Study of CYH33 in Combination With Olaparib an Oral PARP Inhibitor in Patients With Advanced Solid Tumors.

Last updated: March 20, 2024
Sponsor: Haihe Biopharma Co., Ltd.
Overall Status: Terminated

Phase

1

Condition

Breast Cancer

Endometrial Cancer

Prostate Cancer

Treatment

CYH33

Clinical Study ID

NCT04586335
CYH33-G102
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to assess the safety, tolerability and preliminary efficacy of CYH33 in combination with olaprib in patients with DDR gene mutations and/or PIK3CA mutations, in patients who have progressed on prior PARP inhibitor, and in patients with recurrent high grade serous ovarian, fallopian tube, or primary peritoneal cancer who are platinum resistant or refractory. The study will assess if this combination will optimize anti-tumor activity, block tumor growth and overcome the resistance to PARP inhibitor treatment. The study consists 2 parts. In Part 1 dose escalation, the objective is to determine the maximum toleration dose (MTD) of the combination. The final recommended phase 2 dose (RP2D) of CYH33 in combination with olaparib will be based on the totality of an overall assessment of available safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy which could be the MTD or a dose level lower in specific cohorts of patients. In Part 2 dose expansion, the main objective is to evaluate the efficacy at RP2D.

Eligibility Criteria

Inclusion

Key Inclusion Criteria: Patients eligible for inclusion in this study have to meet all of the following criteria:

  1. Provide informed consent voluntarily.
  2. Male and female patients ≥ 18 years of age (or having reached the age of majorityaccording to local laws and regulations, if the age is > 18 years).
  3. Patients with advanced solid tumor who have failed at least one line of prior systemictherapy or for whom standard therapy do not exist and meet the following eligibilityfor the corresponding part of the study:
  4. Patient must have a histologically or cytologically confirmed diagnosis ofadvanced recurrent or metastatic solid tumor.
  5. At least one measurable lesion as per RECIST 1.1. (Ovarian cancer participantsmust have measurable disease by RECIST 1.1 criteria or evaluable cancer via CA125GCIG criteria; Prostate cancer participants must have measurable disease byRECIST 1.1 criteria or evaluable cancer via PSA response).
  6. Population eligibility:
  • Patients eligible for Part 1 dose escalation: Advanced solid tumors with anyDDR gene 1) or PIK3CA 2) mutation who have failed or cannot toleratestandard treatment or currently have no standard treatment.
  • Patients eligible for Part 2 dose expansion:
  • Cohort 1: Advanced solid tumors with any selected DDR3) gene mutation
  • Cohort 2: Advanced solid tumors with PIK3CA hotspot mutation
  • Cohort 3: Advanced high grade serous ovarian, fallopian tube or primaryperitoneal cancer patients with acquired PARP inhibitor resistance4)
  • Cohort 4: Advanced solid tumors with any selected DDR3) gene mutationwith acquired PARP inhibitor resistance4).
  • Cohort 5: Platinum resistant/refractory5) recurrent high grade serousovarian, fallopian tube, or primary peritoneal cancer.
  1. Availability of tumor tissue sample (either fresh tumor biopsy or archival tumortissue sample) or blood samples.
  2. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.

Exclusion

Key Exclusion Criteria: Patients eligible for this study must not meet any of the following criteria:

  1. Patient has received any anticancer therapy (including chemotherapy, targeted therapy,hormonal therapy, biotherapy, immunotherapy, or other investigational agents.) within 28 days or 5 times of half-lives (whichever is shorter) prior to the first dose of thestudy treatment or who have not recovered from the side effect of such therapy.
  2. Patients with contraindication to olaparib treatment or who did not tolerate olaparibpreviously.
  3. Patients who had prior treatment with PARP inhibitor, PI3Kα inhibitor, AKT inhibitoror mTOR inhibitor (Part 2 dose expansion cohort 1& 2 only).
  4. Radical radiation therapy (including radiation therapy for over 25% bone marrow)within 4 weeks prior to the first dose of the investigational product or receivedlocal palliative radiation therapy for bone metastases within 2 weeks.
  5. Any toxicities from prior treatment that have not recovered to baseline or ≤ CTCAEGrade 1 before the start of study treatment, with exception of hair loss.
  6. Patients with an established diagnosis of diabetes mellitus including steroid-induceddiabetes mellitus.
  7. Major surgery or had significant traumatic injury within 28 days prior to the firstdose of the investigational product or has not recovered from major side effects.

Study Design

Total Participants: 24
Treatment Group(s): 1
Primary Treatment: CYH33
Phase: 1
Study Start date:
September 28, 2020
Estimated Completion Date:
February 15, 2023

Study Description

DNA damage repair (DDR) pathways can modulate cancer risk, progression and therapeutic responses. Germline mutations in genes encoding key players in the DNA-damage response (DDR), including BRCA1, BRCA2,BLM, FANCA, TP53, RAD51C, and MSH2, result in cancer susceptibility syndromes, in part because failure to adequately protect the genome against endogenous and exogenous sources of DNA damage results in the accumulation of oncogenic mutations. The mechanistic rationale for the combination of PI3K and PARP inhibitors is that PI3K inhibition leads to a downregulation of BRCA1/2 proteins, which increase the degree of HRR deficiency CYH33 is a novel, highly potent and selective inhibitor of phosphatidylinositol 3-kinase αsignificantly inhibited the activities of wild-type and mutant PI3Kα kinase as well as the specific mutant of E542K, 1047R or E545K, On July13, 2018, a Phase I first-in-human dose escalation and expansion single-agent study of CYH33 (CYH33-101) started in China (ClinicalTrials.gov identifier: NCT03544905) identify the MTD of CYH33 single agent was 40 mg. The most common treatment related adverse events (>5%) of Grade 3 was hyperglycemia. No treatment-related Grade 4 adverse event or death was reported in the ongoing trial by the cut-off date. In this combination study will assess if this combination will optimize anti-tumor activity, block tumor growth and overcome the resistance to PARP inhibitor treatment. The study consists 2 parts. In Part 1 dose escalation, the objective is to determine the maximum toleration dose (MTD) of the combination. The final recommended phase 2 dose (RP2D) of CYH33 in combination with olaparib will be based on the totality of an overall assessment of available safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy which could be the MTD or a dose level lower in specific cohorts of patients. In Part 2 dose expansion, the main objective is to evaluate the efficacy at RP2D.

Connect with a study center

  • Scientia Cancer Centre

    Sydney, New South Wales 2031
    Australia

    Site Not Available

  • Integrated Oncology Network PTY LTD

    Brisbane, Queensland 4101
    Australia

    Site Not Available

  • Monash Cancer Centre

    Melbourne, Victoria 3168
    Australia

    Site Not Available

  • Fudan University - Pudong Medical Center

    Shanghai, Shanghai
    China

    Site Not Available

  • Yale Cancer Center

    New Haven, Connecticut 06519
    United States

    Site Not Available

  • UT Southwestern: Simmons Cancer Center

    Dallas, Texas 75390
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

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