Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is a phase I, open-label, study of BP1001-A in participants with advanced or recurrent solid tumors. The dose escalation phase will determine the safety and the maximum tolerated dose (MTD) or maximum administered dose (MAD) of BP1001-A as a single agent. After the MTD or MAD of BP1001-A is established, the dose expansion phase will commence and determine the safety, toxicity and response of BP1001-A in combination with paclitaxel.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BP1001-A monotherapy | Experimental | Dose escalation of BP1001-A monotherapy |
|
| BP1001-A and Paclitaxel | Experimental | Dose expansion of selected dose of BP1001-A with paclitaxel |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BP1001-A (Liposomal Grb2 Antisense Oligonucleotide) | Drug | Dose escalation of BP1001-A intravenously (IV), twice weekly for 4 weeks (28-day cycle) for 6 cycles. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Identify Dose Limiting Toxicity (DLT) of BP1001-A | Identify DLT of BP1001-A using non-hematologic and and hematologic measures per NCI CTCAE criteria | 30 days |
| Identify maximum tolerated dose (MTD) of BP1001-A | Identify MTD based on dose limiting toxicities (DLT) of BP1001-A using non-hematologic and hematologic measures per NCI CTCAE criteria | 30 days |
| Identify and grade Treatment-Emergent Adverse Events (TEAE) of BP1001-A | Identify and grade TEAE of escalating doses of BP1001-A using non-hematologic and hematologic measures per NCI CTCAE criteria | 30 days |
| Identify and grade Treatment-Emergent Adverse Events (TEAE) of BP1001-A in combination with paclitaxel | Identify and grade TEAE of BP1001-A in combination with paclitaxel using non-hematologic and hematologic measures per NCI CTCAE criteria | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and severity of Adverse Events (AEs) of BP1001-A monotherapy and in combination with paclitaxel | Determine frequency and grade of AEs per NCI CTCAE criteria | 30 days |
| Determine objective response rate (ORR) by biopsy |
Not provided
Inclusion Criteria:
All participants, ≥ 18 years of age, with histologic evidence of advanced or recurrent solid tumors, who are not candidates for regimens or protocol treatments known to confer clinical benefit.
ECOG Performance Status Score of 0 or 1.
Participants must be willing to undergo pre-treatment biopsies. Participants who complete 1 cycle of treatment will undergo post-treatment biopsies. Post-treatment biopsies will be offered to participants who do not complete 1 cycle of treatment.
For the dose expansion phase, participants must have recurrent or persistent epithelial ovarian, primary peritoneal, fallopian tube or endometrial tumor and must be participants for whom single agent paclitaxel would be considered a reasonable treatment option.
Endometrial cancer patients with the following histologic epithelial cell types are eligible: Endometrioid adenocarcinoma, serous adenocarcinoma, undifferentiated carcinoma, clear cell adenocarcinoma, mixed epithelial carcinoma, adenocarcinoma not otherwise specified, mucinous adenocarcinoma, squamous cell, transitional cell carcinoma, and mesonephric carcinoma.
Ovarian tumor patients with the following histologic epithelial cell types are eligible: High-grade serous carcinoma, endometrioid carcinoma, clear cell carcinoma, squamous carcinoma, transitional cell (Brenner) carcinoma, mixed epithelial-stromal carcinoma, undifferentiated or other epithelial carcinoma.
Uterine carcinosarcoma and other sarcomas of the uterus are not eligible.
Estimated life expectancy > 3 months in the Investigator's opinion.
All participants must have measurable disease per RECIST criteria v1.1. Measurable disease is defined as at least one lesion that can be accurately measured in at least one dimension (longest dimension to be recorded). Each lesion must be >/= 20 mm when measured by conventional techniques, including plain x-ray, CT, and MRI, or >/= 10 mm when measured by spiral CT. Measurable disease lesions must be amenable to pre- and post-treatment biopsy.
Participants must have at least one "target lesion" to be used to assess response on this protocol as defined by RECIST v1.1. Tumors within a previously irradiated field will be designated as "non-target" lesions unless progression is documented or a biopsy is obtained to confirm persistence at least 90 days following completion of radiation therapy.
Participants must have adequate:
Participants previously treated with docetaxel (regardless of response) are eligible for this trial.
Participants in the dose expansion phase who previously received paclitaxel for primary or recurrent disease are eligible if they did not progress on therapy or relapse within 6 months of completing therapy. Participants with persistent disease at the completion of primary therapy with paclitaxel are not eligible.
Participants should be free of active infection requiring antibiotics, with the exception of uncomplicated UTI.
Any hormonal therapy directed at the malignant tumor must be discontinued at least two weeks prior to BP1001-A treatment. Continuation of hormone replacement therapy is permitted; stable regimens of hormonal therapy for prostate cancer (e.g., leuprolide, a gonadotropin-releasing hormone [GnRH] agonist), ovarian or breast cancer are not exclusionary.
