Testing NXP800 in patients with advanced cancers and ovarian cancer
A Phase 1 Clinical Study of NXP800 in Subjects with Advanced Cancers and Expansion in Subjects with Ovarian Cancer
This study is testing a new drug called NXP800 to see if it can help people with advanced ovarian cancer and other solid tumors that have specific genetic changes.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Enrollment | 61 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Nuvectis Pharma, Inc. Industry-sponsored |
| Drugs / interventions | bevacizumab, chemotherapy |
| Locations | 23 sites (Phoenix, Arizona and 22 other locations) |
| Trial ID | NCT05226507 on ClinicalTrials.gov |
What this trial studies
This clinical trial evaluates the safety and efficacy of NXP800 in patients with advanced solid tumors, focusing on those with ARID1a mutations in ovarian clear cell and endometrioid cancers. The study consists of two parts: a dose escalation phase to determine the maximum tolerated dose (MTD) of NXP800, followed by an expansion phase that assesses the preliminary efficacy of the drug in a specific patient population. Participants must have advanced cancers for which no effective therapies are available. The trial aims to provide insights into the potential of NXP800 as a treatment option for these patients.
Who should consider this trial
Good fit: Ideal candidates include adults with advanced, metastatic solid tumors who have ARID1a mutations and for whom no effective therapies are available.
Not a fit: Patients with early-stage cancers or those who have received recent treatments that may interfere with the study will not benefit from this trial.
Why it matters
Potential benefit: If successful, this study could offer a new treatment option for patients with advanced ovarian cancer and other solid tumors.
How similar studies have performed: Other studies targeting ARID1a mutations have shown promise, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Part A Inclusion Criteria: * Provide written informed consent. * 18 years old or older. * Life expectancy of at least 12 weeks. * Histologically- or cytologically-confirmed, advanced, metastatic, and/or progressive solid tumors for whom there is no authorized or effective therapy available, or for whom such therapies are considered inappropriate by the Investigator (in Part B, subjects with specific cancer types will be enrolled; Specific criteria will be introduced in a protocol amendment). * Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. * Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2. Part A Exclusion Criteria: * Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days, (42 days for nitrosoureas, mitomycin-C) of first dose of NXP800. Subjects can continue to receive bisphosphonates due to metastatic bone disease or GnRH agonists if they have prostate cancer. * Ongoing toxic manifestations of previous treatments \> Grade 2. * Subjects with treated brain metastases are eligible if there is no evidence of progression for at least 28 days after central nervous system (CNS) directed treatment, as ascertained by clinical examination and brain imaging (magnetic resonance imaging \[MRI\] or computed tomography \[CT\] scan) during the Screening period. * Female subjects who can become pregnant (or are already pregnant or lactating). * Male subjects with partners of childbearing potential (unless they agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide) or to sexual abstinence). Part B Inclusion Criteria: * Provide written informed consent. * 18 years old or older. * Subjects with the following ARID1a mutated, ovarian/fallopian tube/primary peritoneal cancer histologies (ARID1a mutation status determined by a DNA-based Next Generation Sequencing test): * Clear cell ovarian carcinoma (≥ 50% clear cell carcinoma with no serous differentiation) * Endometrioid ovarian carcinoma * Subjects must have disease progression within 6 months (182 days) from completion of platinum-based therapy (6 months should be calculated from the date of the last administered dose of platinum therapy to the date of radiographic imaging showing progression) * Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. * Subjects with a BRCA mutation must have received prior treatment with a PARP inhibitor. * Subjects must have received at least 1 but not more than 3 prior systemic lines of anticancer therapy, including at least 1 line of therapy containing bevacizumab. * Adjuvant + neoadjuvant are considered one line of therapy * Maintenance therapy (i.e., bevacizumab, PARP inhibitors) will be considered as part of the preceeding line of therapy and are not counted independently. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Subjects must have a sufficient archival Formalin-Fixed Paraffin-Embedded (FFPE) tissue specimen, or be willing to consent to a fresh tissue biopsy during the study. Part B Exclusion Criteria: * Subjects with disease that did not respond to, or has progressed during or within 4 weeks of the last dose of first-line platinum containing chemotherapy. * Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days, (42 days for nitrosoureas, mitomycin-C) of first dose of NXP800. * Ongoing toxic manifestations of previous treatments \> Grade 2, with the exception of alopecia. * Subjects with treated brain metastases are eligible if there is no evidence of progression for at least 12 weeks while off corticosteroids after central nervous system (CNS) directed treatment, as ascertained by clinical examination and brain imaging (magnetic resonance imaging \[MRI\] or computed tomography \[CT\] scan) during the Screening period. * Female subjects who can become pregnant (or are already pregnant or lactating).
Where this trial is running
Phoenix, Arizona and 22 other locations
- Honor Health — Phoenix, Arizona, United States (Recruiting)
- UC San Diego Health - Moores Cancer Center — La Jolla, California, United States (Recruiting)
- University of Colorado Cancer Center — Aurora, Colorado, United States (Recruiting)
- Yale Gynecologic Oncology — New Haven, Connecticut, United States (Recruiting)
- Florida Cancer Specialists South — Fort Myers, Florida, United States (Recruiting)
- Mount Sinai Comprehensive Cancer Center — Miami Beach, Florida, United States (Recruiting)
- Florida Cancer Specialists Research North — St. Petersburg, Florida, United States (Recruiting)
- Florida Cancer Specialists Research East — West Palm Beach, Florida, United States (Recruiting)
- University of Iowa — Iowa City, Iowa, United States (Recruiting)
- Rutgers Cancer Institute of New Jersey — New Brunswick, New Jersey, United States (Recruiting)
- Women's Cancer Care Associates — Albany, New York, United States (Active_not_recruiting)
- The Ohio State University Comprehensive Cancer Center — Columbus, Ohio, United States (Recruiting)
- OU Health Stephenson Cancer Center — Oklahoma City, Oklahoma, United States (Recruiting)
- Oklahoma Cancer Specialists and Research Institute — Tulsa, Oklahoma, United States (Recruiting)
- Oncology Associates of Oregon — Eugene, Oregon, United States (Recruiting)
- Sidney Kimmel Cancer Center, Asplundh Cancer Pavilion — Willow Grove, Pennsylvania, United States (Recruiting)
- Texas Oncology — Fort Worth, Texas, United States (Recruiting)
- The University of Texas MD Anderson Cancer Center — Houston, Texas, United States (Recruiting)
- University of Virginia Health System — Charlottesville, Virginia, United States (Recruiting)
- VCU Massey Comprehensive Cancer Center — Richmond, Virginia, United States (Withdrawn)
- Royal Marsden Hospital — London Borough of Sutton, Sutton Surrey, United Kingdom (Recruiting)
- Addenbrookes Hospital — Cambridge, United Kingdom (Recruiting)
- The Beatson West of Scotland Cancer Centre — Glasgow, United Kingdom (Recruiting)
Study contacts
- Principal investigator: Udai Banerji, Prof — Institute of Cancer Research, Royal Marsden Foundation Trust
- Study coordinator: Diane Marsolini
- Email: dmarsolini@nuvectis.com
- Phone: 201 627-8154
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.