A Study of GRC 54276 in Participants With Advanced Solid Tumors and Lymphomas.

Lymphoma Clinical Trial

Official title:

A Phase 1, Open Label First In Human Study Investigating the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of HPK1 Inhibitor GRC 54276 Alone and in Combination With Anti-PD-1 Monoclonal Antibody Pembrolizumab or Anti-PD-L1 Atezolizumab in Subjects With Advanced Solid Tumors and Lymphomas.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05878691
• Other study ID #: GRC 54276-101
• Secondary ID: CTRI/2022/05/042
• Status: Recruiting
• Phase: Phase 1
• Start date: June 28, 2022
• Est. completion date: July 30, 2027

Study information

• Verified date: January 2024
• Source: Glenmark Specialty S.A.
• Contact: Jatin Kadam
• Phone: 02250451200
• Email: clinicaltrialsdisclosuredesk[@]glenmarkpharma.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is first in human (FIH) study to a) evaluate the safety and tolerability profile of GRC54276, b) determine the maximum tolerated dose (MTD) and recommended Phase 2 doses (RP2D), and c) pharmacokinetic profile of GRC54276 alone and in combination with pembrolizumab or atezolizumab in participants with advanced solid tumors and lymphomas.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 320
• Est. completion date: July 30, 2027
• Est. primary completion date: July 30, 2027
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Subjects (=18 years of age) with histologically or cytologically confirmed advanced, metastatic, unresectable solid tumors or lymphomas who have previously received standard systemic therapy or for whom treatment is not accessible, not tolerated or refused, have progressed after =1 of systemic therapies for recurrent/metastatic disease and who have not received prior therapy targeting HPK1.

2. At least 1 measurable lesion as defined per RECIST 1.1. The target lesion(s) selected have not been previously treated with local therapy or the target lesion(s) selected that are within the field of prior local therapy have subsequently progressed as defined by RECIST 1.1.

3. Eastern Cooperative Oncology Group (ECOG) Performance Status =1 measured within 72 hours of treatment.

4. Predicted life expectancy of =3 months.

5. Adequate organ function as indicated by the following laboratory values up to first dose of study drug: Hemoglobin =9.0 g/dL, Absolute neutrophil count =1.5 x 109/L, Serum total bilirubin =1.5 x ULN (<3 x ULN for participants with Gilbert syndrome), AST and ALT =2.5 x ULN (=5 x ULNs for participants with hepatocellular carcinoma or liver metastases).

6. Adequate renal function as indicated by creatinine clearance of =60mL/min calculated using Cokroft-Gault method.

7. Adequate cardiac function, left ventricular ejection fraction (LVEF) of =50% as assessed by multi-gated acquisition (MUGA) or ultrasound/echocardiography (ECHO).

8. For Part 2, dose expansion cohorts inclusion criteria specific to tumor types will be updated after completion of Part 1.

Exclusion Criteria:

1. Any condition that, in the opinion of the Investigator, would interfere with evaluation of the study drug or interpretation of subject safety or study results.

2. Subjects with uncontrolled or untreated brain metastasis or leptomeningeal disease. Subjects with equivocal findings or with confirmed brain metastases are eligible provided that they are asymptomatic and radiologically stable without the need for corticosteroid treatment for at least 4 weeks prior to the first dose of study drug(s)

3. Any active malignancy =2 years before the first dose of study drug(s) except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated with curative intent (e.g., resected basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast)

4. Any condition that required systemic treatment with either corticosteroids (>10 mg daily of prednisone or equivalent) or other immunosuppressive medication =14 days before the first dose of study drug(s), with the following exceptions:

1. Adrenal replacement steroid (dose =10 mg daily of prednisone or equivalent)

2. Topical, ocular, intra-articular, intranasal, or inhalational corticosteroid with minimal systemic absorption

3. Short course (=7 days) of corticosteroid prescribed prophylactically (e.g., for contrast dye allergy) or for the treatment of a non-autoimmune condition (e.g., delayed-type hypersensitivity reaction caused by contact allergen)

5. Pregnant/planning to be pregnant or breast-feeding women.

6. Any important medical illness or abnormal laboratory finding that would increase the risk of participating in this study (based on the investigator's judgment).

