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An open-label, two-part Phase I/Ib study of RP12146 in adult patients with locally advanced or metastatic solid tumors. The first part (Part 1) is a Phase I dose-escalation, 3+3 design, open-label, MTD determination study and will enroll patients who have tumors known to harbour DNA repair deficiencies. The second part (Part 2) is a Phase Ib, dose-expansion at the MTD (or optimal dose) and will enroll patients with a confirmed deleterious HRR mutation in their tumor as identified by a central genomics testing laboratory.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RP12146 | Experimental | RP12146 will be administered orally daily (QD or BID) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RP12146 | Drug | starting dose of 100 mg QD |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum tolerated dose (MTD) of RP12146 in patients with locally advanced or metastatic solid tumors | The MTD was defined as the highest dose level at which no more than 1 in 6 participants experienced a dose-limiting toxicity (DLT) during the first 28-day cycle of treatment | 28 days |
| Number of Participants With Treatment-emergent Adverse Events as Assessed by CTCAE Criteria v5.0 | Summary of Treatment-Emergent Adverse Events-(Causality All). Patients will be monitored for adverse events and both related and as well as non-related adverse events will be captured during the study. All adverse events (irrespective of causality) will be reported. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Tmax | Pharmacokinetics: Time to Reach Maximum Concentration (Tmax) of RP12146 | Day 1 to Day 28 |
| Cmax | Pharmacokinetics: Maximum Concentration (Cmax) of RP12146 |
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Inclusion Criteria.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Multiscan s.r.o. | Hořovice | 268 31 | Czechia | |||
| SP ZOZ University Hospital in Krakow Oncology Clinic, 50 Kopernika Street |
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| Day 1 to Day 28 |
| AUC | Pharmacokinetics: Area Under the Concentration Curve (AUC) of RP12146 | Day 1 to Day 28 |
| Overall response rate (ORR) | Sum of the percentages of Complete Response and Partial Response | 2 years |
| Clinical benefit rate (CBR) | Sum of the percentages of Complete response, partial response and stable disease | 2 years |
| Progression free survival (PFS) | It is defined as time from the first dose of study treatment to documented disease progression | 2 years |
| Krakow |
| 50 Kopernika Street |
| Poland |
| Klinika Onkologii ICZMP | Lodz | 93-338 | Poland |
| Pratia Poznań Medical Center | Poznan | Poland |
| Clinical Trials Site Nasz Lekarz | Torun | Poland |
| Maria Skłodowska-Curie Memorial National Oncology Institute | Warsaw | Poland |
| ID | Term |
|---|---|
| D055752 | Small Cell Lung Carcinoma |
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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