A First-in-Human Study of JAB-8263 in Adult Patients With Advanced Solid Tumors

Sponsor
Jacobio Pharmaceuticals Co., Ltd. (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04587479
Collaborator
(none)
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1
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Study Details

Study Description

Brief Summary

This is a Phase 1, first-in-human, open-label study of JAB-8263 to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D) and assess the DLT. 30 subjects with advanced solid tumor will be enrolled.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

JAB-8263 is a small-molecule inhibitor of the highly conserved bromodomain pockets of the bromodomain and extraterminal (BET) proteins.

The objectives of this study are:

To determine the maximum-tolerated dose (MTD) and assess the dose-limiting toxicity (DLT) of JAB-8263 as a single agent to adult subjects with advanced solid tumors To assess the safety and tolerability of JAB-8263 To characterize the pharmacokinetic (PK) parameters and pharmacodynamics (PDc) To evaluate preliminary antitumor activity of JAB-8263

Study Design

Study Type:
Interventional
Anticipated Enrollment :
30 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Multi-Center, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Evidence of Antitumor Activity of JAB-8263 in Adult Subjects With Advanced Solid Tumors
Actual Study Start Date :
Nov 23, 2020
Anticipated Primary Completion Date :
Apr 30, 2022
Anticipated Study Completion Date :
Apr 30, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: JAB-8263

Monotherapy, dose escalation

Drug: JAB-8263
Variable dose, orally Q2D with 28 days each cycle

Outcome Measures

Primary Outcome Measures

  1. Number of participants with dose limiting toxicities [Approximately 2.5 years]

    Incidence of dose limiting toxicities (DLTs) in the dose escalation phase. A DLT is defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first treatment cycle with JAB-8263

  2. Find Recommended Phase 2 Dose (RP2D) of JAB-8263 [Approximately 2.5 years]

    Measurements of MTD (i.e. the highest dose of JAB-8263 associated with the occurrence of Dose Limiting Toxicities (DLTs) in <33% of patients) or the RP2D (i.e. the highest tested dose that is declared safe and tolerable by the Investigators and Sponsor)

Secondary Outcome Measures

  1. Number of participants with adverse events [Approximately 2.5 years]

    All patients participating in this study will be assessed for incidence and severity of adverse events (AEs) and serious AEs, including changes in laboratory values, vital signs, electrocardiograms, cardiac imaging and ophthalmological assessments

  2. Area under the curve [Approximately 2.5 years]

    Area under the plasma concentration time curve of JAB-8263

  3. Cmax [Approximately 2.5 years]

    Highest observed plasma concentration of JAB-8263

  4. Tmax [Approximately 2.5 years]

    Time of highest observed plasma concentration of JAB-8263

  5. T1/2 [Approximately 2.5 years]

    Half life of JAB-8263

  6. Objective response rate ( ORR ) [Approximately 2.5 years]

    ORR is defined as the proportion of participants with complete response or partial response (CR+PR)

  7. Duration of response ( DOR ) [Approximately 2.5 years]

    DOR is defined as the time from the participant's initial objective response (CR or PR) to study drug therapy, to disease progression or death due to any cause, whichever occurs first.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:

Subjects must meet all the following criteria in order to be included in the research study:

  1. Subject must be ≥18 years-of-age at the time of signature of the informed consent form (ICF).

  2. Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.

  3. Subjects with histologically or cytologically confirmed advanced solid tumors which have progressed despite standard therapy(ies), or are intolerant to standard therapy(ies), or have a tumor for which no standard therapy(ies) exists.

  4. Subjects with life expectancy ≥3 months.

  5. Patients must have at least one measurable lesion as defined by RECIST v1.1.

  6. Patients who have sufficient baseline organ function.

Exclusion Criteria:
  1. History (≤3 years) of cancer that is histologically distinct from the cancer under study.

  2. Known serious allergy to investigational drug or excipients

  3. Active brain or spinal metastases

  4. History of pericarditis or Grade ≥2 pericardial effusion

  5. History of interstitial lung disease.

  6. History of Grade ≥2 active infections within 2 weeks

  7. Known human immunodeficiency virus (HIV) infection

  8. Seropositive for hepatitis B virus (HBV)

  9. Seropositive for hepatitis C virus (HCV), or HCV-RNA viral levels are not detectable.

  10. Any severe and/or uncontrolled medical conditions

  11. History of myocardial infarction, unstable angina pectoris, coronary artery bypass graft, or cerebrovascular accident

  12. Impaired cardiac function or clinically significant cardiac diseases

  13. QTcF >470 msec at screening

  14. History of medically significant thromboembolic events or bleeding diathesis

  15. Unresolved Grade >1 toxicity

  16. History of malignant biliary obstruction

  17. Pregnant or breast-feeding

Contacts and Locations

Locations

Site City State Country Postal Code
1 SCRI HeatlthONE Denver Colorado United States 80218
2 Florida Cancer Center, Lake Mary Lake City Florida United States 32025
3 Tennessee Oncology Nashville Nashville Tennessee United States 37203

Sponsors and Collaborators

  • Jacobio Pharmaceuticals Co., Ltd.

Investigators

  • Study Director: Jacobio Pharmaceuticals, Jacobio Pharmaceuticals

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Jacobio Pharmaceuticals Co., Ltd.
ClinicalTrials.gov Identifier:
NCT04587479
Other Study ID Numbers:
  • JAB-8263-1001
First Posted:
Oct 14, 2020
Last Update Posted:
Mar 14, 2022
Last Verified:
Mar 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Mar 14, 2022