A Study of Oral MBQ-167 in Participants With Advanced Breast Cancer
Study Details
Study Description
Brief Summary
A Phase 1, open-label, dose-escalation clinical trial of MBQ-167 in participants with advanced Breast Cancer for whom Standard of Care (SOC) has failed or has proven intolerable.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Detailed Description
The main questions this clinical trial aims to answer are:
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What, if any, are the side effects of different dose levels in humans?
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What is the maximum tolerated dose?
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How does the human body process the drug?
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Does the drug slow, stop or eliminate cancer in human participants?
Participants will be asked to:
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provide informed consent
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be evaluated by physicians and provide laboratory specimens to determine if eligible
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take MBQ-167 orally twice a day for at least 21 days
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may continue dosing, if safe to do so, until not effective or other decision to stop is made
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participate in multiple visits that include additional evaluations, laboratory tests and diary review until after stopping the investigational drug
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: MBQ-167 oral capsule A dose ranging from 10mg to 400mg BID following a standard 3+3 cohort design |
Drug: MBQ-167
MBQ-167, an inhibitor of Rho GTPases Rac and Cdc42
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Maximum Tolerated Dose (MTD) [21 days]
To find the maximum tolerated dose (MTD) of MBQ-167 as a single agent administered orally, BID continuously for 21 days in participants with Advanced Breast Cancer (ABC) by evaluating for the presence or absence of dose-limiting toxicity (DLT) related to MBQ-167 administered in cohorts of participants at escalating sequential cohort dose levels.
Secondary Outcome Measures
- MBQ-167 PK parameter (Cmax/min) [56 days]
Maximum and minimum observed plasma concentration at steady state
- MBQ-167 PK parameter (tmax) [56 days]
Time to maximum plasma concentration
- MBQ-167 PK parameter (t1/2) [56 days]
Terminal elimination half-life
- MBQ-167 PK parameter (AUC (0-t,0-24,∞)) [56 days]
Area under the concentration-time curve over the dosing interval time from time 0
- MBQ-167 PD parameter (differential gene expression) [16 days]
Observed quantitative measurement of gene expression change from baseline
- MBQ-167 PK/PD parameter (minimum dose for therapeutic response) [56 days]
Correlate differential gene expression change, objective response and PK parameter Cmax/min to identify a minimum dose for therapeutic response
Eligibility Criteria
Criteria
Key Inclusion Criteria:
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The investigator will evaluate these and other criteria to determine whether a participant can be included in this study.
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Histologically and/or cytologically confirmed advanced breast cancer which has progressed after treatment with approved therapies or for which there are no standard therapies available.
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Participants with known brain metastases may be eligible if specific conditions are met.
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Life expectancy ≥6 months, in the opinion of the investigator, after starting MBQ-167.
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Are able to swallow capsules twice daily.
Key Exclusion Criteria:
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The investigator will evaluate these and other criteria to determine whether a participant should be excluded from this study.
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Inability to take oral medication, or malabsorption syndrome or any other uncontrolled gastrointestinal condition (e.g., nausea, diarrhea, or vomiting) that might impair the bioavailability of MBQ-167.
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Females who are pregnant or breastfeeding.
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Participants who have received any anticancer treatment within 4 weeks or any investigational agent within 30 days prior to the first dose of trial drug or who have not recovered from any acute toxicity greater than Grade 0 or 1 related to previous anticancer treatment.
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Participants who have received any anticancer treatment within 4 weeks or any investigational agent within 30 days prior to the first dose of trial drug or who have not recovered from any acute toxicity greater than Grade 0 or 1 related to previous anticancer treatment.
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Active malignancies other than advanced breast cancer will be excluded from the study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | FDI Clinical Research | San Juan | Puerto Rico | 00927 |
Sponsors and Collaborators
- MBQ Pharma
- United States Department of Defense
Investigators
- Study Director: Neil Sankar, MD, CMO, MBQ Pharma
Study Documents (Full-Text)
None provided.More Information
Publications
- Borrero-Garcia LD, Del Mar Maldonado M, Medina-Velazquez J, Troche-Torres AL, Velazquez L, Grafals-Ruiz N, Dharmawardhane S. Rac inhibition as a novel therapeutic strategy for EGFR/HER2 targeted therapy resistant breast cancer. BMC Cancer. 2021 Jun 1;21(1):652. doi: 10.1186/s12885-021-08366-7.
- Cruz-Collazo A, Ruiz-Calderon JF, Picon H, Borrero-Garcia LD, Lopez I, Castillo-Pichardo L, Del Mar Maldonado M, Duconge J, Medina JI, Bayro MJ, Hernandez-O'Farrill E, Vlaar CP, Dharmawardhane S. Efficacy of Rac and Cdc42 Inhibitor MBQ-167 in Triple-negative Breast Cancer. Mol Cancer Ther. 2021 Dec;20(12):2420-2432. doi: 10.1158/1535-7163.MCT-21-0348. Epub 2021 Oct 4.
- Humphries-Bickley T, Castillo-Pichardo L, Hernandez-O'Farrill E, Borrero-Garcia LD, Forestier-Roman I, Gerena Y, Blanco M, Rivera-Robles MJ, Rodriguez-Medina JR, Cubano LA, Vlaar CP, Dharmawardhane S. Characterization of a Dual Rac/Cdc42 Inhibitor MBQ-167 in Metastatic Cancer. Mol Cancer Ther. 2017 May;16(5):805-818. doi: 10.1158/1535-7163.MCT-16-0442.
- Maldonado MDM, Dharmawardhane S. Targeting Rac and Cdc42 GTPases in Cancer. Cancer Res. 2018 Jun 15;78(12):3101-3111. doi: 10.1158/0008-5472.CAN-18-0619. Epub 2018 Jun 1.
- Medina JI, Cruz-Collazo A, Del Mar Maldonado M, Gascot TM, Borrero-Garcia LD, Cooke M, Kazanietz MG, O'Farril EH, Vlaar CP, Dharmawardhane S. Characterization of Novel Derivatives of MBQ-167, an inhibitor of the GTP-binding proteins Rac/Cdc42. Cancer Res Commun. 2022 Dec;2(12):1711-1726. doi: 10.1158/2767-9764.crc-22-0303. Epub 2022 Dec 29.
- Torres-Sanchez A, Rivera-Robles M, Castillo-Pichardo L, Martinez-Ferrer M, Dorta-Estremera SM, Dharmawardhane S. Rac and Cdc42 inhibitors reduce macrophage function in breast cancer preclinical models. Front Oncol. 2023 Jun 16;13:1152458. doi: 10.3389/fonc.2023.1152458. eCollection 2023.
- MBQ-ABC001