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 2-part, phase 1/2, open-label, multicenter study designed to evaluate the safety, tolerability, PK, pharmacodynamics, PGx, and efficacy of fadraciclib administered orally BID. This study consists of Phase 1 and Phase 2 components in subjects with advanced solid tumors and lymphoma who have progressed despite having standard therapy or for which no standard therapy exists.
Phase 1 part of the study will consist of a dose-escalation and a dose-finding component .
Phase 2 will enroll subjects with locally advanced, recurrent, or metastatic, histologically confirmed advanced solid tumors or lymphoma, who have failed all standard therapies or for whom standard therapy does not exist, into 8 groups:
Group 1: Endometrial or Ovarian cancer
Group 2: Biliary tract cancer
Group 3: HCC
Group 4: Breast cancer, meeting any of the following criteria:
Group 5: B-cell lymphoma
Group 6: T-cell lymphoma (CTCL and PTCL)
Group 7: mCRC, including KRAS mutated mCRC
Group 8: Basket cohort: Tumor types suspected to have a related mechanism of action such as MCL1, MYC or CCNE amplification/overexpression not included in previous groups.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase I Dose escalation | Experimental | Phase I = Fadraciclib administered orally in escalating doses starting at 50mg bid MWF for 3 weeks of a 4 week cycle. Subsequent cohorts will escalate in dose and schedule until optimized phase 2 dose and schedule is achieved. Phase 2 = Recommended Fadraciclib phase 2 dose and schedule administered orally in 28 day cycles. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fadraciclib | Drug | Fadraciclib is a highly selective, orally- and intravenously- available, 2nd generation amino-purine inhibitor of CDK2 and CDK9. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum tolerated dose | The incidence rate of dose-limiting toxicities (first cycle only) at each dose level | 6 months |
| Overall Response Rate (ORR) | Assessment of response criteria according to RESIST, Lugano or mSWAT | 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Type, frequency, and severity of adverse drug reactions | 24 months |
| AUC | Fadraciclib plasma concentrations | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacodynamics | To investigate CDK9-dependent transcription inhibition as assessed by differential target gene expression relative to baseline. | 6 months |
| Pharmacogenomics | To investigate plasma cell-free DNA mutation and copy number variation profile of fadraciclib as determined by NGS. |
Inclusion criteria
Age ≥ 18 years
Subjects with histological- or cytological-confirmed, advanced cancer who have progressed on (or not been able to tolerate) standard therapy or for whom no standard anticancer therapy exists
ECOG performance status of 0 or 1
Women of childbearing potential (WOCBP) must have a negative pregnancy test (urine or serum) within 7 days prior to starting the study drug. Both males and females must agree to use effective birth control during the study (prior to the first dose and for 6 months after the last dose) if conception is possible during this interval.
Subjects must be able to swallow and retain orally administered medication and not have any clinically significant GI abnormalities that may alter the absorption, such as malabsorption syndrome or major resection of the stomach or bowels.
Able to agree to and sign t he informed consent and to comply with the protocol.
Exclusion criteria
Subjects with a history of brain metastases or who have signs/symptoms attributable to brain metastases and have not been assessed with radiologic imaging to rule out the presence of brain metastases. Subjects with treated brain metastases that are asymptomatic and have been clinically stable for at least 4 weeks will be eligible.
Subjects who have not received vaccines for SARS-COV-2 within last 3 months and have suspected signs and symptoms of COVID-19 or a recent history (within 14 days) of contact with any COVID-19 positive subject/isolation/quarantine or subjects with confirmed COVID-19.
Subjects with a history of another primary malignancy, other than:
Any other clinically significant acute or chronic medical or psychiatric condition or any laboratory abnormality that may increase the risk associated with study drug administration or may interfere with the interpretation of study results.
Diseases that significantly affect GI absorption of fadraciclib.
Subjects who have impaired cardiac function or clinically significant cardiac disease.
Presence of active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or GI perforation within 6 months of enrollment
Presence of an active infection requiring intravenous antibiotics
Presence of known history of human immunodeficiency virus-1/2 with uncontrolled viral load and on medications that may interfere with metabolism
Presence of active hepatitis B virus (HBV) or hepatitis C virus (HCV).
Chemotherapy, biologic therapy, targeted therapy, immunotherapy, extended-field radiotherapy, or investigational agents within 5 half-lives or 3 weeks (whichever is shorter) prior to administration of first dose of study drug on Day 1 or have not recovered from the side effects of such therapy.
Major surgery/surgical therapy for any cause within 4 weeks of the first dose
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mark H Kirschbaum, MD | Contact | 626-316-3394 | mkirschbaum@cyclacel.com | |
| Julius Huang, PhD | Contact | jhuang@cyclacel.com |
| Name | Affiliation | Role |
|---|---|---|
| Mark H Kirschbaum, MD | Cyclacel Pharmaceuticals, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope | Recruiting | Duarte | California | 91010 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000621593 | CYC065 |
Not provided
Not provided
Not provided
Dose escalation in Phase 1 part.
Not provided
Not provided
Not provided
Not provided
|
| Cmax | Fadraciclib plasma concentrations | 6 months |
| Tmax | Fadraciclib plasma concentrations | 6 months |
| T1/2 | Fadraciclib plasma concentrations | 6 months |
| 24 months |
| MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
|
| Seoul National University Hospital | Recruiting | Seoul | South Korea |
|
| Hospital Universitario Vall d'Hebron | Recruiting | Barcelona | Spain |
|
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |