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Advanced Solid TumorsPhase 1NCT04069026

A First-in-Humans Dose Finding Study for an Aryl Hydrocarbon Receptor Inhibitor (AhRi) in Patients With Advanced Cancer

A Phase 1 study testing BAY2416964 in people with Advanced Solid Tumors, run by Bayer at 17 sites in 5 countries.

Completed

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

Official record
Search all trials

Trial summary

In this study researchers want to gather relevant information regarding the safety of BAY2416964 and how well the drug works in participants with a type of solid tumors that cannot be cured by currently available drugs. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Solid Tumors
What is being tested?
BAY2416964
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
78 participants
Where
17 sitesin 5 countries
Study dates
15 Aug 2019to 17 Jan 2024
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

  • Participants must be ≥18 years of age inclusive, at the time of signing the informed consent.
  • Participants with following histologically or cytologically confirmed advanced solid tumors that have progressed after treatment with all available therapies for metastatic disease that are known to confer clinical benefit, or are intolerant to treatment, or refuse standard treatment.
  • Dose Escalation: all solid tumor types
  • Tumor type-specific high-dose (MTD or MAD) Expansion cohorts: Will be grouped by tumor type:
  • NSCLC
  • HNSCC
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  • NSCLC (TID dosing) expansion cohorts
  • Have measurable disease per RECIST 1.1 as assessed by CT/MRI. At least one measurable lesion by RECIST 1.1 is required. Lesions situated in a previously irradiated area, or in an area subjected to other loco-regional therapy, are considered measurable if progression has been demonstrated in such lesions.
  • Life expectancy at least 12 weeks.
  • Eastern Cooperative Oncology Group (ECOG)performance status of 0 to 1.
  • Adequate bone marrow and organ function as assessed by the following laboratory tests performed within 7 days before treatment initiation.
  • Bone marrow reserve:
  • Absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L
  • Hemoglobin (Hb) ≥ 9.0g/dL, without erythropoietin dependency and without packed red blood cell (pRBC) transfusion within last 2 weeks.
  • Platelet count ≥ 100 x 10^9/L. Transfusion to meet the inclusion criteria will not be allowed.
  • Hepatic:
  • Total bilirubin ≤ 1.5 x the upper limit of normal range (ULN). Known Gilbert syndrome is allowed if total bilirubin is ≤ 3 x ULN.
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 x ULN (≤ 5 x ULN for participants with liver metastases).
  • Albumin > 25 g/L.
  • Renal:
  • --- eGFR ≥ 60 mL/min as calculated using the MDRD equation or creatinine level ≤ 1.5x ULN.
  • Lipase and amylase ≤ 1.5 x ULN.
  • Coagulation:
  • International normalized ratio (INR) OR prothrombin time (PT) AND activated partial thromboplastin time (aPTT) ≤ 1.5 x ULN unless the participant is receiving anticoagulant therapy as long as PT or aPTT is within therapeutic range of intended use of anticoagulants.
  • Adequate cardiac function, measured by echocardiography within 28 days before start of study intervention (left ventricular ejection fraction within institutional normal range for age and gender).

Who cannot join

  • Severe (CTCAE v.5 Grade ≥ 3) infections within 4 weeks before the first BAY2416964 administration, including but not limited to hospitalization for complications of infection, bacteremia, or severe pneumonia. Clinically active infections (CTCAE v.5 > Grade 1) within 2 weeks before the first BAY2416964 administration.
  • Active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed.
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone or equivalent) within 1 week before the first dose of study intervention or any other form of immunosuppressive therapy within 2 weeks prior the first dose of study intervention.
  • Congestive heart failure New York Heart Association (NYHA) greater than Class I or cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers or calcium channel blockers.
  • Has active central nervous system (CNS) metastases and/or carcinomatous meningitis.
  • Participants with previously treated brain metastases may participate provided they are radiologically stable, i.e., without evidence of progression for at least 4 weeks by repeat imaging (note that repeat imaging needs to be performed during study screening), clinically stable and without requirement of steroid treatment for at least 14 days prior to first dose of study intervention.
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  • Has a history of (non-infectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease.
  • Significant acute gastrointestinal disorders with diarrhea as a major symptom, e.g. Crohn's disease, malabsorption, or ≥ NCI-CTCAE v. 5.0 Grade 2 diarrhea of any etiology.
  • History of organ allograft transplantation, including allogeneic bone marrow transplantation.
  • Has received prior radiotherapy within 2 weeks before start of BAY2416964 or received radiation therapy to the lung that is > 30 Gy within 6 months before start of study intervention. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted for palliative radiation (≤2 weeks of radiotherapy) to non-CNS disease.
  • Treatment with systemic immunosuppressant medications (including but not limited to
  • > 10 mg/day prednisone or equivalent within 1 week before the first study intervention administration.
  • any other form of immunotherapy, e.g., cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor [anti-TNF] agents) within 2 weeks before the first BAY2416964 administration.
  • The use of inhaled corticosteroids, or low doses of glucocorticoids (no more than 10 mg/day prednisone or equivalent; if a higher dose would be needed to maintain adrenal function investigator must obtain approval from sponsor), and mineralocorticoids (e.g. fludrocortisone for adrenal insufficiency) is allowed.

Trial locations and contacts

17 sites in 5 countries.

17 sites in 5 countries

Spain5 sites
  • Institut Català d'Oncologia Hospitalet

    L'Hospitalet de Llobregat, Barcelona, 08907

  • Hospital Ramón y Cajal | Oncología

    Madrid, 28034

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Universitario Virgen de la Victoria | Cardiology Department

    Málaga, 29010

  • Hospital Clínico Universitario de Valencia

    Valencia, 46010

Other trials in Spain

United States4 sites
  • Greenville Health System

    Greenville, South Carolina, 29605

  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Yale University School of Medicine

    New Haven, Connecticut, 06520-8028

  • South Texas Accelerated Research Therapeutics | START San Antonio

    San Antonio, Texas, 78229-3307

Other trials in United States

Germany3 sites
  • Charité Campus Benjamin Franklin (CBF)

    Berlin, 12200

  • Universitätsklinikum Carl Gustav Carus Dresden

    Dresden, Saxony, 01307

  • Universitätsklinikum Heidelberg

    Heidelberg, Baden-Wurttemberg, 69120

Other trials in Germany

United Kingdom3 sites
  • Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN

  • Christie Hospital

    Manchester, M20 4BX

  • Royal Marsden NHS Trust (Surrey)

    Sutton, Surrey, SM2 5PT

Other trials in United Kingdom

Canada2 sites
  • CHU de Québec-Hôpital de l'Enfant-Jésus

    Québec, G1J 1Z4

  • Princess Margaret Hospital-University Health Network

    Toronto, Ontario, M5G 2M9

Other trials in Canada

About this study

Official title: An Open-label, Phase 1, First-in-human, Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, Maximum Tolerated or Administered Dose, Pharmacokinetics, Pharmacodynamics and Tumor Response Profile of the Aryl Hydrocarbon Receptor Inhibitor (AhRi) BAY 2416964 in Participants With Advanced Solid Tumors

In this study researchers want to gather relevant information regarding the safety of BAY2416964 and how well the drug works in participants with a type of solid tumors that cannot be cured by currently available drugs. Researchers want to find the highest dose of BAY2416964 that participants could take without having too many side effects, how the drug is tolerated and the way the body absorbs, distributes and gets rid of the study dug. BAY2416964 is a small molecule which blocks the Aryl Hydrocarbon Receptor (a protein involved in immune cell reaction to tumor cells) allowing the body to use its immune response against the tumor cells.

Being tested
BAY2416964
Keywords
Non-small cell lung cancer (NSCLC), Head and neck squamous cell carcinoma (HNSCC), Advanced cancer, Immunotherapy, Immuno oncology, Aryl Hydrocarbon Receptor inhibitor(AhRi), Aryl Hydrocarbon Receptor
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Squamous Cell Carcinoma of Head and Neck

What participants receive

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

  • BAY2416964Drug

    Oral application of study drug daily in a predefined dose escalation scheme.

