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This is a Phase 1b/2 study to determine the recommended phase 2 dose (RP2D), safety and tolerability, pharmacokinetics (PK) and clinical activity of the glutaminase inhibitor telaglenestat (CB-839) with the CDK4/6 Inhibitor, palbociclib in participants with advanced/metastatic solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1: Telaglenastat 600 mg and Palbociclib 75 mg | Experimental |
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| Cohort 2: Telaglenastat 800 mg and Palbociclib 75 mg | Experimental |
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| Cohort 3: Telaglenastat 800 mg and Palbociclib 100 mg | Experimental |
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| Cohort 3: Telaglenastat 800 mg and Palbociclib 125 mg | Experimental |
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| Part 2: Expansion | Experimental | The recommended phase 2 dose (RP2D) determined from Part 1 will be the treatment for all cohorts in expansion Part 2. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telaglenestat (CB-839) | Drug | Teleglenastat is an oral tablet administered twice daily with food at the assigned dose level. Dose is taken with palbociclib each day in 28-day cycles. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability of telaglenestat (CB-839) in combination with palbociclib: (CR) number of participants with treatment related adverse events | Number of participants with treatment related adverse events as assessed by CTCAE v5.0 | Start of treatment to 28 days post treatment |
| Maximum tolerated dose and/or Recommended Phase 2 Dose: | Incidence and nature of dose-limiting toxicities | Measured from Part 1 patients only within their first 28 day cycle |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration of telaglenastat and palbociclib: | Non-compartmental method of analysis will be used to analyze the plasma concentrations | PKs are drawn on two different days (Day 8 and Day 15) during Cycle 1 |
| Anti-tumor activity of telaglenestat and palbociclib: |
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Inclusion Criteria:
Cohort 4 may be opened only if Cohort 3 achieves predefined criteria for efficacy
-Part 2 Cohort 4: Advanced KRAS-mutant Pancreatic Ductal Adenocarcinoma (PDAC). · Histological or cytological diagnosis of advanced or metastatic KRAS-mutant with CDKN2A wild type (PDAC) and received treatment with one or more lines of systemic chemotherapy with FOLFIRINOX and/or gemcitabine/abraxane in the neoadjuvant, adjuvant, or metastatic disease setting or unable to receive standard of care chemotherapy.
For both Part 1 and 2:
Exclusion Criteria:
Prior treatment with CB-839 or palbociclib
Unable to receive oral medication
Infection requiring more than 5 days of parenteral antibiotics, antivirals, or antifungals within two weeks prior to C1D1
Unable to discontinue proton pump inhibitor use before study treatment
Refractory nausea and vomiting, uncontrolled diarrhea, malabsorption, significant small bowel resection or gastric bypass surgery, use of feeding tubes or other situation that may preclude adequate absorption
Active and/or untreated central nervous system metastasis. Patients with treated brain metastasis must have (1) documented radiographic stability of at least 4 weeks in duration demonstrating on baseline central nervous system imaging prior to study treatment and (2) be symptomatically stable and off steroids for at least 2 weeks before administration of any study treatment.
Major surgery within 28 days prior to first dose of study drug
Receipt of any anticancer therapy within the following windows:
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| Name | Affiliation | Role |
|---|---|---|
| Emil Kuriakose, MD | Calithera Biosciences, Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCLA Hematology/Oncology | Santa Monica | California | 90095 | United States | ||
| Emory, Winship Cancer Institute |
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| Palbociclib Oral Capsule or Tablet [Ibrance] | Drug | Palbociclib (Ibrance) is an oral capsule or tablet administered once daily with food on Days 1-21 of every 28-day cycle in combination with telaglenestat. Days 22-28 of every cycle, palbociclib is not taken. |
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Change in tumor size from baseline |
| Approximately every 8 weeks until disease progression, for approximately 18 months |
| Atlanta |
| Georgia |
| 30322 |
| United States |
| Northwestern University Feinberg School of Medicine | Chicago | Illinois | 60611 | United States |
| Rush University Medical Center | Chicago | Illinois | 60612 | United States |
| University of Iowa Hospitals and Clinics | Iowa City | Iowa | 52242 | United States |
| Regions Cancer care Center | Saint Paul | Minnesota | 55101 | United States |
| Sarah Cannon Research Institute- Tennessee Oncology | Nashville | Tennessee | 37203 | United States |
| MD Anderson | Houston | Texas | 77030 | United States |
| South Texas Accelerated Research Therapeutic, LLC | San Antonio | Texas | 78229 | United States |
| University of Wisconsin Clinical Science Center | Madison | Wisconsin | 53792 | United States |
| ID | Term |
|---|---|
| C000593334 | CB-839 |
| C500026 | palbociclib |
| D013607 | Tablets |
| ID | Term |
|---|---|
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
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