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Study was terminated due business reasons by Sponsor.
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This study is an open-label, multi-center, dose-escalation, dose-finding and expansion study in adult subjects with advanced solid tumors for whom no standard therapy is available. The study will evaluate the safety, tolerability, PK, PD, and preliminary anti-tumor efficacy of SM08502 administered orally, once daily, following a 28-day treatment cycle (Part 1A). Alternative dosing schedules will be explored in Part 1B and the recommended Part 2 dose and schedule will be further evaluated in Part 2.
Subjects will participate in a screening period of up to 14 days. Dosing in 28-day cycles will continue within each subject, unless treatment is discontinued due to toxicity, disease progression, initiation of a new anti-neoplastic therapy, withdrawal of consent, the Sponsor terminates the study, or the subject no longer meets retreatment criteria.
Approximately 10 subjects enrolled in Part 2, irrespective of the tumor type, will be included in a food effect substudy to assess the preliminary effect of a high-fat, high-calorie meal on the PK of SM08502. Subjects participating in the food effect substudy will continue on study and complete assessments as per the Part 2 schedule and receive SM08502 at the recommended Part 2 dose (or another previously assessed dose level and schedule).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1A: Dose Escalation | Experimental | Cohorts of subjects with advanced solid tumors will receive increasing doses (10, 20, 40, 60, 80, 120, 160, or 200 mg) of SM08502, administered orally, once daily, following 28-day treatment cycles. If the maximum tolerated dose (MTD) is not determined at the 200 mg dose, dosing will continue at 50 mg/dose increments until an MTD is determined. Cohorts will include approximately 1 to 6 subjects according to an accelerated escalation design and safety requirements for expansion of subject numbers. For the purpose of dose escalation and de-escalation, the dose of SM08502 and regimen may be modified based on the type of dose limiting toxicities (DLTs) observed and following data review and discussions between the Sponsor and Investigators. |
|
| Part 1B: Dose Finding | Experimental | Indications eligible for Part 1B include castration-resistant prostate cancer (CRPC), non-small cell lung cancer (NSCLC), triple-negative breast cancer (TNBC), colorectal cancer (CRC), endometrial cancer, or ovarian cancer for which histologic or cytologic confirmation of malignancy was obtained at diagnosis. Initially, two cohorts of 6-24 subjects will be evaluated comparing 2 different doses and schedules of SM08502 (30 mg daily and 40 mg 5 days on and 2 days off), administered orally following 28-day treatment cycles. If appropriate, alternative doses and schedules may be evaluated depending on the results. |
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| Part 2: Expansion | Experimental | Part 2 will evaluate the recommended Part 2 dose and schedule of SM08502, as determined in Part 1B, in 3 cohorts of subjects. The indications to be evaluated include subjects with advanced and/or metastatic CRPC (two biomarker selection cohorts) and NSCLC for which histologic or cytologic confirmation of malignancy was obtained at diagnosis. Each cohort will enroll up to 20 subjects. Approximately 10 subjects of the total enrolled in Part 2, irrespective of cohort, will be included in a food-effect substudy to assess the preliminary effect of a high-fat, high-calorie meal on the PK of SM08502. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SM08502 | Drug | SM08502 tablets to be administered orally. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1A, Part 1B: Maximum tolerated dose (MTD) of SM08502 based on the frequency and severity of dose-limiting toxicities (DLTs) | DLT period of 28 days per dose level | |
| Part 1A, Part 1B and Part 2: Number of participants with treatment-emergent adverse events (TEAEs) as assessed by CTCAE v5.0 | Approximately 5 years | |
| Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameters: blood urea nitrogen [BUN], creatinine, glucose, potassium, sodium, calcium (micromoles per liter) | Approximately 5 years | |
| Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameters: aspartate aminotransferase [AST], alanine aminotransferase (ALT), alkaline phosphatase [ALP] (international units per liter) | Approximately 5 years | |
| Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameters: albumin (grams per day) | Approximately 5 years | |
| Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameters: chloride, bicarbonate (millimoles per liter) | Approximately 5 years | |
| Part 1A, Part 1B and Part 2: Change from baseline in blood chemistry parameter: lactic acid dehydrogenase [LDH] (units per liter) | Approximately 5 years | |
| Part 1A, Part 1B and Part 2: Change from baseline in hematology parameter: hemoglobin [Hb] (grams per liter) | Approximately 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1A and Part 1B: Tumor response as measured by RECIST 1.1 or PCWG3 criteria where appropriate | Approximately 5 years | |
| Part 1A, Part 1B and Part 2: Gene expression profile of RNA isolated from whole blood | Approximately 5 years |
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Key Inclusion Criteria:
Subjects with advanced solid tumors (as defined below):
Measurable or evaluable disease per RECIST 1.1 (Part 1A). For Parts 1B and 2, at least 1 measurable lesion per RECIST 1.1 that has not been previously irradiated. In CRPC subjects (Parts 1B and 2) without measurable disease per RECIST 1.1, a PSA that is concordant with clinical disease progression (rising) is eligible. A PSA value of 2 ng/ml or greater is required for study entry.
