CancerPhase 1NCT02483858
Study of Oral PQR309 in Patients With Advanced Solid Tumors
A Phase 1 study testing PQR 309 in people with Cancer, run by PIQUR Therapeutics AG at 1 site in United States.
Trial summary
This is an open-label, multi-center, non-randomized, dose escalation Phase 1 study evaluating safety, tolerability, PK (pharmacokinetics) and efficacy of PQR309 in the treatment of selected patients with advanced solid tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Cancer
- What is being tested?
- PQR 309
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 1 siteUnited States
- Study dates
- 21 Mar 2019to 21 Mar 2019
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients ≥ 18 years of age.
- Histologically or cytologically confirmed diagnosis of solid malignancy, for which no standard curative or life prolonging therapy is available.
- Have an ECOG Performance Status of ≤ 1. Refer to Appendix 1.
- Life expectancy of ≥ 12 weeks.
- Adequate bone marrow, liver, and renal functions, defined as:
- Platelet count ≥ 100 x 109/L, absolute neutrophil count (ANC)
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- ≥ 1.5 x 109/L, Hemoglobin ≥ 9 g/dL.
- ALT and AST ≤ 2.5 upper limit normal (ULN), or < 5 x ULN if liver metastases are present; serum total bilirubin ≤ ULN or 1.5 x ULN if liver metastases are present or total 3 x ULN with direct bilirubin ≤ ULN in patients with well documented Gilbert Syndrome.
- Serum Creatinine < 1.5 x ULN (upper limit of normal) or estimated creatinine clearance ≥ 60 mL/min, as calculated using method standard for the institution (Appendix 2).
- Glycated hemoglobin (HgbA1c) ≤ 7 %; Fasting Plasma Glucose (FPG) ≤ 7.0 mmol/L (125 mg/dL).
- Women of childbearing potential must have a negative pregnancy test (urine or serum) performed within 7 days prior to the start of study drug.
- Able and willing to swallow and retain oral medication.
- Subject or legal representative must understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure.
- Expansion part:
- Patients must have known PI3K/mTOR pathway gene aberrations (from molecular profiling studies).
- Patients must have HPV positive HNSCC containing activating PIK3CA mutations.
Who cannot join
- Concurrent or previous anti-cancer chemotherapy, immunotherapy or investigational agents < 3 weeks, or palliative radiation < 2 weeks prior to the first day of study treatment. Patients who receive gamma knife radiosurgery for brain metastases or whole brain radiation are eligible if gamma knife radiosurgery was performed > 2 weeks before treatment is started or whole brain radiation was performed > 4 weeks before treatment is started, and are clinically stable.
- Hormonal anticancer therapies except for LHRH antagonists or LHRH agonists in hormone-refractory prostate cancer
- Patient has a known hypersensitivity to any of the excipients of PQR309.
- Patient has had major surgery within 14 days prior to starting study drug or has not recovered from major side effects.
- Patients with poorly controlled diabetes mellitus, steroid-induced diabetes mellitus, HbA1c > 7%, or FPG > 7.0 mmol/L (125 mg/dL).
- Patients who are on (or will require) prolonged systemic corticosteroid treatment during the study, except for:
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- if receiving corticosteroids, patients must have been on a stable or decreasing dose of corticosteroids and no more than 1 mg of dexamethasone a day or equivalent, i.e. 6 mg prednisone or 25 mg hydrocortisone for at least 5 days prior to date of enrollment.
- a short duration (< 5 days) of systemic corticosteroids e.g., of chronic obstructive pulmonary disease, or as an antiemetic corresponding at maximum to the anti-inflammatory potency of 4 mg dexamethasone for treatment;
- topical applications for treatment of e.g., rash, inhaled sprays for treatment of e.g., obstructive airways diseases, eye drops or local Protocol No. PQR309-003 Protocol Amendment 3, 23 September 2015 PIQUR Therapeutics AG - Confidential Page 15 of 108 injections (e.g., intra-articular);
- Patients who have taken herbal medications and certain fruits within 7 days prior to starting study drug, see section 11.1.2.7.
