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1. To evaluate the safety and tolerability of LXI-15029 in Chinese patients with advanced malignant solid tumors in monotherapy period, including confirmation of the maximum tolerated dose (MTD) of monotherapy. 2.To evaluate the safety and tolerability of LXI-15029 in Chinese postmenopausal patients with metastatic or locally advanced breast cancer with estrogen receptor (+) and human epidermal growth factor receptor 2 (-) in combined with Exemestane period , including confirmation of the maximum tolerated dose(MTD) of the combined therapy with Exemestane.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LXI-15029 | Experimental |
| |
| LXI-15029+Exemestane | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LXI-15029 | Drug | The investigational product for this study is LXI-15029 capsule, which can be administered orally and the specification included 10 mg and 50 mg. There will be about 6 cohorts during the monotherapy period. LXI-15029 capsules will be administered in a therapeutic cycle of 28 days twice a day orally. The patients will be given LXI-15029 continuously, in a therapeutic cycle of 28 days. Patients will continue therapy with LXI-15029 if good safety and tolerability were assessed by investigators after 1 cycle treatment. The treatment will continue until progression or occurrence of unmanageable toxicity. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events | To evaluate the safety and tolerability of LXI-15029 through evaluation of the incidence and severity of adverse event (Common Terminology Criteria for Adverse Events Version 4.03 (CTCAE, 4.03)) | When subject complete 1 cycle (28 days) treatment with safety and tolerability assessment by investigators. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Concentration (Cmax) | Characterising the pharmacokinetics (PK) profile of LXI-15029 | When subject complete 1 cycle (28 days) treatment |
| Area Under the Curve (AUC) | Characterising the pharmacokinetics (PK) profile of LXI-15029 |
| Measure | Description | Time Frame |
|---|---|---|
| Best objective response | Best Objective Response per Response Evaluation Criteria in Solid Tumours Criteria (RECIST) 1.1 for target and non target lesions assessed by CT, MRI or X-ray; Complete Response (CR), Disappearance of all target lesions since baseline; Partial Response (PR), At least a 30 percent decrease in the sum of diameters of target lesions; Progressive Disease (PD), At least a 20 percent increase in the sum of diameters of target lesions and an absolute increase of at least 5mm |
Inclusion Criteria:
Monotherapy Period
Combined with Exemestane period
Exclusion Criteria:
Monotherapy Period:
Combined with Exemestane period
Previous antitumor therapy or any surgical operation within 4 weeks prior to administration of the first dose of study drug;
Treatment with myeloid hematopoietic growth factor within two weeks prior to use of investigational product;
Patients receiving corticosteroids or immunosuppressive agents within 4 weeks prior to administration of the first dose of study drug;
Use of potent-to-moderate cytochrome metabolism enzyme CYP3A4 inhibitor and inducer prior to treatment or during washout period
Previous use of Exemestane tablet;
Known allergy to LXI-15029 or similar products (mTOR inhibitor or dual mTOR inhibitor) or other component of LXI-15029;
Previous or receiving of PI3K or mTOR inhibitors (e.g., BKM120, everolimus, AZD8055 or AZD2014, etc.;
Visceral crisis of breast cancer, not suitable for endocrine therapy;
Inflammatory breast cancer;
History, symptoms or signs of spinal compression, brain metastasis or meningeal metastasis, or manifestations of edema or progression in radiology;
History of other tumors within 5 years, except cured carcinoma in situ of cervix or cutaneous basal cell carcinoma;
Exclusion criteria on concomitant disease and organ function:
The toxicity induced by treatment unable to be recovered or stabilized to grade 1 or below except alopecia (CTCAE 4.03);
Hemotology and coagulation abnormal defined in protocol;
Hepatic function abnormal defined in protocol;
Renal function abnormal defined in protocol;
Cholesterol > 300 mg/dl or 7.75 mmol/L, and/or triglyceride > 2.5 × ULN;
Previous history of type 1 or 2 diabetes, or abnormal fasting blood glucose >126 mg/dL(>7 mmol/L) at screening;
Cardiovascular system abnormal defined in protocol;
Patients with active upper peptic ulcer, refractory nausea and vomiting, or other conditions that were known to affect absorption, distribution, metabolism or elimination of drugs;
Patients with chronic obstructive emphysema, pulmonary fibrosis or pneumonia that could significantly affect pulmonary function at discretion of the investigator;
Infectious Diseases defined in protocol;
Judged by the investigator, any other serious or uncontrolled acute or chronic disease, or laboratory abnormality, and alcohol consumption, drug abuse that could possibly increase the risk for study or interfere with study conduction and result analysis;
Previous enrollment in this study or participation in this investigational therapy;
Participation in other clinical study during the last 30 days prior to Visit 1
At discretion of the Investigator, the patient is unsuitable for participation in this study for any reasons;
Patient of poor compliance.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wenliang Wang, Master | Contact | 86-21-61060190 | 8512 | wenliangwang@luoxinbio.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Hospital Chinese Academy of Medical Sciences | Recruiting | Beijing | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38057772 | Derived | Wang J, Gui L, Mu Y, Wang J, Chi Y, Liu Z, Li Q, Xu B. Phase I dose escalation study and pilot efficacy analysis of LXI-15029, a novel mTOR dual inhibitor, in Chinese subjects with advanced malignant solid tumors. BMC Cancer. 2023 Dec 6;23(1):1200. doi: 10.1186/s12885-023-11578-8. | |
| 30796032 | Derived | Zhang Q, Zhang Y, Chen Y, Qian J, Zhang X, Yu K. A Novel mTORC1/2 Inhibitor (MTI-31) Inhibits Tumor Growth, Epithelial-Mesenchymal Transition, Metastases, and Improves Antitumor Immunity in Preclinical Models of Lung Cancer. Clin Cancer Res. 2019 Jun 15;25(12):3630-3642. doi: 10.1158/1078-0432.CCR-18-2548. Epub 2019 Feb 22. |
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|
| LXI-15029+Exemestane | Drug | The combined drug in the combined therapy period of this study (investigational product) is Exemestane tablet (specification 25 mg). Exemestane should be taken at similar time every day in case of multiple doses (Cycle 1 Day 1 to Cycl 1 Day 28). If one dose was missed (e.g., forgetting, vomiting, etc.), this dose could not be made up and should be administered at next scheduled time point. And the dose of LXI-15029 will be determinated by safety review committee after dose escalation |
|
| When subject complete 1 cycle (28 days) treatment |
| Tmax | Characterising the pharmacokinetics (PK) profile of LXI-15029 | When subject complete 1 cycle (28 days) treatment |
| Estimated to be up to 6 months |
| Progression-free survival (PFS) | Duration from treatment start to the time of disease progression or death. | Estimated to be up to 6 months |