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出境医 / 临床实验 / A Study of Telaglenastat (CB-839) in Combination With Palbociclib in Patients With Solid Tumors

A Study of Telaglenastat (CB-839) in Combination With Palbociclib in Patients With Solid Tumors

Study Description
Brief Summary:
This is a Phase 1b/2 study to determine the recommended phase 2 dose (RP2D), safety and tolerability, pharmacokinetics (PK) and clinical activity of the glutaminase inhibitor telaglenestat (CB-839) with the CDK4/6 Inhibitor, palbociclib in participants with advanced/metastatic solid tumors.

Condition or disease Intervention/treatment Phase
Solid Tumors NSCLC CRC KRAS Gene Mutation Drug: Telaglenestat (CB-839) Drug: Palbociclib Oral Capsule [Ibrance] Phase 1 Phase 2

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 85 participants
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 1b/2, Open Label, Dose Escalation and Expansion Study of the Glutaminase Inhibitor Telaglenastat (CB-839) in Combination With CDK4/6 Inhibitor Palbociclib in Patients With Advanced or Metastatic Solid Tumors
Actual Study Start Date : June 25, 2019
Estimated Primary Completion Date : June 2020
Estimated Study Completion Date : June 2021
Arms and Interventions
Arm Intervention/treatment
Experimental: Cohort 1: Telaglenastat 600 mg and Palbociclib 75 mg Drug: Telaglenestat (CB-839)
Teleglenastat is an oral tablet administered twice daily with food at the assigned dose level. Dose is taken with palbociclib each day in 28-day cycles.

Drug: Palbociclib Oral Capsule [Ibrance]
Palbociclib (Ibrance) is an oral capsule administered once daily with food on Days 1-21 of every 28-day cycle in combination with telaglenestat. Days 22-28 of every cycle, palbociclib is not taken.
Other Name: Ibrance

Experimental: Cohort 2: Telaglenastat 800 mg and Palbociclib 75 mg Drug: Telaglenestat (CB-839)
Teleglenastat is an oral tablet administered twice daily with food at the assigned dose level. Dose is taken with palbociclib each day in 28-day cycles.

Drug: Palbociclib Oral Capsule [Ibrance]
Palbociclib (Ibrance) is an oral capsule administered once daily with food on Days 1-21 of every 28-day cycle in combination with telaglenestat. Days 22-28 of every cycle, palbociclib is not taken.
Other Name: Ibrance

Experimental: Cohort 3: Telaglenastat 800 mg and Palbociclib 100 mg Drug: Telaglenestat (CB-839)
Teleglenastat is an oral tablet administered twice daily with food at the assigned dose level. Dose is taken with palbociclib each day in 28-day cycles.

Drug: Palbociclib Oral Capsule [Ibrance]
Palbociclib (Ibrance) is an oral capsule administered once daily with food on Days 1-21 of every 28-day cycle in combination with telaglenestat. Days 22-28 of every cycle, palbociclib is not taken.
Other Name: Ibrance

Experimental: Cohort 3: Telaglenastat 800 mg and Palbociclib 125 mg Drug: Telaglenestat (CB-839)
Teleglenastat is an oral tablet administered twice daily with food at the assigned dose level. Dose is taken with palbociclib each day in 28-day cycles.

Drug: Palbociclib Oral Capsule [Ibrance]
Palbociclib (Ibrance) is an oral capsule administered once daily with food on Days 1-21 of every 28-day cycle in combination with telaglenestat. Days 22-28 of every cycle, palbociclib is not taken.
Other Name: Ibrance

Experimental: Part 2: Expansion
The recommended phase 2 dose (RP2D) determined from Part 1 will be the treatment for all cohorts in expansion Part 2.
Drug: Telaglenestat (CB-839)
Teleglenastat is an oral tablet administered twice daily with food at the assigned dose level. Dose is taken with palbociclib each day in 28-day cycles.

