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This is a open-label, dose escalation, accelerated titration combined 3+3 design, phase I study, to evaluate the safety and tolerability, and to determine the RP2D of TR64 when administered qd in patients with advanced solid tumors. Up to 6 cohorts of 1-6 or 3-6 patients each will be treated in the study.
Patients will receive study treatment until criteria for study termination are met. A Safety Follow-up Visit will be conducted 28 days (±7 days) after the last dose of study treatment. Patients who discontinue study treatment for reasons other disease progression will have post-treatment follow-up for disease assessment until start of new anticancer treatment, patient withdraws consent, is lost to follow-up, death, or until the Sponsor stops the study, whichever comes first.
Adverse events will be assessed using the NCI Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0.
Tumor response will be assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI) scan using RECIST 1.1 criteria, assessed by the investigator.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TR64 | Experimental | Daily doses by oral administration on each day of each 28 day cycle. Starting dose is 25mg, with escalation to 400mg, and subsequent dose escalation using a modified Fibonacci algorithm. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TR64 | Drug | TR64 tablets will be given daily for 28 days in 28-day cycles until there appears evidence of progressive disease, intolerable toxicity, or the subject discontinues from the study treatment for other reasons. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events and Serious Adverse Events | Frequency, duration and severity of Adverse Events and Serious Adverse Events evaluated by NCI CTCAE v5.0 | From the first dose to within 28 days after the last dose |
| Dose limited toxicities | Incidence of dose limited toxicities | within 28 days after the first dose |
| Maximum tolerated dose | Evaluated by safety review committee | Throughout the study for approximately 2 years |
| Recommended phaseII dose | Evaluated by safety review committee | Throughout the study for approximately 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| AUClast | Characterize the pharmacokinetic profile of TR64 | within 35 days after the first dose |
| AUCinf | Characterize the pharmacokinetic profile of TR64 |
| Measure | Description | Time Frame |
|---|---|---|
| ORR | Efficacy-Overall Response Rate | Throughout the study for approximately 2 years |
| PFS | Efficacy-Progression Free Survival | Throughout the study for approximately 2 years |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yang Shu, MD. BS. | Contact | 86-13918983465 | shuyang@tarapeutics.com |
| Name | Affiliation | Role |
|---|---|---|
| Huan Zhou, PhD | The First Affiliated Hospital of Bengbu Medical University | Principal Investigator |
| Funan Liu, MD, PhD | First Hospital of China Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Bengbu Medical College | Recruiting | Bengbu | Anhui | 233004 | China |
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| within 35 days after the first dose |
| Cmax | Characterize the pharmacokinetic profile of TR64 | within 35 days after the first dose |
| Tmax | Characterize the pharmacokinetic profile of TR64 | within 35 days after the first dose |
| CL/F | Characterize the pharmacokinetic profile of TR64 | within 35 days after the first dose |
| Vz/F | Characterize the pharmacokinetic profile of TR64 | within 35 days after the first dose |
| Terminal half-life (T1/2) | Characterize the pharmacokinetic profile of TR64 | within 35 days after the first dose |
| DOR | Efficacy-Duration of Response | Throughout the study for approximately 2 years |
| CBR | Efficacy-Clinical Benefit Rate | Throughout the study for approximately 2 years |
| The First Hospital of China Medical University | Recruiting | Shenyang | Liaoning | 110002 | China |
|