NCT04503265

Brief Summary

ATLAS-101 is a Phase I/II clinical trial of AMXI-5001 in adult participants with advanced malignancies who have previously failed other therapies. The study has two phases. The purpose of Phase I (Dose Escalation) is to confirm the appropriate treatment dose and Phase II (Dose Expansion) is to characterize the safety and efficacy of AMXI-5001.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
122

participants targeted

Target at P75+ for phase_1

Timeline
5mo left

Started Aug 2020

Longer than P75 for phase_1

Geographic Reach
1 country

4 active sites

Status
recruiting

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

Study Progress93%
Aug 2020Oct 2026

First Submitted

Initial submission to the registry

July 23, 2020

Completed
15 days until next milestone

First Posted

Study publicly available on registry

August 7, 2020

Completed
5 days until next milestone

Study Start

First participant enrolled

August 12, 2020

Completed
6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2026

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2026

Last Updated

May 1, 2025

Status Verified

April 1, 2025

Enrollment Period

6 years

First QC Date

July 23, 2020

Last Update Submit

April 29, 2025

Conditions

Keywords

BreastOvarianProstatePancreaticRefractoryCancerMalignancyBRCAHRDAMXI-5001ProgressionPARP InhibitorMicrotubule inhibitor

Outcome Measures

Primary Outcomes (3)

  • Determine the Maximum Tolerated Dose (MTD)

    The highest dose is defined at which no more than 1 of 6 evaluable participants has had a Dose Limiting Toxicity (DLT) according to NCI CTCAE V5.0 criteria and determination by Investigator and Data and Safety Monitoring Committee.

    Approximately 12 months

  • Determine the Recommended Phase 2 Dose (RP2D) for AMXI-5001 as monotherapy

    The RP2D is based upon the review of all available data including safety, pharmacokinetic, preliminary anti-tumor activity, and MTD.

    Approximately 12 months

  • Characterize safety profile of AMXI-5001

    The safety profile of AMXI-5001 is defined by the incidence of treatment emergent adverse events, laboratory abnormalities, and ECG measurements.

    Approximately 24 months

Secondary Outcomes (2)

  • Measure concentration of AMXI-5001 in plasma samples

    Approximately 24 months

  • Determine change in anti-tumor activity following administration of AMXI-5001

    Approximately 24 months

Study Arms (1)

AMXI-5001 Treatment

EXPERIMENTAL

Single Arm Study, all participants will receive AMXI-5001.

Drug: AMXI-5001:Dose Escalation Phase IDrug: AMXI-5001:Dose Expansion Phase II

Interventions

Phase I will enroll up to 70 participants to identify the Recommended Phase II daily dose in the treatment of various cancers and to characterize the safety, pharmacology, and clinical efficacy of AMXI-5001. AMXI-5001 is administered orally twice daily, with food. AMXI-5001 is administered weekly on a continuous 7-day schedule. Each cycle is 28 days.

Also known as: Phase I, Dose Escalation
AMXI-5001 Treatment

Phase II will enroll up to 52 study participants to further characterize the safety, pharmacology, and clinical efficacy of AMXI-5001. AMXI-5001 is administered orally twice daily, with food. AMXI-5001 is administered weekly on a continuous 7-day schedule. Each cycle is 28 days.

Also known as: Phase II, Dose Expansion
AMXI-5001 Treatment

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has pathologically confirmed advanced or metastatic malignancy characterized by one or more of the following:
  • Patient is intolerant of existing therapy(ies) known to provide clinical benefit for their condition
  • Malignancy is refractory to existing therapy(ies) known to potentially provide clinical benefit
  • Malignancy has progressed after standard therapy
  • Has evaluable or measurable tumor(s) in dose escalation by standard radiological and/or laboratory assessments as applicable to their malignancy.
  • Eastern Co-operative Oncology Group (ECOG) PS 0-1
  • Participant must be 18 years of age or older
  • Able to understand and sign consent

You may not qualify if:

  • Receiving cancer treatment at the time of enrollment
  • Any clinically significant disease or condition affecting a major organ system
  • Significant cardiovascular disease or electrocardiogram (ECG) abnormalities
  • Use of a strong inhibitor or inducer of CYP3A4 within 7 days prior to start of study therapy and throughout the study (e.g., some antibiotics, antifungals, anticonvulsants, grapefruit)
  • Has had a previous (within 2 years) or has a current malignancy other than the target cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

University of California, Los Angles (UCLA) Department of Medicine - Hematology/Oncology

Los Angeles, California, 90404, United States

RECRUITING

Johns Hopkins

Baltimore, Maryland, 21218, United States

RECRUITING

SCRI Oncology Partners

Nashville, Tennessee, 37203, United States

RECRUITING

The University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

Related Publications (1)

  • Lemjabbar-Alaoui H, Peto CJ, Yang YW, Jablons DM. AMXI-5001, a novel dual parp1/2 and microtubule polymerization inhibitor for the treatment of human cancers. Am J Cancer Res. 2020 Aug 1;10(8):2649-2676. eCollection 2020.

    PMID: 32905466BACKGROUND

Related Links

MeSH Terms

Conditions

Breast NeoplasmsOvarian NeoplasmsProstatic NeoplasmsPancreatic NeoplasmsNeoplasmsDisease Progression

Interventions

Clinical Trials, Phase I as TopicClinical Trials, Phase II as Topic

Condition Hierarchy (Ancestors)

Neoplasms by SiteBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersGenital Neoplasms, MaleGenital Diseases, MaleProstatic DiseasesMale Urogenital DiseasesDigestive System NeoplasmsDigestive System DiseasesPancreatic DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Clinical Trials as TopicClinical Studies as TopicEpidemiologic Study CharacteristicsEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Pamela Munster, MD

    AtlasMedx, Incorporated

    STUDY DIRECTOR

Central Study Contacts

Bonnie Wettersten, MS

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 23, 2020

First Posted

August 7, 2020

Study Start

August 12, 2020

Primary Completion (Estimated)

August 1, 2026

Study Completion (Estimated)

October 1, 2026

Last Updated

May 1, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will not share

Locations