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OpenTrials
Completed

NCT Number: NCT05002868

Safety, Pharmacokinetics and Anti-tumor Activity of RP12146, in Patients With Solid Tumors

An open-label, two-part Phase I/Ib study of RP12146 in adult patients with locally advanced or metastatic solid tumors. The first part (Part 1) is a Phase I dose-escalation, 3+3 design, open-label, MTD determination study and will enroll patients who have tumors known to harbour DNA repair deficiencies. The second part (Part 2) is a Phase Ib, dose-expansion at the MTD (or optimal dose) and will enroll patients with a confirmed deleterious HRR mutation in their tumor as identified by a central genomics testing laboratory.

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

.

  • Provision of full informed consent prior to any study-specific procedures.
  • Patients must be ≥18 years of age, at the time of signing informed consent.
  • Dose escalation phase, patients with histologically and/or cytologically confirmed malignant solid tumor whose disease has progressed following at least one standard therapy and who have no other acceptable standard treatment options. Tumor types will include breast, ovarian, fallopian tube, or peritoneal cancer, extensive-stage small cell lung cancer (ES-SCLC), prostate, pancreatic, colorectal gastric, biliary tract, and endometrial cancer.
  • Dose-expansion phase patients with histologically and/or cytologically confirmed malignant solid tumor (breast, ovarian, fallopian tube, or peritoneal cancer, extensive-stage small cell lung cancer (ES-SCLC), with one of the documented deleterious mutations of specified HRR genes and whose disease has progressed following at least one standard therapy.
  • Patients with at least one measurable lesion per RECIST version 1.1 at baseline that can be accurately assessed by CT-scan or MRI and is suitable for repeated assessment at follow up-visits.
  • ECOG performance status 0 to 2.
  • Use of contraception measures

Exclusion criteria

  • Patients with HER2 positive breast cancer
  • Patients receiving anticancer therapy
  • Patient who has not recovered from acute toxicities of previous therapy except treatment-related alopecia.
  • Prior treatment with a PARP inhibitor
  • Major surgery within 4 weeks of starting study treatment or any patient who has not recovered from the effects of major surgery.
  • Patient with symptomatic uncontrolled brain metastasis.
  • Pregnancy and lactation
  • Patients with uncontrolled disease

Treatment and study plan

RP12146

Drug

starting dose of 100 mg QD

Primary outcomes

  1. Maximum tolerated dose (MTD) of RP12146 in patients with locally advanced or metastatic solid tumors

    Time frame: 28 days

    The MTD was defined as the highest dose level at which no more than 1 in 6 participants experienced a dose-limiting toxicity (DLT) during the first 28-day cycle of treatment

  2. Number of Participants With Treatment-emergent Adverse Events as Assessed by CTCAE Criteria v5.0

    Time frame: 2 years

    Summary of Treatment-Emergent Adverse Events-(Causality All). Patients will be monitored for adverse events and both related and as well as non-related adverse events will be captured during the study. All adverse events (irrespective of causality) will be reported.

Secondary outcomes

  1. Tmax

    Time frame: Day 1 to Day 28

    Pharmacokinetics: Time to Reach Maximum Concentration (Tmax) of RP12146

  2. Cmax

    Time frame: Day 1 to Day 28

    Pharmacokinetics: Maximum Concentration (Cmax) of RP12146

  3. AUC

    Time frame: Day 1 to Day 28

    Pharmacokinetics: Area Under the Concentration Curve (AUC) of RP12146

  4. Overall response rate (ORR)

    Time frame: 2 years

    Sum of the percentages of Complete Response and Partial Response

  5. Clinical benefit rate (CBR)

    Time frame: 2 years

    Sum of the percentages of Complete response, partial response and stable disease

  6. Progression free survival (PFS)

    Time frame: 2 years

    It is defined as time from the first dose of study treatment to documented disease progression

Sponsors and collaborators

Lead sponsor

Rhizen Pharmaceuticals SA

Industry

Registry information

Official study title

A Multi-center, Open-label, Phase I/Ib Study to Assess the Safety, Pharmacokinetics and Anti-tumor Activity of RP12146, a Poly (ADP-ribose) Polymerase (PARP) Inhibitor, in Patients With Locally Advanced or Metastatic Solid Tumors

Important dates

Study start
2021
Primary completion
2024
Study completion
2024
First posted
Aug 12, 2021
Registry last updated
Sep 19, 2024

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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