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| ID | Type | Description | Link |
|---|---|---|---|
| CTRI/2022/05/042484 | Registry Identifier | Clinical Trials Registry-India |
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This is first in human (FIH) study to a) evaluate the safety and tolerability profile of GRC54276, b) determine the maximum tolerated dose (MTD) and recommended Phase 2 doses (RP2D), and c) pharmacokinetic profile of GRC54276 alone and in combination with pembrolizumab or atezolizumab in participants with advanced solid tumors and lymphomas.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GRC 54276 | Experimental |
| |
| GRC 54276 with pembrolizumab | Experimental |
| |
| GRC 54276 with atezolizumab | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GRC 54276 | Drug | Part 1a: GRC 54276 QD will be administered orally from Day 1 to Day 21 in a 21-day treatment cycle. Part 2: GRC 54276 monotherapy therapy will commence after establishment of the MTD and/or RP2D for monotherapy arm. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose limiting toxicities to establish the maximum tolerated dose (MTD) and/or Recommended Phase 2 Dose (RP2D) | Percentage of participants with dose limiting toxicities associated with GRC54276 alone or GRC54276 combined with pembrolizumab or atezolizumab during the first cycle. Toxicity will be assessed using the NCI CTCAE Version 5.0. | 18 weeks |
| Incidence of treatment-emergent adverse events and serious adverse events | Percentage of participants who experience treatment-emergent adverse events and serious adverse events when given GRC54276 as a single agent and in combination with pembrolizumab or atezolizumab. | up to 120 days |
| Changes in the laboratory safety values from baseline to end of safety follow-up | Percentage of participants who experience changes in the laboratory safety values when given GRC54276 as a single agent and in combination with pembrolizumab or atezolizumab. | up to 120 days |
| Pharmacokinetic profile of GRC54276- Maximum plasma concentration (Cmax) | The maximum measured plasma concentration after single or multiple dosing, tabulated by dose group and day of dosing. | up to 22 days |
| Pharmacokinetic profile of GRC54276- Time to Cmax (Tmax) | The time to achieve Cmax after single or multiple dosing, tabulated by dose group and day of dosing. | up to 22 days |
| Pharmacokinetic profile of GRC54276- Area under the curve (AUC) | Area under plasma concentration versus time curve from time 0 to time of least measurable concentration or the dosing interval, tabulated by dose group and day of dosing. |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | Proportion of participants with a best response of complete response or partial response best on RECIST 1.1. | up to 9 months |
| Best overall response rate | Complete response, partial response, stable disease, and progressive disease, evaluated according to RECIST 1.1. |
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Inclusion Criteria:
Exclusion Criteria:
Any condition that, in the opinion of the Investigator, would interfere with evaluation of the study drug or interpretation of subject safety or study results.
Subjects with uncontrolled or untreated brain metastasis or leptomeningeal disease. Subjects with equivocal findings or with confirmed brain metastases are eligible provided that they are asymptomatic and radiologically stable without the need for corticosteroid treatment for at least 4 weeks prior to the first dose of study drug(s)
Any active malignancy ≤2 years before the first dose of study drug(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (e.g., resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast)
Any condition that required systemic treatment with either corticosteroids (>10 mg daily of prednisone or equivalent) or other immunosuppressive medication ≤14 days before the first dose of study drug(s), with the following exceptions:
Pregnant/planning to be pregnant or breast-feeding women.
Any important medical illness or abnormal laboratory finding that would increase the risk of participating in this study (based on the investigator's judgment).
Any known severe allergic reaction to pembrolizumab/atezolizumab or its excipients.
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| Name | Affiliation | Role |
|---|---|---|
| Veena Gupta | Glenmark Pharmaceuticals Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Carolina BioOncology Institute | Huntersville | North Carolina | 28078 | United States | ||
| Froedtert & Medical College of Wisconsin - Froedtert Hospital - Clinical Cancer Center |
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| GRC 54276 + Pembrolizumab | Drug | Part 1b: GRC 54276 QD will be administered orally in combination with fixed dose of pembrolizumab IV every 21 days. Part 2: GRC 54276 in combination with pembrolizumab will commence after establishment of the MTD and/or RP2D for combination therapy arm. |
|
| GRC 54276 + Atezolizumab | Drug | Part 1b: GRC 54276 QD will be administered orally in combination with fixed dose of atezolizumab IV every 21 days. Part 2: GRC 54276 in combination with atezolizumab will commence after establishment of the MTD and/or RP2D for combination therapy arm. |
|
| up to 22 days |
| up to 9 months |
| Disease control rate | The percentage of participants who have achieved stable disease or complete response or partial response according to RECIST 1.1. for the entire duration of the study. | up to 9 months |
| Duration of response | The time from first documentation of complete response or partial response to the first documentation of progression. | up to 9 months |
| Milwaukee |
| Wisconsin |
| 53226-1222 |
| United States |
| Hcg City Cancer Centre | Vijayawada | Andhra Pradesh | 520002 | India |
| Mahatma Gandhi Cancer Hospital and Research Institute | Visakhapatnam | Andhra Pradesh | 530017 | India |
| Artemis Hospital | Gurgaon | Haryana | 122001 | India |
| Health Care Global Enterprises Ltd (HCG) | Bangalore | Karnataka | 5600027 | India |
| Vydehi Hospital | Bangalore | Karnataka | 560066 | India |
| Cytecare Hospitals Pvt Ltd. | Bengaluru | Karnataka | 560064 | India |
| Aster CMI Hospital | Bengaluru | Karnataka | 560092 | India |
| Malabar Cancer Centre | Kannur | Kerala | 670103 | India |
| Krupamayi Hospitals | Aurangabad | Maharashtra | 431001 | India |
| PD Hinduja Hospital and Medical Research Centre | Mumbai | Maharashtra | 400052 | India |
| HCG Manavata Cancer Centre | Nashik | Maharashtra | 422002 | India |
| Sankalp Hospital | Nashik | Maharashtra | 422009 | India |
| Bhaktivedanta Hospital and Research Institute | Thane | Maharashtra | 401107 | India |
| AIG Hospitals, (A unit of asian Institute of Gastroenterology) | Hyderabad | Telangana | 500032 | India |
| Basavatarakam Indo American Cancer Hospital Research Institute | Hyderabad | Telangana | 500034 | India |
| Max Superspeciality Hospital | Delhi | 110017 | India |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
| C000594389 | atezolizumab |
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