Neoplasms Clinical Trial
Official title:
A Modular, Multi-arm, Multi-part, First Time in Patient Study to Evaluate the Safety and Tolerability of OMO-1, Alone and in Combination With Anti-cancer Treatments, in Patients With Locally Advanced, Unresectable or Metastatic Solid Malignancies
This is a modular, first time in patient, open-label, multicentre study of OMO-1, administered orally, alone and in combination with anti-cancer treatments, in patients with locally advanced, unresectable or metastatic solid malignancies.
The study will consist of a number of study modules. The initial Module 1 will evaluate OMO-1
as monotherapy to provide dose(s) and schedule(s) for further Modules of combination therapy.
Module 2 will evaluate OMO-1 in combination with small molecule EGFR-TKIs.
Study modules will consist of a Part A (dose finding) and an optional Part B (cohort
expansion). The option to start Part B and add further modules will be the decision of the
safety review committee, based on emerging preclinical anti-tumour data and, safety and
tolerability information from the study as a whole.
For all modules, Part A cohorts may be expanded by up to 12 additional patients at doses (at
or above the MBAD) that have been confirmed to be tolerated. These patients will have
mandatory paired biopsies to assess the tumour for relevant PDc biomarkers, and to explore
further the tolerability, safety and PK activity at these doses.
In all combination modules, the dose of each combination agent investigated will not exceed
their current recommended dose. The starting dose of OMO-1 in combination modules will not
exceed the one currently tolerated in Module 1 (monotherapy). For cohorts in which OMO-1 is
dosed in combination with cytotoxic chemotherapy, dosing will not continue once the cycles of
chemotherapy have been completed.
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