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NCT Number: NCT04503265

A Trial of AMXI-5001 for Treatment in Patients With Advanced Malignancies

ATLAS-101 is a Phase I/II clinical trial of AMXI-5001 in adult participants with advanced malignancies who have previously failed other therapies. The study has two phases. The purpose of Phase I (Dose Escalation) is to confirm the appropriate treatment dose and Phase II (Dose Expansion) is to characterize the safety and efficacy of AMXI-5001.

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Key information

About this study

AMXI-5001 is an orally available dual PARP (poly adenosine diphosphate [ADP] ribose polymerase) and microtubule polymerization inhibitor. ATLAS-101 is a Phase I/II, open label, multi-center, non-randomized Dose Escalation and Dose Expansion study in participants with advanced malignancies. Study enrollment is approximately 122 participants. All participants receive oral AMXI-5001, twice daily, as monotherapy. Following Phase I (Dose Escalation) to identify the Maximum Tolerated Dose and the Recommended Dose for use in Phase II, additional participants will be enrolled into the Dose Expansion Phase to further characterize the safety, pharmacology, and clinical efficacy of AMXI-5001.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

(Key Factors):

  • Has pathologically confirmed advanced or metastatic malignancy characterized by one or more of the following:
  • Patient is intolerant of existing therapy(ies) known to provide clinical benefit for their condition
  • Malignancy is refractory to existing therapy(ies) known to potentially provide clinical benefit
  • Malignancy has progressed after standard therapy
  • Has evaluable or measurable tumor(s) in dose escalation by standard radiological and/or laboratory assessments as applicable to their malignancy.
  • Eastern Co-operative Oncology Group (ECOG) PS 0-1
  • Participant must be 18 years of age or older
  • Able to understand and sign consent

Exclusion criteria

(Key Factors):

  • Receiving cancer treatment at the time of enrollment
  • Any clinically significant disease or condition affecting a major organ system
  • Significant cardiovascular disease or electrocardiogram (ECG) abnormalities
  • Use of a strong inhibitor or inducer of CYP3A4 within 7 days prior to start of study therapy and throughout the study (e.g., some antibiotics, antifungals, anticonvulsants, grapefruit)
  • Has had a previous (within 2 years) or has a current malignancy other than the target cancer

Treatment and study plan

AMXI-5001:Dose Escalation Phase I

Drug

Phase I will enroll up to 70 participants to identify the Recommended Phase II daily dose in the treatment of various cancers and to characterize the safety, pharmacology, and clinical efficacy of AMXI-5001. AMXI-5001 is administered orally twice daily, with food. AMXI-5001 is administered weekly on a continuous 7-day schedule. Each cycle is 28 days.

Other names: Phase I, Dose Escalation

AMXI-5001:Dose Expansion Phase II

Drug

Phase II will enroll up to 52 study participants to further characterize the safety, pharmacology, and clinical efficacy of AMXI-5001. AMXI-5001 is administered orally twice daily, with food. AMXI-5001 is administered weekly on a continuous 7-day schedule. Each cycle is 28 days.

Other names: Phase II, Dose Expansion

Primary outcomes

  1. Determine the Maximum Tolerated Dose (MTD)

    Time frame: Approximately 12 months

    The highest dose is defined at which no more than 1 of 6 evaluable participants has had a Dose Limiting Toxicity (DLT) according to NCI CTCAE V5.0 criteria and determination by Investigator and Data and Safety Monitoring Committee.

  2. Determine the Recommended Phase 2 Dose (RP2D) for AMXI-5001 as monotherapy

    Time frame: Approximately 12 months

    The RP2D is based upon the review of all available data including safety, pharmacokinetic, preliminary anti-tumor activity, and MTD.

  3. Characterize safety profile of AMXI-5001

    Time frame: Approximately 24 months

    The safety profile of AMXI-5001 is defined by the incidence of treatment emergent adverse events, laboratory abnormalities, and ECG measurements.

Secondary outcomes

  1. Measure concentration of AMXI-5001 in plasma samples

    Time frame: Approximately 24 months

    Concentrations of AMXI-5001 in plasma samples at different time points are measured. Standard pharmacokinetic parameters are calculated.

  2. Determine change in anti-tumor activity following administration of AMXI-5001

    Time frame: Approximately 24 months

    Overall Survival (OS), Objective Response Rate (ORR), Duration of Response (DOR), and Progression-free Survival (PFS) are assessed by RECIST V1.1 criteria.

Study contacts

Contact information is provided by the study sponsor or research team.

Bonnie Wettersten, MS

CONTACT

[email protected]

(847) 644-9818

Sponsors and collaborators

Lead sponsor

AtlasMedx, Incorporated

Industry

Registry information

Official study title

A Phase I/II, Open Label, Multi-center, Non-randomized Dose Escalation and Dose Expansion Study of AMXI-5001 in Patients With Advanced Malignancies

Important dates

Study start
2020
Primary completion
2026
Study completion
2026
First posted
Aug 7, 2020
Registry last updated
May 1, 2025

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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