This is a phase I/II trial to evaluate the efficacy of APG-115 +/- Carboplatin for the treatment p53 wild-type malignant salivary gland cancer.
Part 1 consists of 2 arms, arm A is APG-115 monotherapy and arm B is APG-115 + Carboplatin
Part 2 is single arm based on the outcome of part 1
Condition or disease | Intervention/treatment | Phase |
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Malignant Salivary Gland Cancer Salivary Gland Cancer | Drug: APG-115 Drug: Carboplatin | Phase 1 Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 62 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | Part 1: Arm A: APG-115 Monotherapy, APG-115 (PO): dose= 150 mg, Cycle length: 21 days Arm B: APG-115 + Carboplatin, APG-115 (PO): dose= 150 mg, Cycle length: 21 days Carboplatin (IV): dose= AUC 4.5, day= 1, cycle length: 21 days Part 2: One of the regimens in Arm A or Arm B based on emerging data from Part 1. |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Multicenter Phase I/II Trial of A Novel MDM2 Inhibitor (APG-115) With or Without Platinum Chemotherapy in P53 Wild-Type Salivary Gland Carcinoma |
Actual Study Start Date : | October 22, 2019 |
Estimated Primary Completion Date : | September 15, 2022 |
Estimated Study Completion Date : | December 15, 2022 |
Arm | Intervention/treatment |
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Experimental: APG-115 monotherapy
APG-115 at 150mg is taken orally every other day within one hour after food. Cycle length 21 days
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Drug: APG-115
APG-115 at 150mg is taken orally every other day within one hour after food. Cycle length 21 days.
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Experimental: APG-115 + Carboplatin
APG-115 at 150mg is taken orally every other day within one hour after food. Carboplatin is given IV at AUC=4.5. Cycle length 21 days.
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Drug: APG-115
APG-115 at 150mg is taken orally every other day within one hour after food. Cycle length 21 days.
Drug: Carboplatin Carboplatin is given IV at AUC=4.5. Cycle length 21 days.
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Paul L Swiecicki, MD | 734-647-1017 | pswiecic@med.umich.edu |
United States, Florida | |
Moffitt Cancer Center | Not yet recruiting |
Tampa, Florida, United States, 33612 | |
United States, Michigan | |
University of Michigan Comprehensive Cancer Center | Recruiting |
Ann Arbor, Michigan, United States, 48109 | |
Contact: Paul L Swiecicki, MD 734-647-1017 pswiecic@med.umich.edu | |
Contact: Kathleen Granlund 734-936-0563 kemarsh@med.umich.edu |
Study Chair: | Yifan Zhai, MD, PhD | Ascentage Pharma Group Inc. |
Tracking Information | |||||
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First Submitted Date ICMJE | December 6, 2018 | ||||
First Posted Date ICMJE | December 20, 2018 | ||||
Last Update Posted Date | May 28, 2021 | ||||
Actual Study Start Date ICMJE | October 22, 2019 | ||||
Estimated Primary Completion Date | September 15, 2022 (Final data collection date for primary outcome measure) | ||||
Current Primary Outcome Measures ICMJE |
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Original Primary Outcome Measures ICMJE | Same as current | ||||
Change History | |||||
Current Secondary Outcome Measures ICMJE | Not Provided | ||||
Original Secondary Outcome Measures ICMJE | Not Provided | ||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||
Descriptive Information | |||||
Brief Title ICMJE | A Study of APG-115 in Patients With Salivary Gland Carcinoma | ||||
Official Title ICMJE | A Multicenter Phase I/II Trial of A Novel MDM2 Inhibitor (APG-115) With or Without Platinum Chemotherapy in P53 Wild-Type Salivary Gland Carcinoma | ||||
Brief Summary |
This is a phase I/II trial to evaluate the efficacy of APG-115 +/- Carboplatin for the treatment p53 wild-type malignant salivary gland cancer. Part 1 consists of 2 arms, arm A is APG-115 monotherapy and arm B is APG-115 + Carboplatin Part 2 is single arm based on the outcome of part 1 |
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Detailed Description | This is an open label multi-institution phase I/II study with an initial randomized component then followed by a planned single-arm phase. Arms will be monitored using the time-to-event continual reassessment method (TITE-CRM). In the initial randomized phase, patients will be randomized to one of two arms: Arm A (APG-115 alone) or Arm B (APG-115 + Carboplatin) at a ratio of 1:2. After 14 patients have been accrued in Arm A and 28 patients have been accrued to Arm B, responses will be tabulated. The outcomes of the arms will be considered, and a single arm will be selected for further study in part 2 of the study. Response rate (defined as CR or PR after cycle 2) will be the foremost consideration for deciding on the most promising arm; in addition, a comprehensive evaluation of the available data including toxicity and pharmacokinetic (PK) data will also be considered. After an arm has been chosen to advance an additional 20 patients will be accrued. | ||||
Study Type ICMJE | Interventional | ||||
Study Phase ICMJE | Phase 1 Phase 2 |
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Study Design ICMJE | Allocation: Randomized Intervention Model: Parallel Assignment Intervention Model Description: Part 1: Arm A: APG-115 Monotherapy, APG-115 (PO): dose= 150 mg, Cycle length: 21 days Arm B: APG-115 + Carboplatin, APG-115 (PO): dose= 150 mg, Cycle length: 21 days Carboplatin (IV): dose= AUC 4.5, day= 1, cycle length: 21 days Part 2: One of the regimens in Arm A or Arm B based on emerging data from Part 1. Primary Purpose: Treatment |
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Condition ICMJE |
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Intervention ICMJE |
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Study Arms ICMJE |
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Publications * | Not Provided | ||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||
Recruitment Status ICMJE | Recruiting | ||||
Estimated Enrollment ICMJE |
62 | ||||
Original Estimated Enrollment ICMJE | Same as current | ||||
Estimated Study Completion Date ICMJE | December 15, 2022 | ||||
Estimated Primary Completion Date | September 15, 2022 (Final data collection date for primary outcome measure) | ||||
Eligibility Criteria ICMJE |
Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender ICMJE |
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Ages ICMJE | 18 Years and older (Adult, Older Adult) | ||||
Accepts Healthy Volunteers ICMJE | No | ||||
Contacts ICMJE |
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Listed Location Countries ICMJE | United States | ||||
Removed Location Countries | |||||
Administrative Information | |||||
NCT Number ICMJE | NCT03781986 | ||||
Other Study ID Numbers ICMJE | APG-115SG101 | ||||
Has Data Monitoring Committee | No | ||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE |
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Responsible Party | Ascentage Pharma Group Inc. | ||||
Study Sponsor ICMJE | Ascentage Pharma Group Inc. | ||||
Collaborators ICMJE | University of Michigan | ||||
Investigators ICMJE |
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PRS Account | Ascentage Pharma Group Inc. | ||||
Verification Date | May 2021 | ||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |