| May 28, 2019
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| May 30, 2019
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| May 28, 2021
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| July 30, 2019
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| July 1, 2022 (Final data collection date for primary outcome measure)
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| Recommended Phase 2 Dose (RP2D) of Debio 0123 When Administered in Combination with Carboplatin [ Time Frame: 2 Cycles i.e., 42 days (1 cycle = 21 days) ]
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Same as current
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- Percentage of Participants with Dose Limiting Toxicities (DLTs) of Debio 0123 When Administered in Combination with Carboplatin [ Time Frame: 2 Cycles i.e., 42 days (1 cycle = 21 days) ]
- Percentage of Participants with Treatment-Emergent Serious Adverse Events (SAEs) [ Time Frame: Up to 46 months ]
- Percentage of Participants with Treatment-Emergent Adverse Events (TEAEs) and Laboratory Abnormalities [ Time Frame: Up to 46 months ]
- Percentage of Participants with Treatment Discontinuations and Treatment Modifications Due to Adverse Events (AEs) and Laboratory Abnormalities [ Time Frame: Up to 46 months ]
- Number of Participants with Changes in Vital Signs [ Time Frame: Screening, Day 1 of each 21-day Cycle up to 46 months ]
- Number of Participants with Changes in Electrocardiogram (ECG) [ Time Frame: Screening; Pre-dose, 2, 4 hours post-dose Days -3 and 3 Cycle 1 (each cycle is 21 days); Days 1 and 3 Cycle 2; pre-dose and post-dose; Day 1 Cycle 3, 4, 5, and at End of Treatment (Up to 46 months) ]
- Number of Participants with Change in Eastern Cooperative Oncology Group Performance Status (ECOG PS) [ Time Frame: Screening, Day 1 of 21 days Cycle (Up to 46 months) ]
- Maximum Plasma Concentration (Cmax) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Time to Maximum Concentration (Tmax) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Area Under the Concentration Curve Over the Time 0 to Time of the Last Quantifiable Concentration [AUC(0-t)] of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Area Under the Plasma Concentration-Time Curve Over the Dosing Interval of T (AUCτ) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Area Under the Concentration Curve Over the Time 0 to Infinity (AUC∞) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Apparent Elimination Rate Constant During the Terminal Phase (λz) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Apparent Terminal Half-Life (t½) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Mean Residence Time (MRT) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Apparent Total Body Clearance (Oral Clearance) (CL/F) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Apparent Volume of Distribution During the Terminal Phase (Vz/F) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Peak-to-Trough Fluctuation (PTF) of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Accumulation Ratio on AUC [R(AUC)] of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Accumulation ratio on Cmax [R(Cmax)] of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Linearity Index (LI) of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Average Steady-State Concentration [C(av,ss)] of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Trough Concentrations (Ctrough) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Cumulative Amount Excreted in Urine (Ae) of Debio 0123 [ Time Frame: Day 1 up to Day 4 Cycle 1 (each cycle is 21 days) ]
- Percentage of the Dose Administered Excreted in Urine (Ae%) of Debio 0123 [ Time Frame: Day 1 up to Day 4 Cycle 1 (each cycle is 21 days) ]
- Renal Clearance (CLR) of Debio 0123 [ Time Frame: Day 1 up to Day 4 Cycle 1 (each cycle is 21 days) ]
- AUC∞ of Free Platinum in Plasma Ultrafiltrate of Carboplatin in Combination [ Time Frame: Day 1 Cycle 2 (each cycle is 21 days) ]
- Correlation Between Plasma Concentration of Debio 0123 (and its Metabolite) and Changes in QT Interval Corrected Using Fridericia's Formula (QTcF) [ Time Frame: Up to 46 months ]
- Tumor Response [ Time Frame: From the start of study treatment until disease progression/recurrence is documented or analysis cut-off, whichever occurs first (Up to 46 months) ]
- Progression Free-Survival (PFS) [ Time Frame: From the start of study treatment until disease progression or death from any cause, whichever occurs first (Up to 46 months) ]
- Overall Survival (OS) [ Time Frame: From the start of study treatment until disease progression or death from any cause, whichever occurs first (Up to 46 months) ]
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- Percentage of Participants with Dose Limiting Toxicities (DLTs) of Debio 0123 When Administered in Combination with Carboplatin [ Time Frame: 2 Cycles i.e., 42 days (1 cycle = 21 days) ]
- Percentage of Participants with Treatment-Emergent Serious Adverse Events (SAEs) [ Time Frame: Up to 46 months ]
- Percentage of Participants with Treatment-Emergent Adverse Events (TEAEs) and Laboratory Abnormalities [ Time Frame: Up to 46 months ]
- Percentage of Participants with Treatment Discontinuations and Treatment Modifications Due to Adverse Events (AEs) and Laboratory Abnormalities [ Time Frame: Up to 46 months ]
- Number of Participants with Changes in Vital Signs [ Time Frame: Screening, Day 1 of 21 days Cycle (Up to 46 months) ]
- Number of Participants with Changes in Electrocardiogram (ECG) [ Time Frame: Screening, Pre-dose, 2, 4 hours post-dose Day -3, 3 Cycle 1(each cycle is 21 days), Day 1, 3 Cycle 2; pre-dose and post-dose Day 1 Cycle 3, 4, 5, End of Treatment (Up to 46 months) ]
- Number of Participants with Change in Eastern Cooperative Oncology Group Performance Status (ECOG PS) [ Time Frame: Screening, Day 1 of 21 days Cycle (Up to 46 months) ]
- Maximum Plasma Concentration (Cmax) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Time to Maximum Concentration (Tmax) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Area Under the Concentration Curve Over the Time 0 to Time of the Last Quantifiable Concentration [AUC(0-t)] of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Area Under the Plasma Concentration-Time Curve Over the Dosing Interval of T (AUCτ) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Area Under the Concentration Curve Over the Time 0 to Infinity (AUC∞) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Apparent Elimination Rate Constant During the Terminal Phase (λz) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Apparent Terminal Half-Life (t½) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Mean Residence Time (MRT) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Apparent Total Body Clearance (Oral Clearance) (CL/F) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Apparent Volume of Distribution During the Terminal Phase (Vz/F) of Debio 0123 [ Time Frame: Days -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (Up to 46 months) ]
