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This is a multi-center, first-in-human, open label, dose escalation (Part A) and expansion (Part B) Phase 1 study in subjects with advanced solid tumors and in subjects with solid tumors with selected genetic alterations that are either direct (YES1 amplification) or dependent (Hippo Pathway alterations) targets of NXP900.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation (Part A) | Experimental | Escalating doses of NXP900 are planned with a starting dose level of 20 mg once per day. |
|
| Dose Expansion (Part B) | Experimental | Participants will receive the selected dose of NXP900 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NXP900 | Drug | NXP900 is an orally administered SRC/YES1 kinase inhibitor |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with treatment related adverse events and/or clinical laboratory abnormalities | Up to 30 days post treatment | |
| Part A: Number of patients who experience Dose Limiting Toxicities (DLT) as defined in the protocol | Day 28 | |
| Part B: Objective response rate (ORR) | Best response of complete response (CR) or partial response (PR) per RECIST 1.1 (or mRECIST 1.1 for subjects with pleural mesothelioma). | Up to 24 months |
| Part B: Duration of Response (DoR) | Confirmed CR or PR from the first documented response to the date of documented disease progression or death. | Up to 24 months |
| Part B: Disease Control Rate (DCR) | The proportion of patients with stable disease (SD), partial response (PR), or complete response (CR). | Up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the concentration-time curve (AUC) of NXP900 | Up to 24 months | |
| Maximum observed concentration (Cmax) of NXP900 | Up to 24 months | |
| Time to peak concentration (Tmax) of NXP900 |
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Part A
Inclusion Criteria:
Exclusion Criteria:
Part B:
Inclusion Criteria:
Provide written informed consent.
18 years old or older.
Advanced, metastatic, and/or progressive solid tumors with pathogenic molecular alterations:
Must have received 1-3 prior therapies appropriate for their tumor type and stage of disease
Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (or mRECIST 1.1 for subjects with pleural mesothelioma).
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Exclusion Criteria:
Subjects with the following combination of cancer type and pathogenic molecular alterations are excluded:
Subjects with anal, penile, cervical or head and neck cancers with a prior history of human papilloma virus (HPV) infection.
Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days (42 days for nitrosoureas, mitomycin-C) prior to first dose of NXP900. Subjects can continue to receive bisphosphonates due to metastatic bone disease or GnRH agonists if they have prostate cancer.
Ongoing toxic manifestations of previous treatments > Grade 2 with the exception of alopecia and neuropathy.
Female subjects who can become pregnant (or are already pregnant or lactating), unless they have a negative serum pregnancy test before enrollment and agree to use at least one highly effective form of contraception .
Male subjects with partners of childbearing potential, unless they agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide).
Major surgery from which the subject has not yet recovered.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Erin Belshaw | Contact | (201) 627-8129 | ebelshaw@nuvectis.com | |
| Shay Shemesh | Contact | (201) 614-3153 | sshemesh@nuvectis.com |
| Name | Affiliation | Role |
|---|---|---|
| Udai Banerji, Prof | Institute of Cancer Research, Royal Marsden NHS Foundation Trust | Principal Investigator |
| Gerald Falchook, MD | Sarah Cannon Cancer Institute, HealthOne Denver | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic | Recruiting | Phoenix | Arizona | 85054 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39089584 | Derived | Dash S, Hanson S, King B, Nyswaner K, Foss K, Tesi N, Harvey MJB, Navarro-Marchal SA, Woods A, Poradosu E, Unciti-Broceta A, Carragher NO, Brognard J. The SRC family kinase inhibitor NXP900 demonstrates potent antitumor activity in squamous cell carcinomas. J Biol Chem. 2024 Sep;300(9):107615. doi: 10.1016/j.jbc.2024.107615. Epub 2024 Jul 31. |
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Sequential assignment, dose escalation and expansion
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| Up to 24 months |
| Half-life (T1/2) of NXP900 | Up to 24 months |
| Apparent volume of distribution at steady state (Vss/F) of NXP900 | Up to 24 months |
| Apparent plasma clearance at steady state (Clss/F) of NXP900 | Up to 24 months |
| UC San Diego Moores Cancer Center | Recruiting | La Jolla | California | 92093 | United States |
| Sarah Cannon Research Institute at HealthONE | Recruiting | Denver | Colorado | 80218 | United States |
|
| Mayo Clinic | Recruiting | Jacksonville | Florida | 32224 | United States |
|
| University of Chicago | Recruiting | Chicago | Illinois | 60637 | United States |
| Mayo Clinic Rochester | Recruiting | Rochester | Minnesota | 55905 | United States |
| Memorial Sloan Kettering Cancer Center | Recruiting | New York | New York | 10021 | United States |
| Cleveland Clinic | Recruiting | Cleveland | Ohio | 44195 | United States |
| Oregon Health and Science University | Recruiting | Portland | Oregon | 97239 | United States |
|
| The University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
|
| NEXT Oncology Houston | Recruiting | Houston | Texas | 77054 | United States |
| NEXT Oncology Dallas | Recruiting | Irving | Texas | 75039 | United States |
| NEXT Oncology Virginia | Recruiting | Fairfax | Virginia | 22031 | United States |
| Western General Hospital - NHS Lothian | Completed | Edinburgh | EH4 2XU | United Kingdom |
| The Royal Marsden NHS Foundation and Trust | Completed | London | SW3 6JJ | United Kingdom |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D007680 | Kidney Neoplasms |
| D008654 | Mesothelioma |
| D002277 | Carcinoma |
| D009369 | Neoplasms |
| D000230 | Adenocarcinoma |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D018301 | Neoplasms, Mesothelial |
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