Recruiting PHASE1, PHASE2 Advanced Cancer

New treatment option for Advanced Cancer

Official title A Study of ART0380 for the Treatment of Advanced or Metastatic Solid Tumors

ClinicalTrials.gov ID: NCT04657068

What this study is testing

What is ART0380?

ART0380 is an investigational medicine, given as an once-daily pill taken by mouth, being studied as a potential treatment for advanced cancer.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This clinical trial is evaluating a drug called ART0380 in participants with advanced or metastatic solid tumors. The main goals of this study are to: Find the recommended dose of ART0380 that can be given safely to participants alone and in combination with gemcitabine or irinotecan Learn more about the side effects of ART0380 alone and in combination with gemcitabine or irinotecan Learn more about the effectiveness of ART0380 alone and in combination with gemcitabine or irinotecan
  • Phase 2: a mid-size study of how well it works

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • General
  • Signed informed consent
  • Discontinued all previous treatments for cancer for at least 21 days or 5 half-lives, whichever is shorter, and recovered from the acute effects of...
  • If patients have a known germline BRCA mutation or a cancer with a somatic BRCA mutations or which is HRD positive and for which there is an approved...
  • At least 1 radiologically evaluable lesion (measurable and/or non-measurable) that can be assessed at baseline and is suitable for repeated...

