A Study of PRT811 in Participants With Advanced Solid Tumors, CNS Lymphoma and Gliomas

Sponsor
Prelude Therapeutics (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04089449
Collaborator
(none)
145
10
1
34.8
14.5
0.4

Study Details

Study Description

Brief Summary

This is a Phase 1 dose-escalation study of PRT811, a protein arginine N-methyltransferase (PRMT) 5 inhibitor, in subjects with advanced cancers and high-grade gliomas who have exhausted available treatment options. The purpose of this study is to define a safe dose and schedule to be used in subsequent development of PRT811.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

This is a multicenter, open-label, dose-escalation, dose-expansion Phase 1 study of PRT811, a PRMT5 inhibitor, in subjects with advanced cancers without any approved or available treatment options including solid tumors, CNS lymphoma, and /or high-grade gliomas. The study will consist of 2 parts, a dose escalation part evaluating subjects with advanced solid tumors, CNS lymphoma, and/or high-grade glioma and a cohort expansion part which will evaluate the safety and efficacy of PRT811 in subjects with advanced solid tumors, CNS lymphoma, and glioblastoma multiforme. For subjects, the study will include a screening phase, a treatment phase, and a post treatment follow-up phase. An end-of-study visit will be conducted within 30 days after the last dose of PRT811.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
145 participants
Allocation:
N/A
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-Label, Multicenter, Dose Escalation and Expansion Study of PRT811 in Subjects With Advanced Solid Tumors, CNS Lymphoma, and Recurrent High-Grade Gliomas
Actual Study Start Date :
Nov 6, 2019
Anticipated Primary Completion Date :
Oct 1, 2022
Anticipated Study Completion Date :
Oct 1, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: PRT811

PRT811 will be administered orally

Drug: PRT811
PRT811 will be administered orally

Outcome Measures

Primary Outcome Measures

  1. To describe dose limiting toxicities (DLT) of PRT811 [Baseline through Day 21]

    Dose limiting toxicities will be evaluated through the first cycle

  2. To determine the maximally tolerated dose (MTD) [Baseline through approximately 2 years]

    The MTD will be established for further investigation in participants with solid tumors and gliomas

  3. To determine the recommended phase 2 dose (RP2D) and schedule of PRT811 [Baseline through approximately 2 years]

    The RP2D will be established for further investigation in participants with solid tumors and gliomas

Secondary Outcome Measures

  1. To describe the adverse event profile and tolerability of PRT811 [Baseline through approximately 2 years]

    Adverse events as characterized by type, frequency, severity, timing, seriousness and relationship to study therapy

  2. To describe the pharmacokinetic profile of PRT811 [Cycle 1 (each cycle is 21 days) on Days 1, 8 and 14. For subsequent cycles, Day 1 of each cycle through the end of study treatment, an average of 6 months]

    PRT811 pharmacokinetics will be calculated including the maximum observed plasma concentration

  3. To describe any anti-tumor activity of PRT811 [Baseline through approximately 2 years]

    Anti-tumor activity of PRT811 will be based on the measurement of objective responses

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Malignancies that are refractory to or intolerant of established therapies known to provide clinical benefit for the malignancy in question, or in the opinion of the Investigator, not be a candidate for such therapies

  • Subjects must have recovered from the effects of any prior investigational system therapies

  • For subjects with lymphoma with CNS involvement: must have relapsed or refractory CNS lymphoma, adequate bone marrow reserves and at least one lesion measurable for response using the appropriate response criteria for the type of lymphoma.

  • For subjects with recurrent high-grade glioma or GBM, must have biopsy proven evidence (WHO Grade III or IV) and received external bean fractionated radiotherapy and at least 2 cycles of adjuvant temozolomide chemotherapy. Mutant Glioma must comply with biomarker defined enrollment criterias.

  • For biomarker-selected solid tumors: must meet enrollment criteria

  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 or 1

  • Adequate organ function (bone marrow, hepatic, renal, cardiovascular)

  • Female subjects of childbearing potential must have a negative pregnancy test within 7 days of the start of treatment and must agree to use an effective method of contraception during the trial

Exclusion Criteria:
  • Untreated concurrent malignancies or malignancies that have been in complete remission for less than one year

  • Treatment with strong inhibitors of CYP3A4 for which there are no therapeutic substitutions

  • Inflammatory disorders of the gastrointestinal tract, or subjects with GI malabsorption

  • HIV positive; known active hepatitis B or C

  • Known hypersensitivity to any of the components of PRT811

Contacts and Locations

Locations

Site City State Country Postal Code
1 Sarah Cannon Research Institute at HealthONE Denver Colorado United States 80218
2 Yale- New Haven Hospital- Yale Cancer Center New Haven Connecticut United States 06510
3 Christiana Care Health Services, Christiana Hospital Newark Delaware United States 19718
4 Florida Cancer Specialists Lake Mary Florida United States 32746
5 Georgia Cancer Center at Augusta University Augusta Georgia United States 30912
6 University of Iowa Hospitals and Clinics Iowa City Iowa United States 52242
7 Washington University School of Medicine - Siteman Cancer Center Saint Louis Missouri United States 63110
8 The Ohio State University and Wexner Medical Center Columbus Ohio United States 43210
9 Thomas Jefferson University, Sidney Kimmel Cancer Center Philadelphia Pennsylvania United States 19107
10 Tennessee Oncology Nashville Tennessee United States 37203

Sponsors and Collaborators

  • Prelude Therapeutics

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Prelude Therapeutics
ClinicalTrials.gov Identifier:
NCT04089449
Other Study ID Numbers:
  • PRT811-01
First Posted:
Sep 13, 2019
Last Update Posted:
Aug 1, 2022
Last Verified:
Jul 1, 2022
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Prelude Therapeutics
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 1, 2022