A Phase 1b/2 Study of Rebastinib (DCC-2036) in Combination With Paclitaxel in Patients With Advanced or Metastatic Solid Tumors

NCT03601897TerminatedPHASE1, PHASE2INTERVENTIONAL

Summary

Key Facts

Lead Sponsor

Deciphera Pharmaceuticals, LLC

Enrollment

177

Start Date

2018-10-25

Completion Date

2022-05-23

Study Type

INTERVENTIONAL

Official Title

An Open-Label, Multicenter, Phase 1b/2 Study of Rebastinib (DCC-2036) in Combination With Paclitaxel to Assess Safety, Tolerability, and Pharmacokinetics in Patients With Advanced or Metastatic Solid Tumors

Interventions

RebastinibPaclitaxel

Conditions

Locally Advanced or Metastatic Solid Tumor

Eligibility

Age Range

18 Years+

Sex

ALL

Inclusion Criteria:

1. Male or female patients ≥18 years of age at the time of informed consent
2. Part 1 Histologically confirmed diagnosis of a locally advanced or metastatic solid tumor for which paclitaxel is considered appropriate treatment
3. Part 2

   * Triple-negative and Stage IV inflammatory breast cancer
   * Recurrent ovarian cancer
   * Recurrent, metastatic or high-risk endometrial cancer
   * Advanced (stage III or IV), or recurrent gynecological carcinosarcoma

     * Homologous or heterologous type carcinosarcoma (malignant mixed Mullerian tumor \[MMMT\] allowed
4. Eastern Cooperative Oncology Group Performance Status (ECOG PS) of ≤2
5. Able to provide an archival tumor tissue sample
6. Adequate organ function and bone marrow reserve
7. If a female of childbearing potential, must have a negative pregnancy test prior to enrollment
8. Patient must provide signed consent to participate in the study and is willing to comply with study-specific procedures

Exclusion Criteria:

1. Received prior anticancer or other investigational therapy within 28 days or 5× the half-life prior to the first dose
2. Not recovered from prior-treatment toxicities to Grade ≤1
3. Peripheral neuropathy of any etiology \>Grade 1
4. Concurrent malignancy
5. Known active central nervous system (CNS) metastases
6. Use of systemic corticosteroids
7. Known retinal neovascularization, macular edema or macular degeneration
8. History or presence of clinically relevant cardiovascular abnormalities
9. QT interval corrected by Fridericia's formula (QTcF) \>450 ms in males or \>470 ms in females
10. Left ventricular ejection fraction (LVEF) \<50% at screening
11. Arterial thrombotic or embolic events
12. Venous thrombotic event
13. Active infection ≥Grade 3
14. Human immunodeficiency virus (HIV) or hepatitis C (HCV) infection only if taking medications excluded per protocol, active hepatitis B (HBV), or active HCV infection
15. Use of proton pump inhibitors
16. If female, the patient is pregnant or lactating
17. Major surgery 4 weeks prior to the first dose of study drug
18. Malabsorption syndrome or other illness which could affect oral absorption
19. Known allergy or hypersensitivity to any component of rebastinib or any of its excipients.
20. Any other clinically significant comorbidities

Outcome Measures

Primary Outcomes

Number of Participants With Adverse Events

Number of participants (pts) who experienced serious adverse events (SAE) and adverse events (AE).

Time frame: Baseline up to 2.89 years

Objective Response Rate (ORR) (Part 2 Expansion)

Percentage of participants who achieved an objective response of Complete Response (CR) or Partial Response (PR) per Response Evaluation Criteria in Solid Tumor (RECIST) v1.1. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to \<10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline, or the appearance of one or more new lesions.

Time frame: Baseline to PD or Death due to Any Cause (Up to 1.54 years)

Secondary Outcomes

Objective Response Rate (ORR) (Part 1 Escalation)

Percentage of pts who achieved an objective response of Complete Response (CR) or Partial Response (PR). Per RECIST v1.1, CR defined as disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to have reduction in short axis to \<10 mm. PR defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, or the appearance of one or more new lesions. Modified RECIST (mRECIST) used for pleural mesothelioma defines CR as the disappearance of any intratumoural arterial enhancement in all target lesions; PR as at least a 30% decrease in the sum of diameters of viable target lesions, taking as reference the baseline sum of the diameters of target lesions; PD as an increase of at least 20% in the sum of the diameters of viable target les

Time frame: Baseline to PD or Death due to Any Cause (Up to 0.92 years)

Duration of Response (DOR)

Time from CR or PR to the earliest documented evidence of PD or death due to any cause. Per RECIST v1.1, CR defined as disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to have reduction in short axis to \<10 mm. PR defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, or the appearance of one or more new lesions. mRECIST used for pleural mesothelioma defines CR as the disappearance of any intratumoural arterial enhancement in all target lesions; PR as at least a 30% decrease in the sum of diameters of viable target lesions, taking as reference the baseline sum of the diameters of target lesions; PD as an increase of at least 20% in the sum of the diameters of viable target lesions.

Time frame: Time from CR or PR to PD or Death due to Any Cause (Up to 1.54 years)

Time to Progression (TTP)

Time from first dose of study drug to the earliest documented evidence of PD. Per RECIST v1.1, PD defined as at least a 20% increase in the sum of the disease measurements for measurable lesions, taking as reference the smallest disease measurement recorded since the start of treatment, or the appearance of one or more new lesions. mRECIST used for pleural mesothelioma defines PD as an increase of at least 20% in the sum of the diameters of viable target lesions.

Time frame: First Dose of Study Drug to PD (Up to 2.61 years)

Progression-free-survival (PFS)

Time from first dose of study drug to the earliest documented evidence of PD or death due to any cause. Participants who undergo surgical resection of target or non-target lesions, who have received other anticancer treatments, including surgical resection or radiation (other than palliative radiation to pre-existing bone metastases'), or who do not have a documented date of progression or death due to any cause will be censored at the date of the last assessment. PD per RECIST v1.1 is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study including baseline; or the appearance of one or more new lesions. mRECIST used for pleural mesothelioma defines PD as an increase of at least 20% in the sum of the diameters of viable target lesions.

Time frame: First Dose of Study Drug to PD or Death due to Any Cause (Up to 2.61 years)

Overall Survival (OS)

Time from first dose of study drug to date of death due to any cause. Participants who were still alive or who were lost to follow-up will be censored at the date of last contact.

Time frame: First Dose of Study Drug to Death due to Any Cause (Up to 2.82 years)

Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Rebastinib (Part 1)

Measure the Cmax

Time frame: Part 1: Cycle 1 Day 1 (C1 D1), C1 D15 (Cycle = 28 days)

PK: Area Under the Concentration-time Curve (AUC) 0-6 Hours of Rebastinib (Part 1)

Measure the AUC 0-6 hours

Time frame: Part 1: Cycle 1 Day 1 (C1 D1), C1 D15 (Cycle = 28 days)

Locations

University of Alabama Comprehensive Cancer Center, Birmingham, United States

University of Colorado Denver- Anschutz Medical Center, Aurora, United States

Northwestern University Feinberg School of Medicine, Chicago, United States

The University of Kansas Clinical Research Center, Kansas City, United States

Dana-Farber, Boston, United States

Northwell Health/Monter Cancer Center, Lake Success, United States

Montefiore Medical Center, The Bronx, United States

Ohio State University Wexner Medical Center, Columbus, United States

University of Oklahoma Health Sciences Center, Oklahoma City, United States

Fox Chase Cancer Center, Philadelphia, United States

Women & Infants Hospital, Providence, United States

Sarah Cannon Research Institute, Nashville, United States

MD Anderson Cancer Center, Houston, United States

Oncology Consultants- Texas Medical Center, Houston, United States

A Phase 1b/2 Study of Rebastinib (DCC-2036) in Combination With Paclitaxel in Patients With Advanced or Metastatic Solid Tumors