- Patients who have other concurrent severe and/or uncontrolled medical conditions that would, in the investigator's judgment, contraindicate patient participation in the clinical study (e.g., active or uncontrolled severe infection, chronic active hepatitis, immuno-compromised, acute or chronic pancreatitis, uncontrolled high blood pressure, interstitial lung disease, etc.).
- Patient has a known history of HIV infection (testing not mandatory).
- Patient has any of the following cardiac abnormalities:
- History of, or current, documented congestive heart failure (New York Heart Association functional classification III - IV), documented cardiomyopathy.
- Left Ventricular Ejection Fraction (LVEF) < 40% as determined by Multiple Gated Acquisition (MUGA) scan or echocardiogram (ECHO).
- Myocardial infarction ≤ 6 months prior to enrolment.
- Unstable angina pectoris.
- Serious uncontrolled cardiac arrhythmia.
- Symptomatic pericarditis.
- Patient has impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of study drug.
- Concomitant treatment with medicinal products that increase the pH (reduce acidity) of the upper gastrointestinal tract, including, but not limited to, proton-pump inhibitors (e.g. omeprazole), H2-antagonists (e.g. ranitidine) and antacids. Patients may be enrolled in the study after a wash-out period sufficient to terminate their effect.
- Patient has a history of non-compliance to medical regimen or inability to grant consent.
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive Human Chorionic Gonadotropin (hCG) laboratory test (> 5 mIU/mL). Patients with elevated hCG at baseline that is judged to be related to the tumor are eligible if hCG levels do not show the expected doubling when repeated 5 - 7 days later, or pregnancy has been ruled out by vaginal ultrasound.
- Patient who does not apply highly effective contraception during the study from screening until 90 days after discontinuing study treatment Protocol No. PQR309-003 Protocol Amendment 3, 23 September 2015 PIQUR Therapeutics AG - Confidential Page 16 of 108 (see section 11.3).
- Patients have any of the following mood disorders as judged by the Investigator or a Psychiatrist, or who meets the cut-off score of ≥ 12 the PHQ-9 or a cut-off of ≥ 15 in the GAD-7 mood scale, respectively, or selects a positive response of '1, 2, or 3' to question number 9 regarding potential for suicidal thoughts in the PHQ-9 (independent of the total score of the PHQ-9) see Appendix 4.
- Medically documented history of or active major depressive episode, bipolar disorder (I or II), obsessive-compulsive disorder, schizophrenia, a history of suicidal attempt or ideation, or homicidal ideation (immediate risk of doing harm to others).
- ≥ CTCAE Grade 3 anxiety.
- Patients with a history of interstitial
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Phase I Study of Oral PQR309 in Patients With Advanced Solid Tumors
This is an open-label, multi-center, non-randomized, dose escalation Phase 1 study evaluating safety, tolerability, PK (pharmacokinetics) and efficacy of PQR309 in the treatment of selected patients with advanced solid tumors.
Read the detailed description
This is an open-label, multi-center, non-randomized, dose escalation Phase 1 study evaluating safety, tolerability, PK (pharmacokinetics)and efficacy of PQR309 in the treatment of selected patients with advanced solid tumors.
In the initial phase of the study, patients will be treated once daily until disease progression, unacceptable toxicity, patient's request for withdrawal, investigator judgment or death whichever comes first. Enrollment of an initial patient cohort of 3 or 6 patients will follow the traditional 3 + 3 dose escalation scheme to evaluate Dose Levels 1 - 5 with continuous q.d dosing schedule. Patients will be treated with PQR309 at starting Dose Level 1 enrolling exceptionally 6 patients (only applicable for continuous dosing schedule). Subsequent patient cohort(s) will be enrolled depending on the safety and tolerability of the initial cohort. If < 33% patients treated at Dose Level 1 (80 mg) experience Dose Limiting Toxicities (DLT - see definition below) by the end of first treatment cycle (21 days), next cohort of 3 patients will be enrolled and treated at Dose Level 2 of the continuous dosing schedule, if 2 or more treatment-related DLTs are observed at Dose Level 1, patients will be accrued to Dose Level -1. If 2 or more patients experience a DLT during dose Level 2 (120 mg), the dose of 100 mg will be explored next.The MTD is defined as the maximum dose level at which ≤ 1/6 patients have DLTs. After the MTD has been established with the continuous dosing schedule, the study will be expanded to evaluate the MTD of intermittent dosing schedules. Initially 2 additional dosing schedules, intermittent schedule A and B, will be evaluated in parallel. Patients will be assigned to the two schedules in an alternating manner.
