This is a single-arm, open-label, dose-escalation and dose-expansion Phase I clinical trial evaluating the safety, tolerability, pharmacokinetics, and preliminary efficacy of FXS887 in patients with advanced solid tumors. FXS887 is a innovative ATR inhibitors of a class of small-molecule inhibitors targeting ATR kinase.
There will be two parts for this study: Phase 1a is a dose-escalation, open-label study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of FXS887 in patients with advanced solid tumors. Approximately 14 subjects are expected to be enrolled. Dose escalation will adopt a combination of "accelerated titration" and "3+3" design. The initial 2 dose cohorts will use the accelerated titration, while the 3+3 design will be implemented starting in other dose cohorts. If a Dose Limiting Toxicity (DLT) event or a study treatment-related adverse event of grade ≥2 occurs during the DLT observation period, the current dose cohort will switch to the 3+3 design. Eligible subjects will receive oral FXS887 once daily. The DLT observation period is within 28 days after the first dose (Cycle 1), followed by multiple-dose studies in Cycle 2 and subsequent cycles. Treatment will continue until the subject experiences disease progression, death, unacceptable toxicity, withdrawal of informed consent, or other reasons requiring discontinuation of study treatment (whichever occurs first). Phase 1b is an open-label, dose-expansion study that plans to enroll eligible patients with advanced solid tumors. The sample size will be determined based on the results of the Phase 1a, to further evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of FXS887 at the recommended expansion dose(s).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
14
FXS887 is an innovative ATR inhibitor targeting ATR kinase.
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China
Number of participants with DLTs
DLTs will be assessed during the dose-escalation phase and are defined as toxicities that meet pre-defined DLT criteria and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, intercurrent illness, or concomitant medications that occurs within the first cycle (28 days) of treatment.
Time frame: Up to Day 28
Maximum tolerated dose (MTD) or Maximum administered dose(MAD)
The MTD is defined as the highest dose level at which the proportion of subjects who experience Dose-Limiting Toxicity (DLT) is less than 1/3 during the DLT observation period. If the MTD is not established after the completion of the dose-escalation, the highest safe dose level will be defined as the MAD.
Time frame: Up to 12 Months
Incidence of Treatment-Emergent Adverse Events (TEAEs)[Safety and Tolerability]
Number and frequency of subjects with adverse events, including changes in vital signs, electrocardiograms (ECGs), physical examinations, and laboratory parameters, graded according to NCI CTCAE v5.0.
Time frame: From first dose of study drug until 30 days after the last dose.
Phase 1a: recommended phase 2 dose (RP2D)
The RP2D (Recommended Phase 2 Dose) determined based on comprehensive consideration of safety, tolerability, PK (pharmacokinetics), PD (pharmacodynamics), and efficacy data.
Time frame: Up to 12 Months
Peak Plasma Concentration (Cmax) of FXS887
Maximum observed plasma concentration of FXS887 following single and multiple doses.
Time frame: From the day of first dose to 30 days after last dose of FXS887
Area under the plasma concentration-time curve (AUC)of FXS887
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The area under the plasma concentration-time curve of FXS887 following single and multiple doses.
Time frame: From the day of first dose to 30 days after last dose of FXS887
Time to reach maximum plasma concentration (Tmax) of FXS887
Time to reach maximum plasma concentration of FXS887 following single and multiple doses.
Time frame: From the day of first dose to 30 days after last dose of FXS887
Elimination Half-Life (t1/2) of FXS887
Apparent terminal elimination half-life of FXS887 in plasma.
Time frame: From the day of first dose to 30 days after last dose of FXS887
Objective response rate, ORR
Antitumor activity by evaluation of tumor response assessments based on RECIST 1.1
Time frame: From first dose of study drug until the date of first documented disease progression or death from any cause, whichever occurs first, assessed up to 24 months.
Progression Free Survival
Antitumor activity by evaluation of tumor response assessments based on RECIST 1.1
Time frame: From first dose of study drug until the date of first documented disease progression or death from any cause, whichever occurs first, assessed up to 24 months.