A Phase 1, First-In-Human Study of Escalating Doses of Oral TVB-2640 in Patients With Solid Tumors

NCT02223247 | Completed Phase 1 DMC FDA Drug

• 1 other identifier: 3V2640-CLIN-002
• Study Type: interventional
• Target: 180
• Locations: 2 countries
• Sites: 11

Brief Summary

This first in human phase 1 study of TVB-2640 is being conducted in patients with advanced stage solid malignant tumors. This research is being done to find out how safe and useful TVB-2640 is for patients who have received previous cancer therapy, and for whom no therapy exists that would be curative or might provide significant benefit. TVB-2640 belongs to a class of drugs called fatty acid synthase inhibitors (FASN inhibitors). This means that they interfere with the body's (and the tumor's) ability to use a substance called fatty acid synthase (FASN). Research has shown that some tumors appear to need FASN to keep growing.

Conditions

Solid Malignant Tumor

Keywords

solid tumors; cancer

Outcome Measures

Primary Outcomes (2)

• To determine the maximum tolerated dose (MTD) based on toxicity analysis.

  Toxicity will be monitored according to NCI - Common Toxicity Criteria for Adverse Events version (4.03). Patients receiving at least one dose of drug.

  1.5 years

• To determine the incidence and nature of dose-limiting toxicities (DLTs) of TVB-2640.

  Days 1 to 21 of cycle 1 for monotherapy cohort(s); Days 1 to 28 of cycle 1 for combination with anti-cancer agent cohort(s)

Secondary Outcomes (3)

• Incidence, nature and severity of adverse events and serious adverse events, graded according to NCI - Common Toxicity Criteria for Adverse Events version (4.03).

  Up to 28 days after the last dose of study treatment or until initiation of another anti-cancer therapy, whichever occurs first.

• Pharmacokinetic parameters of TVB-2640 (including total exposure, maximum and minimum serum concentration, clearance, volume of distribution at steady state)

  At Cycle Day 1, 2, 8, 15, (and 22 for combination cohorts) then the first day of subsequent cycles until discontinuation.

• Tumor response per RECIST 1.1

  Measured every 6 weeks for 21 day cycles or every 8 weeks for 28 day cycles for the duration of study treatment, estimated to be less than one year

Study Arms (1)

TVB-2640

EXPERIMENTAL

Oral TVB-2640 capsules or tablets of various dose strengths administered QD for 21 - 28 day dosing cycles, alone or in combination with certain standard chemotherapy agents

Drug: TVB-2640

Interventions

TVB-2640 DRUG

TVB-2640

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient has histologically- or cytologically- confirmed metastatic or advanced-stage solid malignant tumor that is refractory to standard therapy and for whom no therapy exists that would be curative or might provide significant benefit and therefore for whom experimental therapy is a reasonable option.
• Patient experienced progressive disease during or following or was intolerant of their most recent treatment regimen.
• Patient is male or female aged ≥18 years.
• Patient has an ECOG performance status of 0 (fully active, able to carry out all pre-disease activities without restriction) or 1 (unable to perform physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature), as assessed on C1D1, before the first dose of TVB 2640.
• Patient has adequate renal function (creatinine ≤1.5 times the upper limit of normal \[ULN\]) or a glomerular filtration rate (GFR) of ≥50 mL/min.
• Patient has adequate hepatic function,
• Patient has adequate bone marrow function
• Patient has no significant ischemic heart disease or myocardial infarction (MI) within 6 months before the first dose of TVB 2640 and currently has adequate cardiac function
• For the Monotherapy Expansion Cohorts of the Study ONLY:
• Patient has a specific tumor-type and histology, as designated by the Sponsor based on nonclinical and clinical data obtained prior to enrollment in the Expansion Cohort.
• Patient has measurable disease, as determined by the Investigator using RECIST, version 1.1 (1).
• For the Combination Cohorts ONLY:
• In addition to meeting monotherapy criteria above, the commercially-available anticancer agent of interest being investigated in combination with TVB-2640, administered according to the dose regimen in the prescribing information, is deemed appropriate for the patient's disease and clinical status.

You may not qualify if:

• Patient is unable to swallow oral medications or has impairment of GI function or GI disease that may significantly alter drug absorption
• Patient has uncontrolled or severe intercurrent medical condition (including uncontrolled brain metastases).
• Patient underwent major surgery within 4 weeks before the first dose of TVB 2640 or received cancer-directed therapy or an investigational drug or device within 4 weeks (6 weeks for mitomycin C and nitrosoureas) or 5 half-lives of that agent (whichever is shorter) before the first dose of TVB 2640.
• If female, patient is pregnant or breast-feeding.
• Patient has evidence of a serious active infection
• Patient has a history of other malignancy treated with curative intent within the previous 5 years with the exception of adequately treated non-melanoma skin cancer or carcinoma in situ of the cervix.

Sponsors & Collaborators

• Sagimet Biosciences Inc.: lead

Study Sites (11)

Unknown Facility

Scottsdale, Arizona, 85258, United States

Location

Unknown Facility

Denver, Colorado, 80218, United States

Location

Unknown Facility

Sarasota, Florida, 34232, United States

Location

Unknown Facility

Oklahoma City, Oklahoma, 73104, United States

Location

Unknown Facility

Nashville, Tennessee, 37203, United States

Location

Unknown Facility

Dallas, Texas, 75390, United States

Location

Unknown Facility

San Antonio, Texas, 78229, United States

Location

Unknown Facility

Charthouse Square, London, United Kingdom

Location

Unknown Facility

London, W1G 6AD, United Kingdom

Location

Unknown Facility

Manchester, United Kingdom

Location

Unknown Facility

West Smithfield, London, United Kingdom

Location

Related Publications (1)

• Falchook G, Infante J, Arkenau HT, Patel MR, Dean E, Borazanci E, Brenner A, Cook N, Lopez J, Pant S, Frankel A, Schmid P, Moore K, McCulloch W, Grimmer K, O'Farrell M, Kemble G, Burris H. First-in-human study of the safety, pharmacokinetics, and pharmacodynamics of first-in-class fatty acid synthase inhibitor TVB-2640 alone and with a taxane in advanced tumors. EClinicalMedicine. 2021 Mar 30;34:100797. doi: 10.1016/j.eclinm.2021.100797. eCollection 2021 Apr.

  PMID: 33870151 DERIVED

MeSH Terms

Conditions

Neoplasms

Interventions

TVB-2640

Study Officials

• Jeffrey R Infante, MD

  The Sarah Cannon Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 18, 2014
• First Posted: August 22, 2014
• Study Start: November 1, 2013
• Primary Completion: June 1, 2017
• Study Completion: June 1, 2017
• Last Updated: August 14, 2017

Record last verified: 2017-08

Locations

GB (4); US (7)