Patients will be treated only within dose and schedule cohort they have been enrolled in. No within-patient dose escalation or alteration of dosing schedule will be allowed.Both schedules A and B will evaluate intermittent dosing in 21 day cycles:
Intermittent schedule A:
Two days of once daily PQR309 administration followed by no treatment for 5 days.
Intermittent schedule B:
PQR309 administration on Monday and Thursday. Same dose escalation procedures will apply to intermittent schedule evaluation as for the continuous schedule. Based on the overall evaluation of safety and tolerability, the PK (pharmacokinetics) data of the intermittent dosing schedules and the continuous schedule as well as PQR309 non-clinical data, evaluation of additional dosing schedules may be considered and investigated if agreed between sponsor and study investigators.
After the MTD has been established with the intermittent dosing schedules, the study will be expanded to evaluate the MTD of one selected schedule in patients with:
- Solid tumors with PI3K/mTOR pathway activation
- HPV positive HNSCC patients containing activating PIK3CA mutations Evaluation of the data from these cohorts will allow for more complete evaluation of tolerability, pharmacokinetics, and correlative endpoints as well as the preliminary clinical efficacy of PQR309.
- Conditions
- Cancer
- Being tested
- PQR 309
- Keywords
- oncology, solid tumors
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PQR 309Drug
Also called PI3K/mTOR/AKT Inhibitor
Intervention of this drug may include safety, tolerability, PK (pharmacokinetics) and efficacy
| Study group | Role | What they receive |
|---|---|---|
| PQR309 | Experimental | Different dose Evaluation (continous and intermittent) 20-160mg daily Receives: Drug: PQR 309 |
What is being measured
The primary outcome is the main question the study is designed to answer.
To identify the Maximum Tolerated Dose (MTD) of PQR309 administered in different (continuous and intermittent) dosing schedules. To evaluate efficacy of PQR309 in selected patient population: • Solid tumors with PI3K/mTOR activation • Human Papilloma
MTD based on the rate of dose-limiting toxicities. The MTD is defined as the maximum dose level at which ≤ 1/6 patients have dose limiting toxicities (DLTs).
Measured: In average 1 year
Objective response rate (ORR) according to the response evaluation• Solid tumors with PI3K/mTOR activation • Human Papilloma Virus (HPV) positive Head and neck squamous cell carcinoma (HNSCC) containing activating PIK3CA mutations
Expansion part criteria in solid tumors (RECIST), version 1.1
Measured: in average 2 years
Secondary outcomes (60)
Number of patients with adverse Events and serious adverse events
Continous Dosing and intermittent dosing "2days on/5days off
Measured: Cycle1 on Day1,8,15, Cycle 2 and subsequent cycles on Day 1, End of the treatment up to 3 days and as follow up 30 days after last dosing
Number of patients with adverse Events and serious adverse events
"Monday/ Thursday"
Measured: Assessment on Day 1 after basline, Cycle1 on Day 8,15, Cycle 2 and subsequent cycles on Day 1, End of the treatment up to 3 days and as follow up 30 days after last dosing
Physical examination according to ECOG (Eastern Cooperative Oncology Group) Performance Status
Continous Dosing
Measured: Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1 , end of treatment up to 3 days after
Physical examination according to ECOG (Eastern Cooperative Oncology Group) Performance Status
Intermittent Dosing "2days on/5days off"
Measured: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1 , end of treatment up to 3 days after
Physical examination according to ECOG (Eastern Cooperative Oncology Group) Performance Status
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day1,2, Cycle 1 on Day 4,8,9,15
Change in Pulse Rate
Continous Dosing
Measured: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Pulse Rate
Intermittent Dosing "2 days on/5days off"
Measured: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Pulse Rate
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in Temperature
Continous Dosing
Measured: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Temperature
Intermittent Dosing "2days on/5days off"
Measured: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Temperature
Intermittent Dosing " Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Measured: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in Respiratory Rate
Continous Dosing
Measured: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Respiratory Rate
Intermittent Dosing "2days on/5days off"
Measured: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Respiratory Rate
Intermittent Dosing " Monday/ Thursday"
Measured: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in Blood Pressure
Continous Dosing
Measured: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Blood Pressure
Intermittent Dosing "2days on/5days off"
Measured: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Blood Pressure
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in Blood Body Weight
Continous Dosing
Measured: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Blood Body Weight
Intermittent Dosing "2days on/5days off"
Measured: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Blood Body Weight
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in ECG
Continous Dosing
Measured: Assessment on Day 3 after baseline, Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in ECG
Intermittent Dosing "2days on/5days off" and "Monday/ Thursday"
Measured: After Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Depression test (PHQ-9)
Continous Dosing
Measured: After Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Depression test (PHQ-9)
Intermittent Dosing "2days on/5days off" and "Monday/ Thursday"
Measured: Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Generalized anxiety disorder mood scale score (GAD7)
Continous Dosing and Intermittent Dosing "2days on/5days off" and "Monday/ Thursday"
Measured: Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes in routine blood chemistry
Continous Dosing and Intermittent Dosing "2days on/5days off"
Measured: Cycle 1 on Day 1, 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes in routine blood chemistry
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1 after baseline, Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes of hematology
Continous Dosing and Intermittent Dosing "2days on/5days off"
Measured: Cycle 1 on Day 1, 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes of hematology
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1 after baseline, Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes of insulin/Glucose/ C-peptide
Continous Dosing
Measured: Assessment on Day 3, ,2,1 after baseline, Cycle 1 on Day 1, Cycle 2 and subsequent cycles on Day1
Changes of insulin/Glucose/ C-peptide
" Intermittent Dosing "2days on/5days off""
Measured: Assessment on Day 3, 2,1 after baseline, Cycle 8,9,15 on Day 1
Changes of insulin/Glucose/ C-peptide
" Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1,2 after baseline, Cycle1 on Day 4, 8,9,15
Changes of haemostasis
Continous Dosing and Intermittent Dosing "2days on/5days off"
Measured: Cycle 1 on Day 1, 8, 15 Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes of haemostasis
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1 after baseline, Cycle 1 on Day 1,15 Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Determination of Cmax
Continous Dosing
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of Cmax
Intermittent Dosing "2days on/5days off"
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of Cmax
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Determination of AUC 0-24
Continous Dosing
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of AUC 0-24
Intermittent Dosing "2days on/5days off"
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of AUC 0-24
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Determination of tmax
Continous Dosing
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of tmax
Intermittent Dosing "2days on/5days off"
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of tmax
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Determination of AUClast (area under the curve)
Continous Dosing
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of AUClast
Intermittent Dosing "2days on/5days off"
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of AUClast
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Determination of AUC0-∞
Continous Dosing
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of AUC0-∞
Intermittent Dosing "2days on/5days off"
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of AUC0-∞
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Determination of t 1/2
Continous Dosing
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of t 1/2
Intermittent Dosing "2days on/5days off"
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of t 1/2
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Determination of RAC (Accumulation Ratio)
Continous Dosing
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of RAC (Accumulation Ratio)
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of RAC (Accumulation Ratio)
Intermittent Dosing "Monday/ Thursday"
Measured: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Determine Time to Response (TTR)
Efficacy
Measured: up to 2 years
Determine Duration of Response (DOR)
Defined as the time from the date of the first confirmed response to the first documentation of relapse or progressive disease, whichever occurs first
Measured: baseline and on Day 1 of every subsequential cycle which can be up to 24 months
Time to Treatment Failure (TTF)