7. Any known severe allergic reaction to pembrolizumab/atezolizumab or its excipients.

Related Conditions & MeSH terms

• Advanced Solid Tumor
• Lymphoma

Intervention

Drug:
• GRC 54276
Part 1a: GRC 54276 QD will be administered orally from Day 1 to Day 21 in a 21-day treatment cycle. Part 2: GRC 54276 monotherapy therapy will commence after establishment of the MTD and/or RP2D for monotherapy arm.
• GRC 54276 + Pembrolizumab
Part 1b: GRC 54276 QD will be administered orally in combination with fixed dose of pembrolizumab IV every 21 days. Part 2: GRC 54276 in combination with pembrolizumab will commence after establishment of the MTD and/or RP2D for combination therapy arm.
• GRC 54276 + Atezolizumab
Part 1b: GRC 54276 QD will be administered orally in combination with fixed dose of atezolizumab IV every 21 days. Part 2: GRC 54276 in combination with atezolizumab will commence after establishment of the MTD and/or RP2D for combination therapy arm.

Locations

Country	Name	City	State
India	Krupamayi Hospitals	Aurangabad	Maharashtra
India	Health Care Global Enterprises Ltd (HCG)	Bangalore	Karnataka
India	Vydehi Hospital	Bangalore	Karnataka
India	Aster CMI Hospital	Bengaluru	Karnataka
India	Cytecare Hospitals Pvt Ltd.	Bengaluru	Karnataka
India	Max Superspeciality Hospital	Delhi
India	Artemis Hospital	Gurgaon	Haryana
India	AIG Hospitals, (A unit of asian Institute of Gastroenterology)	Hyderabad	Telangana
India	Basavatarakam Indo American Cancer Hospital Research Institute	Hyderabad	Telangana
India	Malabar Cancer Centre	Kannur	Kerala
India	PD Hinduja Hospital and Medical Research Centre	Mumbai	Maharashtra
India	HCG Manavata Cancer Centre	Nashik	Maharashtra
India	Sankalp Hospital	Nashik	Maharashtra
India	Bhaktivedanta Hospital and Research Institute	Thane	Maharashtra
India	Hcg City Cancer Centre	Vijayawada	Andhra Pradesh
India	Mahatma Gandhi Cancer Hospital and Research Institute	Visakhapatnam	Andhra Pradesh
United States	Carolina BioOncology Institute	Huntersville	North Carolina
United States	Froedtert & Medical College of Wisconsin - Froedtert Hospital - Clinical Cancer Center	Milwaukee	Wisconsin

Sponsors (1)

Lead Sponsor	Collaborator
Glenmark Specialty S.A.

Countries where clinical trial is conducted

United States,  India, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Dose limiting toxicities to establish the maximum tolerated dose (MTD) and/or Recommended Phase 2 Dose (RP2D)	Percentage of participants with dose limiting toxicities associated with GRC54276 alone or GRC54276 combined with pembrolizumab or atezolizumab during the first cycle. Toxicity will be assessed using the NCI CTCAE Version 5.0.	18 weeks
Primary	Incidence of treatment-emergent adverse events and serious adverse events	Percentage of participants who experience treatment-emergent adverse events and serious adverse events when given GRC54276 as a single agent and in combination with pembrolizumab or atezolizumab.	up to 120 days
Primary	Changes in the laboratory safety values from baseline to end of safety follow-up	Percentage of participants who experience changes in the laboratory safety values when given GRC54276 as a single agent and in combination with pembrolizumab or atezolizumab.	up to 120 days
Primary	Pharmacokinetic profile of GRC54276- Maximum plasma concentration (Cmax)	The maximum measured plasma concentration after single or multiple dosing, tabulated by dose group and day of dosing.	up to 22 days
Primary	Pharmacokinetic profile of GRC54276- Time to Cmax (Tmax)	The time to achieve Cmax after single or multiple dosing, tabulated by dose group and day of dosing.	up to 22 days
Primary	Pharmacokinetic profile of GRC54276- Area under the curve (AUC)	Area under plasma concentration versus time curve from time 0 to time of least measurable concentration or the dosing interval, tabulated by dose group and day of dosing.	up to 22 days
Secondary	Objective response rate (ORR)	Proportion of participants with a best response of complete response or partial response best on RECIST 1.1.	up to 9 months
Secondary	Best overall response rate	Complete response, partial response, stable disease, and progressive disease, evaluated according to RECIST 1.1.	up to 9 months
Secondary	Disease control rate	The percentage of participants who have achieved stable disease or complete response or partial response according to RECIST 1.1. for the entire duration of the study.	up to 9 months
Secondary	Duration of response	The time from first documentation of complete response or partial response to the first documentation of progression.	up to 9 months