Any other prior therapy directed at the malignant tumor, including immunologic agents, must be discontinued at least four weeks prior to first dose of BP1001-A (6 weeks for nitrosoureas or mitomycin C).
Female participants of childbearing potential must have a negative urine pregnancy test performed within 24 hours prior to the start of study treatment. Post-menopausal subjects (defined as no menses for at least 1 year) and surgically sterilized women are not required to undergo a pregnancy test.
Female participants of childbearing potential must agree to use an acceptable method of birth control (i.e., a hormonal contraceptive, intrauterine device, diaphragm with spermicide, condom with spermicide or abstinence) for the duration of the study and for at least 6 months after the last dose of treatment.
Male participants must agree to use an acceptable method of contraception for the duration of the study.
Participants must be willing and able to provide written informed consent.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Brian Forbes | Contact | 832-742-1365 | bforbes@biopathholdings.com | |
| Michael Hickey | Contact | 832-742-1361 | mhickey@biopathholdings.com |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Holy Cross Hospital | Recruiting | Silver Spring | Maryland | 20910 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| BP1001-A (Liposomal Grb2 Antisense Oligonucleotide) with paclitaxel | Drug | Dose expansion of BP1001-A IV twice weekly (Maximum tolerated dose or Maximum admistered dose) plus paclitaxel IV weekly for 4 weeks (28-day cycle) for 6 cycles. |
|
Determine ORR by tumor biopsy using Response Criteria in Solid Tumors (RECIST)
| 180 days |
| Determine objective response rate (ORR) by imaging | Determine ORR by MRI or CT imaging using Response Criteria in Solid Tumors (RECIST) | 180 days |
| Describe duration of overall response (OR) | Describe duration of OR using tumor biopsy per RECIST | 180 days |
| Describe duration of objective response (OR) | Describe duration of OR using MRI or CT imaging per RECIST | 180 days |
| Describe duration of stable disease by imaging | Describe duration of stable using MRI or CT imaging per RECIST | 180 days |
| Describe duration of stable disease by tumor biopsy | Describe duration of stable disease using tumor biopsy per RECIST | 180 days |
| Describe progression-free survival (PFS) per RECIST by biopsy | Describe PFS using tumor biopsy per RECIST | 360 days |
| Describe progression-free survival (PFS) per RECIST by imaging | Describe PFS using MRI or CT imaging per RECIST | 360 days |
| Determine plasma pharmacokinetics (PK) of BP1001-A monotherapy and in combination with paclitaxel (Cmax) | Evaluate in vivo PK of BP1001-A monotherapy and BP1001-A in combination with paclitaxel using maximum plasma drug concentration (Cmax) | 30 days |
| Determine plasma pharmacokinetics (PK) of BP1001-A monotherapy and in combination with paclitaxel (Tmax) | Evaluate in vivo PK of BP1001-A monotherapy and BP1001-A in combination with paclitaxel using time of maximal observed concentration (Tmax) | 30 days |
| Determine plasma pharmacokinetics (PK)of BP1001-A monotherapy and in combination with paclitaxel (AUC) | Evaluate in vivo PK of BP1001-A monotherapy and BP1001-A in combination with paclitaxel using Area Under the Curve (AUC) | 30 days |
| Determine plasma pharmacokinetics of BP1001-A monotherapy and in combination with paclitaxel (CL) | Evaluate in vivo PK of BP1001-A monotherapy and BP1001-A in combination with paclitaxel using clearance rate (CL) | 30 days |
| Determine half-life plasma pharmacokinetics (PK) of BP1001-A monotherapy and in combination with paclitaxel (t1/2) | Evaluate in vivo PK of BP1001-A monotherapy and BP1001-A in combination with paclitaxel using mean terminal elimination half life (t1/2) | 30 days |
| Frequency and severity of AEs of BP1001-A in combination with paclitaxel | Determine frequency and grade of AEs of BP1001-A in combination with paclitaxel per NCI CTCAE criteria | 30 days |
| Karmanos Cancer Institute | Recruiting | Detroit | Michigan | 48201 | United States |
|
| Mary Crowley Cancer Research | Recruiting | Dallas | Texas | 75230 | United States |
|
| The University of Texas M.D. Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
|
| ID | Term |
|---|---|
| D000077216 | Carcinoma, Ovarian Epithelial |
| D005185 | Fallopian Tube Neoplasms |
| D016889 | Endometrial Neoplasms |
| ID | Term |
|---|---|
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D010051 | Ovarian Neoplasms |
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D005184 | Fallopian Tube Diseases |
| D014594 | Uterine Neoplasms |
| D014591 | Uterine Diseases |
Not provided
Not provided