Last updated: 03/01/2022 16:40:07

First time in humans (FTIH) study of GSK3368715 in participants with solid tumors and diffuse large B-cell lymphoma (DLBCL)

GSK study ID
207675
Clinicaltrials.gov ID
EudraCT ID
EU CT Number
Not applicable
Trial status
Other
Other
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A phase I, open-label, dose-escalation study to investigate the safety, pharmacokinetics, pharmacodynamics and clinical activity of GSK3368715 in participants with solid tumors and DLBCL
Trial description: Arginine methylation mediated by protein arginine methyl-transferases (PRMTs) is an important post-translational modification of proteins involved in a diverse range of cellular processes. Misregulation and overexpression of PRMT1 (a type I PRMT) has been associated with a number of solid and hematopoietic cancers. GSK3368715 leads to inhibition of tumor cell growth across tumor types with cytotoxic response observed in lymphoma, acute myeloid leukemia (AML) and a subset of solid tumor cell lines. This study will assess the safety, pharmacokinetics (PK), pharmacodynamics (PD), food effect and preliminary clinical activity of GSK33368715 in participants with relapsed/refractory DLBCL and selected solid tumors with frequent methyl-thioadenosine phosphorylase (MTAP)-deficiency. The study will consist of two parts. In Part 1 (Dose Escalation) escalating doses of GSK3368715 will be evaluated and recommended phase 2 dose (RP2D) will be established in participants with selected solid relapsed/refractory tumors. Once a RP2D is identified, a food effect sub-study will be initiated to determine the effect of a high-fat, high calorie meal on the bioavailability of GSK3368715. In Part 2 (Dose Expansion), this RP2D will be further investigated in two expansion cohorts; participants with DLBCL (Expansion Cohort 2A) and relapsed/refractory solid tumors including pancreatic, bladder, and non-small cell lung cancer (NSCLC)(Expansion Cohort 2B). The study includes a screening period, an intervention period and follow up.
Primary purpose:
Treatment
Trial design:
Sequential Assignment
Masking:
None (Open Label)
Allocation:
Non-randomized
Primary outcomes:

Part 1: Number of participants with dose limiting toxicity (DLT)

Timeframe: Up to 21 days

Part 1: Number of participants with AEs and serious AEs (SAEs)

Timeframe: Up to 3.9 years

Part 1: Number of participants with AEs by maximum grade

Timeframe: Up to 3.9 years

Part 2: Objective response rate (ORR)

Timeframe: Up to 3.9 years

Secondary outcomes:

Part 1: Best overall response

Timeframe: Up to 3.9 years

Part 1: Maximum observed plasma concentration (Cmax) following administration of GSK3368715

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose (Day1) of each cycle; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: Time to reach Cmax (Tmax) following administration of GSK3368715

Timeframe: Pre-dose,15,30 min, 1,1.5,2,3,4,6,8,12,24,48,72 h post-dose (Day1) of each cycle; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: Area under the concentration time curve from time zero to last time of quantifiable concentration (AUC [0-t]) following administration of GSK3368715

Timeframe: Pre-dose,15,30 min, 1,1.5,2,3,4,6,8,12,24,48,72 h post-dose (Day1) of each cycle; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: AUC from time zero extrapolated to infinite time (AUC [0-infinity]) following single dose administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1 of each cycle (Each cycle will be of 21 days)

Part 1: Area under the concentration-time curve over the dosing interval (AUC [0-tau]) following repeat dose administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1; Pre-dose, 30 min,1,2, 3,4,6,8,12,24 h post-dose on Day 15 of each cycle;Pre-dose on Days 22 and at every 4 weeks from Cycle 2 (Each cycle will be of 21 days)

Part 1: Trough concentration (Ctau) following repeat dose administration of GSK3368715

Timeframe: Pre-dose on Day 8 and Day 15;Pre-dose on Days 22 and at every 4 weeks from Cycle 2 (Each cycle will be of 21 days)

Part 1: Time invariance ratio following administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1; Pre-dose, 30 min, 1, 2, 3, 4, 6, 8, 12, 24 h post-dose on Day 15 of each cycle (Each cycle will be of 21 days)

Part 1: Accumulation ratio following administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1; Pre-dose, 30 min, 1, 2, 3, 4, 6, 8, 12, 24 h post-dose on Day 15 of each cycle (Each cycle will be of 21 days)

Part 1: Cmax following administration of GSK3368715 in Fed state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: Cmax following administration of GSK3368715 in Fasted state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: Tmax following administration of GSK3368715 in Fed state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: Tmax following administration of GSK3368715 in Fasted state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: AUC (0-t) following administration of GSK3368715 in Fed state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: AUC (0-t) following administration of GSK3368715 in Fasted state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: AUC (0-infinify) following administration of GSK3368715 in Fed state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: AUC (0-infinity) following administration of GSK3368715 in Fasted state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: AUC (0-tau) following administration of GSK3368715 in Fed state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 1: AUC (0-tau) following administration of GSK3368715 in Fasted state

Timeframe: Pre-dose,15,30 minutes(min),1,1.5,2,3,4,6,8,12,24,48,72hours(h) post-dose on Day 1,4,5; Pre-dose,30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle2 (Each cycle will be of 21days)