Defined as the time from study entry to any treatment failure including disease progression or discontinuation of treatment for any reason (e.g., disease progression, AE, patient preference, initiation of new treatment without documented progression, death)
Measured: Tumor Measurement preferably with a ruler and/or MRI scans e.g. and incorporated clinical signs will be assesses at baseline and on Day 1 of every subsequential cycle which can be up to 24 months
Determine Progression Free Survival (PFS)
Defined as the time from study entry to progression or death due to any cause
Measured: baseline and on Day 1 of every subsequential cycle which can be up to 24 months
1- year Survival Rate
Defined as the time from study entry to death as a result of any cause at 1-year cutoff date
Measured: baseline and on Day 1 of every subsequential cycle which can be up to 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jun 2015 (estimated)
- Study start21 Mar 2019
- Primary completion21 Mar 2019
- Study completion21 Mar 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 70 participants (actual)
Sponsor and investigators
- Lead sponsor
- PIQUR Therapeutics AG
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Roswell Park Cancer Institute, M.D. Anderson Cancer Center, Mayo Clinic, Hospital Clinic of Barcelona, University College London Hospitals, Churchill Hospital, Case Western Reserve University, University Hospital, Zürich
- Responsible party
- Sponsor
- Investigators
- Mateusz Opyrchal, Study director, Roswell Park Cancer InstituteFilip Janku, Principal investigator, MD Anderson CancerAfshin Dowlati, Principal investigator, University Hospitals Cleveland Medical CenterAlex Adjei, Principal investigator, Mayo ClinicJordi Rodon, Principal investigator, Vall d'Hebron University HospitalMartin Forster, Principal investigator, University College London HospitalsSarah Bladgen, Principal investigator, Chruchill HospitalAndreas Wicki, Principal investigator, Basel University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02483858
- Sponsor's protocol ID
- PQR309-003
- Status last verified
- Mar 2019
- First submitted
- 19 May 2015
- Last updated
- 22 Mar 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 22 Mar 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I Study of Oral PQR309 in Patients With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT02483858
- Acronym / sponsor ID
- PQR309-003
- Conditions
- Cancer
- Keywords
- oncology, solid tumors
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 70 participants (actual)
- Lead sponsor
- PIQUR Therapeutics AGIndustry (pharma, biotech, devices)
- Collaborators
- Roswell Park Cancer Institute, M.D. Anderson Cancer Center, Mayo Clinic, Hospital Clinic of Barcelona, University College London Hospitals, Churchill Hospital, Case Western Reserve University, University Hospital, Zürich
- Study start
- 21 Mar 2019 (actual)
- Primary completion
- 21 Mar 2019 (actual)
- Study completion
- 21 Mar 2019 (actual)
- First posted
- 29 Jun 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, multi-center, non-randomized, dose escalation Phase 1 study evaluating safety, tolerability, PK (pharmacokinetics) and efficacy of PQR309 in the treatment of selected patients with advanced solid tumors.
Detailed description
This is an open-label, multi-center, non-randomized, dose escalation Phase 1 study evaluating safety, tolerability, PK (pharmacokinetics)and efficacy of PQR309 in the treatment of selected patients with advanced solid tumors.
In the initial phase of the study, patients will be treated once daily until disease progression, unacceptable toxicity, patient's request for withdrawal, investigator judgment or death whichever comes first. Enrollment of an initial patient cohort of 3 or 6 patients will follow the traditional 3 + 3 dose escalation scheme to evaluate Dose Levels 1 - 5 with continuous q.d dosing schedule. Patients will be treated with PQR309 at starting Dose Level 1 enrolling exceptionally 6 patients (only applicable for continuous dosing schedule). Subsequent patient cohort(s) will be enrolled depending on the safety and tolerability of the initial cohort. If < 33% patients treated at Dose Level 1 (80 mg) experience Dose Limiting Toxicities (DLT - see definition below) by the end of first treatment cycle (21 days), next cohort of 3 patients will be enrolled and treated at Dose Level 2 of the continuous dosing schedule, if 2 or more treatment-related DLTs are observed at Dose Level 1, patients will be accrued to Dose Level -1. If 2 or more patients experience a DLT during dose Level 2 (120 mg), the dose of 100 mg will be explored next.The MTD is defined as the maximum dose level at which ≤ 1/6 patients have DLTs. After the MTD has been established with the continuous dosing schedule, the study will be expanded to evaluate the MTD of intermittent dosing schedules. Initially 2 additional dosing schedules, intermittent schedule A and B, will be evaluated in parallel. Patients will be assigned to the two schedules in an alternating manner.
