This study is being done to test the safety of elraglusib when taken once a day and to assess: * How the body processes the drug (pharmacokinetics) * Assess potential effects of the drug on heart rhythm * Find the highest daily dose that can be given without causing side effects
The study is a Phase 1/2, open label, dose escalation, safety, PK, PD and antitumor activity study of elraglusib tablets in participants aged 18 years or older with a histologically or cytologically confirmed diagnosis of advanced metastatic or progressive malignant solid tumors who are intolerant of or the malignancy is refractory to established therapy know to provide clinical benefit for their condition, or the malignancy has relapsed after standard therapy. Participants must have at least 1 measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 measured by computed tomography (CT) scan or MRI to be eligible. The study's primary objective is to determine the MTD or MAD and DLTs of elraglusib tablets administered daily. The secondary objectives are to study the PK of elraglusib tablets, to evaluate preliminary antitumor activity of elraglusib when administered as tablets, and to establish the RDEs of elraglusib tablets in subsequent development.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Elraglusib Oral Tablet, 250 mg
To determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) and dose-limiting toxicities (DLTs) of elraglusib tablets
Dose escalation/de-escalation decisions and the MTD will be determined at the end of Cycle 1 (each cycle is 21/28days).
Time frame: Determined at the end of Cycle 1 (each cycle is 21/28days) for each dose group tested up to 24 moths.
Pharmacokinetic Assessment
Characterize Elraglusib Cmax
Time frame: From date of first dose through completion of Initial 21-day cycle. (Assessed Cycle 1 Only-up to 28 days) for each dose cohort, up to 24 months.
Pharmacokinetic Assessment
Characterize Tmax
Time frame: From date of first dose through completion of Initial 21-day cycle. (Assessed Cycle 1 Only-up to 28 days) for each dose cohort, up to 24 months.
Pharmacokinetic Assessment
Assessment of half-life (t1/2), area under the plasma concentration-time curve from time 0 to time t (AUC0→t).
Time frame: From date of first dose through completion of initial 21-day cycle. (Assessed Cycle 1 Only-up to 28 days) for each cohort, up to 24 months.
Pharmacodynamic Assessment
Assess peripheral blood mononuclear cells (PBMCs, both cryopreserved and flash frozen).
Time frame: From Day 1 Dosing through completion of Day 21 of Cycle 1 only. (Assessed Cycle 1 only, up to 28-days) for each dose cohort up to 24 months.
Pharmacodynamic Assessment
Plasma will be collected to analyze cfDNA.
Time frame: From date of first dose through completion of Initial 21-day cycle. (Assessed Cycle 1 Only-up to 28 days) for each dose cohort, up to 24 months.
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Pharmacodynamic Assessment
Plasma will be collected to analyze cytokines/chemokines.
Time frame: From date of first dose through completion of Initial 21-day cycle. (Assessed Cycle 1 Only-up to 28 days) for each dose cohort, up to 24 months.
Tumor Assessments
Tumor response based on assessment of target and non-target lesions according to response evaluation criteria in solid tumors (RECIST) criteria.
Time frame: Baseline and per standard of care every 9 (±1) weeks during treatment and during follow-up through disease progression for unto 30 months.
Electrocardiogram (ECG)
Electrocardiograms will be collected to assess cardiac repolarization (QT) interval.
Time frame: Participation will be from Date of Screening through completion of the End of Treatment Visit, (EoT Visit), for up to 30 months. (Phase 1 Only)
Electrocardiogram (ECG)
Assessment of cardiac repolarization (QTc) interval.
Time frame: Participation will be from Date of Screening through completion of the End of Treatment Visit, (EoT Visit), for up to 30 months. (Phase 1 Only)
Safety Assessments
Frequencies and severities of adverse events (AEs)/TEAEs, including DLTs, serious adverse events (SAEs), and laboratory abnormalities that occur in Cycle 1 as well as in later treatment cycles will be assessed for all patients.
Time frame: From date of randomization until 30 days after receiving their last dose of study drug/completion of the End of Treatment Visit for up to 30 months.
Number of participants with clinically significant changes in laboratory parameters, vital signs, and physical examinations.
Blood and urine samples will be collected for analysis of lab parameters. Vital signs, physical examinations and organ-specific parameters will be collected at specified time points
Time frame: Participants will be tracked from Date of first dose through completion of end of study/Treatment visit for up to 30 months.