 18 months
Maximum observed concentration (Cmax)
To assess pharmacokinetics (PK) of SIGX1094R in plasma following a single and multiple doses of SIGX1094R.
Time frame: Time points at Day 1 to Day 5 in single-dose period. Time points at Cycle 1 Day1, Cycle 1 Day 8, Cycle 1 Day15, Cycle 1 Day 21 in Cycle 1, and Cycle n Day 1 from Cycle 2, in multiple-dose period. Each Cycle is 21 days.
Time of maximum observed concentration (Tmax)
To assess PK of SIGX1094R in plasma following a single and multiple doses of SIGX1094R.
Time frame: Time points at Day 1 to Day 5 in single-dose period. Time points at Cycle 1 Day1, Cycle 1 Day 8, Cycle 1 Day15, Cycle 1 Day 21 in Cycle 1, and Cycle n Day 1 from Cycle 2, in multiple-dose period. Each Cycle is 21 days.
Area under the concentration-time curve (AUC)
To assess PK of SIGX1094R in plasma following a single and multiple doses of SIGX1094R.
Time frame: Time points at Day 1 to Day 5 in single-dose period. Time points at Cycle 1 Day1, Cycle 1 Day 8, Cycle 1 Day15, Cycle 1 Day 21 in Cycle 1, and Cycle n Day 1 from Cycle 2, in multiple-dose period. Each Cycle is 21 days.
Half-life (t1/2)
To assess PK of SIGX1094R in plasma following a single and multiple doses of SIGX1094R.
Time frame: Time points at Day 1 to Day 5 in single-dose period. Time points at Cycle 1 Day1, Cycle 1 Day 8, Cycle 1 Day15, Cycle 1 Day 21 in Cycle 1, and Cycle n Day 1 from Cycle 2, in multiple-dose period. Each Cycle is 21 days.
Objective response rate (ORR)
Proportion of subjects whose best response is observed to be complete response (CR) or partial response (PR) throughout the study. Assessed by RECIST 1.1 criteria.
Time frame: Approximately 18 months
Progression-free survival (PFS)
Time from Day 1 of treatment with the study drug to progressive disease (PD) or death from any cause. Assessed by RECIST 1.1 criteria.
Time frame: Approximately 18 months
Duration of response (DOR)
Time from first tumor assessment of CR or PR on study treatment to first assessment of PD or death due to any cause. Assessed by RECIST 1.1 criteria.
Time frame: Approximately 18 months
Overall survival (OS)
Time from Day 1 of treatment with the study drug to death from any cause. Assessed by RECIST 1.1 criteria.
Time frame: Approximately 18 months
Disease control rate (DCR)
Proportion of subjects whose best response is observed to be CR, PR, or stable disease (SD) (duration ≥ 12 weeks) throughout the study. Assessed by RECIST 1.1 criteria.
Time frame: Approximately 18 months
Clinical benefit rate (CBR)
Proportion of subjects whose best response is observed to be CR, PR, or SD (duration ≥ 24 weeks) throughout the study.
Time frame: Approximately 18 months
Changes of phosphorylated Focal Adhesion Kinase (pFAK) in tumor tissues
Determine the changes of phosphorylated Focal Adhesion Kinase (pFAK) from baseline in tumor tissues and assess its relationship with efficacy.
Time frame: Baseline to approximately 18 months