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This is a phase I dose-escalation study of oral PCLX-001, conducted in a multicenter, non-randomized, open-label, non-controlled design. The study is comprised of two parts: Part A (single-agent dose escalation) and Part B (single-agent expansion cohorts).
This is a phase I dose-escalation study of oral PCLX-001, conducted in a multicenter, non-randomized, open-label, non-controlled design. The study is comprised of two parts: Part A (single-agent dose escalation) and Part B (single-agent expansion cohorts).
For Part A dose-escalation, patients will be enrolled in cohorts of 3 to 6 patients to each dose level. A new dose level cannot open to accrual until toxicity has been determined in the preceding dose level (i.e. all patients have completed their first cycle of therapy and data for all patients in that dose level have been reviewed at a safety cohort review meeting). Six patients will be treated at the maximum tolerated dose (MTD) and/or recommended phase II dose (RP2D). If required, the MTD cohort may be expanded by an additional 10 patients for further toxicity and response assessment. The MTD cohort expansion may be restricted to B-cell lymphoma or advanced solid tumours to ensure there is proper distribution during dose escalation.
For Part B (single agent expansion cohorts), two expansion cohorts (N=20 each) will be opened to determine the preliminary clinical activity of PCLX-001 at the RP2D:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PCLX-001 intervention 20mg | Experimental | Cohort 1: Participants were administered 20mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
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| PCLX-001 intervention 40mg | Experimental | Cohort 2: Participants were administered 40mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
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| PCLX-001 intervention 70mg | Experimental | Cohort 3: Participants were administered 70mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
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| PCLX-001 intervention 100mg | Experimental | Cohort 4: Participants were administered 100mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
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| PCLX-001 intervention 140mg | Experimental | Cohort 5: Participants were administered 140mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PCLX-001 - 20mg | Drug | 20mg daily oral pills |
|
| Measure | Description | Time Frame |
|---|---|---|
| To Determine, During the Dose Escalation Phase, the Recommended Dose of PCLX-001 for the Dose Expansion Phase of the Trial. | The recommended dose will be the dose level below that for the cohort in which maximum tolerated dose (MTD) was reached/exceeded. MTD will have been reached when 2 or more patients in a cohort experience DLT. | Through study completion, an average of ~90 days |
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Inclusion Criteria:
Ability to understand and the willingness to sign a written informed consent. A signed informed consent must be obtained before any study-specific procedures are performed.
Male or female patients aged ≥ 18 years
Dose Escalation
Dose Expansion Cohort A: Participants with histologically-confirmed advanced breast, NSCLC, SCLC, colorectal, and bladder cancers who have failed at least one prior therapy and/or are not eligible for therapies expected to provide clinical benefit.
Cohort B: Participants with histologically-confirmed R/R B-cell lymphomas that are expected to express CD20 including DLBCL, HGBL, FL (grades 1-3a), FL (grade 3b), MCL, and Burkitt lymphoma who have failed at least two prior therapies and/or are not eligible for therapies expected to provide clinical benefit. Transformed large B-cell lymphoma patients are eligible. FL patients should meet criteria for requiring treatment.
Patients must have evaluable or measurable disease.
Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
Life expectancy of at least 12 weeks
Patients must have adequate bone marrow, liver, kidney and cardiac function.
Patients must have adequate coagulation.
Women of childbearing potential must have a negative pregnancy test.
Women of childbearing potential and fertile men must agree to use adequate contraception when sexually active from signing of the informed consent form for the full study until at least 6 months after the last study drug administration.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Randeep Sangha | Cross Cancer Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cross Cancer Institute | Edmonton | Alberta | T6G 1Z2 | Canada | ||
| BC Cancer - Vancouver |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33093447 | Background | Beauchamp E, Yap MC, Iyer A, Perinpanayagam MA, Gamma JM, Vincent KM, Lakshmanan M, Raju A, Tergaonkar V, Tan SY, Lim ST, Dong WF, Postovit LM, Read KD, Gray DW, Wyatt PG, Mackey JR, Berthiaume LG. Targeting N-myristoylation for therapy of B-cell lymphomas. Nat Commun. 2020 Oct 22;11(1):5348. doi: 10.1038/s41467-020-18998-1. | |
| 38837078 |
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| ID | Title | Description |
|---|---|---|
| FG000 | PCLX-001 Intervention 20mg | 20mg daily oral pills for 28 days |
| FG001 | PCLX-001 Intervention 40mg | Drug: PCLX-001 - 40mg 40mg daily oral pills for 28 days |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 5, 2023 |
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For Part A dose-escalation, patients will be enrolled in cohorts of 3 to 6 patients to each dose level. Six patients will be treated at the maximum tolerated dose (MTD) and/or recommended phase II dose (RP2D).
