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Solid TumorsPhase 1NCT02038673

An Open-label Phase I Study of Orally Available Novel Small-molecule Fibroblast Growth Factor Receptors (FGFR) 1,2,3 and 4 Inhibitor, ASP5878 at Single and Multiple Doses in Patients With Solid Tumors

A Phase 1 study testing ASP5878 in people with Solid Tumors, run by Astellas Pharma Inc at 35 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objectives of this study are to determine the tolerability, safety, pharmacokinetics (PK), pharmacodynamics (PD), and efficacy of oral ASP5878 in participants with solid tumors. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Solid Tumors
What is being tested?
ASP5878
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
86 participants
Where
35 sitesin 4 countries
Study dates
5 Nov 2013to 19 Jul 2017
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically confirmed solid tumor.
  • Participant must meet at least one of the following criteria in the judgment of the investigator or sub-investigator:
  • Disease progression despite standard therapies
  • Progressive disease without any standard therapies established
  • Standard therapies are considered intolerable
  • Eastern Cooperative Oncology Group performance status 0 or 1.
  • Predicted life expectancy ≥ 12 weeks in the judgment of the investigator or sub-investigator.

Who cannot join

  • Participant with ≥ Grade 2 (CTCAE v 4.0-JCOG) persistent symptoms and objective findings due to the toxicity attributable to prior treatment with antitumor effect (except alopecia).
  • Participant who received a prior treatment intended for antitumor effect (medication, surgery, radiotherapy, etc.) within 4 weeks prior to the planned first day of study drug dosing (or participant who received mitomycin C or Nitrosourea within 6 weeks prior to the planned first day of study drug dosing).
  • A major surgical procedure within 4 weeks prior to the planned first day of study drug dosing or a surgical procedure is planned during the course of the study.
  • Participant who were treated with other investigational drug or medical device within 4 weeks prior to the planned first day of study drug dosing.
  • Participant who has a history of organ transplantation.
  • Participant with a brain metastasis with symptoms or requiring treatment.

Trial locations and contacts

35 sites in 4 countries.

35 sites in 4 countries

Japan22 sites
  • Site JP122

    Chiba

  • Site JP108

    Fukuoka

  • Site JP115

    Fukuoka

  • Site JP120

    Fukuoka

  • Site JP116

    Hokkaido

  • Site JP113

    Hyōgo

  • Site JP103

    Ibaraki

  • Site JP111

    Ishikawa

  • Site JP119

    Kanagawa

  • Site JP101

    Kyoto

  • Site JP109

    Miyagi

  • Site JP110

    Miyagi

  • Site JP112

    Nagoya

  • Site JP117

    Niigata

  • Site JP121

    Okayama

  • Site JP104

    Osaka

  • Site JP106

    Osaka

  • Site JP118

    Osaka

  • Site JP124

    Shizuoka

  • Site JP102

    Tokyo

  • Site JP107

    Tokyo

  • Site JP123

    Tokyo

Other trials in Japan

United States6 sites
  • Site US404

    Cleveland, Ohio, 44106

  • Site US410

    Fairfax, Virginia, 22031

  • Site US401

    New York, New York, 10032

  • Site US402

    Orange, California, 92868

  • Site US403

    Seattle, Washington, 98109

  • Site US406

    Spartanburg, South Carolina, 29303

Other trials in United States

South Korea4 sites
  • Site KR202

    Gyeonggi-do

  • Site KR201

    Seoul

  • Site KR203

    Seoul

  • Site KR204

    Seoul

Other trials in South Korea

Taiwan3 sites
  • Site TW302

    Tainan

  • Site TW301

    Taipei

  • Site TW303

    Taipei

Other trials in Taiwan

About this study

Official title: An Open-label Phase I Study of Oral ASP5878 at Single and Multiple Doses in Patients With Solid Tumors

The objectives of this study are to determine the tolerability, safety, pharmacokinetics (PK), pharmacodynamics (PD), and efficacy of oral ASP5878 in participants with solid tumors.

