A Phase 1 Study of BB102 in Participants With Advanced Solid Tumors

Official title

A Phase I Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetic Profiles and Efficacy of Oral BB102 Tablets in Patients With Advanced Solid Tumors

Overview

This is a Phase 1 study to evaluate the safety, tolerability, pharmacokinetics, efficacy and preliminary food effect of BB102, a highly selective and potent FGFR4 inhibitor, as monotherapy in subjects with advanced solid tumors. This study has two phase: dose escalation phase and expansion phase.

Detailed description

This first-in-human (FIH) study of BB102 will evaluate safety, tolerability, pharmacokinetics (PK), efficacy and preliminary food effect in subjects with advanced solid tumors. In dose escalation trial, the primary objective is to determine the maximum tolerated dose (MTD) and the recommended phase II dose (RP2D) of BB102 as monotherapy, and to evaluate the safety and tolerability of BB102. The secondary objectives include the assessments of PK profile, preliminary efficacy, preliminary food effect (FE), preliminary metabolites identification, biomarkers and C-QTcF analysis of BB102. In expansion trial, the primary objective is to evaluate the efficacy of BB102 in subjects with FGF19 or FGFR4 positive advanced primary hepatocellular carcinoma (HCC) or other advanced solid tumors. The secondary objectives include the assessments of PK profile, safety and biomarkers of BB102.

Interventions

• Drug BB102 tablet
  BB102 tablets will be administered orally once daily(QD).

Primary outcome measures

• Number of subjects with dose limiting toxicities (DLTs) [Time frame: Single dose to the end of Cycle 1 (each cycle is 21 days)]
• Number of subjects with adverse events (AEs) and serious adverse events (SAEs) [Time frame: From screening (Day -28 to Day -1) through up to 12 months or until disease progression]

Secondary outcome measures (8)

• Pharmacokinetic Assessments: Peak Plasma Concentration (Cmax) [Time frame: Day 1, Day 8, Day 15 and at the end of Cycle 1 (each cycle is 21 days)]
• Pharmacokinetic Assessments: Time to Peak Concentration (Tmax) [Time frame: Day 1, Day 8, Day 15 and at the end of Cycle 1 (each cycle is 21 days)]
• Pharmacokinetic Assessments: Area under the plasma concentration-time curve (AUC) [Time frame: Day 1, Day 8, Day 15 and at the end of Cycle 1 (each cycle is 21 days)]
• Pharmacokinetic Assessments: Elimination half-life (t½) [Time frame: Day 1, Day 8, Day 15 and at the end of Cycle 1 (each cycle is 21 days)]
• Objective response rate (ORR) [Time frame: From date of screening until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months]
• Duration of response (DOR) [Time frame: From date of screening until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months]
• Disease control rate (DCR) [Time frame: From date of screening until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months]
• Progression-free survival (PFS) [Time frame: From date of screening until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months]

Eligibility criteria

Inclusion criteria

• For the dose escalation trial, histologically, cytologically confirmed or clinically confirmed advanced solid tumors patients who without available standard treatment, have disease progression on standard treatment or cannot tolerate standard treatment.

For the expansion trial, histologically or cytologically confirmed FGF19 or FGFR4 positive advanced primary HCC or other advanced solid tumors patients who without available standard treatment, have disease progression on standard treatment or cannot tolerate standard treatment.

• For the dose escalation trial, at least one evaluable lesion as defined by RECIST v1.1.

For the expansion trial, at least one measurable lesion as defined by RECIST v1.1.

• Eastern Cooperative Oncology Group (ECOG) score ≤1.
• Expected survival ≥ 3 months.
• Adequate organ function.
• Female subjects of childbearing potential must have a negative pregnancy test prior to the first dose and are required to use effective contraception from signing the ICF until 6 months after the last dose of study treatment.
• Fully informed of the study and voluntarily signed the informed consent form (ICF), and willing to follow and have the ability to complete all trial procedures.

Exclusion criteria

• Use of systemic immunosuppressive or systemic cortisol (≥10 mg prednisone or other equivalent hormones) within 4 weeks.
• Prior use of selective FGFR4 inhibitor and/or pan-FGFR inhibitor therapy.
• Use of cytotoxic chemotherapeutics within 4 weeks, OR use of state-approved Chinese traditional patent drugs/Chinese traditional drugs with an antitumor effect within 2 weeks.
• Anti-tumor endocrine therapy, radiotherapy, interventional embolization, radiofrequency, proton therapy, radioimmunotherapy, immunotherapy or other biotherapies within 4 weeks.
• Use of other clinical investigational drug or therapy that was not marketed within 4 weeks.
• The patient is receiving drugs or therapies prohibited in the protocol and cannot discontinue such use at least 2 weeks.
• Pregnant or lactating females.
• Presence of clinically significant gastrointestinal disorder that may affect the intake, transport, or absorption of the study drug at screening.
• Patient with dual-source cancer within 5 years.
• Presence of clinically symptomatic metastases to the central nervous system or meninges or other evidence showing that metastatic lesions in the central nervous system or meninges have not yet been controlled at screening, which, at the investigator's discretion, is not suitable for enrollment.
• History of severe neurological or psychiatric disorders, including epilepsy, dementia, moderate to severe depression, etc.
• Clinically significant and uncontrolled cardiovascular diseases.
• Pulmonary embolism within 6 months.
• Prior allogeneic stem cell transplantation, bone marrow transplantation or vital organ transplantation.
• Presence of uncontrollable infectious disease, congenital immunodeficiency disease,acquired immunodeficiency syndrome, syphilis, active hepatitis B, hepatitis C virus (HCV) infection.
• Severe active infection, including but not limited to bacteremia, severe pneumonia, etc., occurred within 2 weeks; an active infection that received therapeutic intravenous antibiotics within 2 weeks.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

N/A

Model

Sequential

Masking

Open label

Primary purpose

Treatment

Study locations

China · 2 centers

• Nanfang Hospital — Guangzhou
• Henan Cancer Hospital — Zhengzhou

Identifiers

NCT: NCT06258408 · BB102-ST-Ⅰ-02

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