NCT06526819

Brief Summary

An Open-label, Phase I Dose Escalation and Phase 2 Dose Expansion Study to Assess Safety, Tolerability, Preliminary Antitumor Activity of SMP 3124LP in Adults with Advanced Solid Tumors

Trial Health

80
On Track

Trial Health Score

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

Enrollment
120

participants targeted

Target at P75+ for phase_1

Timeline
35mo left

Started Aug 2024

Longer than P75 for phase_1

Geographic Reach
2 countries

10 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 Progress38%
Aug 2024May 2029

First Submitted

Initial submission to the registry

July 24, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

July 30, 2024

Completed
15 days until next milestone

Study Start

First participant enrolled

August 14, 2024

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2028

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2029

Last Updated

February 27, 2026

Status Verified

February 1, 2026

Enrollment Period

4.3 years

First QC Date

July 24, 2024

Last Update Submit

February 25, 2026

Conditions

Keywords

first in humanopen labelplatinum-resistant ovarian cancer (PROC)Triple Negative Breast Cancer (TNBC)Metastatic squamous cell carcinoma of the anus (MSCCA)Squamous cell carcinoma of the head and neck (SCCHN)non-small cell lung cancer (NSCLC)uterine serous cancer

Outcome Measures

Primary Outcomes (3)

  • Determination of the Recommended Phase 2 Dose by Assessing Dose-limiting Toxicities (DLTs)

    28 days

  • Number of Participants With Adverse Events and Serious Adverse Events

    6 months

  • Determine the Objective Response Rate (ORR)

    6 months

Secondary Outcomes (3)

  • The maximum concentration (Cmax) of SMP-3124 and SMP-3124LP

    6 months

  • The area under the curve (AUC) of SMP-3124 and SMP-3124LP

    6 months

  • The duration of response (DOR) assessed Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    6 months

Study Arms (2)

Part 1 - Dose Escalation & Dose Optimization

EXPERIMENTAL

Patient to receive SMP-3124LP continuous IV infusion every 2 weeks (q2w) (Schedule 1). At the discretion of the Safety Review Committee (SRC), Schedule 2 - IV infusion every 3 weeks (q3w) - may be initiated for example, after a maximum tolerated dose (MTD) is reached for Schedule 1 (q2w) or when 2 or more patients experience a dose delay of at least 7 days at the same dose level for Schedule 1. The provisional dose levels are 20, 40, 60, 90, and 120 mg/m2, and intermediate and additional dose levels may be added as needed.

Drug: SMP3124LP

Part 2 - Dose Expansion

EXPERIMENTAL

Patient to receive SMP-3124LP continuous IV infusion at the Recommended Phase 2 Dose as determinated in part 1.

Drug: SMP3124LP

Interventions

Liposomal encapsulation formulation of SMP-3124

Part 1 - Dose Escalation & Dose OptimizationPart 2 - Dose Expansion

Eligibility Criteria

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

You may qualify if:

  • \- Histologically or cytologically-confirmed cancer that is advanced, recurrent, or metastatic with the following origins, and whose disease progressed on standard therapy and for whom there are no alternative therapies that may confer overall survival benefit.
  • For patients in the Dose Escalation part:
  • Platinum-resistant ovarian cancer
  • Histologically diagnosed ovarian, fallopian tube, or primary peritoneal cancer, with predominantly high-grade (Grade 2 or 3) epithelial features (serous and clear cell)
  • Platinum resistant is defined as relapsed within 6 months after the last dose of platinum-based therapy
  • Triple negative breast cancer - ER- and PR-negative with HER2 negative
  • HER2 negative is defined as one of the following: 0 or 1+ by IHC, or if IHC 2+, then in situ hybridization is negative per the ASCO-CAP HER2 guidelines
  • ER- and PR-negative is defined as \< 10% of cells expressing hormonal receptors by IHC, as per standard guidelines
  • Squamous cell carcinoma of the anus
  • \- Patient with locally advanced ineligible for surgery is allowed.
  • Squamous cell carcinoma of the head and neck
  • Non-small cell lung cancer (NSCLC: adenocarcinoma, large cell, and squamous cell carcinoma)
  • Uterine serous cancer (recurrent or persistent)
  • For Patients in the Dose Expansion Part:
  • Cohort A: PROC (same as above)
  • +12 more criteria

