E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Endometrial cancer, Ovarian cancer, Biliary tract cancer, Hepatocellular carcinoma, B-cell lymphoma, T-cell lymphoma, Metastatic colorectal cancer, Breast cancer (metastatic HER-2 refractory, Hormone receptor +, HER-2 negative, and MBC post-CDK4/6 inhibitor, Triple-negative) Basket cohort: tumor types that are suspected to have a related mechanism of action and are not included in previous groups |
Cáncer de endometrio, cáncer de ovario, cáncer de las vías biliares, carcinoma hepatocelular (CHC), linfoma de linfocitos B, linfoma de linfocitos T, cáncer colorrectal metastásico, cáncer de mama (HER-2 metastásico refractario, receptor hormonal +, HER-2 negativo e inhibidor de MBC post-CDK4 / 6, triple negativo) Cohorte de cesta: tipos de tumores que se sospecha que tienen un mecanismo de acción relacionado y no están incluido en los grupos anteriores |
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E.1.1.1 | Medical condition in easily understood language |
Endometrial cancer, Ovarian cancer, Biliary tract cancer, Hepatocellular carcinoma, B-cell lymphoma, T-cell lymphoma, Metastatic colorectal cancer, Breast cancer, Other solid tumors |
Cáncer de endometrio/ovario, cáncer de vías biliares, carcinoma hepatocelular, linfoma de linfocitos B, linfoma de linfocitos T, cáncer colorrectal metastásico, cáncer de mama, otros tumores sólidos. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10014735 |
E.1.2 | Term | Endometrial cancer NOS |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10033130 |
E.1.2 | Term | Ovarian cancer NOS |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10025734 |
E.1.2 | Term | Malignant neoplasm of biliary tract, part unspecified |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10073071 |
E.1.2 | Term | Hepatocellular carcinoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003899 |
E.1.2 | Term | B-cell lymphoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10042971 |
E.1.2 | Term | T-cell lymphoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10052358 |
E.1.2 | Term | Colorectal cancer metastatic |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10006187 |
E.1.2 | Term | Breast cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10027475 |
E.1.2 | Term | Metastatic breast cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10075566 |
E.1.2 | Term | Triple negative breast cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 23.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10083234 |
E.1.2 | Term | Hormone receptor positive breast cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 23.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10065430 |
E.1.2 | Term | HER2 positive breast cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 23.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10083232 |
E.1.2 | Term | HER2 negative breast cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10065147 |
E.1.2 | Term | Malignant solid tumor |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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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 1: To determine the maximum-tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of fadraciclib when administered orally twice daily (BID) in 28-day cycles in adult subjects with advanced solid tumors and lymphoma
Phase 2: To evaluate preliminary efficacy of fadraciclib as measured by overall response rate (ORR) in subjects with locally advanced, recurrent, or metastatic, histologically confirmed advanced solid tumors or lymphoma who have failed all standard therapies or for whom standard therapy does not exist |
Fase I: Determinar la dosis máxima tolerada (DMT) y/o la dosis recomendada para la fase II (DRF2) de fadraciclib cuando se administra por vía oral dos veces al día (2 v/d) en ciclos de 28 días en sujetos adultos con tumores sólidos avanzados y linfoma
Fase II: Evaluar la eficacia preliminar de fadraciclib medida por la tasa de respuesta global (TRG) en sujetos con tumores sólidos avanzados o linfoma localmente avanzados, recurrentes o metastásicos confirmados histológicamente que no han respondido a todos los tratamientos estándar o para los que no existe un tratamiento estándar. |
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E.2.2 | Secondary objectives of the trial |
Phase 1: - To assess safety and tolerability of fadraciclib - To investigate clinical pharmacokinetics (PK) of fadraciclib - To evaluate overall response rate (ORR) in subjects receiving fadraciclib
Phase 2: - To assess the safety and tolerability of fadraciclib - To evaluate the ORR in subjects receiving fadraciclib |
Fase I: - Evaluar la seguridad y tolerabilidad de fadraciclib - Investigar la farmacocinética (FC) clínica de fadraciclib - Evaluar la tasa de respuesta global (TRG) en sujetos que reciben fadraciclib
