A Phase 1 Clinical Study of NXP800 in Subjects with Advanced Cancers and Expansion in Subjects with Ovarian Cancer

Last updated: March 14, 2025
Sponsor: Nuvectis Pharma, Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Ovarian Cancer

Adenocarcinoma

Ovarian Cysts

Treatment

NXP800

Clinical Study ID

NCT05226507
NXP800-101
ENGOT-GYN5/GTG-UK/NXP800-101
ENGOT-GYN5/NCRI/NXP800-101
GOG-3087
  • Ages > 18
  • All Genders

Study Summary

The purpose of the dose escalation phase is to evaluate the safety profile of escalating doses and dose schedules of NXP800. In the expansion phase the preliminary efficacy in subjects with ARID1a mutated ovarian clear cell and ovarian endometrioid cancers will be estimated.

Eligibility Criteria

Inclusion

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 progressivesolid tumors for whom there is no authorized or effective therapy available, or forwhom such therapies are considered inappropriate by the Investigator (in Part B,subjects with specific cancer types will be enrolled; Specific criteria will beintroduced 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.

Exclusion

Part A Exclusion Criteria:

  • Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, orinvestigational agent within 28 days, (42 days for nitrosoureas, mitomycin-C) offirst dose of NXP800. Subjects can continue to receive bisphosphonates due tometastatic 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 ofprogression for at least 28 days after central nervous system (CNS) directedtreatment, as ascertained by clinical examination and brain imaging (magneticresonance imaging [MRI] or computed tomography [CT] scan) during the Screeningperiod.

  • Female subjects who can become pregnant (or are already pregnant or lactating).

  • Male subjects with partners of childbearing potential (unless they agree to takemeasures not to father children by using a barrier method of contraception (condomplus 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/primaryperitoneal cancer histologies (ARID1a mutation status determined by a DNA-based NextGeneration Sequencing test):

  • Clear cell ovarian carcinoma (≥ 50% clear cell carcinoma with no serousdifferentiation)

  • Endometrioid ovarian carcinoma

  • Subjects must have disease progression within 6 months (182 days) from completion ofplatinum-based therapy (6 months should be calculated from the date of the lastadministered dose of platinum therapy to the date of radiographic imaging showingprogression)

  • 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 PARPinhibitor.

  • Subjects must have received at least 1 but not more than 3 prior systemic lines ofanticancer 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 aspart 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 4weeks of the last dose of first-line platinum containing chemotherapy.

  • Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, orinvestigational agent within 28 days, (42 days for nitrosoureas, mitomycin-C) offirst dose of NXP800.

  • Ongoing toxic manifestations of previous treatments > Grade 2, with the exception ofalopecia.

  • Subjects with treated brain metastases are eligible if there is no evidence ofprogression for at least 12 weeks while off corticosteroids after central nervoussystem (CNS) directed treatment, as ascertained by clinical examination and brainimaging (magnetic resonance imaging [MRI] or computed tomography [CT] scan) duringthe Screening period.

  • Female subjects who can become pregnant (or are already pregnant or lactating).

Study Design

Total Participants: 61
Treatment Group(s): 1
Primary Treatment: NXP800
Phase: 1
Study Start date:
December 31, 2021
Estimated Completion Date:
December 31, 2025

Study Description

Part A of the study is a dose escalation by cohort study of NXP800 administered to patients with advanced cancers. The study will identify the maximum tolerated dose (MTD) and propose dose and dose schedules for future studies.

In Part B doses selected in Part A are administered to patients with platinum-resistant, ARID1a-mutated ovarian carcinoma.

Connect with a study center

  • Royal Marsden Hospital

    London Borough of Sutton, Sutton Surrey SM2 5PT
    United Kingdom

    Active - Recruiting

  • Addenbrookes Hospital

    Cambridge, CB2 0QQ
    United Kingdom

    Active - Recruiting

  • The Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN
    United Kingdom

    Active - Recruiting

  • Honor Health

    Phoenix, Arizona 85016
    United States

    Active - Recruiting

  • UC San Diego Health - Moores Cancer Center

    La Jolla, California 92093
    United States

    Active - Recruiting

  • University of Colorado Cancer Center

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • Yale Gynecologic Oncology

    New Haven, Connecticut 06511
    United States

    Active - Recruiting

  • Florida Cancer Specialists South

    Fort Myers, Florida 33901
    United States

    Active - Recruiting

  • Mount Sinai Comprehensive Cancer Center

    Miami Beach, Florida 33140
    United States

    Active - Recruiting

  • Florida Cancer Specialists Research North

    Saint Petersburg, Florida 33705
    United States

    Site Not Available

  • Florida Cancer Specialists Research North

    St. Petersburg, Florida 33705
    United States

    Active - Recruiting

  • Florida Cancer Specialists Research East

    West Palm Beach, Florida 33401
    United States

    Active - Recruiting

  • University of Iowa

    Iowa City, Iowa 52242
    United States

    Active - Recruiting

  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey 08901
    United States

    Active - Recruiting

  • Optimum Clinical Research Group / Southwest Women's Oncology

    Albuquerque, New Mexico 87109
    United States

    Site Not Available

  • Women's Cancer Care Associates

    Albany, New York 12208
    United States

    Site Not Available

  • The Ohio State University Comprehensive Cancer Center

    Columbus, Ohio 43210
    United States

    Active - Recruiting

  • OU Health Stephenson Cancer Center

    Oklahoma City, Oklahoma 73104
    United States

    Active - Recruiting

  • Oklahoma Cancer Specialists and Research Institute

    Tulsa, Oklahoma 74146
    United States

    Active - Recruiting

  • Oncology Associates of Oregon

    Eugene, Oregon 97401
    United States

    Active - Recruiting

  • Sidney Kimmel Cancer Center, Asplundh Cancer Pavilion

    Willow Grove, Pennsylvania 19090
    United States

    Active - Recruiting

  • Texas Oncology

    Fort Worth, Texas 76104
    United States

    Active - Recruiting

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • University of Virginia Health System

    Charlottesville, Virginia 22908
    United States

    Active - Recruiting

  • VCU Massey Comprehensive Cancer Center

    Richmond, Virginia 23298
    United States

    Site Not Available

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