Subjects must have archived tumor specimens available for analysis (as specified in Section 7.2.2). Otherwise, a fresh tumor biopsy will be required at study entry. At the discretion of the Sponsor's Medical Monitor, a fresh tumor biopsy may not be required for eligibility if there are extenuating circumstances (e.g., inaccessible sites of disease or lack of subject suitability to undergo a fresh biopsy, or molecular profiling of archived tissue already performed).
Subjects must have recovered (i.e., Grade 1 [or better] based on CTCAE v5.0) from all toxicity associated with previous chemotherapy, targeted therapy, experimental therapy, biological therapy, immuno-oncology therapy, surgery, radiotherapy, or other locoregional therapy (Exceptions include subjects with: continuing alopecia regardless of any CTCAE grade, Grade 2 or lower neuropathy, and well-controlled hypothyroidism and/or adrenal insufficiency on chronic hormone replacement. All subjects with these exceptions are eligible).
Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Darrin Beaupre, MD, PhD, CMO | Biosplice Therapeutics, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Honor Health Research Institute | Scottsdale | Arizona | 85258 | United States | ||
| University of Arizona Cancer Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34038589 | Derived | Moroney MR, Woodruff E, Qamar L, Bradford AP, Wolsky R, Bitler BG, Corr BR. Inhibiting Wnt/beta-catenin in CTNNB1-mutated endometrial cancer. Mol Carcinog. 2021 Aug;60(8):511-523. doi: 10.1002/mc.23308. Epub 2021 May 26. | |
| 31560935 | Derived | Tam BY, Chiu K, Chung H, Bossard C, Nguyen JD, Creger E, Eastman BW, Mak CC, Ibanez M, Ghias A, Cahiwat J, Do L, Cho S, Nguyen J, Deshmukh V, Stewart J, Chen CW, Barroga C, Dellamary L, Kc SK, Phalen TJ, Hood J, Cha S, Yazici Y. The CLK inhibitor SM08502 induces anti-tumor activity and reduces Wnt pathway gene expression in gastrointestinal cancer models. Cancer Lett. 2020 Mar 31;473:186-197. doi: 10.1016/j.canlet.2019.09.009. Epub 2019 Sep 24. |
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|
| Part 1A, Part 1B and Part 2: Change from baseline in hematology parameter: hematocrit (proportion of red blood cells in blood) | Approximately 5 years |
| Part 1A, Part 1B and Part 2: Change from baseline in hematology parameter: red blood cells [RBC] count (trillion cells per liter) | Approximately 5 years |
| Part 1A, Part 1B and Part 2: Change from baseline in hematology parameters: neutrophils, lymphocytes, monocytes, eosinophils, basophils, platelet count (cells/microliter) | Approximately 5 years |
| Part 1A: Change from baseline in prothrombin time [PT] (seconds) | Approximately 5 years |
| Part 1A: Change from baseline in partial thromboplastin time [PTT] (seconds) | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: clarity | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: specific gravity (ratio) | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: urine pH | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: protein | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: glucose (millimole per liter) | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: ketones (millimoles per liter) | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: occult blood (10^9 cells per liter) | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: nitrite | Approximately 5 years |
| Part 1A: Change from baseline in urinalysis parameter: leukocytes (counts per high power field) | Approximately 5 years |
| Part 1A, Part 1B and Part 2: Change from baseline in body temperature (degrees celsius) | Approximately 5 years |
| Part 1A, Part 1B and Part 2: Change from baseline in pulse rate (beats per minute) | Approximately 5 years |
| Part 1A, Part 1B and Part 2: Change from baseline in respiratory rate (breaths per minute) | Approximately 5 years |
| Part 1A, Part 1B and Part 2: Change from baseline in blood pressure (systolic and diastolic) (millimeters of mercury) | Approximately 5 years |
