A Phase 1 Study of ATV-1601 in Patients With Advanced Cancer That Have AKT1 E17K Mutations

NCT07038369Active, Not RecruitingPHASE1INTERVENTIONAL

Summary

Key Facts

Lead Sponsor

Atavistik Bio, Inc

Enrollment

134

Start Date

2025-07-29

Completion Date

2028-08-31

Study Type

INTERVENTIONAL

Official Title

A Phase 1 Study of a Selective AKT1 E17K Allosteric Inhibitor, ATV-1601, in Patients With Advanced Solid Tumors

Interventions

ATV-1601ATV-1601 + Fulvestrant

Conditions

Advanced Solid TumorsBreast CancerBreast CarcinomaBreast NeoplasmsER Positive Breast CancerCervical CancersCervical NeoplasmsCervical CarcinomaTriple Negative Breast CancerGynecologic CancersGynecologic NeoplasmEndometrial CancerEndometrial NeoplasmEndometrial Carcinoma (EC)Fallopian CancerOvarian CarcinomaOvarian CancerOvarian NeoplasmsProstate CancersProstate CarcinomaSolid TumorsNeoplasmsNeoplasms by SiteBreast DiseasesUterine NeoplasmsGenital NeoplasmsFemaleUrogenital Neoplasms

Eligibility

Age Range

18 Years+

Sex

ALL

Inclusion Criteria:

1. Histologically or cytologically confirmed metastatic or advanced-stage solid malignant tumor or HR+/HER2- breast cancer.
2. Have progressed on, were intolerant to, or experienced disease recurrence after standard therapy and have no available effective or tolerable treatment options to derive clinically meaningful benefit.
3. Tumor must have documented specific mutation profile as outlined below based on local laboratory testing.
4. Participants with solid tumors or HR+/HER2- breast cancer with AKT1 E17K mutations.
5. Measurable disease according to RECIST v1.1 criteria.
6. Formalin-fixed paraffin-embedded tumor specimen available for submission.
7. Eastern Cooperative Oncology Group performance status of 0 or 1.

Exclusion Criteria:

1. Previously documented activating mutations in KRAS, NRAS, HRAS, or BRAF.
2. Inadequate bone marrow reserve or organ function.
3. Clinically significant abnormalities of glucose metabolism.
4. Participants who are symptomatic or have uncontrolled brain metastases.
5. Requires treatment with certain medications.

Participants must meet other inclusion/exclusion criteria.

Outcome Measures

Primary Outcomes

Expansion: Maximum and minimum plasma concentration

Drug concentration in Blood.

Time frame: Approximately 48 months.

Expansion: Time to C Max

Drug concentration in Blood

Time frame: Approximately 48 months

Expansion: Area under the concentration-time curve

Drug concentration in Blood

Time frame: Approximately 48 months

Expansion: AUC at end of dosing interval

Drug concentration in Blood

Time frame: Approximately 48 months

Expansion: AUC extrapolated to infinity

Drug concentration in Blood

Time frame: Approximately 48 months

Expansion: Half-life

Drug concentration in Blood

Time frame: Approximately 48 months

Expansion: Trough Concentrations

Drug concentration in Blood

Time frame: Approximately 48 months

Escalation & Expansion: Safety and Tolerability of monotherapy.

Number of participants with Treatment Emergent Adverse Events (TEAEs). Safety will be assessed by monitoring adverse events, laboratory tests and ECG results.

Time frame: Approximately 48 months.

Escalation: Maximum tolerated dose and/or recommended phase 2 dose of ATV-1601 in monotherapy.

Number of patients with dose-limiting toxicities.

Time frame: Approximately 48 months.

Escalation: Maximum tolerated dose and/or recommended phase 2 dose of ATV-1601 combination with fulvestrant.

Number of patients with dose-limiting toxicities.

Time frame: Approximately 48 months.

Secondary Outcomes

Escalation: Maximum and minimum plasma concentration

Drug concentration in Blood.

Time frame: Approximately 48 months.

Escalation: Time to C max

Drug concentration in Blood

Time frame: Approximately 48 months

Escalation: Area under the concentration-time curve

Drug concentration in Blood

Time frame: Approximately 48 months

Escalation: AUC at end of dosing interval

Drug concentration in Blood

Time frame: Approximately 48 months

Escalation: AUC extrapolated to infinity

Drug concentration in Blood

Time frame: Approximately 48 months

Escalation: Half-life

Drug concentration in Blood

Time frame: Approximately 48 months

Escalation: Trough Concentrations

Drug concentration in Blood

Time frame: Approximately 48 months

Escalation & Expansion: Objective response rate

Tumor measurements by RECIST 1.1

Time frame: Approximately 48 months

Escalation & Expansion: Duration of Response

Tumor measurements by RECIST 1.1

Time frame: Approximately 48 months

Escalation & Expansion: Clinical Benefit Rate

Tumor measurements by RECIST 1.1

Time frame: Approximately 48 months

Expansion: Progression Free Survival

Tumor measurements by RECIST 1.1

Time frame: Approximately 48 months

Locations

USC Norris Comprehensive Cancer Center, Los Angeles, United States

Florida Cancer Specialists & Research Institute - Lake Mary, Lake Mary, United States

Massachusetts General Hospital, Boston, United States

Washington University, St Louis, United States

MD Anderson Cancer Center, Houston, United States

Centre Leon Berard, Lyon, France

National Cancer Centre Singapore, Singapore, Singapore

START Madrid - CIOCC, Madrid, Spain

A Phase 1 Study of ATV-1601 in Patients With Advanced Cancer That Have AKT1 E17K Mutations