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出境医 / 临床实验 / BR101801 in Adult Patients With Advanced Hematologic Malignancies( Phase I)

BR101801 in Adult Patients With Advanced Hematologic Malignancies( Phase I)

Study Description
Brief Summary:

This is a Phase I, multi-center, open-label, FIH study comprising of 2 study parts (Phase Ia and Phase Ib).

The Phase Ia (dose escalation) part of the study is designed to determine the safety, tolerability, and maximum tolerated dose (MTD)/recommended dose for expansion (RDE) of BR101801 in patients with relapsed/refractory advanced hematologic malignancies except acute leukemia and multiple myeloma.

The Phase Ib (dose expansion) part of the study is designed to assess tumor response and safety in specific advanced relapsed/refractory hematologic malignances at a dose of BR101801 identified in Phase Ia.


Condition or disease Intervention/treatment Phase
Diffuse Large B Cell Lymphoma Follicular Lymphoma Chronic Lymphocytic Leukemia Small Lymphocytic Leukemia B Cell Lymphoma Marginal Zone Lymphoma Waldenstrom Macroglobulinemia Peripheral T Cell Lymphoma Drug: BR101801 (Phase Ia) Drug: BR101801 (Phase Ib) Phase 1

Detailed Description:
  1. Phase Ia (Dose Escalation)

    Primary Objectives

    • To assess the safety and tolerability of BR101801 in patients with relapsed/refractory B-cell lymphoma, CLL/SLL, and PTCL.
    • To assess DLT and to determine the MTD and/or the RDE dose for BR101801 when administered orally on a daily schedule in 4-week cycles until disease progression.

    SecondaryObjectives

    • To characterize the plasma and urine PK of BR101801.
    • To assess the preliminary antitumor activity of BR101801.
  2. Phase Ib (Dose Expansion)

Primary Objectives

•To assess the safety and tolerability of BR101801 at the RDE dose in patients with relapsed and/or refractory B-cell lymphoma, CLL/SLL, and PTCL.

SecondaryObjectives

  • To assess clinical activity of BR101801 when administered orally on a daily schedule in 4-week cycles until disease progression.
  • To assess the plasma PK of BR101801

OUTLINE: This is a Phase I, multi-center, open-label, FIH study. Safety monitoring committee (SMC) will be responsible for safety oversight.

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 90 participants
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase I, Open-label, Multi-center, Dose Escalation, and Expansion Study of BR101801 in Adult Patients With Advanced Hematologic Malignancies
Actual Study Start Date : April 21, 2020
Estimated Primary Completion Date : December 2023
Estimated Study Completion Date : February 2024
Arms and Interventions
Arm Intervention/treatment
Experimental: Treatment ( BR101801):Phase Ia (dose escalation)
Patients will receive BR101801 capsules orally, QD in 28-day cycles. The regimen may be changed to BID dosing based on emerging data.
Drug: BR101801 (Phase Ia)
Phase Ia (dose escalation):25 mg capsules and 100 mg capsules Planned doses are 50, 100, 200, 325, and 450 mg.

Experimental: Treatment ( BR101801):Phase Ib (dose expansion)

Group A: Patients with diffuse large B-cell lymphoma (DLBCL) including MYC-altered DLBCL

Group B: Patients with follicular lymphoma.

Group C: Patients with chronic lymphocytic leukemia/small lymphocytic leukemia, other B-cell lymphoma such as, but not limited to mantle cell lymphoma, marginal zone lymphoma, Waldenstrom's macroglobulinemia, or PTCL

Drug: BR101801 (Phase Ib)
Phase Ib (dose expansion):25 and 100 mg capsules Doses administered will be determined from Phase Ia data.

Outcome Measures
Primary Outcome Measures :
  1. To determination of the MTD and RDE based on DLTs during Cycle 1 (Phase Ia ) [ Time Frame: From baseline to Week 4 ]
    The recommended dose is determined by the number of patients who experience a dose limiting toxicity (DLT).

