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Completed

NCT Number: NCT03730142

A Study of WXFL10030390 in Patients With Advanced Solid Tumors or Lymphoma

WXFL10030390 (WX390) is a novel oral small molecular that inhibits phosphoinositide-3 kinase (PI3K) and mammalian target of rapamycin (mTOR) and has demonstrated potent inhibitory effects on multiple human tumor xenografts. The first-in-human study is conducted to assess the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT), to evaluate the pharmacokinetics, safety and preliminary anti-tumor activity of WX390 at single dose and multiple doses.

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Key information

About this study

This study will be an open-lable, phase Ⅰ study and will evaluate the safety and pharmacokinetics of WX390 after a single administration followed by a 28-day continuous course of therapy; evaluate the safety and preliminary efficacy in an open-lable administration of WX390 at the MTD.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ≥18 and ≤75 years of age
  • Histological or cytological confirmed advanced solid tumor or lymphoma, standard regimen failed or no standard regimen available
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
  • Life expectancy of more than 3 months
  • At least one measurable lesion according to RECIST 1.1 or Lugano 2014
  • Adequate organic function: Absolute neutrophil count (ANC) ≥2.0×109/L,PLT≥100×109/L,Hb≥9g/L hepatic function:TBIL≤1.5×upper limit of normal (ULN),Alanine aminotransferase (ALT) ≤2.5×ULN,aspartate aminotransferase (AST) ≤2.5×ULN; renal function:Cr≤1.5×ULN and>50ml/min; coagulation function: APTT≤1.5 ×ULN,PT≤1.5 ×ULN, INR≤1.5 ×ULN; GLU<7mmol/L and HbA1C<7%; TG≤1.5×ULN,CHOL≤1.5×ULN
  • Subjects who have the fertility should agree to use reliable contraceptive methods during this study and subsequently at least 12 weeks after the last administration; for female subjects, the blood pregnancy test should be negative within 7 days prior to the enrollment
  • Signed and dated informed consent

Exclusion criteria

  • Anti-cancer therapy within 4 weeks prior to the initiation of investigational treatment
  • Surgery within 4 weeks prior to the initiation of study treatment
  • Use of strong inducers or inhibitors of CYP3A4 within 1 weeks before the first dose of study treatment. See Appendix 5 for a list of such medications
  • Received corticosteroids treatment or other immunodepressant within 2 weeks before the first dose of study treatment
  • Toxicity from a previous anti-tumor treatment that does not return to Grade 0 or 1 (except for alopecia)
  • Patients with clinical symptomatic brain metastases, spinal compression, meningitis carcinomatosa or other evidence that shows uncontrolled brain or spinal metastases
  • Previous treatment with PI3K/mTOR inhibitors
  • Patients who once or being suffer Interstitial lung disease
  • Evidence of ongoing or active infection
  • History of human immunodeficiency virus (HIV) infection
  • History of hepatitis B or C infection
  • Clinically significant cardiovascular disease, including but not limited to acute coronary syndrome, congestive heart-failure, cerebral stroke within 6 months prior to enrollment, New York Heart Association Class ≥II cardiac functional grading or left ventricular ejection fraction (LVEF) < 50%
  • Inability to take medication orally
  • Severe gastrointestinal disease leading to diarrhea
  • Diabetics receiving insulin treatment
  • Patients with active autoimmune disease (including systemic lupus erythematosus, rheumatoid arthritis, nodular vasculitis)
  • Abuse of alcohol or drugs
  • People with cognitive and psychological abnormality or with low compliance
  • Pregnant or lactating women
  • Researchers believe that subjects may not be able to complete the study or may not be able to comply with the requirements of this study

Treatment and study plan

WXFL10030390

Drug

WXFL10030390 is a tablet in the form of 0.1mg and 0.5mg, oral, once a day.

Other names: WX390

Primary outcomes

  1. Adverse Events evaluated by the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v4.0

    Time frame: From first dose to within 30 days after the last dose

    The safety and tolerability of WXFL10030390 will be evaluated based on adverse events data. Other safety parameters include physical examination, clinical laboratory tests including coagulation function, renal function, hepatic function, blood glucose and blood lipid.

Secondary outcomes

  1. Maximum plasma concentration (Cmax)

    Time frame: 28 days

    Cmax will be determined for an oral administration of WXFL10030390 tablets.

  2. Time to reach plasma Cmax (tmax)

    Time frame: 28 days

    tmax will be determined for an oral administration of WXFL10030390 tablets.

  3. Area under the plasma concentration-time curve (AUC)

    Time frame: 28 days

    AUC will be determined for an oral administration of WXFL10030390 tablets.

  4. Terminal elimination half-life (t½)

    Time frame: 28 days

    t½ will be determined for an oral administration of WXFL10030390 tablets.

  5. Recommended study Phase II dose (RP2D)

    Time frame: Up to 1 year

    The recommended phase 2 dose (RP2D) of WXFL10030390 will be determined based on pharmacokinetics, safety and tolerability, as well as preliminary efficacy.

  6. Disease control rate

    Time frame: From first dose to within 30 days after the last dose

    The sum of complete responses (CR) + partial responses (PR) + stable disease (SD) as determined by Response Evaluation Criteria in Solid Tumors (RECIST) or Lugano 2014 criteria

  7. Objective response rate

    Time frame: From first dose to within 30 days after the last dose

    Defined as complete response [CR] + partial response [PR]) as determined by Response Evaluation Criteria in Solid Tumors (RECIST) or Lugano 2014 criteria

Sponsors and collaborators

Lead sponsor

Shanghai Jiatan Pharmatech Co., Ltd

Industry

Registry information

Official study title

A Phase Ⅰ Study of PI3K/mTOR Dual Inhibitor WXFL10030390 to Evaluate the Safety, Tolerability and Pharmacokinetics in Patients With Advanced Solid Tumors or Lymphoma

Important dates

Study start
2018
Primary completion
2020
Study completion
2020
First posted
Nov 5, 2018
Registry last updated
Apr 18, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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