Patients will be treated only within dose and schedule cohort they have been enrolled in. No within-patient dose escalation or alteration of dosing schedule will be allowed.Both schedules A and B will evaluate intermittent dosing in 21 day cycles:
Intermittent schedule A:
Two days of once daily PQR309 administration followed by no treatment for 5 days.
Intermittent schedule B:
PQR309 administration on Monday and Thursday. Same dose escalation procedures will apply to intermittent schedule evaluation as for the continuous schedule. Based on the overall evaluation of safety and tolerability, the PK (pharmacokinetics) data of the intermittent dosing schedules and the continuous schedule as well as PQR309 non-clinical data, evaluation of additional dosing schedules may be considered and investigated if agreed between sponsor and study investigators.
After the MTD has been established with the intermittent dosing schedules, the study will be expanded to evaluate the MTD of one selected schedule in patients with:
- Solid tumors with PI3K/mTOR pathway activation
- HPV positive HNSCC patients containing activating PIK3CA mutations Evaluation of the data from these cohorts will allow for more complete evaluation of tolerability, pharmacokinetics, and correlative endpoints as well as the preliminary clinical efficacy of PQR309.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| PQR309 | Experimental | Drug: PQR 309Different dose Evaluation (continous and intermittent) 20-160mg daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Patients ≥ 18 years of age.
- Histologically or cytologically confirmed diagnosis of solid malignancy, for which no standard curative or life prolonging therapy is available.
- Have an ECOG Performance Status of ≤ 1. Refer to Appendix 1.
- Life expectancy of ≥ 12 weeks.
- Adequate bone marrow, liver, and renal functions, defined as:
Key exclusion criteria (28 listed)
- Concurrent or previous anti-cancer chemotherapy, immunotherapy or investigational agents < 3 weeks, or palliative radiation < 2 weeks prior to the first day of study treatment. Patients who receive gamma knife radiosurgery for brain metastases or whole brain radiation are eligible if gamma knife radiosurgery was performed > 2 weeks before treatment is started or whole brain radiation was performed > 4 weeks before treatment is started, and are clinically stable.
- Hormonal anticancer therapies except for LHRH antagonists or LHRH agonists in hormone-refractory prostate cancer
- Patient has a known hypersensitivity to any of the excipients of PQR309.
- Patient has had major surgery within 14 days prior to starting study drug or has not recovered from major side effects.
- Patients with poorly controlled diabetes mellitus, steroid-induced diabetes mellitus, HbA1c > 7%, or FPG > 7.0 mmol/L (125 mg/dL).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PQR 309Also: PI3K/mTOR/AKT InhibitorIntervention of this drug may include safety, tolerability, PK (pharmacokinetics) and efficacy | Drug | PQR309 |
Primary outcome
To identify the Maximum Tolerated Dose (MTD) of PQR309 administered in different (continuous and intermittent) dosing schedules. To evaluate efficacy of PQR309 in selected patient population: • Solid tumors with PI3K/mTOR activation • Human Papilloma
Time frame: In average 1 year
MTD based on the rate of dose-limiting toxicities. The MTD is defined as the maximum dose level at which ≤ 1/6 patients have dose limiting toxicities (DLTs).