You may not qualify if:

  • Patient has received prior treatment at any time with a cell cycle checkpoint inhibitor (eg, CHK1 and/or CHK2, WEE1, or ATR inhibition)
  • Patient has a known allergy or sensitivity to any component of SMP-3124LP, including the inactive ingredients
  • Patient has received treatment with systemic anticancer therapy, radiotherapy, or investigational therapy within 14 days prior to Study Cycle 1 Day 1. (Palliative radiotherapy with a limited field of radiation within 2 weeks will be permitted.)
  • Patient has undergone a major surgical procedure ≤ 28 days, or minor surgical procedure ≤ 7 days, prior to Cycle 1 Day 1
  • Patient has used strong CYP1A2 or 2D6 inhibitors within 14 days or 5 half-lives, whichever occurs first, prior to Cycle 1 Day 1 (examples of restricted CYP1A2 and CYP2D6, P-gp, and/or BCRP inducers, inhibitors, or substrates are presented in Table 16)
  • Patient has central nervous system metastasis or leptomeningeal disease
  • Prior or concurrent malignancy whose natural history or treatment would have a significant potential to interfere with the safety or efficacy assessments of the investigational regimen
  • Patient has an abnormal ECG that is clinically significant, including a corrected QT interval (corrected using Fridericia's correction formula \[QTcF\]) \> 470 msec; and/or a history of Torsade de Pointes
  • Patient has a left ventricular ejection fraction \< 45% by echocardiogram (ECHO)
  • Patient has clinically significant cardiac disease including heart failure (eg, New York Heart Association, Class III or IV)
  • Patient has an active, uncontrolled, bacterial, viral, or fungal infection requiring parenteral antimicrobial within 1 weeks prior to Cycle 1 Day 1
  • Patient is pregnant (as evidenced by a positive serum or urine pregnancy test) or is breastfeeding. Female breastfeeding patients may be enrolled if they interrupt breastfeeding. Breastfeeding should not be resumed for at least 6 months after the last dose of study drug.
  • For sites in Japan only: In addition to the above, any patient deemed likely to be pregnant based on medical interview will be excluded from the study.
  • Patient with ovarian cancer
  • Has a history of bowel obstruction related to their underlying disease within 3 months prior to Study Day 1
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

Cedars Sinai Medical Center

Los Angeles, California, 90048, United States

RECRUITING

Sarah Cannon Research Institute at HealthOne

Denver, Colorado, 80218, United States

RECRUITING

Northwestern Medicine Cancer Center

Chicago, Illinois, 60611, United States

RECRUITING

Ohio State University

Columbus, Ohio, 43210, United States

RECRUITING

SCRI Oncology Partners

Nashville, Tennessee, 37203, United States

RECRUITING

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, 37232, United States

RECRUITING

MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

University of Washington

Seattle, Washington, 98105, United States

RECRUITING

National Cancer Center Hospital East

Kashiwa-shi, 277-8577, Japan

RECRUITING

Kyoto University Hospital

Kyoto, 606-8507, Japan

RECRUITING

MeSH Terms

Conditions

Triple Negative Breast NeoplasmsAnus NeoplasmsSquamous Cell Carcinoma of Head and NeckCarcinoma, Non-Small-Cell Lung

Condition Hierarchy (Ancestors)

Breast NeoplasmsNeoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesRectal NeoplasmsColorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesAnus DiseasesRectal DiseasesCarcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeHead and Neck NeoplasmsCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Jian Li, MD

    jian.li@us.sumitomo-pharma.com

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 24, 2024

First Posted

July 30, 2024

Study Start

August 14, 2024

Primary Completion (Estimated)

December 1, 2028

Study Completion (Estimated)

May 1, 2029

Last Updated

February 27, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations