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NCT Number: NCT05649345

TR64 in Patients With Advanced Solid Tumors

This is a open-label, dose escalation, accelerated titration combined 3+3 design, phase I study, to evaluate the safety and tolerability, and to determine the RP2D of TR64 when administered qd in patients with advanced solid tumors. Up to 6 cohorts of 1-6 or 3-6 patients each will be treated in the study.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China

Loading trial locations.

About this study

Patients will receive study treatment until criteria for study termination are met. A Safety Follow-up Visit will be conducted 28 days (±7 days) after the last dose of study treatment. Patients who discontinue study treatment for reasons other disease progression will have post-treatment follow-up for disease assessment until start of new anticancer treatment, patient withdraws consent, is lost to follow-up, death, or until the Sponsor stops the study, whichever comes first.

Adverse events will be assessed using the NCI Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0.

Tumor response will be assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI) scan using RECIST 1.1 criteria, assessed by the investigator.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Fully understand the procedures of the clinical study and participate voluntarily with signed and dated written informed consent form, comply with the requirements of the study protocol.
  • Males and/or females at least 18 years old when signing the informed consent form.
  • Histologically or cytologically confirmed patients with advanced malignant solid tumors, eligible patients must have failed standard treatment, no standard treatment, or not suitable for standard treatment at this stage as determined by the investigator.
  • Measurable disease with at least one lesion amenable to response assessment per RECIST 1.1.
  • Eastern cooperative oncology group performance status (ECOG) ≤2 at screening.
  • Life expectancy of at least 3 months.
  • Acceptable organ function: Absolute neutrophil count(ANC)≥1.5×109/L; Platelet count(PLT)≥90×109/L; Hemoglobin(Hb)≥90 g/L; Total bilirubin(TBIL)≤1.5×Upper limit of normal value(ULN); Alanine aminotransferase(ALT)≤2.5×ULN; Aspartate aminotransferase(AST)≤2.5×ULN; Creatinine clearance ≥50ml/min.
  • Fertile male and female must agree to use medically approved contraceptives during the study and within 90 days after the last dose of the study.

Exclusion criteria

  • Known or suspected allergies to any of the investigational drug composition.
  • Medical history and surgical history excluded according to the protocol.
  • Any previous medical treatment history exclude from the protocol.
  • Abnormal laboratory results exclude from the protocol.
  • pregnant and lactating women (currently breast-feeding or less than six months after delivery although not breast-feeding).
  • Subjects may not be able to complete the study duo to poor compliance or other reasons, or unsuitable for the study by the investigator's judgment.

Treatment and study plan

TR64

Drug

TR64 tablets will be given daily for 28 days in 28-day cycles until there appears evidence of progressive disease, intolerable toxicity, or the subject discontinues from the study treatment for other reasons.

Primary outcomes

  1. Adverse Events and Serious Adverse Events

    Time frame: From the first dose to within 28 days after the last dose

    Frequency, duration and severity of Adverse Events and Serious Adverse Events evaluated by NCI CTCAE v5.0

  2. Dose limited toxicities

    Time frame: within 28 days after the first dose

    Incidence of dose limited toxicities

  3. Maximum tolerated dose

    Time frame: Throughout the study for approximately 2 years

    Evaluated by safety review committee

  4. Recommended phaseII dose

    Time frame: Throughout the study for approximately 2 years

    Evaluated by safety review committee

Secondary outcomes

  1. AUClast

    Time frame: within 35 days after the first dose

    Characterize the pharmacokinetic profile of TR64

  2. AUCinf

    Time frame: within 35 days after the first dose

    Characterize the pharmacokinetic profile of TR64

  3. Cmax

    Time frame: within 35 days after the first dose

    Characterize the pharmacokinetic profile of TR64

  4. Tmax

    Time frame: within 35 days after the first dose

    Characterize the pharmacokinetic profile of TR64

  5. CL/F

    Time frame: within 35 days after the first dose

    Characterize the pharmacokinetic profile of TR64

  6. Vz/F

    Time frame: within 35 days after the first dose

    Characterize the pharmacokinetic profile of TR64

  7. Terminal half-life (T1/2)

    Time frame: within 35 days after the first dose

    Characterize the pharmacokinetic profile of TR64

Other outcomes

  1. ORR

    Time frame: Throughout the study for approximately 2 years

    Efficacy-Overall Response Rate

  2. PFS

    Time frame: Throughout the study for approximately 2 years

    Efficacy-Progression Free Survival

  3. DOR

    Time frame: Throughout the study for approximately 2 years

    Efficacy-Duration of Response

  4. CBR

    Time frame: Throughout the study for approximately 2 years

    Efficacy-Clinical Benefit Rate

Study contacts

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

Yang Shu, MD. BS.

CONTACT

[email protected]

86-13918983465

Sponsors and collaborators

Lead sponsor

Tarapeutics Science Inc.

Industry

Registry information

Official study title

A Single-arm, Open-Label, Dose Escalation , Phase I Study to Evaluate the Safety, Tolerability and Pharmacokinetics of TR64 in Patients With Advanced Solid Tumors

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Dec 14, 2022
Registry last updated
May 14, 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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