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This is an open label, dose escalation and expansion, two-part Phase I study for SHP-2 inhibitor BBP-398 to evaluate the safety, tolerability, pharmacokinetics, determine MTD and/or RP2D, and preliminary anti- cancer activity in Chinese subjects with advanced solid tumors and in Chinese subjects with advanced or metastatic EGFR-mutant NSCLC.
The Part A of this phase I trial is an abbreviated dose escalation study of BBP-398 following the USA mono dose escalation study (Study NAV- 1001, clinicaltrials.gov ID NCT04528836). The purpose of this part is to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-cancer activity in Chinese subjects with advanced solid tumors. The Part B of this study is to explore the safety, tolerability and efficacy of BBP-398 in Chinese subjects with advanced or metastatic EGFR- mutant NSCLC at MTD and/or RP2D. This Phase I study will provide supportive data to enable Chinese patients to join the combo dose escalation and expansion studies and/or other clinical trials of BBP-398.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A Dose Escalation and Part B Dose Expansion | Experimental | Part A: Oral capsules taken in escalating levels to determine MTD/RP2D. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD). Part B: Oral capsules administered at MTD/RP2D defined dose. Each treatment cycle will be 28 days in duration with BBP-398 administered, once daily (QD) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BBP-398 | Drug | BBP-398 (formerly known as IACS-15509) is a potent, selective, orally active allosteric inhibitor of SHP2, a tyrosine phosphatase that plays a key role in the RTK -MAPK signal transduction pathway. Key components of the MAPK pathway include the small GTPase RAS, the serine/threonine-protein kinase RAF, mitogen-activated protein kinase (MEK) and ERK. In cells, SHP2 binds to phosphorylated tyrosine residues in the intracellular domain of RTKs such as the EGFR, leading to activation of the downstream MAPK signaling pathway. |
| Measure | Description | Time Frame |
|---|---|---|
| Determination of Maximum Tolerated Dose (MTD) of BBP-398 | The MTD will be based on DLT | Completion of 1 Cycle (28 days) |
| Determination of anti-tumor activity of BBP-398 | Anti-tumor activity will be defined by objective response rate (ORR, complete response + partial response rate) and duration of response (DOR) according to RECIST v1.1 | Completion of 1 Cycle (28 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Part A:Maximum plasma concentration (Cmax) of BBP-398 | Maximum plasma concentration of BBP-398 after single and multiple dose administration of BBP-398 | Approximately 6 months |
| Part A:Time to reach Cmax (Tmax) of BBP-398 |
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Inclusion Criteria:
1. Patients must have the ability to understand and the willingness to sign a written informed consent document 2 Patients must be willing and able to comply with the scheduled visits, treatment plan, laboratory tests and other specified study procedures 3. Age ≥18, male or female 4.Dose escalation: locally advanced or metastatic solid tumors Dose expansion: Advanced or metastatic EGFR-mutant NSCLC 5. Patients must have measurable disease by RECIST v1.1. 6. Patients must have an ECOG performance status (PS) ≤2 7.Patients with a life expectancy of ≥12 weeks. 8. Patients must have adequate organ function
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Li Zhang, Master | West China Hospital | Principal Investigator |
| Yongsheng Wang, Doctor | West China Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-sen University Cancer Center | Guanzhou | Guangdong | 510060 | China | ||
| West China Hospital Sichuan University |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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The amount of time to reach Cmax after single and multiple dose administration of BBP-398
| Approximately 6 months |
| Part A: Terminal half-life (t1/2) of BBP-398 | Terminal half-life (t1/2) after single and multiple dose administration of BBP-398 | Approximately 6months |
| Part A: Area under the plasma concentration-time curve (AUC) of BBP-398 | Area under the plasma concentration versus time curve after single and multiple dose administration of BBP-398 | Approximately 6 months |
| Part A: Concentration of BBP-398 in urine | To evaluate BBP-398 excretion via urine after single and multiple dose administration of BBP-398. | Approximately 6 months |
| Part B: Concentration of BBP-398 in plasma | To evaluate BBP-398 plasma concentration after multiple dose administration of BBP-398. | Approximately 6 months |
| Chengdu |
| Sichuan |
| 610041 |
| China |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |