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To Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of ABN401 in Patients With Advanced Solid Tumors

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ClinicalTrials.gov Identifier: NCT04052971
Recruitment Status : Not yet recruiting
First Posted : August 12, 2019
Last Update Posted : August 22, 2019
Sponsor:
Collaborator:
Novotech (Australia) Pty Limited
Information provided by (Responsible Party):
Abion Inc

Brief Summary:
This is a dose escalation, Phase 1-2 study of ABN401 in patients with advanced solid tumors, refractory metastatic disease, or refractory locally advanced disease not amenable to local therapy.

Condition or disease Intervention/treatment Phase
Advanced Solid Tumors Drug: ABN401- Escalation Phase Drug: ABN401- Expansion Phase Phase 1 Phase 2

Detailed Description:

First part of the study uses single patient cohorts at the initial dose levels, followed by a classic 3+3 design, with enrollment of 3 patients per cohort and expansion to 6 patients in the event of a dose-limiting toxicity (DLT).

The second part of the study consists of expansion cohorts with patients with c-Met amplification/mutation of interest.


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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 78 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 1-2 Multicenter, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of ABN401 in Patients With Advanced Solid Tumors
Estimated Study Start Date : August 30, 2019
Estimated Primary Completion Date : March 31, 2021
Estimated Study Completion Date : December 31, 2023

Arm Intervention/treatment
Experimental: Escalation phase

Drug: ABN401

Route of Administration: Oral

The study will follow a single patient cohort approach for the first 3 regular dose levels followed by classic 3+3 design. The starting dose is 0.9 mg/kg.

Drug: ABN401- Escalation Phase
Dose administration: Escalation Phase The regular dose levels of ABN401 will range from 0.9 mg/kg to 54.0 mg/kg QD daily for 21 days.

Experimental: Expansion phase

Drug: ABN401

Route of Administration: Oral

Once the MTD or highest escalation cohort has been reached, or notable efficacy has been observed at a given dose level, a decision as to RP2D will be determined. Upon the establishment of RP2D, up to 4 expansion cohorts of 10-29 patients will be recruited representing various c-Met amplification or mutant tumor types of interest.

Drug: ABN401- Expansion Phase
Dose administration: Expansion Phase The expansion phase of the study will use the dose and schedule determined to be most appropriate in the dose escalation portion of the study. This may be the MTD and/or the RP2D and will consist of cohorts of patients representing various c-Met-amplification or mutant tumor types of interest.




Primary Outcome Measures :
  1. To evaluate the safety and tolerability of ABN401. [ Time Frame: Measurements at Baseline till the last day of Visit ]
    Safety and tolerability determined by abnormal clinical laboratory tests, vitals signs, physical exam, ECG parameters, Liver function tests


Secondary Outcome Measures :
  1. To determine the systemic PK of ABN401. [ Time Frame: Dose Escalation Phase: Cycle 1- Day 1, Day 2, Day 5, Day 8, Day 15; Dose Expansion Phase: Cycle 1, Day -2, Day 1, Day 2, Day 8, Day 15 ]
  2. To evaluate the effect of food on PK profile of ABN401 in expansion cohort. [ Time Frame: Cycle 1, Day -2, Day 1, Day 2, Day 8, Day 15 ]
  3. To determine preliminary estimate of ABN401 efficacy in patients with selected malignancies [ Time Frame: Screening and at every 6 weeks from C1D1 independent of cycle length ]
    Efficacy will be assessed by CT/MRI Scans of the chest, abdomen and pelvis (patients with lung, pancreatic and ovarian cancer, and if clinically indicated for patients with other malignancies)



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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Signed informed consent before any study-specific screening procedures.
  2. Male or female ≥ 18 years of age.
  3. Body weight ≥ 40 kg and ≤ 100 kg.
  4. Must have:

    1. Histological or cytological diagnosis of melanoma or any type of carcinoma or sarcoma.
    2. Refractory metastatic disease, or refractory locally advanced disease not amenable to local therapy.
    3. Metastatic breast or prostate cancer, may have bone-only disease.
  5. Progressive disease (PD) on established standard medical anti-cancer therapy for his/her tumor type or intolerant to such therapy, or in the opinion of the investigator considered ineligible for a particular form of standard therapy on medical grounds.

6) Available archival formalin-fixed, paraffin-embedded tumor tissue specimen.

Exclusion Criteria:

  1. Previous severe hypersensitivity reaction to any component of ABN401.
  2. ECOG PS >1.
  3. Treatment with more than 4 lines of prior systemic therapy for recurrent/metastatic disease.
  4. Chronic inflammatory liver condition. History or clinical evidence of any liver or biliary pathology including cirrhosis, infectious disease, inflammatory conditions, steatosis, or cholangitis (including ascending cholangitis, primary sclerosing cholangitis, obstruction, perforation, fistula of biliary tract, spasm of sphincter of Oddi, biliary cyst or biliary atresia).
  5. Prior organ or stem cell transplant.
  6. Symptomatic ascites or pleural effusion. A patient who is clinically stable for at least two weeks following treatment for these conditions (including therapeutic thoraco- or paracentesis) is eligible.
  7. Known active CNS primary tumor or metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks prior to study entry, have no evidence of new or enlarging brain metastases and are off steroids for at least 15 days prior to first dose of study drug.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04052971


Contacts
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Contact: Minseon Lee +82-2-6006-7621 minseon.lee@abionbio.com
Contact: Jeesun Kim +82-2-6022-6428 jeesun.kim@abionbio.com

Locations
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Australia, New South Wales
ST George Private Hospital Not yet recruiting
Kogarah, New South Wales, Australia, 2217
Contact: Paul De Souza, Dr    +61295539588      
Sydney Southwest Private Hospital Not yet recruiting
Liverpool, New South Wales, Australia, 2170
Contact: Aflah Roohullah, Dr    +61246344366      
Scientia Clinical Research Not yet recruiting
Randwick, New South Wales, Australia, 2031
Contact: Charlotte Lemech, Dr    +61293825807      
Australia, Western Australia
Linear Clinical Research Not yet recruiting
Perth, Western Australia, Australia, 6009
Contact: Michael Millward, Dr    +61861510923      
Korea, Republic of
National Cancer Centre Not yet recruiting
Goyang-si, Gyeonggi-Do, Korea, Republic of, 10408
Contact: Ji-Youn Han, Dr    +82319201154      
Seoul National University Hospital Not yet recruiting
Seoul, Korea, Republic of, 03080
Contact: Tae Min Kim, Dr    +82220723559      
Yonsei University Health System, Severance Not yet recruiting
Seoul, Korea, Republic of, 03722
Contact: Byoung Chul Cho, Dr    +82222280880      
Asan Medical Centre Not yet recruiting
Seoul, Korea, Republic of, 05505
Contact: Daeho Lee    +82230103214      
Sponsors and Collaborators
Abion Inc
Novotech (Australia) Pty Limited

Additional Information:
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Responsible Party: Abion Inc
ClinicalTrials.gov Identifier: NCT04052971     History of Changes
Other Study ID Numbers: ABN401-001
First Posted: August 12, 2019    Key Record Dates
Last Update Posted: August 22, 2019
Last Verified: August 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No
Additional relevant MeSH terms:
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Neoplasms