The goal of this clinical trial is to determine the appropriate dose of AN8025 for use in the treatment of advanced solid tumors. This study will be conducted in in adults \>18 years of age. The main questions to answer: 1. Determine which dose level of AN8025 is safe and tolerability in participants with advanced solid tumors 2. To determine the maximum tolerated of AN8025 for future testing. Participants will visit their study site in 3 week cycles, during which they will be under go treatment with AN8025 and visit their clinical site during each cycle for check ups and testing.
This is a first-in-human, open label, multi-center, multiple-ascending dose escalation, phase I study to test AN8025. After confirmation of meeting the study entry criteria, participants with advanced solid tumors will be in 1 of two parts of the study: Part A (dose escalation) and Part B (dose expansion). The study will take place in Australia and China, with approximately 4 sites in each country. Each part of this study has 3 phases of participation: Screening Phase (up to 35 days prior to dosing), Treatment Phase (21-day cycles, dosing on the first day of each cycle), and a Follow Up Phase . Participants will have up to 35 days to enter the study (the screening phase), during which it will be determined if they qualify for the study. After confirmation of eligibility, participants will be enrolled into the treatment phase of the study for up to 24 months, or until experiencing drug toxicity, progressive disease, withdrawal of consent or death. Participant follow up will include an End of Treatment Visit (EoT), a 30-day safety follow up visit, and survival follow up contact every 3 months after the EoT visit until 6 months after EoT visit or 12 months from Cycle 1 Day1, whichever is longer. The study is projected to last approximately 50 months. During the course of the study, treatment will be once every 21 days, with visits to the clinic required to undergo testing to determine the side effects, safety and efficacy of AN8025, including testing to characterized the drug level in a participants blood. The goal of the study is to determine the dose level of AN8025 that is safe and tolerable to treat patients with advanced solid tumors. Once identified, the study will enroll in up 2, 20 patient expansion cohorts in advanced solid tumors (to be identified based on dose expansion). The pharmacokinetic (PK) profile of AN2025 will be determined in this population, along with any preliminary anti-tumor activity.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
91
AN8025 is being developed for the treatment of advanced or metastatic solid tumors, which may include PD(L)-1 refractory advanced solid tumors
Linear Clinical Research Ltd
Nedlands, Western Australia, Australia
RECRUITINGSafety of AN8025
Incidence, nature and severity of adverse events (AEs) according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0
Time frame: 24 months
Minimum Tolerated Dose/Recommended Dose for Expansion (MTD/RDE)
Nature and frequency of dose limiting toxicities (DLTs)
Time frame: At the end of the DLT cycle, defined as 28 days from the first dose of study treatment (Cycle1 Day1) or from Cycle1 Day1 through Cycle2 Day7, whichever is longer. Note: Treatment cycles are 21 days in length and the DLT cycle is 28 days in length.
Determine the pharmacokinetics (PK) of AN8025
Serum concentrations of AN8025 will be summarized using descriptive statistics. maximum concentration (CMax) for single dose and multiple dose administration will be determined and summarized using descriptive statistics by dose level.
Time frame: Days 1,2,3,8,15 during identified cycles (Cycles 1-5)
Preliminary anti-tumor activity of AN8025, Objective Response Rate (ORR)
Derived based on RECIST v.1.1, ORR is defined as the proportion of participants with best overall response of Complete Response (CR) or Partial Response (PR) by investigator review.
Time frame: 24 months
Preliminary anti-tumor activity of AN8025, Disease Control Rate (DCR)
DCR is defined as the proportion of participants with a Best Overall Response (BOR) of CR, PR, stable disease (SD) or non-CR/non-PD by investigator review.
Time frame: 24 Months
Preliminary anti-tumor activity of AN8025, Duration of Response (DOR)
DOR is defined only for the responder subset (i.e., participants with confirmed CR or PR). DOR is defined as the elapsed time between the date of first documented response (CR or PR) and the earlier date of the first documented progression or death due to any caus
Time frame: 24 Months
Preliminary anti-tumor activity of AN8025, Progression Free Survival (PFS)
PFS is defined as the time from the date of the first dose of study drug to the date of the first documentation of disease progression or death, whichever occurs first.
Time frame: 24 months
Determine the pharmacokinetics (PK) of AN8025
Time to maximum serum concentration of AN8025 will be summarized using descriptive statistics for single dose and multiple dose administration.
Time frame: Days 1,2,3,8,15 during identified cycles (Cycles 1-5)
Determine the pharmacokinetics (PK) of AN8025
Serum trough concentrations of AN8025 will be summarized using descriptive statistics by scheduled time-points and dose level.
Time frame: Days 1,2,3,8,15 during identified cycles (Cycles 1-5)
Determine the pharmacokinetics (PK) of AN8025
Area under the curve serum concentration for AN8025 will be summarized using descriptive statistics by scheduled time-points and dose level.
Time frame: Days 1,2,3,8,15 during identified cycles (Cycles 1-5)
Determine the pharmacokinetics (PK) of AN8025
Half-life analyses for serum concentrations of AN8025 will be evaluated to determine the persistence of drug exposure and characterize the elimination kinetics following for single dose and multiple dose administration.
Time frame: Days 1,2,3,8,15 during identified cycles (Cycles 1-5)
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