| Part 1A, Part 1B and Part 2: Change from baseline in electrocardiogram (ECG) parameters: PR interval, QRS interval, QT interval, QTcF (milliseconds) | Approximately 5 years |
| Part 1A and Part 1B: Cmax of SM08502 and its metabolite (SM08955) following single dose administration of SM08502 | Approximately 5 years |
| Part 1A and Part 1B: tmax of SM08502 and SM08955 following single dose administration of SM08502 | Approximately 5 years |
| Part 1A and Part 1B: AUC0-24 of SM08502 and SM08955 following single dose administration of SM08502 | Approximately 5 years |
| Part 1A and Part 1B: AUClast of SM08502 and SM08955 following single dose administration of SM08502 | Approximately 5 years |
| Part 1A and Part 1B: Cmax,ss of SM08502 and SM08955 following repeat dose administration of SM08502 | Approximately 5 years |
| Part 1A and Part 1B: Cmin,ss of SM08502 and SM08955 following repeat dose administration of SM08502 | Approximately 5 years |
| Part 1A and Part 1B: tmax,ss of SM08502 and SM08955 following repeat dose administration of SM08502 | Approximately 5 years |
| Part 1A and Part 1B: AUC0-24,ss of SM08502 and SM08955 following repeat dose administration of SM08502 | Approximately 5 years |
| Part 2: Tumor response as measured by RECIST 1.1 (Response Evaluation Criteria In Solid Tumors) or PCWG3 (Prostate Cancer Working Group 3) criteria where appropriate | Approximately 5 years |
| Part 2: Cmax of SM08502 and SM08955 following single dose administration of SM08502 | Approximately 5 years |
| Part 2: tmax of SM08502 and SM08955 following single dose administration of SM08502 | Approximately 5 years |
| Part 2: AUC0-24 of SM08502 and SM08955 following single dose administration of SM08502 | Approximately 5 years |
| Part 2: AUClast of SM08502 and SM08955 following single dose administration of SM08502 | Approximately 5 years |
| Part 2: Cmax,ss of SM08502 and SM08955 following repeat dose administration of SM08502 | Approximately 5 years |
| Part 2: Cmin,ss of SM08502 and SM08955 following repeat dose administration of SM08502 | Approximately 5 years |
| Part 2: tmax,ss of SM08502 and SM08955 following repeat dose administration of SM08502 | Approximately 5 years |
| Part 2: AUC0-24,ss of SM08502 and SM08955 following repeat dose administration of SM08502 | Approximately 5 years |
| Part 2: Gene expression and splicing alterations in post-treatment compared to pre-treatment tumor specimens | Approximately 5 years |
| Part 2 Food Effect substudy: Cmax of SM08502 and SM08955 following single dose administration of SM08502 in fed and fasted states. | Approximately 5 years |
| Part 2 Food effect substudy: tmax of SM08502 and SM08955 following single dose administration of SM08502 in fed and fasted states. | Approximately 5 years |
| Part 2: AUC0-24 of SM08502 and SM08955 following single dose administration of SM08502 in fed and fasted states. | Approximately 5 years |
| Tucson |
| Arizona |
| 85724 |
| United States |
| City of Hope Medical Center | Duarte | California | 91010 | United States |
| UC Davis - Comprehensive Cancer Center | Sacramento | California | 95817 | United States |
| Sarah Cannon Research Institute at HealthONE | Denver | Colorado | 80218 | United States |
| Florida Cancer Specialists | Sarasota | Florida | 34232 | United States |
| Northside Hospital | Atlanta | Georgia | 30342 | United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| START Midwest | Grand Rapids | Michigan | 49546 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Duke Cancer Institute | Durham | North Carolina | 27710 | United States |
| Gabrail Cancer Center | Canton | Ohio | 44718 | United States |
| University of Oklahoma Medicine Stephenson Cancer Center | Oklahoma City | Oklahoma | 73104 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| Vanderbilt University | Nashville | Tennessee | 37232 | United States |
| NEXT Oncology | San Antonio | Texas | 78229 | United States |
| UT Health San Antonio - Mays Cancer Center | San Antonio | Texas | 78229 | United States |
| START Mountain Region | West Valley City | Utah | 84119 | United States |