RecruitingPhase 1Phase 2NCT05440708

A Study of TTI-101 as Monotherapy and in Combination in Participants With Locally Advanced or Metastatic, and Unresectable Hepatocellular Carcinoma

REVERT- Liver Cancer: A Phase 1b/2 Multicenter, Open-label Study to Evaluate the Safety and Efficacy of TTI-101 as Monotherapy and in Combination in Participants With Locally Advanced or Metastatic, and Unresectable Hepatocellular Carcinoma


Sponsor

Tvardi Therapeutics, Incorporated

Enrollment

193 participants

Start Date

Mar 23, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The primary objectives of Cohort A Phase 1b and exploratory expansion are to evaluate the safety and tolerability of TTI-101 orally administered as a single agent to participants with locally advanced or metastatic, and unresectable Hepatocellular Carcinoma (HCC) and to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of TTI-101 as a single agent. The primary objectives of Cohort A Phase 2 are to evaluate the safety and tolerability of TTI-101 orally administered as a single agent at the RP2D to participants with locally advanced or metastatic, and unresectable HCC and to assess the preliminary efficacy of TTI-101 as a single agent in participants with locally advanced or metastatic, and unresectable HCC. The secondary objectives of Cohort A Phase 2 are to assess response, progression, survival, and pharmacokinetics. The primary objectives of Cohorts B and C Phase 1b are to evaluate the safety and tolerability of TTI-101 orally administered in combination with pembrolizumab therapy (Cohort B) and in combination with atezolizumab and bevacizumab therapy (Cohort C) to participants with locally advanced or metastatic, or unresectable HCC and to determine the MTD and/or RP2D of TTI-101 when used in combination with pembrolizumab therapy (Cohort B) and in combination with atezolizumab and bevacizumab therapy (Cohort C). The primary objectives of Cohorts B and C Phase 2 are to evaluate the safety and tolerability of TTI-101 orally administered in combination with pembrolizumab therapy (Cohort B) and in combination with atezolizumab and bevacizumab therapy (Cohort C) at the RP2D to participants with locally advanced or metastatic, and unresectable HCC and to assess the preliminary efficacy of TTI-101 in combination with pembrolizumab therapy (Cohort B) and in combination with atezolizumab and bevacizumab therapy (Cohort C) to participants with locally advanced or metastatic, and unresectable HCC. The secondary objectives of Cohorts B and C Phase 2 are to assess response, progression, survival, and pharmacokinetics.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a new drug called TTI-101, given alone or in combination with other treatments, for people with liver cancer (hepatocellular carcinoma or HCC) that has spread or cannot be surgically removed. **You may be eligible if...** - You are 18 years or older - You have been diagnosed with advanced, unresectable liver cancer confirmed by imaging or biopsy - Your cancer is measurable on scans - You can swallow tablets - Your overall health and organ function meet study requirements - You are willing to use effective contraception if of childbearing potential **You may NOT be eligible if...** - You have certain severe autoimmune diseases or active infections - Your liver function is significantly impaired (Child-Pugh class C) - You have had certain prior cancer treatments that disqualify you - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGTTI-101

Oral tablet

DRUGPembrolizumab

Intravenous (IV) infusion

DRUGAtezolizumab

Intravenous (IV) infusion

DRUGBevacizumab

Intravenous (IV) infusion


Locations(21)

The Kirklin Clinic of University of Alabama Birmingham Hospital

Birmingham, Alabama, United States

University of California San Diego

La Jolla, California, United States

Norris Comprehensive Cancer Center

Los Angeles, California, United States

University of California Irvine Medical Center

Orange, California, United States

University of Colorado Hospital - Anschutz Medical Campus

Aurora, Colorado, United States

Georgetown Lombardi Comprehensive Cancer Center

Washington D.C., District of Columbia, United States

Moffitt Cancer Center

Tampa, Florida, United States

The Sidney Kimmel Comprehensive Cancer Center

Baltimore, Maryland, United States

University of Michigan Rogel Cancer Center

Ann Arbor, Michigan, United States

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

Washington University in St. Louis

St Louis, Missouri, United States

Memorial Sloan Kettering Cancer Center - New York

New York, New York, United States

Cleveland Clinic Lerner College of Medicine

Cleveland, Ohio, United States

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Harold C. Simmons Comprehensive Cancer Center

Dallas, Texas, United States

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

DHR Health Institute for Research and Development

McAllen, Texas, United States

University of Texas Health Science Center - San Antonio

San Antonio, Texas, United States

Virginia Mason Medical Center

Seattle, Washington, United States

Summit Cancer Centers - North Spokane

Spokane, Washington, United States

Froedtert and Medical College of Wisconsin

Milwaukee, Wisconsin, United States

View Full Details on ClinicalTrials.gov

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NCT05440708


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