A Phase 1 Study to Evaluate FN-1501 Monotherapy in Patients With Advanced Solid Tumors and R/R AML

NCT03690154 | Terminated Phase 1 FDA Drug

• 1 other identifier: FN-1501-UP1
• Study Type: interventional
• Target: 67
• Locations: 2 countries
• Sites: 3

Brief Summary

This research study is being done in people with advanced-stage solid tumor cancer. Advanced stage solid tumor cancer is a cancer that forms an abnormal mass of tissue that usually does not contain cysts or liquid areas. Different types of solid tumors are named for the type of cells that form them. Examples of solid tumors include lung cancer, breast cancer, prostate cancer, kidney cancer, colorectal cancer, melanoma and sarcoma. The purpose of this research study is to evaluate the safety of the investigational study drug, FN-1501, at different dose levels. FN-1501 has not previously been given to human subjects. It is intended for the treatment in this study of patients with advanced solid tumor cancers. This study will determine the effects, good and/or bad, on patients' cancer. The main objective of this study is to define the recommended phase 2 dose (RP2D) and maximum tolerated dose (MTD) of FN-1501. The MTD is the highest dose a person can take without having bad side effects, and the RP2D will be the dose of FN-1501 used in future studies.

Conditions

Advanced Cancer; Solid Tumors; Acute Myeloid Leukemia Refractory; Acute Myeloid Leukemia, in Relapse

Outcome Measures

Primary Outcomes (2)

• Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events version 4.03

  From first dose until 30 days after the last dose.

• To determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D)

  The recommended phase 2 dose (RP2D) of FN-1501 will be determined based on pharmacokinetics, safety and tolerability, as well as preliminary efficacy.

  During the first year.

Secondary Outcomes (10)

• Area under the plasma concentration-time curve from zero to the last measurable concentration (AUC0-last)

  During the first year.

• Area under concentration-time curve from 0 to 24 hours (AUC(0-24))

  During the first year.

• Area under the plasma concentration time curve from zero to infinity (AUC0-∞)

  During the first year.

• Maximum observed plasma concentration (Cmax)

  During the first year.

• Time to maximum observed plasma concentration (tmax)

  During the first year.

Study Arms (1)

FN-1501

EXPERIMENTAL

Drug: FN-1501

Interventions

FN-1501 DRUG

Eligible patients will receive a single intravenous infusion of study drug on Days 1, 3, 5, 8, 10, and 12 of a 21-day cycle. Dosing will begin at 2.5 mg once per day on the assigned days. Dose escalation will use the traditional 3+3 design and follow a modified Fibonacci sequence until MTD is reached. Increments of 33% in the dose of FN-1501 will be undertaken after reaching 30 mg/day. At least 3 patients will be enrolled in each cohort. Administration of FN-1501 will be continued until disease progression, intolerable toxicity, withdrawal of consent, or termination according to the Principal Investigator's judgment or at the sponsor's request.

FN-1501

Eligibility Criteria

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

You may qualify if:

• Male and female 18 years old and above
• Able to understand and sign informed consent form
• Patients with histologically or cytologically confirmed advanced solid tumors who have relapsed or refractory disease or relapsed/refractory AML for which no standard therapies expected to produce clinical benefit to the patient are available
• Patients with diagnosed solid tumors must have at least one lesion that is measurable per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria
• Patients with relapsed or refractory AML must be diagnosed with AML based on World Health Organization (WHO) criteria (≥ 20% blasts in bone marrow). Patients with acute promyelocytic leukemia are excluded
• Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1
• Have discontinued all previous cancer therapies for at least 21 days or 5 half-lives prior to study treatment, whichever is shorter, and recovered from the acute adverse effects of therapy
• Expected to survive at least 2 to 3 months
• LVEF ≥ 50% and QTc interval \< 450 ms
• Women shall meet either of the following conditions before enrollment
• Infertile, defined as having a bilateral oophorectomy (ovariectomy), or a bilateral tubal ligation, or being post-menopausal for at least 1 year.
• For those of childbearing potential, they should have a negative serum pregnancy test during screening, agree to refrain from lactation, and use effective contraception such as hormonal methods associated with inhibition of ovulation, condom, intra-uterine device, surgical sterilization (including partner's vasectomy) or sexual abstinence during the study and 30 days after the last administration of study drug.
• Men who are engaging or plan to engage in sexual activity with a female of childbearing potential must either have a prior vasectomy or agree to use effective contraception such as condoms, sexual abstinence and appropriate methods taken by their partner(s) during the study and 90 days after the last dose.
• Patients must have adequate organ functions as indicated by the following screening laboratory values:
• Serum total bilirubin ≤ 1.5 × upper limit normal (ULN) (Serum total bilirubin can be ≤ 3.0 × ULN if patients have hemolysis or congenital hemolytic diseases)