Read the detailed description

This study consists of two parts. In the dose-escalation part, ASP5878 (orally available novel small-molecule FGFR 1,2,3 and 4 inhibitor, multiple dosing once-a-day (q.d.), multiple dosing twice-a-day (b.i.d.) or 5-day on/2-day off dosing twice-a-day (5on-2off)) is administered to participants with solid tumors in an increasing dose manner, and the tolerability, safety, pharmacokinetics (PK), pharmacodynamics (PD) and efficacy of ASP5878 are evaluated in these participants. Cycle 0 consists of 3 days and Cycle 1 and subsequent cycles consist of 28 days each in the dose-escalation part. In the expansion part, 16mg twice-a-day 5-day on/2-day off dose of ASP5878 (5on-2off) is administered to participants with solid tumors and safety, PK, PD and efficacy of ASP5878 are evaluated. The expansion part starts from Cycle 1 and each cycle consists of 28 days.

Conditions
Solid Tumors
Being tested
ASP5878
Keywords
ASP5878, FGFR 1,2,3 and 4 inhibitor

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ASP5878Drug

    oral

Study groups in NCT02038673
Study groupRoleWhat they receive
Dose escalation part 0.5 mg QDExperimentalOral
Receives: Drug: ASP5878
Dose escalation part 1.0 mg QDExperimentalOral
Receives: Drug: ASP5878
Dose escalation part 2.0 mg QDExperimentalOral
Receives: Drug: ASP5878
Dose escalation part 2.0 mg BIDExperimentalOral
Receives: Drug: ASP5878
Dose escalation part 4.0 mg BIDExperimentalOral
Receives: Drug: ASP5878
Dose escalation part 6.0 mg BIDExperimentalOral
Receives: Drug: ASP5878
Dose escalation part 10.0 mg BIDExperimentalOral
Receives: Drug: ASP5878
Dose escalation part 20.0 mg BIDExperimentalOral
Receives: Drug: ASP5878
Dose escalation part 16.0 mg BIDExperimentalOral
Receives: Drug: ASP5878
Expansion part Urothelial CarcinomaExperimentalOral
Receives: Drug: ASP5878
Expansion part Hepatocellular CarcinomaExperimentalOral
Receives: Drug: ASP5878
Expansion part Squamous Cell Lung CarcinomaExperimentalOral
Receives: Drug: ASP5878

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose-escalation part and Expansion part: Safety assessed by Adverse Events (AEs)

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  2. Dose-escalation part and Expansion part:Safety assessed by Vital signs

    Blood pressure, pulse rate and body temperature, Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  3. Dose-escalation part and Expansion part:Safety assessed by Body weight

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  4. Dose-escalation part and Expansion part:Safety assessed by Laboratory tests

    Hematology, blood biochemistry, blood coagulation tests and urinalysis, until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  5. Dose-escalation part and Expansion part:Safety assessed by 12-lead ECGs

    ECG: Electrocardiogram, until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  6. Dose-escalation part and Expansion part: Ophthalmology

    Eyesight, funduscopy, slit lamp microscopy, and Optical Coherence Tomography, until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  7. Dose-escalation part and Expansion part: Bone density measurement

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  8. Dose-escalation part and Expansion part: Computed tomography (CT) Imaging assessment

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  9. Expansion part only: Echocardiogram

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

Secondary outcomes (33)
  1. Dose-escalation part: Pharmacokinetics (PK) parameter of ASP5878 in plasma: Cmax

    Cmax: Maximum concentration, Cycle 0: single dose, Cycle 1: multiple dose after Cycle 0

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  2. Dose-escalation part:PK parameter of ASP5878 in plasma: tmax

    tmax: Time of Cmax

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  3. Dose-escalation part:PK parameter of ASP5878 in plasma: AUClast

    AUClast: Area under the concentration-time curve from the time of dosing extrapolated to the last measurable concentration

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  4. Dose-escalation part: PK parameter of ASP5878 in plasma: AUCinf

    AUCinf: Area under the concentration-time curve from the time of dosing extrapolated to time infinity

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  5. Dose-escalation part: PK parameter of ASP5878 in plasma: t1/2

    t1/2: Terminal elimination half-life

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  6. Dose-escalation part: PK parameter of ASP5878 in plasma: CL/F

    CL/F: Apparent total systemic clearance

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  7. Dose-escalation part: PK parameter of ASP5878 in plasma: Vz/F