  2. Number of Participants With Adverse Events (AE) as a Measure of Safety and Tolerability of BR101801 when administered at the MTD or recommended dose (Phase Ia and Ib) [ Time Frame: through study completion, and about average of 1 year ]

    To evaluate safety and tolerability the aggregate review will include but is not limited to:

    • CTCAE TEAEs, treatment-related TEAEs, Grade 3 or higher TEAEs, Grade 3 or higher treatment-related TEAEs, serious treatment-related TEAEs, and TEAEs leading to death.
    • Laboratory results;
    • Vital signs;
    • ECGs;
    • Physical examination
    • ECOG performance status


Secondary Outcome Measures :
  1. Cmax [ Time Frame: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15 ]
    Maximum concentration obtained directly from the observed concentration versus time data.

  2. AUC(0-inf) [ Time Frame: Cycle1( each cycle is 28 days) Day 1 ]
    Area under the plasma concentration-time curve from time zero extrapolated to infinity, calculated by linear up/log down trapezoidal summation

  3. AUC(0-last) [ Time Frame: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15, Pre-dose to 24 hours after dosing ]
    Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration

  4. AUC(0-tau) [ Time Frame: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15, dosing interval: 24 or 12 hours ]
    Area under the plasma concentration-time curve from time zero during a dosing interval

  5. Ae [ Time Frame: Cycle 1( each cycle is 28 days)Day 15, Pre-dose to 12 hours for BID dosing and Pre-dose to 24 hours for QD dosing ]
    Cumulative amount of unchanged drug excreted in urine


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

<Inclusion Criteria>

  1. Patients must sign an informed consent document
  2. Female or male patients aged ≥ 18 years.
  3. ECOG performance status ≤ 2.
  4. Life expectancy more than 3 months.
  5. Phase Ia:Patients with relapsed and/or refractory relapsed/refractory B-cell lymphoma, CLL/SLL, and PTCL diagnosed with World Health Organization (WHO) classification
  6. Phase Ib:

    • Group A: Patients with DLBCL including MYC-altered DLBCL and transformed DLBCL.
    • Group B: Patients with follicular lymphoma Grade 1 to 3a
    • Group C: Patients with CLL/SLL, other B-cell lymphoma such as, but not limited to, mantle cell lymphoma, marginal zone lymphoma, Waldenstrom's macroglobulinemia, and PTCL
  7. Patients have measurable disease based on the appropriate tumor type criteria( Phase Ib only)

<Exclusion Criteria>

  1. Presence of overt leptomeningeal or active CNS metastases, or CNS metastases that require local CNS-directed therapy or increasing doses of corticosteroids within the prior 2 weeks. Patients with treated brain metastases should be neurologically stable and off steroids for at least 2 weeks before administration of any study treatment.
  2. Impaired cardiac function or clinically significant cardiac disease
  3. Patients with interstitial pneumonia or history of drug-induced interstitial pneumonia/pneumonitis.
  4. Human immunodeficiency virus (HIV) infection.
  5. Patients who are positive for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), or hepatitis C virus antibody (HCVAb).
  6. Chronic liver disease or chronic hepatitis
  7. Any gastrointestinal disorders interfering with study drug absorption or are unable to swallow tablets or capsules.
  8. Malignant disease, other than that being treated in this study.
  9. For patients with lymphoma:

    • Systemic antineoplastic therapy or any experimental therapy within 3 weeks or 5 half lives, whichever is shorter, before the first dose of study treatment.

11.Patients receiving systemic chronic steroid therapy or any immunosuppressive therapy (≥ 10 mg/day prednisone or equivalent).

12.Use of any live vaccines against infectious diseases within 4 weeks of initiation of study treatment.

13.Use of hematopoietic colony-stimulating growth factors, thrombopoietin mimetics, or erythroid-stimulating agents ≤ 2 weeks prior to start of study drug.

