Phase 1 Study of ZE94-0605 in solid tumors who have exhausted all treatment options and then with expansion into two dose cohorts in select solid tumor patients.
This phase 1 study will focus on dose escalation across all solid tumor patients who have no alternative therapies to determine the maximally tolerated dose (MTD) followed by a two dose level expansion (MTD and one dose below) in solid tumors who have amplified CCNE1 (or other molecular/cellular feature determined at a later time) to fulfill the guidelines set forth by project Optimus.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Oral capsules QD
Recommended Phase 2 Dose of ZE94-0605
To determine the recommended phase 2 dose (RP2D) of ZE94-0605 in relapsed/refractory select solid tumor patients ≥ 18 years of age with CCNE1 amplification (or other molecular/cellular feature determined at a later time).
Time frame: From baseline up to Cycle 26 (28-day cycles)
The incidence of DLTs
To determine a maximally tolerated dose (MTD) of ZE94-0605 in relapsed/refractory select solid tumor patients.
Time frame: From baseline to day 28.
Overall Response Rate
To estimate the overall response rate (CR/PR) of patients with different tumor types without and with CCNE1 amplification treated withZE94-0605. Response will be followed occur after completion of cycle 3, 5, 7, 10 and 13 and then every 6 months thereafter. Assessment of clinical response will be made according to the RECIST guidelines, version 1.1.
Time frame: From baseline up to Cycle 26 (28-day cycles)
Duration of Response by CCNE1 Amplification Status
To estimate the duration of response for patients treated with ZE94-0605 with/without CCNE1 amplification. Response will be followed occur after completion of cycle 3, 5, 7, 10 and 13 and then every 6 months thereafter. Assessment of clinical response will be made according to the RECIST guidelines, version 1.1.
Time frame: From baseline up to Cycle 26 (28-day cycles)
Overall Survival
Overall survival defined as the time from first dose of ZE94-0605 to death.
Time frame: From baseline up to Cycle 26 (28-day cycles)
Plasma Cmax
ZE94-0605 peak plasma concentration
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Throughout Cycle 1 and Cycle 2 (each cycle is 28 days)
Plasma AUC
Area under the ZE94-0605 plasma concentration-time curve during a dosing interval
Time frame: Throughout Cycle 1 and Cycle 2 (each cycle is 28 days)
Time to Reach Maximum Observed Concentration (Tmax)
Tmax is defined as the time to reach maximum observed plasma concentration.
Time frame: Throughout Cycle 1 and Cycle 2 (each cycle is 28 days)
Terminal Elimination Half-Life
The terminal elimination half-life (t½) is defined as the time required for the plasma concentration to decrease by 50% during the terminal elimination phase.
Time frame: Throughout Cycle 1 and Cycle 2 (each cycle is 28 days)
Assessment of serum thymidine kinase 1 (TK1)
Time frame: Throughout Cycle 1 and Cycle 2 (each cycle is 28 days)
Circulating Tumor DNA Analysis by NGS
Plasma samples are collected at specified time points for circulating tumor DNA (ctDNA) analysis.
Time frame: Day 1 of Cycles 1, 3 and 6 (each cycle is 28 days).