    Vz/F: Apparent volume of distribution during the terminal elimination phase

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  8. Dose-escalation part: PK parameter of ASP5878 in urine: Ae

    Ae: Amount of ASP5878 excreted into the urine

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  9. Dose-escalation part: PK parameter of ASP5878 in urine: CLR

    CLR: Renal clearance

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  10. Dose-escalation part: Pharmacodynamic (PD) parameter: Serum FGF23 concentrations

    FGF: Fibroblast Growth Factor

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  11. Dose-escalation part: PD parameter: Serum inorganic phosphorus concentrations

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  12. Dose-escalation part: PD parameter: Serum calcium concentrations

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  13. Dose-escalation part: PD parameter: Serum iPTH concentrations

    iPTH: Intact Parathyroid Hormone

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  14. Dose-escalation part: PD parameter: Serum calcitriol concentrations

    Measured: Day 1 at Cycle 0 and Day 5 (5on-2off) or 27 (q.d./b.i.d.) at Cycle 1

  15. Expansion part: PK parameter of ASP5878 in plasma: Cmax

    Measured: Day 1 and 5 at Cycle 1

  16. Expansion part: PK parameter of ASP5878 in plasma: tmax

    Measured: Day 1 and 5 at Cycle 1

  17. Expansion part: PK parameter of ASP5878 in plasma: AUClast

    Measured: Day 1 and 5 at Cycle 1

  18. Expansion part: PK parameter of ASP5878 in plasma: AUCinf

    Measured: Day 1 and 5 at Cycle 1

  19. Expansion part: PK parameter of ASP5878 in plasma: t1/2

    Measured: Day 1 and 5 at Cycle 1

  20. Expansion part: PK parameter of ASP5878 in plasma: CL/F

    Measured: Day 1 and 5 at Cycle 1

  21. Expansion part: PK parameter of ASP5878 in plasma: Vz/F

    Measured: Day 1 and 5 at Cycle 1

  22. Expansion part: PD parameter: Serum FGF19 concentrations

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  23. Expansion part: PD parameter: Serum FGF23 concentrations

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  24. Expansion part: PD parameter: Serum inorganic phosphorus concentrations

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  25. Expansion part: PD parameter: Serum iPTH concentrations

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  26. Expansion part: PD parameter: Serum calcitriol concentrations

    Until one of the discontinuation criteria is met.

    Measured: Up to 18 months

  27. Expansion part: PD parameter: Serum 7α-hydroxy-4-cholesten-3-one

    Until one of the discontinuation criteria is met

    Measured: Up to 18 months

  28. Expansion part: Overall response

    Antitumor activity evaluated based on RECIST version 1.1, until one of the discontinuation criteria is met. Antitumor response is rated on a 4-level scale shown below (complete response [CR], partial response [PR], progressive disease [PD] and stable disease [SD]).

    Measured: Up to 18 months

  29. Expansion part: Maximum Shrinkage in Target Lesion

    Best percent change from baseline in the sum of diameters of all target lesions.

    Measured: Up to 18 months

  30. Expansion part: Progression free survival (PFS)

    Time from the start of the study treatment until death from any cause or Progressive Disease assessed according to RECIST 1.1.

    Measured: Up to 18 months

  31. Expansion part: Time to progression (TTP)

    Time from the start of the study treatment until Progressive Disease assessed according to RECIST 1.1.

    Measured: Up to 18 months

  32. Expansion part: Time to treatment failure (TTF)

    Time from the start of the study drug treatment until discontinuation of study drug treatment for any reason.

    Measured: Up to 18 months

  33. Expansion part: Overall survival (OS)

    Time from randomization to death from any cause.

    Measured: Up to 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jan 2014 (estimated)
  2. Study start5 Nov 2013
  3. Primary completion19 Jul 2017
  4. Study completion19 Jul 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
86 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02038673
Sponsor's protocol ID
5878-CL-0101
Status last verified
Oct 2024
First submitted
15 Jan 2014
Last updated
31 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ASP5878 in people with Solid Tumors, run by Astellas Pharma Inc at 35 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in Japan, United States, South Korea, Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose-escalation part and Expansion part: Safety assessed by Adverse Events (AEs) (time frame: Up to 18 months). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Oct 2024.

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