Chemotherapy-induced Peripheral Neuropathy
Conditions
Keywords
CIPN, Paclitaxel
Brief summary
This Phase 2, open-label study will evaluate the safety, tolerability, and pharmacokinetics of SIR2501 in adults with solid tumors who are scheduled to receive paclitaxel-based chemotherapy. The study will also explore whether SIR2501 has the potential to reduce the development of chemotherapy-induced peripheral neuropathy (CIPN).
Detailed description
SIR2501 will be administered to sequential cohorts at increasing dose levels. The study will characterize safety, pharmacokinetics, and preliminary signals related to neuropathy assessment in patients receiving paclitaxel.
Interventions
Experimental: 30 mg SIR2501 administered at 30 mg dose level. Experimental: 45 mg SIR2501 administered at 45 mg dose level. Experimental: 60 mg SIR2501 administered at 60 mg dose level.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults ≥18 years with confirmed solid tumors * Planned treatment with paclitaxel-based chemotherapy * ECOG performance status 0-2
Exclusion criteria
* Pre-existing peripheral neuropathy * Conditions or medications that may interfere with neuropathy assessment * Prior exposure to neurotoxic chemotherapy * Use of medications known to mitigate CIPN * Significant medical conditions that may increase study risk
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Outcome | From first dose through 1 month after last dose | Incidence of Treatment-Emergent Adverse Events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary Outcome 1 - Pharmacokinetics: Cmax | From first dose through 1 month after last dose | Maximum Plasma Concentration (Cmax). Cmax of SIR2501 following oral administration |
| Secondary Outcome 2 - Pharmacokinetics: AUC | From first dose through 1 month after last dose | Area Under the Plasma Concentration-Time Curve (AUC₀-t). AUC₀-t of SIR2501 following oral administration |
| Secondary Outcome 3 - Neuropathy: EORTC QLQ CIPN20 | From first dose through 1 month after last dose | Change from baseline in EORTC QLQ CIPN20 sensory subscale. Patient reported neuropathy symptoms using the validated EORTC QLQ CIPN20 questionnaire |
| Secondary Outcome 4 - Neuropathy: TNS/TNSc | From first dose through 1 month after last dose | Change from baseline in Total Neuropathy Score/Clinical Version (TNS/TNSc). Clinician rated neuropathy severity using TNS/TNSc |
| Secondary Outcome 6 - Neuropathy: | From first dose through 1 month after last dose | NCI CTCAE Grade NCI CTCAE v5.0 grade for CIPN. Clinician graded peripheral neuropathy severity |
| Secondary Outcome 7 - Pharmacodynamics: NfL | From first dose through 1 month after last dose | Change from baseline in blood neurofilament light chain (NfL) Description: Plasma NfL concentration measured by validated immunoassay |
Countries
United States