  • BAY2416964Drug

    Oral application of study drug daily at the dose defined in the dose escalation scheme to determine the recommended phase 2 dose (RP2D).

Study groups in NCT04069026
Study groupRoleWhat they receive
Dose escalation of BAY2416964ExperimentalApproximately 8 dose levels of BAY2416964 are planned
Receives: Drug: BAY2416964
Dose expansion of BAY2416964 in tumor type specificExperimentalPatients with NSCLC, HNSCC
Receives: Drug: BAY2416964

What is being measured

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

  1. The incidence of treatment emergent adverse events (TEAEs) including treatment-emergent serious adverse events (TESAEs) and dose-limiting toxicities (DLTs)

    Measured: Up to 90 days after end of treatment

  2. Severity of treatment emergent adverse events (TEAEs) including treatment-emergent serious adverse events (TESAEs) and dose-limiting toxicities (DLTs)

    Measured: Up to 90 days after end of treatment

  3. Maximum tolerated dose (MTD) or maximum administered dose (MAD) of BAY2416964

    MTD:defined as the dose level that can be given such that the estimated Dose limiting toxicity (DLT) probability is closest to approximately 25%.

    Measured: Cycle 1 (21 days) in dose escalation

  4. Recommended Phase II dose (RP2D) of BAY2416964

    Integration of all available safety, PK and PD data

    Measured: Up to 90 days after end of treatment

  5. Maximal plasma exposure (Cmax) for once daily (QD) dosing of BAY2416964 after single-dose and multiple-dose in Cycle 1.

    Measured: From pre-dose up to 24 hours after administration on Cycle 1 (21 days) Day 1. From pre-dose up to 12 hours after administration on Cycle 1 (21 days) Day 15

  6. Area under the curve [AUC (0 - t)] (t=6,12 or 24 dependent on the dosing regimen) of BAY2416964 after single and multiple-dose in Cycle 1

    Measured: From pre-dose up to 6, 12, or 24 hours after administration on Day 1 and/or Day 15 in Cycle 1 (21 days).

Secondary outcomes (3)
  1. Objective response rate (ORR) by RECIST 1.1

    Measured: At the end of Cycle 2 (- 7 days), Cycle 4 (-7 days), every 9 weeks (- 7 days) from Cycle 5 to Cycle 10 and every 4th cycle (- 7 days) from Cycle 11 onwards. Each cycle is 21 days.

  2. Change from baseline in AhR target gene expression in whole blood after ex-vivo stimulation

    Measured: Screening, Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1, Cycle 4 Day 1(each cycle is 21 days)

  3. Cytokine measurements, e.g. IL-6 (immunoassay), in whole blood after ex-vivo stimulation.

    Measured: Screening, Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1, Cycle 4 Day 1(each cycle is 21 days)

Timeline

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

  1. First posted28 Aug 2019
  2. Study start15 Aug 2019
  3. Primary completion17 Jan 2024
  4. Study completion17 Jan 2024

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
Sequential
Masking
None (open label)
Enrolment
78 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04069026
Sponsor's protocol ID
20201
Other IDs
2023-503546-32-00, 2019-000722-22, 2019, 2023
Status last verified
Mar 2024
First submitted
9 Aug 2019
Last updated
6 Mar 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided: Availability of this study's data will be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BAY2416964 in people with Advanced Solid Tumors, run by Bayer at 17 sites in 5 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 25 inclusion and 14 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 6 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in Spain, United States, Germany, United Kingdom, Canada. 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?

The incidence of treatment emergent adverse events (TEAEs) including treatment-emergent serious adverse events (TESAEs) and dose-limiting toxicities (DLTs) (time frame: Up to 90 days after end of treatment). The study lists 6 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 6 Mar 2024.

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