Drug: Palbociclib Oral Capsule [Ibrance]
Palbociclib (Ibrance) is an oral capsule administered once daily with food on Days 1-21 of every 28-day cycle in combination with telaglenestat. Days 22-28 of every cycle, palbociclib is not taken.
Other Name: Ibrance

Outcome Measures
Primary Outcome Measures :
  1. Safety and Tolerability of telaglenestat (CB-839) in combination with palbociclib: (CR) number of participants with treatment related adverse events [ Time Frame: Start of treatment to 28 days post treatment ]
    Number of participants with treatment related adverse events as assessed by CTCAE v5.0

  2. Maximum tolerated dose and/or Recommended Phase 2 Dose: [ Time Frame: Measured from Part 1 patients only within their first 28 day cycle ]
    Incidence and nature of dose-limiting toxicities


Secondary Outcome Measures :
  1. Maximum plasma concentration of telaglenastat and palbociclib: [ Time Frame: PKs are drawn on two different days (Day 8 and Day 15) during Cycle 1 ]
    Non-compartmental method of analysis will be used to analyze the plasma concentrations

  2. Anti-tumor activity of telaglenestat and palbociclib: [ Time Frame: Approximately every 8 weeks until disease progression, for approximately 18 months ]
    Change in tumor size from baseline


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

Inclusion Criteria:

  • Part 1: Have documented incurable/locally advanced or metastatic solid tumors that have either relapsed or are refractory or intolerant to the standard therapies of proven clinical benefit.
  • Part 2: Availability of archival tumor tissue block or slides (Fresh tumor biopsy will be required if archival tissue is not available)
  • Part 2, Cohort 1: Incurable/locally advanced or metastatic KRAS-mutant CRC previously treated with systemic therapy (examples include: oxaliplatin-, irinotecan-and 5 FU-based chemotherapy (unless contraindicated) with or without bevacizumab)
  • Part 2, Cohort 2: Incurable/locally advanced or metastatic KRAS-mutant NSCLC previously treated with systemic chemotherapy including platinum-based and anti-PD-1/PDL-1 therapy (unless contraindicated)

For both Part 1 and 2:

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1
  • Ability to provide written consent in accordance with federal, local and institutional guidelines
  • PER RECIST v1.1 evaluable disease (for part 1) or measurable disease (for Part 2)
  • Recovery to baseline or to Grade 1 CTCAE v5.0 of toxicities that were related to prior therapies

Exclusion Criteria:

  • Prior treatment with CB-839 or palbociclib
  • Unable to receive oral medication
  • Infection requiring more than 5 days of parenteral antibiotics, antivirals, or antifungals within two weeks prior to C1D1
  • Unable to discontinue proton pump inhibitor use before study treatment
  • Refractory nausea and vomiting, uncontrolled diarrhea, malabsorption, significant small bowel resection or gastric bypass surgery, use of feeding tubes or other situation that may preclude adequate absorption
  • Active and/or untreated central nervous system metastasis. Patients with treated brain metastasis must have (1) documented radiographic stability of at least 4 weeks in duration demonstrating on baseline central nervous system imaging prior to study treatment and (2) be symptomatically stable and off steroids for at least 2 weeks before administration of any study treatment.
  • Major surgery within 28 days prior to first dose of study drug
  • Receipt of any anticancer therapy within the following windows:

    1. small molecule TKI therapy (including investigational) within 2 weeks or 5 half-lives prior to expected Cycle 1 Day 1 dose
    2. any type of anti-cancer antibody or cytotoxic chemo within 4 weeks prior to Cycle 1 Day 1 Dose
    3. radiation therapy for bone metastasis within 2 weeks prior or any other external radiation therapy within 4 weeks prior to C1D1
    4. patients with clinically relevant ongoing complications from prior radiation therapy are not eligible
Contacts and Locations

Contacts
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Contact: Clinical Administrator 650-870-1000 clinicaltrials@calithera.com

Locations
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United States, Georgia
Emory, Winship Cancer Institute Recruiting
Atlanta, Georgia, United States, 30322
Contact: Olatunji Alese, MD    404-778-1900    olatunji.alese@emory.edu   
Principal Investigator: Olatunji Alese, MD         
United States, Texas
MD Anderson Recruiting
Houston, Texas, United States, 77030
Contact: Amanda Eckert    713-745-8074    ACEckert@mdanderson.org   
Principal Investigator: Funda Meric Bernstam, MD         
South Texas Accelerated Research Therapeutic, LLC Recruiting
San Antonio, Texas, United States, 78229
Contact: Isabel Jimenez    210-593-5265    isabel.jimenez@startsa.com   
Principal Investigator: Kyriakos Papadopoulos, MD         
Sponsors and Collaborators
Calithera Biosciences, Inc
Investigators
Layout table for investigator information
Study Director: Sam Whiting, MD, PhD Calithera Biosciences, Inc
Tracking Information
First Submitted Date  ICMJE May 24, 2019
First Posted Date  ICMJE May 29, 2019
Last Update Posted Date November 6, 2019
Actual Study Start Date  ICMJE June 25, 2019
Estimated Primary Completion Date June 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: May 24, 2019)
  • Safety and Tolerability of telaglenestat (CB-839) in combination with palbociclib: (CR) number of participants with treatment related adverse events [ Time Frame: Start of treatment to 28 days post treatment ]
    Number of participants with treatment related adverse events as assessed by CTCAE v5.0
  • Maximum tolerated dose and/or Recommended Phase 2 Dose: [ Time Frame: Measured from Part 1 patients only within their first 28 day cycle ]
    Incidence and nature of dose-limiting toxicities
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: May 24, 2019)
  • Maximum plasma concentration of telaglenastat and palbociclib: [ Time Frame: PKs are drawn on two different days (Day 8 and Day 15) during Cycle 1 ]
    Non-compartmental method of analysis will be used to analyze the plasma concentrations
  • Anti-tumor activity of telaglenestat and palbociclib: [ Time Frame: Approximately every 8 weeks until disease progression, for approximately 18 months ]
    Change in tumor size from baseline
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 A Study of Telaglenastat (CB-839) in Combination With Palbociclib in Patients With Solid Tumors
Official Title  ICMJE A Phase 1b/2, Open Label, Dose Escalation and Expansion Study of the Glutaminase Inhibitor Telaglenastat (CB-839) in Combination With CDK4/6 Inhibitor Palbociclib in Patients With Advanced or Metastatic Solid Tumors
Brief Summary This is a Phase 1b/2 study to determine the recommended phase 2 dose (RP2D), safety and tolerability, pharmacokinetics (PK) and clinical activity of the glutaminase inhibitor telaglenestat (CB-839) with the CDK4/6 Inhibitor, palbociclib in participants with advanced/metastatic solid tumors.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Phase 2
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE
  • Solid Tumors
  • NSCLC
  • CRC
  • KRAS Gene Mutation
Intervention  ICMJE
  • Drug: Telaglenestat (CB-839)
    Teleglenastat is an oral tablet administered twice daily with food at the assigned dose level. Dose is taken with palbociclib each day in 28-day cycles.
  • Drug: Palbociclib Oral Capsule [Ibrance]
    Palbociclib (Ibrance) is an oral capsule administered once daily with food on Days 1-21 of every 28-day cycle in combination with telaglenestat. Days 22-28 of every cycle, palbociclib is not taken.
    Other Name: Ibrance
Study Arms  ICMJE
  • Experimental: Cohort 1: Telaglenastat 600 mg and Palbociclib 75 mg
    Interventions:
    • Drug: Telaglenestat (CB-839)
    • Drug: Palbociclib Oral Capsule [Ibrance]
  • Experimental: Cohort 2: Telaglenastat 800 mg and Palbociclib 75 mg
    Interventions:
    • Drug: Telaglenestat (CB-839)
    • Drug: Palbociclib Oral Capsule [Ibrance]
  • Experimental: Cohort 3: Telaglenastat 800 mg and Palbociclib 100 mg
    Interventions:
    • Drug: Telaglenestat (CB-839)
    • Drug: Palbociclib Oral Capsule [Ibrance]
  • Experimental: Cohort 3: Telaglenastat 800 mg and Palbociclib 125 mg
    Interventions:
    • Drug: Telaglenestat (CB-839)
    • Drug: Palbociclib Oral Capsule [Ibrance]
  • Experimental: Part 2: Expansion
    The recommended phase 2 dose (RP2D) determined from Part 1 will be the treatment for all cohorts in expansion Part 2.
    Interventions:
    • Drug: Telaglenestat (CB-839)
    • Drug: Palbociclib Oral Capsule [Ibrance]
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: May 24, 2019)
85
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE June 2021
Estimated Primary Completion Date June 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Part 1: Have documented incurable/locally advanced or metastatic solid tumors that have either relapsed or are refractory or intolerant to the standard therapies of proven clinical benefit.
  • Part 2: Availability of archival tumor tissue block or slides (Fresh tumor biopsy will be required if archival tissue is not available)
  • Part 2, Cohort 1: Incurable/locally advanced or metastatic KRAS-mutant CRC previously treated with systemic therapy (examples include: oxaliplatin-, irinotecan-and 5 FU-based chemotherapy (unless contraindicated) with or without bevacizumab)
  • Part 2, Cohort 2: Incurable/locally advanced or metastatic KRAS-mutant NSCLC previously treated with systemic chemotherapy including platinum-based and anti-PD-1/PDL-1 therapy (unless contraindicated)

For both Part 1 and 2:

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1
  • Ability to provide written consent in accordance with federal, local and institutional guidelines
  • PER RECIST v1.1 evaluable disease (for part 1) or measurable disease (for Part 2)
  • Recovery to baseline or to Grade 1 CTCAE v5.0 of toxicities that were related to prior therapies

Exclusion Criteria:

  • Prior treatment with CB-839 or palbociclib
  • Unable to receive oral medication
  • Infection requiring more than 5 days of parenteral antibiotics, antivirals, or antifungals within two weeks prior to C1D1
  • Unable to discontinue proton pump inhibitor use before study treatment
  • Refractory nausea and vomiting, uncontrolled diarrhea, malabsorption, significant small bowel resection or gastric bypass surgery, use of feeding tubes or other situation that may preclude adequate absorption
  • Active and/or untreated central nervous system metastasis. Patients with treated brain metastasis must have (1) documented radiographic stability of at least 4 weeks in duration demonstrating on baseline central nervous system imaging prior to study treatment and (2) be symptomatically stable and off steroids for at least 2 weeks before administration of any study treatment.
  • Major surgery within 28 days prior to first dose of study drug
  • Receipt of any anticancer therapy within the following windows:

    1. small molecule TKI therapy (including investigational) within 2 weeks or 5 half-lives prior to expected Cycle 1 Day 1 dose
    2. any type of anti-cancer antibody or cytotoxic chemo within 4 weeks prior to Cycle 1 Day 1 Dose
    3. radiation therapy for bone metastasis within 2 weeks prior or any other external radiation therapy within 4 weeks prior to C1D1
    4. patients with clinically relevant ongoing complications from prior radiation therapy are not eligible
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: Clinical Administrator 650-870-1000 clinicaltrials@calithera.com
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03965845
Other Study ID Numbers  ICMJE CX-839-012
Has Data Monitoring Committee No
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 Calithera Biosciences, Inc
Study Sponsor  ICMJE Calithera Biosciences, Inc
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: Sam Whiting, MD, PhD Calithera Biosciences, Inc
PRS Account Calithera Biosciences, Inc
Verification Date November 2019

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

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