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The Sponsor has achieved its objectives.
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NUV-868-01 is a first-in human, open- label, Phase 1/2 dose escalation and expansion study in patients with advanced solid tumors. The Phase 1 and 1b portions include patients with advanced solid tumors and are designed to determine the safety and the dose(s) of NUV-868 to be used as monotherapy and in combination with olaparib or enzalutamide for the Phase 2 portion. In Phase 2, NUV-868 in combination with olaparib or enzalutamide will be given to determine the safety and efficacy of these study treatments. One cohort of patients (with enzalutamide-naïve metastatic castration-resistant prostate cancer) will be randomized to receive either NUV-868 monotherapy, enzalutamide monotherapy, or the combination of NUV-868 + enzalutamide. Patients will self-administer NUV-868 orally daily in 28-day cycles as monotherapy in Phases 1 and 2. In Phases 1b and 2, patients will self-administer NUV-868 orally daily in 28-day cycles in combination with olaparib or enzalutamide daily at standard prescribed doses (Phase 1b) or at the recommended Phase 2 combination dose (RP2cD) that is determined in Phase 1b. Patients will be treated until disease progression, toxicity, withdrawal of consent, or termination of the study.
This study was initially planned as a Phase 1/2 study; however, the study stopped early prior to the start of Phase 2.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1 Monotherapy | Experimental | NUV-868 will be administered at escalating dose levels until the maximum tolerated dose (MTD) is reached or a recommended Phase 2 dose (RP2D) is determined. |
|
| Phase 1b Combination: NUV-868 + Olaparib | Experimental | NUV-868 will be administered at escalating dose levels in combination with olaparib until the recommended Phase 2 combination dose (RP2cD) is determined. 300 mg olaparib will be administered orally twice daily throughout the 28-day cycles of NUV-868. |
|
| Phase 1b Combination: NUV-868 + Enzalutamide | Experimental | NUV-868 will be administered daily at escalating dose levels in combination with enzalutamide until the RP2cD is determined. 160 mg enzalutamide will be administered orally daily throughout the 28-day cycles of NUV-868. |
|
| Phase 2 Combination: NUV-868 + Olaparib | Experimental | NUV-868 will be administered at the RP2cD. Olaparib will be administered at the RP2cD. |
|
| Phase 2 Combination: NUV-868 + Enzalutamide | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NUV-868 | Drug | NUV-868 is an investigational drug for oral dosing. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 Monotherapy Dose Escalation: Safety and tolerability of NUV-868 to determine the recommended Phase 2 dose (RP2D) | Incidence of dose-limiting toxicities (DLTs) | During the DLT period (28 days) |
| Phase 1b Dose Escalation, NUV-868 + Olaparib: Safety and tolerability of NUV-868 in combination with olaparib to determine the recommended Phase 2 combination dose (RP2cD) | Incidence of DLTs | During the DLT period (28 days) |
| Phase 1b Dose Escalation, NUV-868 + Olaparib: Pharmacokinetic (PK) profiles of NUV-868 and olaparib when administered in combination | NUV-868 and olaparib combination PK | Days 1, 8, and 29 |
| Phase 1b Dose Escalation, NUV-868 + Enzalutamide: Safety and tolerability of NUV-868 in combination with enzalutamide to determine the RP2cD | Incidence of DLTs | During the DLT period (28 days) |
| Phase 1b Dose Escalation, NUV-868 + Enzalutamide: Pharmacokinetic (PK) profiles of NUV-868 and enzalutamide when administered in combination | NUV-868 and enzalutamide combination PK | Days 1, 8, and 57 |
| Phase 2, NUV-868 + Olaparib: Change from Baseline in Tumor Imaging | ORR per standard criteria | Every 8 weeks during the first 24 weeks and then every 12 weeks, up to an average of 12 months (end of treatment) |
| Phase 2, NUV-868 + Olaparib: Change from Baseline in PSA measurements |
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Key Inclusion Criteria For All Phases and Cohorts:
Cohort-Specific Inclusion Criteria: In addition to the inclusion criteria listed above, the following criteria apply for enrollment into specific cohorts.
Phase 1 (NUV-868 Monotherapy)
Phase 1b (NUV-868 in Combination With Enzalutamide or Olaparib)
Life expectancy of > 3 months
Eastern Cooperative Oncology Group Performance Status ≤ 2
(Select cohorts only) Measurable disease
Patient must be able to read and write sufficiently to document food intake and study drug dosing on the Dosing Diary or must have a caregiver who is willing and able to complete the Dosing Diary with the patient.