Fase II: - Evaluar la seguridad y tolerabilidad de fadraciclib - Evaluar la TRO en sujetos que reciben fadraciclib |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Males or females aged ≥ 18 years 2. Subjects with histological- or cytological-confirmed, advanced cancer who have progressed on (or not been able to tolerate) standard therapy or for whom no standard anticancer therapy exists 3. ECOG performance status of 0 or 1 4. Subjects must have laboratory values as stated in the protocol 5. Women of childbearing potential (WOCBP) must have a negative pregnancy test within 7 days prior to starting the study drug. Both males and females must agree to use effective birth control during the study (prior to the first dose and for 6 months after the last dose) if conception is possible during this interval 6. Subjects must be able to swallow and retain orally administered medication and not have any clinically significant GI abnormalities that may alter the absorption, such as malabsorption syndrome or major resection of the stomach or bowels. 7. Able to agree to and sign the informed consent and to comply with the protocol. |
1.Hombre o mujer, ≥18 años. 2.Sujetos con cáncer avanzado confirmado histológica o citológicamente que han progresado con el tratamiento de referencia (o no han podido tolerarlo) o para quienes no se dispone de tratamiento de referencia contra el cáncer. 3.Estado funcional según el Grupo Oncológico Cooperativo del Este de Estados Unidos (ECOG) de 0 o 1. 4.Los sujetos deben tener los valores analíticos que se detallan en el protocolo 5.Las MEF deben tener una prueba de embarazo negativa (en orina o suero) en los 7 días previos al inicio del fármaco del estudio. Tanto hombres como mujeres deben aceptar utilizar métodos anticonceptivos eficaces durante el estudio (antes de recibir la primera dosis y durante 6 meses después de la última dosis) si es posible concebir durante este intervalo. 6.Los sujetos deben ser capaces de tragar y retener la medicación administrada por vía oral, y no deben presentar anomalías gastrointestinales (GI) de importancia clínica que puedan alterar la absorción, como síndrome de malabsorción o resección importante del estómago o los intestinos. 7.Capaz de aceptar y firmar el formulario de consentimiento informado y cumplir con el protocolo. |
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E.4 | Principal exclusion criteria |
1. Subjects with a history of brain metastases or who have signs/symptoms attributable to brain metastases and have not been assessed with radiologic imaging to rule out the presence of brain metastases. Subjects with treated brain metastases that are asymptomatic and have been clinically stable for at least 4 weeks will be eligible. 2. Subjects who have not received vaccines for SARS-COV-2 within last 3 months and have suspected signs and symptoms of COVID-19 or a recent history (within 14 days) of contact with any COVID-19 positive subject/isolation/quarantine or subjects with confirmed COVID-19. 3. Subjects with a history of another primary malignancy, please see additional details in the protocol. 4. Any other clinically significant acute or chronic medical or psychiatric condition or any laboratory abnormality that may increase the risk associated with study drug administration or may interfere with the interpretation of study results. See additional details in the protocol. 5. Diseases that significantly affect GI absorption of fadraciclib 6. Subjects who have impaired cardiac function or clinically significant cardiac disease, see additional details in the protocol. 7. Presence of active chronic inflammatory bowel disease (ulcerative colitis, Crohn’s disease) or GI perforation within 6 months of enrollment 8. Presence of an active infection requiring intravenous antibiotics 9. Presence of known history of human immunodeficiency virus-1/2 with uncontrolled viral load and on medications that may interfere with metabolism 10. Presence of active hepatitis B virus (HBV) or hepatitis C virus (HCV). In subjects with a history of HBV, hepatitis B core antibody testing is required and if positive, then HBV DNA testing will be performed, and if positive, the subject will be excluded. For subjects with HCV Ab positive, HCV viral load must be below the limit of quantification. 11. Chemotherapy, biologic therapy, targeted therapy, immunotherapy, extended-field radiotherapy, or investigational agents within 5 half-lives or 3 weeks (whichever is shorter) prior to administration of first dose of study drug on Day 1 or have not recovered from the side effects of such therapy. 12. Major surgery/surgical therapy for any cause within 4 weeks of the first dose |
1.Sujetos con antecedentes de metástasis cerebrales o con signos o síntomas atribuibles a las metástasis cerebrales y que no han sido evaluados mediante imágenes radiológicas para descartar la presencia de metástasis cerebrales. Los sujetos con metástasis cerebrales tratadas que sean asintomáticas y hayan estado clínicamente estables durante al menos 4 semanas serán aptos 2.Sujetos que no hayan recibido vacunas contra el SARS-COV-2 en los últimos 3 meses y tengan sospecha de signos y síntomas de nueva infección por coronavirus (COVID-19) o antecedentes recientes (en los últimos 14 días) de contacto con un sujeto positivo para COVID-19/aislamiento/cuarentena o con COVID-19 confirmada. 3.Sujetos con antecedentes de otra neoplasia maligna primaria, por favor ver más detalles en el protocolo. 4.Cualquier otra afección médica o psiquiátrica aguda o crónica de importancia clínica o cualquier anomalía de laboratorio que pueda aumentar el riesgo asociado a la administración del fármaco del estudio o interferir con la interpretación de los resultados del estudio, por favor ver más detalles en el protocolo 5.Enfermedades que afectan significativamente a la absorción GI de fadraciclib 6.Insuficiencia cardiovascular o enfermedad cardiovascular de importancia clínica, por favor ver más detalles en el protocolo 7.Presencia de enfermedad intestinal inflamatoria crónica activa (colitis ulcerosa, enfermedad de Crohn) o perforación GI en los 6 meses anteriores a la inscripción 8.Presencia de infección activa que requiere antibióticos por vía intravenosa (i.v.) 9.Presencia de antecedentes conocidos de virus de la inmunodeficiencia humana-1/2 con carga viral no controlada y en medicamentos que podrían interferir con el metabolismo 10.Presencia de virus de la hepatitis B (VHB) o virus de la hepatitis C (VHC) activos En los sujetos con antecedentes de VHB, se requiere la prueba de anticuerpos contra el núcleo de la hepatitis B (HBcAb) y, si es positiva, se realizará la prueba de ADN del VHB y, si es positiva, se excluirá al sujeto. Para los sujetos con VHC Ab positivo, la carga viral del VHC debe estar por debajo del límite de cuantificación. 11.Quimioterapia, tratamiento biológico, tratamiento dirigido, inmunoterapia, radioterapia de campo extendido o fármacos en investigación dentro de las 5 semividas o 3 semanas (lo que sea más corto) antes de administrar la primera dosis del fármaco del estudio el día 1 o a aquellos que no se hayan recuperado de los efectos secundarios de dicho tratamiento. 12. Cirugía mayor o tratamiento quirúrgico por cualquier causa en las 4 semanas anteriores a la primera dosis |
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E.5 End points |
E.5.1 | Primary end point(s) |
Phase 1: The incidence rate of dose-limiting toxicities (first cycle only) at each dose level
Phase 2: ORR according to Response Evaluation Criteria in Solid Tumors: RECIST guidelines (Lugano Criteria for lymphoma, mSWAT for CTCL) for each tumor type |
Fase 1: La tasa de incidencia de toxicidades limitantes de la dosis (solo en el primer ciclo) en cada nivel de dosis.
Fase 2: TRG según los Criterios de evaluación de respuesta en tumores sólidos: directrices RECIST (Criterios de Lugano para linfoma, mSWAT para CTCL) para cada tipo de tumor |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
At predetermined time points described in the protocol |
En puntos de tiempo predeterminados descritos en el protocolo |
|
E.5.2 | Secondary end point(s) |
- Safety - Disease control rate (DCR) - Response rate as per Lugano Criteria for lymphoma, mSWAT for CTCL - Progression-free survival - Duration of response - Overall survival - PK in Phase 1 |
- Seguridad - Tasa de control de enfermedades (TCE) - Tasa de respuesta según los Criterios de Lugano para linfoma, mSWAT para CTCL - Supervivencia libre de progresión - Duración de la respuesta - Sobrevivencia promedio - FC en la Fase 1 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
At predetermined time points described in the protocol |
En puntos de tiempo predeterminados descritos en el protocolo |
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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 | Yes |
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 | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Tolerability |
Tolerabilidad |
|
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
Dose-escalation |
Incremento de dosis |
|
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.8.2.4 | Number of treatment arms in the trial | 5 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 1 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Korea, Republic of |
United States |
Spain |
|
E.8.7 | Trial has a data monitoring committee | Yes |
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
|
LVLS |
Última Visita del último paciente |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 32 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 32 |