Objective response rate (ORR) according to the response evaluation• Solid tumors with PI3K/mTOR activation • Human Papilloma Virus (HPV) positive Head and neck squamous cell carcinoma (HNSCC) containing activating PIK3CA mutations
Time frame: in average 2 years
Expansion part criteria in solid tumors (RECIST), version 1.1
60 secondary outcomes
Number of patients with adverse Events and serious adverse events
Time frame: Cycle1 on Day1,8,15, Cycle 2 and subsequent cycles on Day 1, End of the treatment up to 3 days and as follow up 30 days after last dosing
Number of patients with adverse Events and serious adverse events
Time frame: Assessment on Day 1 after basline, Cycle1 on Day 8,15, Cycle 2 and subsequent cycles on Day 1, End of the treatment up to 3 days and as follow up 30 days after last dosing
Physical examination according to ECOG (Eastern Cooperative Oncology Group) Performance Status
Time frame: Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1 , end of treatment up to 3 days after
Physical examination according to ECOG (Eastern Cooperative Oncology Group) Performance Status
Time frame: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1 , end of treatment up to 3 days after
Physical examination according to ECOG (Eastern Cooperative Oncology Group) Performance Status
Time frame: Assessment on Day1,2, Cycle 1 on Day 4,8,9,15
Change in Pulse Rate
Time frame: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Pulse Rate
Time frame: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Pulse Rate
Time frame: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in Temperature
Time frame: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Temperature
Time frame: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Temperature
Time frame: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in Respiratory Rate
Time frame: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Respiratory Rate
Time frame: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Respiratory Rate
Time frame: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in Blood Pressure
Time frame: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Blood Pressure
Time frame: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Blood Pressure
Time frame: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in Blood Body Weight
Time frame: Assessment on Day 3 after baseline, Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Blood Body Weight
Time frame: Cycle 1 on Day 1,8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in Blood Body Weight
Time frame: Assessment on Day1,2,Cycle 1 on Day 4,8,9,15
Change in ECG
Time frame: Assessment on Day 3 after baseline, Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Change in ECG
Time frame: After Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Depression test (PHQ-9)
Time frame: After Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Depression test (PHQ-9)
Time frame: Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Generalized anxiety disorder mood scale score (GAD7)
Time frame: Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes in routine blood chemistry
Time frame: Cycle 1 on Day 1, 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes in routine blood chemistry
Time frame: Assessment on Day 1 after baseline, Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes of hematology
Time frame: Cycle 1 on Day 1, 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes of hematology
Time frame: Assessment on Day 1 after baseline, Cycle 1 on Day 8,15, Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes of insulin/Glucose/ C-peptide
Time frame: Assessment on Day 3, ,2,1 after baseline, Cycle 1 on Day 1, Cycle 2 and subsequent cycles on Day1
Changes of insulin/Glucose/ C-peptide
Time frame: Assessment on Day 3, 2,1 after baseline, Cycle 8,9,15 on Day 1
Changes of insulin/Glucose/ C-peptide
Time frame: Assessment on Day 1,2 after baseline, Cycle1 on Day 4, 8,9,15
Changes of haemostasis
Time frame: Cycle 1 on Day 1, 8, 15 Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Changes of haemostasis
Time frame: Assessment on Day 1 after baseline, Cycle 1 on Day 1,15 Cycle 2 and subsequent cycles on Day1, end of treatment up to 3 days after last medication
Determination of Cmax
Time frame: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of Cmax
Time frame: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of Cmax
Time frame: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Determination of AUC 0-24
Time frame: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,15, Cycle 2 on Day1
Determination of AUC 0-24
Time frame: Assessment on Day 3,2,1 after baseline, Cycle 1 on Day 8,9,15
Determination of AUC 0-24
Time frame: Assessment on Day 1,2 after baseline, Cycle 1 on Day 4,8,9,15
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Mar 2019.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mateusz Opyrchal study director
Roswell Park Cancer Institute
Filip Janku principal investigator
MD Anderson Cancer
Afshin Dowlati principal investigator
University Hospitals Cleveland Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing PQR 309 in people with Cancer, run by PIQUR Therapeutics AG at 1 site in United States.
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 16 inclusion and 28 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 22 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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?
To identify the Maximum Tolerated Dose (MTD) of PQR309 administered in different (continuous and intermittent) dosing schedules. To evaluate efficacy of PQR309 in selected patient population: • Solid tumors with PI3K/mTOR activation • Human Papilloma (time frame: In average 1 year). The study lists 2 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 22 Mar 2019.