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The goal of this first in human, Phase 1, multi-center, open-label, and 2-part study is to learn whether DEG6498 is safe and tolerable in participants with advanced solid tumors. It will also learn about DEG6498 pharmacokinetics (PK) profile and potential antitumor activity. The main questions it aims to answer are:
Participants who are treated in this study will receive DEG6498 orally once a day and be closely monitored by the treating physicians.
This study will be conducted in 2 Parts. Part 1, the dose escalation part of the study, will test different doses of DEG6498 as a single agent when administered to participants with any type of advanced solid tumor that has no available alternative treatments, and determine the maximum tolerated dose (MTD)/recommended phase 2 dose (RP2D) for further studies. Part 2, the dose expansion part of the study, will further characterize the safety/tolerability profile and clinical activities of DEG6498 in 2 tumor types: BRAF mutant tumors and hepatocellular carcinoma (HCC).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DEG6498 Treatment | Experimental | Participants in dose escalation part will receive DEG6498 capsules orally once a day in each treatment cycle of 28 days at different ascending dose level. Participants in dose expansion part will receive DEG6498 capsules orally once a day in each treatment cycle of 28 days at a dose level decided based on dose escalation results. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DEG6498 | Drug | DEG6498 is an orally bioavailable molecular glue drug that potently induces the degradation of human antigen R (HuR). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose limiting toxicity (DLT) | Number of participants with DLT in Part 1 | From first dose through the end of Cycle 1 (each cycle is 28 days) |
| Incidence of adverse events (AEs) and serious AEs (SAEs) as assessed by CTCAE v5.0 | Number, type, frequency, severity, timing, and relationship to DEG6498 of AEs, SAEs, etc | From Screening up to 30 days after the last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the concentration-time curve (AUC) of DEG6498 | Measurement of plasma concentration over time for exposure to DEG6498 | From Day 1 in Cycle 1 followed by Day 1 of each treatment cycle through treatment until EOT visit, expected average 6 months (each cycle is 28 days) |
| Maximum concentration (Cmax) of DEG6498 |
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Inclusion Criteria:
Willing and able to provide written informed consent for the study prior to the performance of any study-specific procedures
Male and female older than or equal to 18 years of age at the time signing the informed consent form (ICF)
If female, must be postmenopausal, or surgically sterile, or agree to highly effective contraceptive measures to prevent pregnancy throughout treatment period and within 30 days of last study drug treatment
Women of childbearing potential (WOCBP) must have 2 negative pregnancy tests (1 serum test required) as verified by the investigator prior to starting study drug
If male, must agree to inform and ensure their female partners to use highly effective contraception measures to prevent pregnancy, and to refrain from donating sperm while on study drug and for at least 30 days following DEG6498 discontinuation
Patients with advanced solid tumors, who have failed standard therapies, or for whom no standard therapy exists
Presence of at least 1 measurable lesion according to RECIST v1.1 .
Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Degron Therapeutics Co. | Contact | +86-21-60799565 | clinicaltrials@degrontx.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Recruiting | Beijing | Beijing Municipality | 100142 | China |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D006528 | Carcinoma, Hepatocellular |
| D008545 | Melanoma |
| D015179 | Colorectal Neoplasms |
| D008175 | Lung Neoplasms |
| D013964 | Thyroid Neoplasms |
| D010051 | Ovarian Neoplasms |
| D010190 | Pancreatic Neoplasms |
| D005909 | Glioblastoma |
| D007680 | Kidney Neoplasms |
| D018319 | Neurofibrosarcoma |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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This is a dose escalation and dose expansion Ph1 study. In dose escalation part, participants in single arms will receive DEG6498 capsules daily from a starting dose with dose escalation decision made at a 3+3 model.
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Measurement of plasma concentration over time for exposure to DEG6498 |
| From Day 1 in Cycle 1 followed by Day 1 of each treatment cycle through treatment until EOT visit, expected average 6 months (each cycle is 28 days) |
| Time to reach maximum concentration (Tmax), | Measurement of plasma concentration over time for DEG6498 to reach maximum concentration | From Day 1 in Cycle 1 followed by Day 1 of each treatment cycle through treatment until EOT visit, expected average 6 months (each cycle is 28 days) |
| Terminal half-life (T1/2) of DEG6498 | Measurement of the clearance of DEG6498 from plasma over time | From Day 1 in Cycle 1 followed by Day 1 of each treatment cycle through treatment until EOT visit, expected average 6 months (each cycle is 28 days) |
| Clearance following oral dose (CL/F) of DEG6498 | Measurement of the clearance of DEG6498 from plasma over time | From Day 1 in Cycle 1 followed by Day 1 of each treatment cycle through treatment until EOT visit, expected average 6 months (each cycle is 28 days) |
| Overall response rate (ORR) | The proportion of participants with best overall response of complete response (CR) or partial response (PR) as determined by the Investigator per RECIST 1.1 | From the date of dosing until the date of first documented progression, unacceptable toxicity, death from any cause, participant withdraw consent, or investigator's decision, whichever occurs first, expected up to 30 months |
| Time to response (TTR) | The time interval from the first DEG6498 dose date to the date of first documented objective response | From the date of dosing until the date of first documented progression, unacceptable toxicity, death from any cause, participant withdraw consent, or investigator's decision, whichever occurs first, expected up to 30 months |
| Disease control rate (DCR) | The proportion of participants with a best ORR + Stable Disease (SD) | From the date of dosing until the date of first documented progression, unacceptable toxicity, death from any cause, participant withdraw consent, or investigator's decision, whichever occurs first, expected up to 30 months |
| Duration of response (DOR) | The time interval from the earliest occurrence of a documented objective response to the first time of disease progression or death from any cause, whichever comes first | From the date of dosing until the date of first documented progression, unacceptable toxicity, death from any cause, participant withdraw consent, or investigator's decision, whichever occurs first, expected up to 30 months |
| Beijing GoBroad Hospital | Recruiting | Beijing | Beijing Municipality | 102206 | China |
|
| Sun Yat-Sen University Cancer Center | Recruiting | Guangzhou | Guangdong | 510060 | China |
|
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D006258 | Head and Neck Neoplasms |
| D004700 | Endocrine System Diseases |
| D013959 | Thyroid Diseases |
| 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 |
| D006058 | Gonadal Disorders |
| D010182 | Pancreatic Diseases |
| D001254 | Astrocytoma |
| D005910 | Glioma |
| D018302 | Neoplasms, Neuroepithelial |
| D014571 | Urologic Neoplasms |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |
| D005354 | Fibrosarcoma |
| D018218 | Neoplasms, Fibrous Tissue |
| D009372 | Neoplasms, Connective Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D012509 | Sarcoma |
| D009455 | Neurofibroma |
| D018317 | Nerve Sheath Neoplasms |
| D010524 | Peripheral Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009422 | Nervous System Diseases |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |