Study Stopped
Low accrual
Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial
2 other identifiers
interventional
2
1 country
1
Brief Summary
This phase Ib trial determines if samples from a patient's cancer can be tested to find combinations of drugs that provide clinical benefit for the kind of cancer the patient has. This study is also being done to understand why cancer drugs can stop working and how different cancers in different people respond to different types of therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Apr 2020
Shorter than P25 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 14, 2019
CompletedFirst Posted
Study publicly available on registry
March 18, 2019
CompletedStudy Start
First participant enrolled
April 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 10, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 10, 2020
CompletedMarch 4, 2024
February 1, 2024
8 months
March 14, 2019
February 29, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Feasibility of implementing an individualized treatment strategy (number of participants to receive first dose)
Measured as the number of participants to receive the first dose of Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART)-PRIME therapy (Therapy #1) within 3 months from the date of Clinical Tumor Board providing a recommended drug combination.
From date of tumor board recommendation to first dose of SMMART-PRIME Therapy #1 (up to 3 months)
Secondary Outcomes (4)
Incidence of grade 3+ toxicities attributable to assigned study drug(s)
30 days post completion of each SMMART-PRIME Therapy (up to 6 months)
Time to treatment discontinuation
Completion of SMMART-PRIME Therapy #1 (up to 6 months)
Overall survival (OS)
Death from any cause (up to 60 months after the last dose of SMMART-PRIME Therapy #1)
Time to decline (TTD)
Completion of SMMART-PRIME Therapy #1 (up to 6 months)
Study Arms (1)
Treatment (biospecimen collection, 2 drug combination)
EXPERIMENTALTUMOR BIOPSY: Patients undergo collection of tissue samples. Clinical analytics are performed on the samples and analyzed by a clinical tumor board to recommend a treatment option based on those analytics. SMMART-PRIME TREATMENT: Patients receive a combination of 2 drugs (Drug A and Drug B, selected from interventions below). Doses will be escalated within individual patients over time. As described in detail below, escalation will occur monthly and is anticipated to occur as follows: first month - 100% FDA approved dose Drug A + 25% FDA approved dose Drug B; second month -- 100% dose Drug A + 50% dose Drug B; third month -- 100% dose Drug A + 100% dose Drug B. All dose-escalations will be reviewed and approved by an independent consultant outside of Oregon Health \& Science University (OHSU). Treatment will continue for up to the end of 6 treatment cycles (cycle length is between 21-28 days) in the absence of disease progression or unacceptable toxicity.
Interventions
Given PO
Given PO
Given IV
Given PO
Undergo collection of biospecimens (including tissue, blood, or previously collected archival specimens)
Given IV
Given IV
Given PO
Given IV
Given PO
Given PO
Given IV
Given PO
Given PO
Given PO
Given PO
Given IV
Given IV
Given PO
Given PO
Given PO
Given PO
Given IV
Given PO
Given IV
Given PO
Given IV
Given PO
Given IV
Given PO
Given IV
Given PO
Given IV
Given PO
Given PO
Given IV
Given IV
Given PO
Ancillary studies
Given PO
Given PO
Given PO
Given PO
Given PO
Given IV
Given PO
Given PO
Given PO
Given PO
Given PO
Eligibility Criteria
You may qualify if:
- Ability to understand and the willingness to sign a written informed consent document
- Participants \>= 21 years old at time of informed consent. Both men and women and members of all races and ethnic groups will be included
- Participants, both men and women, must agree to use an adequate method of contraception prior to study entry, for the duration of study participation, and for 4 months after completion of study
- Women of childbearing potential must have a negative serum or urine pregnancy test within 14 days prior to start of study drug administration
- Patients must have a histologically or cytologically-confirmed metastatic solid tumor or hematological malignancy that has progressed as follows:
- Patients with a solid tumor must have metastatic disease and have progressed on at least 1 line of established therapy that is known to provide clinical benefit, or for whom no standard curative therapy exists. Participants with newly diagnosed, unresectable, locally-advanced or metastatic pancreatic adenocarcinoma and are beginning first-line treatment with a course of chemotherapy are eligible OR
- Participants must have a hematological malignancy that is advanced, relapsed, or refractory to at least 1 line of established therapy that is known to provide clinical for the treatment of their disease. Hematological disease included in this study are as follows:
- Acute myelogenous leukemia (AML), or
- Myelodysplastic syndrome (MDS), or
- MDS/myeloproliferative neoplasms (MDS/MPN), or
- Primary myelofibrosis (PMF)
- Acute lymphoblastic leukemia (ALL)
- Chronic myelogenous leukemia (CML)
- Non-Hodgkin lymphoma (NHL) or Hodgkin's disease (HD)
- Chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL)
- +29 more criteria
You may not qualify if:
- Participants with metastases to the central nervous system that are considered uncontrolled and/or were diagnosed within the past 4 weeks of screening for this study
- Participants cannot have an active malignancy of another cancer. Those with a history of prior malignancy will be considered on a case-by-case basis. Guiding examples for those who can be enrolled include: individuals who have been disease free for \> 5 years; individuals who are considered to have a high likelihood of being cured (e.g., prior history of stage 1 rectal cancer and currently otherwise disease free); adequately treated localized non-melanomatous skin cancer
- Participants cannot be on other forms of anti-cancer therapy at the same time, except as described within this protocol. There must be at least a washout period that accounts for 5 half-lives (or \>= 21 days, whichever is longer) of last therapy
- Participants with prostate cancer (PCa) will continue treatment with androgen deprivation therapy, either by prior castration or treatment with luteinizing hormone-releasing hormone (LHRH) antagonists or agonists, as is standard practice
- Participants with breast cancer (BCa) who are HER2 positive may continue to receive anti-HER2 therapy per standard practice guidelines, while participants who are hormone receptor positive may continue to receive hormone therapy per standard practice guidelines
- Participants with a hematological malignancy may continue to receive hydroxyurea or other hypomethylating agent for two cycles of SMMART-PRIME therapy, as described in this protocol
- Uncontrolled intercurrent illness including, but not limited to, symptomatic congestive heart failure, unstable angina pectoris, serious cardiac arrhythmia, myocardial infarction within 6 months prior to enrollment, New York Heart Association (NYHA) class III or IV heart failure
- Chronic graft versus host disease (GVHD) or on immunosuppressive therapy for the control of GVHD
- Participants with uncontrolled infection will not be enrolled until infection is treated
- Participant is seropositive with human immunodeficiency virus (HIV) or has active infection with hepatitis B virus (HBV) or hepatitis C virus (HCV)
- HIV-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial
- For patients with evidence of chronic HBV infection, the HBV viral load must be undetectable on suppressive therapy, if indicated
- Individuals with a history of HCV infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load
- Participants with medical conditions, inclusive of psychiatric, that in the opinion of the investigators would jeopardize the patient or the study will be excluded
- Participants that are pregnant or breast feeding
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- OHSU Knight Cancer Institutelead
- Oregon Health and Science Universitycollaborator
Study Sites (1)
OHSU Knight Cancer Institute
Portland, Oregon, 97239, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lara Davis, MD
OHSU Knight Cancer Institute
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 14, 2019
First Posted
March 18, 2019
Study Start
April 1, 2020
Primary Completion
December 10, 2020
Study Completion
December 10, 2020
Last Updated
March 4, 2024
Record last verified: 2024-02