E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
patients with advanced solid tumors |
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E.1.1.1 | Medical condition in easily understood language |
patients with advanced solid tumors |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10065147 |
E.1.2 | Term | Malignant solid tumor |
E.1.2 | System Organ Class | 100000004864 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Phase I: to determine the maximal tolerated dose (MTD) of F17752 administered orally once a day for 2 weeks followed by one week rest every 3 weeks in patients with advanced solid tumors
Phase II: to evaluate the efficacy of the F17752 in 2 histologically and molecularly defined cohorts of patients in terms of response rate (NSCLC and colon cancer) |
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E.2.2 | Secondary objectives of the trial |
Phase I:
to determine the recommended dose (RD) of F17752 to be used in the Phase II
to assess the safety of F17752
to assess the antitumor activity of F17752
to assess the pharmacokinetics of F17752 including preliminary investigation of the food effect
Phase II
to extand the evaluation of safety at the RD
to assess the progression free survival and the overall survival
to asses the the pharmacokinetics of F17752 at the RD |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
- A Phase I part testing increasing doses of F17752 in patients with advanced solid tumours
- A Phase II part investigating the efficacy of F17752 in 2 histologically and molecularly defined cohorts of patients (NSCLC and colon cancer).
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E.3 | Principal inclusion criteria |
Phase I
Histologically or cytologically confirmed advanced solid tumour. Patients with solid tumours known to present with Alk, ROS or Trk rearrangement will be preferentially recruited
Refractory to available therapies or for whom no standard of care therapy is available
Phase II
Cohort 1: NSCLC patients whose tumours exhibit Alk or ROS rearrangement and who are resistant to at least one prior Alk inhibitor, or other actionable targets pertinent to F17752 activity,
Cohort 2: patients with colon cancer whose tumours exhibit Trk rearrangement, or other actionable targets pertinent to F17752 activity.
Criteria common to phase I and phase II parts
1. Tumour tissue available for analysis. If sufficient tissue is not available, patients must undergo a biopsy to obtain adequate samples. In cohort 1 for which failure to prior Alk inhibitor is required, tumour tissue must be obtained following failure to prior therapy,
2. Measurable disease according to RECIST (version 1.1),
3. Female or male, 18 years of age or older,
4. WHO performance status <or=1 (Appendix 2),
5. Anticipated life expectancy > or=12 weeks,
6. Adequate haematological function defined as ANC > or= 1.5 x 109/L, platelet count > or= 100 x 109/L and haemoglobin > or= 9 g/dL,
7. Adequate liver function tests defined as total bilirubin <or= Upper Limit of Normal (ULN), AST and ALT <or= 3 x ULN,
8. Adequate renal function defined as serum creatinine <or= 1.5 x ULN,
9. Normal QT interval on electrocardiogram performed at baseline
10.Women of childbearing potential must be using a medically accepted method of contraception (i.e. oral contraceptives, intrauterine devices) to avoid pregnancy during the 2 months preceding the start of study treatment, throughout the study period and for up to 3 months after the last dose of study treatment in such a manner that the risk of pregnancy is minimized. Women of childbearing potential must have a negative serum or urine pregnancy test within 72 hours prior to the start of study treatment,
11. Fertile men must be using an effective method of birth control throughout the study period and up to 3 months after the last dose of study drug if their partners are women of childbearing potential,
12. The patient must have access to social insurance if applicable in the local regulations,
13. Informed written consent,
14. Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.
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E.4 | Principal exclusion criteria |
for Phase I and Phase II
1. Major surgery, radiotherapy or systemic anti-cancer therapy within 3 weeks of starting study treatment ; only for systemic anticancer therapy, within 2 weeks in cohort 1,
2. Patients central nervous system metastases unless the patient has completed local therapy, is stable for at least 4 weeks on CT-scan without evidence of cerebral oedema and has no requirement for corticosteroids or anticonvulsivants,
3. Current active infection; any concurrent, uncontrolled medical disorder, making implementation of the protocol difficult,
4. Known HIV infection,
5. History of another malignancy within the past five years except basal cell carcinoma of the skin or carcinoma in situ of the cervix, and surgically-treated-only or lobular carcinoma in situ of the breast diagnosed more than 5 years ago,
6. Active heart disease including myocardial infarction within the previous 6 months, symptomatic coronary artery disease, arrhythmia not controlled by medication or uncontrolled congestive heart failure,
7. Known malabsorption syndrome or other gastrointestinal illness that could affect oral absorption of F17752,
8. Concurrent treatment with any other anti-cancer therapy,
9. Participation in another trial of an investigational agent within 30 days before study entry and during the study,
10. Known hypersensitivity to drugs with similar chemical structures,
11. Congenital lactose intolerance,
12. Pregnant or lactating women, women with positive pregnancy test at inclusion.
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E.5 End points |
E.5.1 | Primary end point(s) |
Phase I: to determine the maximal tolerated dose (MTD) of F17752 administered orally once a day for 2 weeks followed by one week rest every 3 weeks in patients with advanced solid tumors
Phase II: to evaluate the efficacy of the F17752 in 2 histologically and molecularly defined cohorts of patients in terms of response rate (NSCLC and colon cancer) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Phase I
dose escalation will be stopped once the MTD is reached. the recommended dose will be the dose immediately below the MTD or and intermediate dose level (20% increment below the MTD)
Phase II
end of the study |
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E.5.2 | Secondary end point(s) |
Phase I:
to determine the recommended dose (RD) of F17752 to be used in the Phase II
to assess the safety of F17752
to assess the antitumor activity of F17752
to assess the pharmacokinetics of F17752 including preliminary investigation of the food effect
Phase II
to extand the evaluation of safety at the RD
to assess the progression free survival and the overall survival
to asses the the pharmacokinetics of F17752 at the RD |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Phase I
end of the Phase I study, last patient last visit, 30 days after the last study drug administration
Phase II
end of the study, date of the last progression of the treated patients |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | Yes |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 3 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Phase I
end of the Phase I study, last patient last visit, 30 days after the last study drug administration
Phase II
end of the study, date of the last progression of the treated patients |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 4 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 4 |