Advanced Solid Tumors, Metastatic Solid Tumors
Conditions
Keywords
A2aR, adenosine A2A receptor, CKD-512, Advanced Solid Tumors, Metastatic Solid Tumors
Brief summary
The purpose of this first-in-human (FiH) study is to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of CKD-512 given alone and in combination with pembrolizumab in subjects with advanced or metastatic solid tumors who have failed all standard available therapy.
Interventions
DRUGCKD-512
Orally administered BID
COMBINATION_PRODUCTPembrolizumab
Intravenous (IV) Infusion
Sponsors
Chong Kun Dang Pharmaceutical
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Histologically confirmed advanced or metastatic solid tumors. * Progressive disease after or intolerance to standard therapy and no other effective therapeutic options available. * Measurable disease as defined in Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1). * Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1. * Suitable venous access for the study-required blood sampling, including PK and PD sampling. * Adequate clinical laboratory values and other measures
Exclusion criteria
* Active disease involvement of the central nervous system. * Any serious or life-threatening medical condition unrelated to cancer, psychiatric illness, drug or alcohol abuse, that could, in the Investigator's opinion, potentially interfere with the completion of treatment according to this protocol. * Systemic anticancer treatment within the protocol-specified period prior to the first dose. * History of any immune-related toxicity that lead to permanent discontinuation of prior anticancer therapy * Radiation therapy on a limited area is allowed until 4 weeks prior to the first dose of study drug, provided that the radiated lesion is clinically stable. * Prior treatment with investigational agents ≤21 days before the first dose of study drug(s).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Part A: Maximum tolerated dose (MTD) or Optimal biologically effective dose (OBED) | Up to 2 years | Number and proportion of subjects who experience at least 1 DLT based on incidence, nature, and severity of TEAEs and SAEs graded according to NCI-CTCAE version 5.0 as well as on changes from baseline assessments. |
| Part B: Recommended dose for expansion (RDE) | Up to 2 years | Number and proportion of subjects who experience at least 1 DLT based on incidence, nature, and severity of TEAEs and SAEs graded according to NCI-CTCAE version 5.0 as well as on changes from baseline assessments. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Safety and tolerability | Up to 2 years | Incidence and severity of TEAEs, incidence of SAEs and TRAEs etc. according to the NCI-CTCAE version 5.0 |
| Maximum Observed Plasma Concentration (Cmax) | Up to 2 years | Cmax is defined as the maximum observed plasma concentration of CKD-512 |
| Cmax at steady state (Cmax_ss) | Up to 2 years | Cmax\_ss is defined as the maximum observed plasma concentration of CKD-512 at steady state |
| Area Under the Curve to the last measurable concentration (AUClast) | Up to 2 years | AUClast is defined as the area under the plasma concentration-time curve of CKD-512 from the time of dosing to the time of the last measurable concentration. |
| Area Under the Curve over the dosing interval tau (AUCtau) | Up to 2 years | AUCtau is defined as the area under the plasma concentration-time curve of CKD-512 over a dosing interval (tau), usually at steady state. |
| Overall Response Rate (ORR) | Up to 2 years | ORR is defined as the percentage of participants whose best overall response is either complete response (CR) or partial response (PR), assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. |
| Duration of Response (DOR) | Up to 2 years | DOR is defined as the time from the date of the first documented objective tumor response (CR or PR) assessed according to RECIST or iRECIST criteria, until the date of the first documented disease progression or death from any cause, whichever occurs first. |
| Disease Control Rate (DCR) | Up to 2 years | DCR is defined as the percentage of participants whose best overall response is CR, PR, or stable disease (SD), assessed according to RECIST version 1.1 or iRECIST criteria. |
| Progression-Free Survival (PFS) | Up to 2 years | PFS is defined as the time from the date of treatment initiation to the date of the first documented disease progression or death from any cause, whichever occurs first, assessed according to RECIST version 1.1 or iRECIST criteria. |
Countries
South Korea
Outcome results
None listed