14.Patients with a history of stroke or having active neurological symptoms, with the exception of chronic conditions which, in the opinion of the neurologist, Investigator, and the Sponsor, would not impact ongoing neurologic assessments while on study treatment.

15.Active infection requiring systemic or antiviral antibiotic therapy. 16.Major surgery within 2 weeks of the first dose of study treatment 17.Radiotherapy within 2 weeks of the first dose of study drug, except for palliative radiotherapy to a limited-field, such as for the treatment of bone pain or a focally painful tumor mass.

18.Presence of CTCAE ≥ Grade 2 toxicity due to prior cancer therapy. 19.Participation in an interventional, investigational study within 2 weeks or 5 half-lives, whichever is shorter, of the first dose of study treatment.

20.Any medical condition that would, in the Investigator's judgment, prevent the patient's participation in the clinical study due to safety concerns, compliance with clinical study procedures, or interpretation of study results.

Contacts and Locations

Contacts
Layout table for location contacts
Contact: Jayhyuk Myung +82-31-491-2271 (Ext. 501) jhmyung@boryung.co.kr
Contact: Bong-Seog Kim +8227088095 seog9270@boryung.co.kr

Locations
Layout table for location information
Korea, Republic of
Asan Medical Center Recruiting
Seoul, Korea, Republic of
Contact: DH Yoon, MD, PhD         
Samsung Medical Center Recruiting
Seoul, Korea, Republic of
Contact: SJ Kim, MD, PhD         
Seoul national university hospital Recruiting
Seoul, Korea, Republic of
Contact: TM Kim, MD, PhD         
Sponsors and Collaborators
Boryung Pharmaceutical Co., Ltd
Investigators
Layout table for investigator information
Principal Investigator: TM Kim, M.D, Ph.D Seoul National University Hospital
Principal Investigator: SJ Kim, M.D, Ph.D Samsung Medical Center
Principal Investigator: DH Yoon, M.D, Ph.D Asan Medical Center
Principal Investigator: Jorge Chaves, M.D, Ph.D Northwest Medical Specialities, PLLC
Principal Investigator: Emily Curran, M.D, Ph.D University of Cincinnati
Tracking Information
First Submitted Date  ICMJE June 14, 2019
First Posted Date  ICMJE July 12, 2019
Last Update Posted Date July 1, 2020
Actual Study Start Date  ICMJE April 21, 2020
Estimated Primary Completion Date December 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 10, 2019)
  • To determination of the MTD and RDE based on DLTs during Cycle 1 (Phase Ia ) [ Time Frame: From baseline to Week 4 ]
    The recommended dose is determined by the number of patients who experience a dose limiting toxicity (DLT).
  • Number of Participants With Adverse Events (AE) as a Measure of Safety and Tolerability of BR101801 when administered at the MTD or recommended dose (Phase Ia and Ib) [ Time Frame: through study completion, and about average of 1 year ]
    To evaluate safety and tolerability the aggregate review will include but is not limited to:
    • CTCAE TEAEs, treatment-related TEAEs, Grade 3 or higher TEAEs, Grade 3 or higher treatment-related TEAEs, serious treatment-related TEAEs, and TEAEs leading to death.
    • Laboratory results;
    • Vital signs;
    • ECGs;
    • Physical examination
    • ECOG performance status
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: July 10, 2019)
  • Cmax [ Time Frame: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15 ]
    Maximum concentration obtained directly from the observed concentration versus time data.
  • AUC(0-inf) [ Time Frame: Cycle1( each cycle is 28 days) Day 1 ]
    Area under the plasma concentration-time curve from time zero extrapolated to infinity, calculated by linear up/log down trapezoidal summation
  • AUC(0-last) [ Time Frame: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15, Pre-dose to 24 hours after dosing ]
    Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration
  • AUC(0-tau) [ Time Frame: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15, dosing interval: 24 or 12 hours ]
    Area under the plasma concentration-time curve from time zero during a dosing interval
  • Ae [ Time Frame: Cycle 1( each cycle is 28 days)Day 15, Pre-dose to 12 hours for BID dosing and Pre-dose to 24 hours for QD dosing ]
    Cumulative amount of unchanged drug excreted in urine
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE BR101801 in Adult Patients With Advanced Hematologic Malignancies( Phase I)
Official Title  ICMJE A Phase I, Open-label, Multi-center, Dose Escalation, and Expansion Study of BR101801 in Adult Patients With Advanced Hematologic Malignancies
Brief Summary

This is a Phase I, multi-center, open-label, FIH study comprising of 2 study parts (Phase Ia and Phase Ib).

The Phase Ia (dose escalation) part of the study is designed to determine the safety, tolerability, and maximum tolerated dose (MTD)/recommended dose for expansion (RDE) of BR101801 in patients with relapsed/refractory advanced hematologic malignancies except acute leukemia and multiple myeloma.

The Phase Ib (dose expansion) part of the study is designed to assess tumor response and safety in specific advanced relapsed/refractory hematologic malignances at a dose of BR101801 identified in Phase Ia.

Detailed Description
  1. Phase Ia (Dose Escalation)

    Primary Objectives

    • To assess the safety and tolerability of BR101801 in patients with relapsed/refractory B-cell lymphoma, CLL/SLL, and PTCL.
    • To assess DLT and to determine the MTD and/or the RDE dose for BR101801 when administered orally on a daily schedule in 4-week cycles until disease progression.

    SecondaryObjectives

    • To characterize the plasma and urine PK of BR101801.
    • To assess the preliminary antitumor activity of BR101801.
  2. Phase Ib (Dose Expansion)

Primary Objectives

•To assess the safety and tolerability of BR101801 at the RDE dose in patients with relapsed and/or refractory B-cell lymphoma, CLL/SLL, and PTCL.

SecondaryObjectives

  • To assess clinical activity of BR101801 when administered orally on a daily schedule in 4-week cycles until disease progression.
  • To assess the plasma PK of BR101801

OUTLINE: This is a Phase I, multi-center, open-label, FIH study. Safety monitoring committee (SMC) will be responsible for safety oversight.

Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE
  • Diffuse Large B Cell Lymphoma
  • Follicular Lymphoma
  • Chronic Lymphocytic Leukemia
  • Small Lymphocytic Leukemia
  • B Cell Lymphoma
  • Marginal Zone Lymphoma
  • Waldenstrom Macroglobulinemia
  • Peripheral T Cell Lymphoma
Intervention  ICMJE
  • Drug: BR101801 (Phase Ia)
    Phase Ia (dose escalation):25 mg capsules and 100 mg capsules Planned doses are 50, 100, 200, 325, and 450 mg.
  • Drug: BR101801 (Phase Ib)
    Phase Ib (dose expansion):25 and 100 mg capsules Doses administered will be determined from Phase Ia data.
Study Arms  ICMJE
  • Experimental: Treatment ( BR101801):Phase Ia (dose escalation)
    Patients will receive BR101801 capsules orally, QD in 28-day cycles. The regimen may be changed to BID dosing based on emerging data.
    Intervention: Drug: BR101801 (Phase Ia)
  • Experimental: Treatment ( BR101801):Phase Ib (dose expansion)

    Group A: Patients with diffuse large B-cell lymphoma (DLBCL) including MYC-altered DLBCL

    Group B: Patients with follicular lymphoma.

    Group C: Patients with chronic lymphocytic leukemia/small lymphocytic leukemia, other B-cell lymphoma such as, but not limited to mantle cell lymphoma, marginal zone lymphoma, Waldenstrom's macroglobulinemia, or PTCL

    Intervention: Drug: BR101801 (Phase Ib)
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: July 10, 2019)
90
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE February 2024
Estimated Primary Completion Date December 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

<Inclusion Criteria>

  1. Patients must sign an informed consent document
  2. Female or male patients aged ≥ 18 years.
  3. ECOG performance status ≤ 2.
  4. Life expectancy more than 3 months.
  5. Phase Ia:Patients with relapsed and/or refractory relapsed/refractory B-cell lymphoma, CLL/SLL, and PTCL diagnosed with World Health Organization (WHO) classification
  6. Phase Ib:

    • Group A: Patients with DLBCL including MYC-altered DLBCL and transformed DLBCL.
    • Group B: Patients with follicular lymphoma Grade 1 to 3a
    • Group C: Patients with CLL/SLL, other B-cell lymphoma such as, but not limited to, mantle cell lymphoma, marginal zone lymphoma, Waldenstrom's macroglobulinemia, and PTCL
  7. Patients have measurable disease based on the appropriate tumor type criteria( Phase Ib only)

<Exclusion Criteria>

  1. Presence of overt leptomeningeal or active CNS metastases, or CNS metastases that require local CNS-directed therapy or increasing doses of corticosteroids within the prior 2 weeks. Patients with treated brain metastases should be neurologically stable and off steroids for at least 2 weeks before administration of any study treatment.
  2. Impaired cardiac function or clinically significant cardiac disease
  3. Patients with interstitial pneumonia or history of drug-induced interstitial pneumonia/pneumonitis.
  4. Human immunodeficiency virus (HIV) infection.
  5. Patients who are positive for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), or hepatitis C virus antibody (HCVAb).
  6. Chronic liver disease or chronic hepatitis
  7. Any gastrointestinal disorders interfering with study drug absorption or are unable to swallow tablets or capsules.
  8. Malignant disease, other than that being treated in this study.
  9. For patients with lymphoma:

    • Systemic antineoplastic therapy or any experimental therapy within 3 weeks or 5 half lives, whichever is shorter, before the first dose of study treatment.

11.Patients receiving systemic chronic steroid therapy or any immunosuppressive therapy (≥ 10 mg/day prednisone or equivalent).

12.Use of any live vaccines against infectious diseases within 4 weeks of initiation of study treatment.

13.Use of hematopoietic colony-stimulating growth factors, thrombopoietin mimetics, or erythroid-stimulating agents ≤ 2 weeks prior to start of study drug.

14.Patients with a history of stroke or having active neurological symptoms, with the exception of chronic conditions which, in the opinion of the neurologist, Investigator, and the Sponsor, would not impact ongoing neurologic assessments while on study treatment.

15.Active infection requiring systemic or antiviral antibiotic therapy. 16.Major surgery within 2 weeks of the first dose of study treatment 17.Radiotherapy within 2 weeks of the first dose of study drug, except for palliative radiotherapy to a limited-field, such as for the treatment of bone pain or a focally painful tumor mass.

18.Presence of CTCAE ≥ Grade 2 toxicity due to prior cancer therapy. 19.Participation in an interventional, investigational study within 2 weeks or 5 half-lives, whichever is shorter, of the first dose of study treatment.

20.Any medical condition that would, in the Investigator's judgment, prevent the patient's participation in the clinical study due to safety concerns, compliance with clinical study procedures, or interpretation of study results.

Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Jayhyuk Myung +82-31-491-2271 (Ext. 501) jhmyung@boryung.co.kr
Contact: Bong-Seog Kim +8227088095 seog9270@boryung.co.kr
Listed Location Countries  ICMJE Korea, Republic of
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04018248
Other Study ID Numbers  ICMJE BR-101801-CT-101
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Boryung Pharmaceutical Co., Ltd
Study Sponsor  ICMJE Boryung Pharmaceutical Co., Ltd
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: TM Kim, M.D, Ph.D Seoul National University Hospital
Principal Investigator: SJ Kim, M.D, Ph.D Samsung Medical Center
Principal Investigator: DH Yoon, M.D, Ph.D Asan Medical Center
Principal Investigator: Jorge Chaves, M.D, Ph.D Northwest Medical Specialities, PLLC
Principal Investigator: Emily Curran, M.D, Ph.D University of Cincinnati
PRS Account Boryung Pharmaceutical Co., Ltd
Verification Date June 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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