You may not qualify if:

• Participation in another therapeutic clinical trial within 3 weeks of enrollment
• A previous toxicity-related reaction towards cancer therapy have not recovered within 2 weeks of enrollment (\>Grade 2 National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03)
• Having received a major surgical operation within 4 weeks of enrollment or not yet completely recovered from a previous operation
• Any serious or uncontrollable systemic disease, including but not limited to: Hypertension (after treatment, systolic blood pressure (SBP) \> 180 mmHg and/or diastolic blood pressure (DBP) \> 100 mmHg) and active hemorrhagic disorders; patients who are determined by investigators as otherwise not suitable for participation in this study.Note: Patients that in the judgment of the investigator have clinical signs of disease progression during the screening period (i.e.: febrile neutropenia, ascites requiring drainage, hospitalization due to worsening underlying disease, etc.) will not be eligible for participation.
• Active known infection, including hepatitis B, hepatitis C, and human immunodeficiency virus
• Primary central nervous system (CNS) tumor or CNS metastases, as indicated by clinical symptoms, cerebral edema, and/or progressive growth (patients with a history of CNS metastases or cord compression are allowable if they have been definitively treated and have been clinically stable for at least 3 months, and off steroids or anticonvulsants ≥ 2 weeks before first dose of study drug)
• Serious kidney injury, requiring dialysis
• Serious liver injury, and advanced liver diseases of Child-Pugh class B and C
• On medications that are strong cytochrome P450(CYP)3A inhibitors or inducers unless patients are willing and able to change to use of an equivalent medication that is not a strong CYP3A inhibitor or inducer
• Cardiac function and disease history which meets one or more of the following conditions:
• Any risk which may increase QTc interval prolongation, such as hypokalemia, hereditary long QT syndrome and taking drugs that can prolong QT interval
• Acute myocardial infarction ≤ 6 months prior to Day 1
• Clinically significant arrhythmia ≤ 6 months prior to Day 1
• Congestive heart failure ≥ Grade 3 by New York Heart Association (NYHA) ≤ 6 months prior to Day 1
• Cerebral vascular accident (CVA) ≤ 6 months prior to Day 1

Sponsors & Collaborators

• Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd.: lead

Study Sites (3)

KUMC Cancer Center

Fairway, Kansas, 66205, United States

Location

Karmanos Cancer Institute

Detroit, Michigan, 48334, United States

Location

Cabrini Malvern Hospital

Malvern, Victoria, 3144, Australia

Location

MeSH Terms

Conditions

Leukemia, Myeloid, Acute

Condition Hierarchy (Ancestors)

Leukemia, Myeloid; Leukemia; Neoplasms by Histologic Type; Neoplasms; Hematologic Diseases; Hemic and Lymphatic Diseases

Study Officials

• Ai-Min Hui, MD, PhD

  Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd.

  STUDY DIRECTOR

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: September 21, 2018
• First Posted: October 1, 2018
• Study Start: July 23, 2018
• Primary Completion: February 11, 2022
• Study Completion: February 11, 2022
• Last Updated: October 13, 2023

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

AU (1); US (2)