The primary objective of the study is to evaluate the safety, tolerability, PK, and preliminary efficacy of a Polθ Inhibitor DAT-1604 in patients with advanced/metastatic solid tumors, which is refractory to standard therapies, or for which no standard therapies exist.
In Part 1, 6 dose cohorts will be set and defined maximum tolerated dose(MTD)/recommended dose for expansion (RDE). In Part 2, Food effects on pharmacokinetic of DAT-1604 will be assessed at RDE, and dose optimization will be conducted to definite recommended phase 2 dose (RP2D). Then , The RP2D expansion will be conducted in another 3 cohorts to evaluate the efficacy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
228
DAT-1604, a potent and selective oral small molecule inhibitor of DNA Polymerase θ (Pol θ).
Cancer Hostital,Chinese Academy of Medical Sciences and Peking Union Medical College
Beijing, Beijing Municipality, China
PART 1: Safety and Tolerability
To characterize the safety and tolerability of DAT-1604 monotherapy by evaluating the number of participants with dose limiting toxicities, adverse events, and laboratory abnormalities as graded by NCI CTCAE version 5.0
Time frame: 12 months
PART 2: RP2D
Recommended Phase 2 dose(RP2D) will be definite by safety monitoring committee(SMC).
Time frame: 12 months
ORR
Objective Response Rate (ORR) is defined as the proportion of patients that respond either partially or fully to therapy according to RECIST 1.1 criteria based on the CT-Scan.
Time frame: 6 months
DCR
Disease control rate (DCR) is defined as the percentage of patients who have achieved CR, PR, Non-CR/Non- PD, or SD in the study.
Time frame: 6 months
DOR
Duration of Response (DOR) is defined as the time from the earliest date of documented CR or PR until documented disease progression or death (by any cause, in the absence of progression) as determined by the Investigators using RECIST 1.1.
Time frame: 1 year
PFS
Progression-free survival (PFS) is defined as the time from the date of first dose of study drug to the first observation of documented disease progression per RECIST 1.1 as determined by the Investigators or death due to any cause, whichever occurs first.
Time frame: 2 years
OS
Overall survival (OS) is defined as the time from the date of first dose of study drug to the date of documented death due to any cause.
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Time frame: 2 years
AUC
To characterize the single dose PK area under the plasma concentration versus time curve (AUC) of DAT-1604 monotherapy.
Time frame: 1 year
Tmax
To characterize the single dose PK time to peak drug concentration (Tmax) of DAT-1604 monotherapy.
Time frame: 1 year
Cmax
To characterize the single dose PK peak plasma concentration (Cmax) of DAT-1604 monotherapy.
Time frame: 1 year