- Peak-to-Trough Fluctuation (PTF) of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Accumulation Ratio on AUC [R(AUC)] of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Accumulation ratio on Cmax [R(Cmax)] of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Linearity Index (LI) of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Average Steady-State Concentration [C(av,ss)] of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1 (each cycle is 21 days) ]
- Trough Concentrations (Ctrough) of Debio 0123 [ Time Frame: Day -3, -2, -1, 1, 3 in Cycle 1(each cycle is 21 days); Day 1, 2, 3 Cycle 2, 3 and subsequent cycles until end of treatment (up to 46 months)] ]
- Cumulative Amount Excreted in Urine (Ae) of Debio 0123 [ Time Frame: Day 1 up to Day 4 Cycle 1 (each cycle is 21 days) ]
- Percentage of the Dose Administered Excreted in Urine (Ae%) of Debio 0123 [ Time Frame: Day 1 up to Day 4 Cycle 1 (each cycle is 21 days) ]
- Renal Clearance (CLR) of Debio 0123 [ Time Frame: Day 1 up to Day 4 Cycle 1 (each cycle is 21 days) ]
- AUC∞ of Free Platinum in Plasma Ultrafiltrate of Carboplatin in Combination [ Time Frame: Day 1 Cycle 2 (each cycle is 21 days) ]
- Correlation Between Plasma Concentration of Debio 0123 (and its Metabolite) and Changes in QT Interval Corrected Using Fridericia's Formula (QTcF) [ Time Frame: Up to 46 months ]
- Tumor Response [ Time Frame: From the start of study treatment until disease progression/recurrence is documented or analysis cut-off, whichever occurs first (Up to 46 months) ]
- Progression Free-Survival (PFS) [ Time Frame: From the start of study treatment until disease progression or death from any cause, whichever occurs first (Up to 46 months) ]
- Overall Survival (OS) [ Time Frame: From the start of study treatment until disease progression or death from any cause, whichever occurs first (Up to 46 months) ]
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| Not Provided
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| Not Provided
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| Study of Oral Debio 0123 in Combination With Carboplatin in Participants With Advanced Solid Tumors
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| A Phase 1 Study of Oral Debio 0123 in Combination With Carboplatin in Patients With Advanced Solid Tumors
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| The primary objective of the study is to determine the recommended phase 2 dose (RP2D) of Debio 0123 in combination with carboplatin in participants with advanced solid tumors that recurred or progressed following prior platinum based therapy and for which no standard therapy of proven benefit is available.
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| Not Provided
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| Interventional
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| Phase 1
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Allocation: N/A Intervention Model: Sequential Assignment Masking: None (Open Label) Primary Purpose: Treatment
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| Advanced Solid Tumors
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- Drug: Debio 0123
Debio 0123 will be given as an oral capsule, once daily for 3 days during each 21-day cycle.
- Drug: Carboplatin
Carboplatin will be given as an intravenous infusion in combination with Debio 0123 on Day 1 from Cycle 2 onwards.
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| Experimental: Debio 0123
Participants will receive Debio 0123 as monotherapy (Day -3), orally, in the morning and once daily for 3 days during Cycle 1 then in combination with carboplatin intravenous infusion from Cycle 2 onwards.
Interventions:
- Drug: Debio 0123
- Drug: Carboplatin
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| Not Provided
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| Recruiting
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| 40
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| 24
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| May 1, 2023
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| July 1, 2022 (Final data collection date for primary outcome measure)
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Inclusion Criteria:
- Histologically or cytologically confirmed locally advanced or metastatic solid and nonbleeding tumors that had recurred or progressed following standard therapy, has not responded to standard therapy or for which no standard therapy of proven benefit is available
- Able and willing to undergo tumor biopsy
- Prior platinum-based therapy (carboplatin or cisplatin).
- Life expectancy of at least 3 months
- ECOG performance score 0-1
Exclusion Criteria:
- History of other malignancies requiring active treatment in the last 6 months
- Brain tumors and/or symptomatic brain metastases
- Receiving other investigating agents
- Presence of significant cardiovascular disease or other co-morbidities such as symptomatic ascites
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| Sexes Eligible for Study: |
All |
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| 18 Years and older (Adult, Older Adult)
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| No
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| Contact: Debiopharm International S.A |
+41 21 321 01 11 |
clinicaltrials@debiopharm.com |
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| Netherlands, Spain
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| NCT03968653
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Debio 0123-101 2018-003659-39 ( EudraCT Number )
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| No
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| Studies a U.S. FDA-regulated Drug Product: |
No |
| Studies a U.S. FDA-regulated Device Product: |
No |
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| Not Provided
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| Debiopharm International SA
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| Debiopharm International SA
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| Not Provided
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| Not Provided
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| Debiopharm International SA
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| May 2021
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