A Phase I/II Study of XZP-3287 in Metastasis Solid Tumors

Last updated: September 8, 2024
Sponsor: Sihuan Pharmaceutical Holdings Group Ltd.
Overall Status: Active - Not Recruiting

Phase

1/2

Condition

Neoplasm Metastasis

Treatment

XZP-3287

XZP-3287;Letrozole;Anastrozole;Fulvestrant

Clinical Study ID

NCT04539496
XZP-3287-1001
  • Ages 18-70
  • All Genders

Study Summary

This study includes single agent/combination dose exploration study and the phase II study. The primary purpose of the dose exploration study is to determine the maximum tolerated dose(MTD)/recommended phase II dose(RP2D) of XZP-3287 and assess its safety and preliminary efficacy in solid tumor patients. The phase II study aims to explore the efficacy and safety profiles of XZP-3287 as a single- agent in hormone receptor(HR) positive, human epidermal growth factor receptor 2(HER2) negative advanced breast cancer.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Single agent and combination dose exploration study:Patient is an adult male/female 18~70 years old; the phase II study:Patient is an adult male/female ≥ 18 years old;

  • Single agent dose escalation study :Patients with a histologically or cytologicallyconfirmed diagnosis of a solid tumor for which Standard treatment failure or nofurther effective standard treatment is available.

Combination dose exploration study:Patients with locally advanced or metastatic breast cancer with hormone receptor positive (HR+) and her2-negative (HER2-) were not eligible for surgical resection or radiotherapy for the purpose of cure, and had no clinical indications for chemotherapy, and received endocrine therapy ≤1 line.

The phase II study: Locally advanced or metastatic breast cancer diagnosed histologically or cytologically not suitable for surgery or radical radiotherapy; HR+ and HER2- ; have locally advanced disease not amenable to curative treatment by surgery or metastatic disease; progress after previous endocrine therapy; at least 1 chemotherapy regimen in the previous adjuvant or metastasis contains paclitaxel; there should be at least 2 prior chemotherapy regimens;

  • At least one measurable lesion (based on RECIST v1.1);

  • Patient has an Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1;

  • Have recovered from the acute effects of therapy (until the toxicity resolves toeither baseline or Grade 1) except for residual alopecia;

  • Adequate organ and marrow function;

  • The life expectancy of the patient was determined by the investigator to be ≥12weeks;

  • Fertile male or female patients must agree to use an effective contraceptive methodduring the study period and for three months after the last study medication;

  • Patient has signed informed consent before any trial related activities.

Exclusion

Exclusion Criteria:

  • Single agent and combination dose exploration study:Patients with known uncontrolledor symptomatic CNS metastases; The phase II study:Have central nervous system (CNS)metastasis, or Have visceral crisis, or Inflammatory breast cancer.

  • Have received an autologous or allogeneic stem-cell transplant.

  • Patient has impairment of gastrointestinal (GI) function or GI disease.

  • Single agent and combination dose exploration study:Any other malignancy wasdiagnosed within 3 years prior to enrollment, except for basal cell carcinoma,squamous cell carcinoma, or carcinoma in situ of the cervix, which is adequatelytreated and the disease is stable.

The phase II study:Have a history of any other cancer (except nonmelanoma skin cancer or carcinoma in-situ of the cervix), unless in complete remission with no therapy for a minimum of 3 years.

  • Subject has impaired cardiac function or heart disease of clinical significance.

  • Cerebrovascular accidents within 6 months before enrollment, including a history oftransient ischemic attack or stroke.

  • Major surgery or surgical treatment due to any cause occurred within 4 weeks priorto enrollment.

  • Presence of any serious and/or uncontrolled disease in the opinion of theinvestigator that may interfere with the study assessment.

  • Uncontrollable pleural effusion, peritoneal effusion, pericardial effusion in the 4weeks before the first administration (except for a small amount of effusiondetected by imaging examination).

  • A prior history of definite neurological or psychiatric disorders, includingepilepsy or dementia.

  • Chronic active HBV, HCV or HIV diseases.

  • Patient who received any CDK4/6 inhibitor or patients who plan surgery, or theinvestigator determines that surgery or radical radiation therapy is required.

  • Participation in a prior treatment of chemotherapy, radiotherapy, endocrinotherapy,targeted therapy, immunotherapy and any investigational study within 14 days priorto enrollment.

  • Bone marrow suppression therapy, such as GCS-F, EPO, or blood transfusion, wasadministered within 14 days prior to enrollment.

  • Patient with a known hypersensitivity to any of the excipients in this study.

  • Pregnant or breastfeeding.

  • The researchers considered that there were some cases that were not suitable forinclusion.

Study Design

Total Participants: 402
Treatment Group(s): 2
Primary Treatment: XZP-3287
Phase: 1/2
Study Start date:
May 22, 2018
Estimated Completion Date:
December 31, 2025

Connect with a study center

  • Cancer Hospital Chinese Academy of Medical Sciences

    Beijing, Beijing 100000
    China

    Site Not Available

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