RecruitingPhase 1Phase 2NCT05898399

Study of ART6043 in Advanced/Metastatic Solid Tumors Patients (POLKA)

A Phase I/IIa, Open-label, Multi-center Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of the DNA Polymerase Theta Inhibitor ART6043 Administered Orally as Monotherapy and in Combination to Patients With Advanced or Metastatic Solid Tumors


Sponsor

Artios Pharma Ltd

Enrollment

181 participants

Start Date

Jun 30, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This interventional study will evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ART6043 as monotherapy or in combination with olaparib.


Eligibility

Min Age: 18 Years

Inclusion Criteria14

  • Patients who have discontinued all previous chemotherapeutic agents, non-hormonal targeted therapy, or investigational drugs for at least 21 days or 5 half-lives (not including palliative radiotherapy at focal sites), whichever is shorter. Endocrine and hormonal therapies for the treatment of cancer must have been discontinued (unless for the treatment of Prostate Cancer) at least 7 days before receiving study medication. Palliative radiotherapy must have completed prior to start of study treatment.
  • Resolution of all toxicities of prior therapy or surgical procedures.
  • Performance status of 0-2 on the Eastern Cooperative Oncology Group (ECOG) scale.
  • Have adequate organ function.
  • Patients of childbearing potential and patients with partners of childbearing potential are required to use highly effective contraception.
  • Have an estimated life expectancy of ≥12 weeks, in the judgment of the investigator.
  • Advanced or metastatic cancer. Tumors with genetic lesions known to cause loss of function of known DDR genes based on available pre-existing testing are encouraged.
  • Advanced or metastatic cancer with genetic lesions known to cause loss of function of known DDR genes based on available, pre-existing testing.
  • Patients for whom a PARPi is an appropriate treatment option. Patients may have received prior treatment with a PARPi.
  • Histologically or cytologically confirmed HER2-ve locally advanced or metastatic carcinoma of the breast.
  • Documentation of a deleterious or suspected deleterious gBRCA mutation.
  • Previously treated with chemotherapy in the neoadjuvant, adjuvant or metastatic setting unless medically contraindicated.
  • Prior treatment with a taxane in the neoadjuvant, adjuvant, locally advanced, or metastatic setting unless medically contraindicated.
  • Patients must have received no or ≤1 month of prior treatment with a PARPi.

Exclusion Criteria11

  • Patients who are pregnant.
  • Patients with Myelodysplastic syndrome (MDS)/Acute myeloid leukemia (AML) or with features suggestive of MDS/AML.
  • Have ongoing interstitial lung disease or pneumonitis.
  • Have any major gastrointestinal issues that could impact absorption of ART6043 or olaparib.
  • Patients with brain metastases (patients with treated brain metastases could be eligible if follow-up brain imaging after central nervous system-directed therapy shows no evidence of progression).
  • Have received a live vaccine within 30 days before the first dose of study treatment.
  • Recent major surgery within 4 weeks prior to entry into the study.
  • Have a significant bleeding disorder or vasculitis or had a Grade ≥3 bleeding episode within 12 weeks prior to enrollment.
  • Have a history of allergy or hypersensitivity to study drug components.
  • First-line locally advanced and/or metastatic breast cancer with no prior adjuvant chemotherapy.
  • Inflammatory breast cancer.

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Interventions

DRUGART6043

ART6043 will be given orally.

DRUGOlaparib

Olaparib will be given orally.


Locations(12)

South Texas Accelerated Research Therapeutics (START) - Midwest

Grand Rapids, Michigan, United States

Memorial Sloan-Kettering Cancer Center (MSKCC)

New York, New York, United States

Stephenson Cancer Center - Oncology

Oklahoma City, Oklahoma, United States

Jefferson University Hospitals - Kimmel Cancer Center

Philadelphia, Pennsylvania, United States

SCRI oncology partners

Nashville, Tennessee, United States

Mary Crowley Cancer Center - Clinic

Dallas, Texas, United States

The University of Texas - MD Anderson Cancer Center

Houston, Texas, United States

Hospital Universitario Clínico San Cecilio

Granada, Andalusia, Spain

Hospital Clínico Universitario de Valladolid

Valladolid, Castille and León, Spain

Hospital de la Santa Creu i Sant Pau

Barcelona, Catalonia, Spain

Hospital San Pedro de Alcántara

Cáceres, Extremadura, Spain

Hospital Universitario 12 de Octubre

Madrid, Madrid, Spain

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NCT05898399


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