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This is a phase 1/2, open-label, multicenter study assessing the safety, tolerability, pharmacokinetics and efficacy of GW5282 in participants with locally advanced or metastatic solid tumors. This study comprised of a dose escalation phase to determine the MTD and the RP2D and a dose expansion phase to further explore the safety, PK and efficacy of GW5282.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation Phase | Experimental | Escalating doses of GW5282 administered orally |
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| Dose Expansion phase | Experimental | The recommended dose(s) for expansion (RDFE) for GW5282 from dose escalation phase will be evaluated in selected tumors. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GW5282 | Drug | Single dose period (only for dose escalation phase): administered one single dose at assigned dose level orally. Repeated does period (for dose escalation phase and dose expansion phase): administered at assigned dose levels and schedules twice daily (BID) orally in 21-day cycles continuously. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose Limiting Toxicities (DLTs) (Dose Escalation only) | Up to 21 days | |
| Number of participants with Adverse Events (AEs) | Approximately 24 months from first participant enrolled | |
| Number of Participants with Serious Adverse Events (SAEs) | Approximately 24 months from first participant enrolled | |
| Overall Response Rate (ORR) | ORR is defined as the percentage of subjects with Best Response of Complete Response (CR) or Partial Response (PR) as determined by the investigator | Approximately 24 months from first participant enrolled |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax; Maximum Plasma Concentration of GW5282 | Single dose period (only for dose escalation phase): 0 (predose) up to 72 hours post-dose | |
| AUC; Area Under the Plasma Concentration-time Curve of GW5282 | Single dose period (only for dose escalation phase): 0 (predose) up to 72 hours post-dose |
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Inclusion Criteria:
All participants must provide a signed, dated written informed consent (ICF) prior to any study-specific procedures, sampling, and analysis.
Male and female participants must be ≥18 years of age at the time of signing the ICF.
Eastern Cooperative Oncology Group performance status of 0-1.
Histologically or cytologically confirmed locally advanced or metastatic solid tumors who has failed standard of cares (SoCs).
Life expectancy ≥3 months.
At least one measurable lesion according to RECIST 1.1.
Tumor tissue sample requirements: sections of formalin-fixed paraffin-embedded (FFPE) tissue from freshly obtained biopsy sample or archived tumor sample.
Adequate organ and marrow function.
Participants should be able to comply with the requirements of this study for medication use and follow-up.
If the female partner of a male participant has a potential for pregnancy, he must agree to use contraception (such as condoms) and refrain from donating sperm during the treatment period and for at least 6 months after the last dose of study treatment.
Female participants should use adequate contraception during the treatment period and for at least 3 months after the last dose of study treatment. Female participants with potential pregnancy should have a negative pregnancy test prior to the first administration of investigational drug. Female participants may also be enrolled if they meet one of the following criteria:
Exclusion Criteria:
Any unresolved > grade 1 (according to CTCAE version 5.0) adverse event (excluding alopecia, anemia, neutropenia, and thrombocytopenia) prior to the first administration of investigational drug.
Any known active central nervous system metastases and/or carcinomatous meningitis and/or spinal cord compression.
Having any of the following treatment history:
Active infectious diseases.
History of stroke or intracranial hemorrhage within 6 months prior to the first administration of the investigational drug.
History of interstitial lung disease (ILD), radiation pneumonitis requiring corticosteroid therapy, or any clinically active interstitial lung disease, or immunotherapy-related pneumonitis.
Uncontrolled systemic disease including uncontrolled hypertension and active bleeding after investigator's assessment.
Judgment by the investigator that the participant is unlikely to comply with the study procedures, restrictions, and requirements.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sherry Hu | Contact | +86 02161568345 | sherry.hu@dizalpharma.com |
| Name | Affiliation | Role |
|---|---|---|
| Mengzhao Wang | Peking Union Medical College Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Recruiting | Beijing | Beijing Municipality | China |
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| GW5282 | Drug | RDFE will be determined by dose escalation phase. |
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| Tmax; Time to Reach Maximum Plasma Concentration (Cmax) of GW5282 | Single dose period (only for dose escalation phase): 0 (predose) up to 72 hours post-dose |
| Css,max; Maximum Steady State Plasma Concentration of GW5282 | Cycle 1 Day 15: 0 (predose) up to 12 hours post-dose |
| AUCss; Area Under the Plasma Concentration-time Curve Over the Dosing Interval at Steady State of GW5282 | Cycle 1 Day 15: 0 (predose) up to 12 hours post-dose |
| Tss,max; Time to Reach Maximum Plasma Concentration (Cmax) at Steady State of GW5282 | Cycle 1 Day 15: 0 (predose) up to 12 hours post-dose |
| Duration of response (DOR) | DOR is defined as the time from the date of first documented response until date of documented progression, for subjects who achieve CR or PR | Approximately 24 months from first participant enrolled |
| Disease Control Rate (DCR) | DCR is defined as the percentage of subjects who have a best overall response of CR or PR or SD as determined by the investigator | Approximately 24 months from first participant enrolled |
| Progression-free survival (PFS) | PFS is defined as the time from date of first dose until progression as assessed by the investigator or death due to any cause | Approximately 24 months from first participant enrolled |
| Beijing Chest Hospital, Capital Medical University | Recruiting | Beijing | Beijing Municipality | China |
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| Peking Union Medical College Hospital | Recruiting | Beijing | Beijing Municipality | China |
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