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NCT Number: NCT07036133

Study to Evaluate the Pharmacokinetics and Safety of Pralatrexate in Patients With Advanced Solid Tumor or Hematological Malignancy and Either Normal Hepatic Function or Mild, Moderate, or Severe Hepatic Impairment

This purpose of this study is to help to evaluate the pharmacokinetic (PK) profile of pralatrexate when administered to patients with various degrees of hepatic impairment and to evaluate the safety and establish the dosing recommendations for pralatrexate administered once weekly for 6 weeks of every 7-week treatment cycle in patients with hepatic impairment. Pharmacokinetics (or PK) is the study of how your body absorbs, breaks down, and removes a study drug.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

TOI Clinical Research, Cerritos, California, United States

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About this study

This is an open-label, non-randomized, multi-center study to evaluate the PK and safety of pralatrexate in patients with advanced solid tumor or hematological malignancy with normal hepatic function or mild, moderate, or severe hepatic impairment.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patient must be willing and capable of giving written Informed Consent and must be able to adhere to dosing and visit schedules as well as meet all study requirements
  • Patient is diagnosed with advanced solid tumor or hematological malignancy.
  • Patient is at least 18 years of age and has a life expectancy of at least 6 months.
  • Patient has normal or abnormal hepatic function as defined by normal, mild (Child-Pugh A), moderate (Child-Pugh B ), or severe (Child-Pugh C) liver impairment
  • Patient has adequate hematologic and renal function as defined by:

Absolute neutrophil count (ANC) ≥1000/μL Platelet count ≥100,000/μL Creatinine ≤ 1.5 mg/dL or calculated creatinine clearance ≥50 mL/min

  • Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
  • Patient is willing to practice 2 forms of contraception, one of which must be a barrier method, from study entry until at least 30 days after the last dose of pralatrexate
  • Females of childbearing potential must have a negative pregnancy test within 30 days prior to enrollment. Females who are postmenopausal for at least 1 year (defined as more than 12 months since last menses) or who are surgically sterilized do not require this test.

Exclusion criteria

  • Patient has had previous exposure to pralatrexate
  • Patient has used any investigational drugs, biologics, or devices within 30 days prior to study treatment or plans to use any of these during the course of the study.
  • Patient has an active, uncontrolled infection, underlying medical condition, or other serious illness that would impair the patient's ability to receive the protocol-defined treatment.
  • Patient has known or suspected intolerance or hypersensitivity to the investigational product or any related compound.
  • Patient has congestive heart failure at Class III/IV according to the New York Heart Association (NYHA) Functional Classification
  • Patient has had major surgery within 30 days prior to enrollment.
  • Patient with central nervous system (CNS) metastases
  • Patient is pregnant or breast-feeding.

Treatment and study plan

Pralatrexate Injection

Drug

Pralatrexate will be administered based on Child-Pugh Classification of liver impairment

Primary outcomes

  1. To evaluate the pharmacokinetic (PK) profile of pralatrexate.

    Time frame: During week 1 of the first cycle of treatment (each cycle is 7 weeks).

    Blood will be collected to evaluate the pharmacokinetic (PK) profile of pralatrexate (plasma concentration levels) when administered to patients with various degrees of hepatic impairment.

Secondary outcomes

  1. To evaluate the safety of pralatrexate

    Time frame: This will be evaluated during the study through 14(±3) days after the last dose in Cycle 1, or 35(±5) days after the final dose in any cycle or until all treatment-related AEs have resolved or returned to Baseline/Grade

    The number and severity of treatment-related adverse events. This will be as assessed according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) scale, Version 5.0.

Study contacts

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

Motun Clinical Trial Manager

CONTACT

[email protected]

617-694-4296

Uma Srinivas Atmuri

CONTACT

[email protected]

732-917-2420

Sponsors and collaborators

Lead sponsor

Acrotech Biopharma Inc.

Industry

Registry information

Official study title

A Phase 1, Open-Label, Multicenter Study to Evaluate the Pharmacokinetics and Safety of Pralatrexate in Patients With Advanced Solid Tumor or Hematological Malignancy and Either Normal Hepatic Function or Mild, Moderate, or Severe Hepatic Impairment

Acronym: SPI-FOL-102

Important dates

Study start
2022
Primary completion
2027
Study completion
2027
First posted
Jun 25, 2025
Registry last updated
Feb 11, 2026

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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