Study to Assess Safety, Tolerability and Clinical Activity of BGB-290 in Combination With Temozolomide (TMZ) in Subjects With Locally Advanced or Metastatic Solid Tumors



Status:Recruiting
Conditions:Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - 99
Updated:12/21/2018
Start Date:July 12, 2017
End Date:August 1, 2020
Contact:Claudia Andreu-Vieyra
Email:clinicaltrials@beigene.com
Phone:1 (877) 828-5568

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A Phase 1b Study to Assess the Safety, Tolerability and Clinical Activity of BGB-290 in Combination With Temozolomide (TMZ) in Subjects With Locally Advanced or Metastatic Solid Tumors

This study is to evaluate the safety, efficacy and clinical activity of BGB-290 and
temozolomide (TMZ) in subjects with locally advanced or metastatic solid tumors.

This is an open-label study of BGB‑290 and temozolomide (TMZ) with a dose escalation and dose
expansion phase. Dose escalation will evaluate safety, tolerability, preliminary efficacy,
and PK and determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) for
the two drug combination. It is a modified 3+3 dose escalation scheme with a fixed dose of
BGB‑290 in combination with escalating doses of TMZ. Dose expansion will evaluate the safety,
PK profile and anti-tumor activity of BGB-290 and TMZ at a dose/schedule selected from the
dose escalation phase. Five different solid malignancy types (n=100) will be evaluated.

Inclusion Criteria: All subjects

1. Age ≥18 years old.

2. Confirmed malignancy at advanced or metastatic stage.

3. ECOG status ≤ 1.

4. Adequate bone marrow function.

5. Adequate renal and hepatic function.

6. Females of childbearing potential and non-sterile males must agree to use highly
effective methods of birth control throughout the course of study and at least up to
90 days after last dosing.

7. Must have measurable or evaluable disease per RECIST [Dose escalation phase only]

Additional inclusion criteria 8 - 12 are specific to tumor types in dose expansion
phase:

8. Ovarian cancer

1. Previously received at least 1 line of platinum containing chemotherapy.

2. No progression or recurrent disease in 6 months from last platinum containing
regimen.

9. Triple-Negative Breast Cancer

a. 0 - 1 prior platinum-containing regimen (any treatment setting) and received ≤ 3
prior regimens (advanced or metastatic setting).

10. Prostate cancer

1. Documented progressive disease.

2. Chemotherapy-naïve or previously received ≤2 taxane-based regimens.

3. May be pre-or post-treatment with a novel androgen receptor targeted agent.

4. Completed in ≥ 2 weeks radiation or treatment with anti-androgen agents.

11. Ovarian, breast and prostate cancer: If homologous recombinant deficiency (HRD) or
BRCA status unknown, need pre-screening for eligibility.

12. Small cell lung and gastric cancer: previously received ≤ 2 prior lines of therapy.

Exclusion Criteria: All subjects

1. Prior exposure to a PARP inhibitor.

2. Prior chemotherapy, biologic therapy, immunotherapy or investigational agents within 3
weeks prior to start of study treatment.

3. Refractory to platinum-based therapy.

4. Toxicity of ≥ Grade 2 from prior therapy.

5. Major surgery or significant injury ≤ 4 weeks prior to start of study treatment.

6. History of other active malignancies within 2 years with exception of (i) adequately
treated in situ carcinoma of the cervix, (ii) non-melanoma skin cancer, or (iii)
localized adequately treated cancer with curative intent or malignancy diagnosed > 2
years ago with no evidence of disease and no treatment ≤ 2 years prior to study
treatment.

7. Untreated leptomeningeal or brain metastasis.

8. Active infection requiring systemic treatment.

9. Known human immunodeficiency virus (HIV) or active viral hepatitis.

10. Active, clinically significant cardiac disease or any Class 3 or 4 cardiac disease,
ventricular arrhythmia or CVA ≤ 6 months prior to start of treatment.

11. Active, clinically significant gastrointestinal disease.

12. Use of any medications or food known to be strong or moderate cytochrome P450, family
3, subfamily A (CYP3A) inhibitors or strong inducers.

13. Pregnant or nursing females.
We found this trial at
8
sites
Saint Louis, Missouri 63110
Principal Investigator: Haesong Park, MD
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Camperdown, New South Wales 2050
Principal Investigator: Lisa Horvath
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Camperdown,
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Dallas, Texas 75246
Principal Investigator: Minal Barve
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Dallas, TX
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Grand Rapids, Michigan 49503
Principal Investigator: Nehal Lakhani, MD, PhD
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Grand Rapids, MI
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1515 Holcombe Blvd
Houston, Texas 77030
 713-792-2121
Principal Investigator: Siqing Fu
University of Texas M.D. Anderson Cancer Center The mission of The University of Texas MD...
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Houston, TX
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Nashville, Tennessee 37203
Principal Investigator: Melissa Johnson, MD
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Nashville, TN
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New York, New York 10029
Principal Investigator: Matthew Galsky, MD
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New York, NY
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New York, New York 10467
Principal Investigator: Sanjay Goel, MD
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New York, NY
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