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| PCLX-001 intervention 210mg |
| Experimental |
Cohort 6: Participants were administered 210mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
|
| PCLX-001 intervention 280mg | Experimental | Cohort 7: Participants were administered 280mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
|
| PCLX-001 - 40mg | Drug | 40mg daily oral pills |
|
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| PCLX-001 - 70mg | Drug | 70mg daily oral pills |
|
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| PCLX-001 - 100mg | Drug | 100mg daily oral pills |
|
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| PCLX-001 - 140mg | Drug | 140mg daily oral pills |
|
|
| PCLX-001 - 210mg | Drug | 210mg daily oral pills |
|
|
| PCLX-001 - 280mg | Drug | 280mg daily oral pills |
|
|
| Vancouver |
| British Columbia |
| V5Z4E6 |
| Canada |
| Princess Margaret Hospital | Toronto | Ontario | M5G 2M9 | Canada |
| CR Centre Hospitalier de l'Université de Montréal - CHUM | Montreal | Quebec | H2X 0A9 | Canada |
| Sangha R, Jamal R, Spratlin J, Kuruvilla J, Sehn LH, Beauchamp E, Weickert M, Berthiaume LG, Mackey JR. A first-in-human phase I trial of daily oral zelenirstat, a N-myristoyltransferase inhibitor, in patients with advanced solid tumors and relapsed/refractory B-cell lymphomas. Invest New Drugs. 2024 Aug;42(4):386-393. doi: 10.1007/s10637-024-01448-w. Epub 2024 Jun 5. |
| FG002 | PCLX-001 - 70mg | 70mg daily oral pills for 28 days |
| FG003 | PCLX-001 Intervention 100mg | 100mg daily oral pills for 28 days |
| FG004 | PCLX-001 Intervention 140mg | 140mg daily oral pills for 28 days |
| FG005 | PCLX-001 Intervention 210mg | 210mg daily oral pills for 28 days |
| FG006 | PCLX-001 Intervention 280mg | 280mg daily oral pills for 28 days |
| COMPLETED |
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| NOT COMPLETED |
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Eligible patients were ≥18 years old and had (i) advanced solid tumors with progression after at least one prior therapy and who were not eligible for therapies expected to provide clinical benefit, or (ii) B-cell lymphomas including DLBCL, high grade B-cell lymphoma (HGBL), follicular lymphoma (FL) (grades 1 to 3b), mantle cell lymphoma (MCL), and Burkitt lymphoma who had failed at least two prior therapies.
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| ID | Title | Description |
|---|---|---|
| BG000 | PCLX-001 Intervention 20mg | Cohort 1: Participants were administered 20mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
| BG001 | PCLX-001 Intervention 40mg | Cohort 2: Participants were administered 40mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
| BG002 | PCLX-001 Intervention 70mg | Cohort 3: Participants were administered 70mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
| BG003 | PCLX-001 Intervention 100mg | Cohort 4: Participants were administered 100mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
| BG004 | PCLX-001 Intervention 140mg | Cohort 5: Participants were administered 140mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
| BG005 | PCLX-001 Intervention 210mg | Cohort 6: Participants were administered 210mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
| BG006 | PCLX-001 Intervention 280mg | Cohort 7: Participants were administered 280mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. |
| BG007 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median | Full Range | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Count of Participants | Participants |
| ||||||||||||||||
| Patients enrolled | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | To Determine, During the Dose Escalation Phase, the Recommended Dose of PCLX-001 for the Dose Expansion Phase of the Trial. | The recommended dose will be the dose level below that for the cohort in which maximum tolerated dose (MTD) was reached/exceeded. MTD will have been reached when 2 or more patients in a cohort experience DLT. | Refractory solid tumour and Non-Hodgkins Lymphoma patients for whom no other therapies were available. All evaluable patients were assessed. | Posted | Number | mg | Through study completion, an average of ~90 days |
|
|
|
Through study completion, an average of ~90 days
SAE defined as Grade 3 or higher treatment emergent adverse event.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PCLX-001 Intervention 20mg | Cohort 1: Participants were administered 20mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. | 0 | 3 | 0 | 3 | 0 | 3 |
| EG001 | PCLX-001 Intervention 40mg | Cohort 2: Participants were administered 40mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. | 1 | 3 | 1 | 3 | 0 | 3 |
| EG002 | PCLX-001 Intervention 70mg | Cohort 3: Participants were administered 70mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. | 1 | 3 | 1 | 3 | 0 | 3 |
| EG003 | PCLX-001 Intervention 100mg | Cohort 4: Participants were administered 100mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. | 1 | 6 | 1 | 6 | 0 | 6 |
| EG004 | PCLX-001 Intervention 140mg | Cohort 5: Participants were administered 140mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. | 0 | 3 | 0 | 3 | 0 | 3 |
| EG005 | PCLX-001 Intervention 210mg | Cohort 6: Participants were administered 210mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. | 0 | 8 | 0 | 8 | 0 | 8 |
| EG006 | PCLX-001 Intervention 280mg | Cohort 7: Participants were administered 280mg of PCLX-001 orally as continuous daily dosing on a 28-day cycle. | 0 | 3 | 3 | 3 | 0 | 3 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Dehydration | Gastrointestinal disorders | Systematic Assessment |
| ||
| Diverticulitis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Gastroduodenitis | Gastrointestinal disorders | Systematic Assessment |
| ||
| Fever | General disorders | Systematic Assessment |
| ||
| COVID 19 | Immune system disorders | Systematic Assessment |
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| Cardiac Arrest | Cardiac disorders | Systematic Assessment |
| ||
| Shortness of Breath | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Hepatobiliary Disorder | Hepatobiliary disorders | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| VP Operations | Pacylex Pharmaceuticals | 1 (888) 580-4483 | ryan.heit@pacylex.com |
| Mar 5, 2025 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| Male |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
|
| More than one race |
|
| Unknown or Not Reported |
|