One of the following tumor types:
Phase 2
Life expectancy of > 6 months
(Select cohorts only): At least one measurable lesion defined by standard criteria
Eastern Cooperative Oncology Group Performance Status ≤ 1
One of the following tumor types:
Key Exclusion Criteria For All Phases and Cohorts:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Arizona Cancer Center | Tucson | Arizona | 85724 | United States | ||
| Ellison Institute of Technology |
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Sequential assignment will be applied in Phase 1 and Phase 1 b dose escalation cohorts. Parallel assignment will be applied in Phase 1b backfill cohorts and Phase 2.
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NUV-868 will be administered at the RP2cD.
Enzalutamide will be administered at the RP2cD.
|
| Phase 2: NUV-868 Monotherapy | Experimental | NUV-868 will be administered at the RP2D in one arm of a randomized Phase 2 combination (NUV-868 + enzalutamide) cohort. |
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| Phase 2: Enzalutamide Monotherapy | Active Comparator | 160 mg enzalutamide will be administered orally daily in one arm of a randomized Phase 2 combination (NUV-868 + enzalutamide) cohort. |
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| Olaparib | Drug | Olaparib |
|
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| Enzalutamide | Drug | Enzalutamide |
|
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PSA50 response rate per standard criteria; only for patients with prostate cancer |
| Every 4 weeks throughout study treatment, up to an average of 12 months (end of treatment) |
| Phase 2, NUV-868 + Enzalutamide in Enzalutamide-Naïve Metastatic Castrate-Resistant Prostate Cancer (mCRPC): Time from First Dose to Disease Progression | Radiographic progression-free survival (rPFS) per standard criteria | Every 8 weeks during the first 24 weeks and then every 12 weeks, up to an average of 12 months (end of treatment) |
| Phase 2, NUV-868 + Enzalutamide in Enzalutamide-Resistant mCRPC: Response to Study Treatment | Composite response rate (CRR: radiologic response, PSA50 response, and/or circulating tumor cell response) per standard criteria | Every 4-12 weeks (time points vary depending on the type of response being evaluated) throughout study treatment, up to an average of 12 months (end of treatment) |
| Phase 1b Food Effect Substudy: Effect of Food on the Pharmacokinetics (PK) of NUV-868 | NUV-868 PK parameters in fed and fasted states | Pre dose and 24 hours after the first and second doses of NUV-868, 7 days apart |
| Los Angeles |
| California |
| 90064 |
| United States |
| Rocky Mountain Cancer Centers, LLP | Aurora | Colorado | 80012 | United States |
| Rocky Mountain Cancer Centers, LLP | Lone Tree | Colorado | 80124 | United States |
| H. Lee Moffitt Cancer Center | Tampa | Florida | 33612 | United States |
| Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Baltimore | Maryland | 21231 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Karmanos Cancer Institute | Detroit | Michigan | 48201 | United States |
| Laura & Isaac Perlmutter Cancer Center - NYU Langone Health | New York | New York | 10016 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Carolina BioOncology Institute | Huntersville | North Carolina | 28078 | United States |
| Fox Chase Cancer Center | Philadelphia | Pennsylvania | 19104 | United States |
| Sarah Cannon Research Institute - Tennessee Oncology | Nashville | Tennessee | 37203 | United States |
| Mary Crowley Cancer Research | Dallas | Texas | 75230 | United States |
| Texas Oncology - Fort Worth Cancer Center | Fort Worth | Texas | 76104 | United States |
| NEXT Virginia | Fairfax | Virginia | 22031 | United States |
| Virginia Oncology Associates | Norfolk | Virginia | 23502 | United States |
| Macquarie University Hospital | North Ryde | New South Wales | 2109 | Australia |
| Calvary Mater Hospital Newcastle | Waratah | New South Wales | 2298 | Australia |
| Cabrini Hospital Malvern | Malvern | Victoria | 3144 | Australia |
| Peter Maccallum Cancer Centre | Melbourne | Victoria | 3000 | Australia |
| Linear Clinical Research | Nedlands | Western Australia | 6009 | Australia |
| ID | Term |
|---|---|
| D010051 | Ovarian Neoplasms |
| D010190 | Pancreatic Neoplasms |
| D011471 | Prostatic Neoplasms |
| D064129 | Prostatic Neoplasms, Castration-Resistant |
| D064726 | Triple Negative Breast Neoplasms |
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| 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 |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D010182 | Pancreatic Diseases |
| D005834 | Genital Neoplasms, Male |
| D005832 | Genital Diseases, Male |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C531550 | olaparib |
| C540278 | enzalutamide |
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