You likely can't join if

  • Women who are pregnant, breast feeding, or who plan to become pregnant while in the study or within 7 months after the last administration of study...
  • Men who plan to father a child while in the study or within5 months after the last administration of study treatment
  • Serious concomitant systemic disorder that would compromise the participants ability to adhere to the protocol including: one or more opportunistic...
  • Have ongoing interstitial lung disease or pneumonitis (whether symptomatic or asymptomatic).
  • Moderate or severe cardiovascular disease
  • Valvulopathy that is severe, moderate, or deemed clinically significant
See the full eligibility criteria
Who can join
  • General
  • Signed informed consent
  • Discontinued all previous treatments for cancer for at least 21 days or 5 half-lives, whichever is shorter, and recovered from the acute effects of therapy to CTCAE Grade ≤1. Palliative radiotherapy must have completed...
  • If patients have a known germline BRCA mutation or a cancer with a somatic BRCA mutations or which is HRD positive and for which there is an approved PARP inhibitor, participants should have received such treatment...
  • At least 1 radiologically evaluable lesion (measurable and/or non-measurable) that can be assessed at baseline and is suitable for repeated radiological evaluation by RECIST v1.1 or Prostate Cancer Working Group-3...
  • Acceptable hematologic, renal, hepatic, and coagulation functions independent of transfusions and granulocyte colony-stimulating factor
  • Non-irradiated tumor tissue sample (archival or newly obtained core biopsy of a tumor lesion) available for submission for analysis.
  • Female patients of childbearing potential and male patients with female partners of childbearing potential are required to use highly effective contraception plus one barrier method during their participation in the...
  • Estimated life expectancy of ≥12 weeks
  • Reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures
  • Performance status of 0-1 on the ECOG Scale Additional for participants in dose escalation (Part A1):
  • Advanced or metastatic cancer which is refractory to standard therapies, or for which no standard therapies exist, or for which the investigator feels no other active therapy is required for the duration of the study
  • Performance status of 0-1 on the Eastern Cooperative Oncology Group (ECOG) scale Additional for participants in dose escalation (Part A2): Advanced or metastatic cancer for which gemcitabine is an appropriate treatment...
  • Advanced or metastatic cancer for which irinotecan is an appropriate treatment. Prior treatment with irinotecan is permitted.
  • For food effect cohort only: Patients must be able to eat a high-fat meal within a 30 minute period, as provided by the study site. Additional for participants in dose expansion (Part B1):
  • Patients with advanced or metastatic solid tumors with alterations to the ATM gene likely to predict for loss of ATM protein
  • Have at least 1 measurable lesion assessable using standard techniques by RECIST v1.1
  • For France only ART0380 Monotherapy; Patient that is not eligible for curative treatment, for whom all standard of care therapies have failed and no therapies known to provide clinical benefit are available.
  • Combination arms; Patients for which irinotecan is an appropriate treatment. Prior treatment with irinotecan is permitted.
  • For Spain only ART0380 Combination therapy, Patient that is not eligible for curative treatment, for whom standard of care therapies have failed. Additional for participants in dose expansion (Part B2):
  • Patients with a known germline BRCA mutation, or a cancer with a known somatic BRCA mutation, or which is known to be HRD positive, and for which there is an approved PARP inhibitor should have received such treatment...
  • Females with histologically-confirmed diagnosis of high grade serous carcinoma of the ovary, fallopian tube or primary peritoneum that is not amenable to curative therapy
  • Platinum-resistant disease. Patients must not have had primary platinum-refractory disease (disease that progressed during first-line platinum-based therapy).
  • No more than one prior regimen in the platinum-resistant setting. Hormonal therapies and antiangiogenic therapies (as single agents) and PARP inhibitors used as maintenance therapy are not considered as separate lines...
  • Have not received prior treatment with gemcitabine unless administered in combination with a platinum with no disease progression within 12 months after completion of that regimen
  • Have at least 1 measurable lesion assessable using standard techniques by RECIST v1.1 specific to Part B3
  • Persistent or recurrent endometrial cancer with biological selection.:
  • Patients should have received taxane/platinum chemotherapy, unless contraindicated.
  • Measurable disease. specific to Part B4
  • Advanced or metastatic solid cancers of any histology with biological selection
  • If a PD-1/PDL-1 inhibitor (eg, pembrolizumab) is approved and available for the patient's cancer, the patient should have received such treatment before participating in this study.
  • Radiologically evaluable disease
  • Performance status of 0-1 on the ECOG scale specific to Part B5
  • Metastatic CRC with alterations to the ATM gene
  • Participants should have previously received appropriate prior lines of therapy in this setting.
  • Have at least 1 measurable lesion assessable using standard techniques by RECIST v1.1.
  • Patients have received a maximum of 2 prior chemotherapy regimens for the treatment of CRC and have demonstrated progressive disease or intolerance to their last regimen. specific to Part B6:
  • Metastatic or locally advanced PDAC or acinar cell carcinoma with alterations to the ATM gene
  • Participants must have received a maximum of 1 prior chemotherapy regimen for the treatment of the advanced disease and have demonstrated progressive disease or intolerance to this regimen OR have received...
  • Have at least 1 measurable lesion assessable using standard techniques by RECIST v1.1. Previously irradiated lesions may not be considered target lesions.
  • Serum albumin ≥3g/dL within 7 days prior to first dose. General
What rules you out
  • Women who are pregnant, breast feeding, or who plan to become pregnant while in the study or within 7 months after the last administration of study treatment
  • Men who plan to father a child while in the study or within5 months after the last administration of study treatment
  • Serious concomitant systemic disorder that would compromise the participants ability to adhere to the protocol including: one or more opportunistic HIV/AIDs-related infections within the past 12 months, a known...
  • Have ongoing interstitial lung disease or pneumonitis (whether symptomatic or asymptomatic).
  • Moderate or severe cardiovascular disease
  • Valvulopathy that is severe, moderate, or deemed clinically significant
  • Documented major electrocardiogram (ECG) abnormalities which are clinically significant
  • Symptomatic or uncontrolled brain metastases, spinal cord compression, or leptomeningeal disease requiring concurrent treatment
  • Received a live vaccine within 30 days before the first dose of study treatment
  • History or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study, or is not in...
  • Recent major surgery within 4 weeks prior to entry into the study or minor surgery within 1 week of entry into the study
  • Drainage for ascites, pleural effusion or pericardial fluid within 4 weeks before the first dose of study treatment.
  • A significant bleeding disorder or vasculitis or had a Grade ≥3 bleeding episode within 12 weeks prior to enrollment
  • Currently enrolled in a clinical trial involving an investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study Additional exclusion criteria for...
  • Patients who have symptoms or signs of clinically unacceptable deterioration of the primary disease at the time of screening.
  • Patients who are known to be homozygous for both UGT1A1 \ 6 and \ 28 (UGT1A1 7/7 genotype), or simultaneously heterozygous for both UGT1A1 \ 6 and \ 28.
  • Patients receiving strong inhibitors of UGT1A1 within 2 weeks before the first dose of study treatment
  • Part A3 Fed-fasted cohort only: Patients receiving acid reducing agents within 1 week before the first dose of study treatment will be excluded
  • Part B6: Neuroendocrine (carcinoid, islet cell) or adenosquamous carcinoma pancreatic cancer

The study team makes the final eligibility decision.

Where it's taking place

  • Birmingham, Alabama, United States
  • Scottsdale, Arizona, United States
  • Little Rock, Arkansas, United States
  • Los Angeles, California, United States
  • Santa Barbara, California, United States
  • Santa Rosa, California, United States
  • Denver, Colorado, United States
  • Fort Myers, Florida, United States
  • Jacksonville, Florida, United States
  • Orlando, Florida, United States
  • Sarasota, Florida, United States
  • West Palm Beach, Florida, United States
  • Hinsdale, Illinois, United States
  • Indianapolis, Indiana, United States
  • Baton Rouge, Louisiana, United States
  • Columbia, Maryland, United States
  • Maple Grove, Minnesota, United States
  • Rochester, Minnesota, United States
  • St Louis, Missouri, United States
  • East Syracuse, New York, United States

+ 43 more site(s).

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Birmingham, Alabama, United States; Scottsdale, Arizona, United States; Little Rock, Arkansas, United States; Los Angeles, California, United States; Santa Barbara, California, United States; Santa Rosa, California, United States and 57 more location(s). Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.