Part 2: Number of participants with AEs and SAEs

Timeframe: Up to 3.9 years

Part 2: Number of participants with AEs by maximum grade

Timeframe: Up to 3.9 years

Part 2: Progression-free survival (PFS)

Timeframe: Up to 3.9 years

Part 2: Cmax following administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose (Day1) of each cycle; Pre-dose, 30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle 2 (Each cycle will be of 21 days)

Part 2: Tmax following administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose (Day1) of each cycle; Pre-dose, 30 min,1,2, 3,4,6,8,12,24 h post-dose on Day15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle 2 (Each cycle will be of 21 days)

Part 2: AUC (0-t) following administration of GSK3368715

Timeframe: Pre-dose,15,30 min,1, 1.5, 2,3,4,6,8,12,24,48,72 h post-dose (Day1) of each cycle; Pre-dose, 30 min,1,2, 3,4,6,8,12,24 h post-dose on Day 15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle 2 (Each cycle will be of 21 days)

Part 2: AUC (0-infinity) following single dose administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1 of each cycle (Each cycle will be of 21 days)

Part 2: AUC (0-tau) following repeat dose administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1; Pre-dose, 30 min,1,2, 3,4,6,8,12,24 h post-dose on Day 15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle 2 (Each cycle will be of 21 days)

Part 2: Ctau following repeat dose administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1; Pre-dose, 30 min,1,2, 3,4,6,8,12,24 h post-dose on Day 15 of each cycle; Pre-dose on Days 22 and at every 4 weeks from Cycle 2 (Each cycle will be of 21 days)

Part 2: Time invariance ratio following administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1; Pre-dose, 30 min, 1, 2, 3, 4, 6, 8, 12, 24 h post-dose on Day 15 of each cycle (Each cycle will be of 21 days)

Part 2: Accumulation ratio following administration of GSK3368715

Timeframe: Pre-dose, 15, 30 min, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 h post-dose on Day 1; Pre-dose, 30 min, 1, 2, 3, 4, 6, 8, 12, 24 h post-dose on Day 15 of each cycle (Each cycle will be of 21 days)

Interventions:
  • Drug: GSK3368715
  • Enrollment:
    31
    Primary completion date:
    2021-04-03
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    Not applicable
    Medical condition
    Neoplasms
    Product
    GSK3368715
    Collaborators
    Not applicable
    Study date(s)
    October 2018 to March 2021
    Type
    Interventional
    Phase
    1

    Participation criteria

    Sex
    Female & Male
    Age
    18+ years
    Accepts healthy volunteers
    No
    • Participant must be >=18 to years of age inclusive, at the time of signing the informed consent.
    • Diagnosis of one of the following; Part 1 (Dose Escalation and food effect): Histologically- or cytological-confirmed diagnosis of solid tumor malignancy that is metastatic or non-resectable; have received all standard treatment options or are no longer eligible for additional standard treatment options. Evaluable disease that may be measured directly by the size of the tumor or can be evaluated by other methods. Availability of a biopsy of the tumor tissue obtained at any time from the initial diagnosis to study entry. Although a fresh biopsy, which is obtained during screening, is preferred, archival tumor specimen is acceptable if it is not feasible to obtain a fresh biopsy. For participants in the PK/PD cohort, a fresh biopsy and consent for one on treatment biopsy are required for enrollment. Part 2 (Dose Expansion): Cohort 2A & 2B: The availability of archival tumor tissue, or willingness to undergo a fresh biopsy to determine MTAP status (any archival tumor specimen must have been obtained within 6 months prior to starting study drug unless approved by the study Medical Monitor). Local MTAP or Cyclin Dependent Kinase Inhibitor 2A (CDKN2A) results are acceptable for enrollment, but must be confirmed through central laboratory testing. Cohort 2A: Histologically- or cytological-confirmed diagnosis of DLBCL; relapse or refractory disease after at least 1 but not more than 4 lines of prior therapy; at least 1 measurable site of disease according to the Lugano Classification. The site of disease must be greater than 1.5 centimeter (cm) in the long axis regardless of short axis measurement or greater than 1.0 cm in the short axis regardless of long axis measurement, and clearly measurable in 2 perpendicular dimensions. Cohort 2B: Pancreatic Cancer: Histologically or cytologically confirmed adenocarcinoma of the pancreas; unresectable, locally advanced (Stage III), or metastatic (Stage IV) disease; relapsed or refractory disease after at least 1 prior line of approved, systemic therapy; at least 1 measurable tumor lesion per RECIST 1.1. NSCLC: histologically or cytologically confirmed NSCLC; stage IV disease; tested for presence of echinoderm microtubule-associated protein-like 4- anaplastic lymphoma kinase (EML4-ALK) rearrangement; received at least 2 prior lines of approved, systemic therapy, of which 1 therapy has to be a platinum containing regimen or failed a first-line platinum-containing regimen in combination with an anti- progressive disease (PD1) monocloncal antibody and refused a second-line regimen despite being informed about the different therapeutic options and their specific clinical benefit by the investigator; the content of this informed consent discussion including the therapeutic options reviewed by the investigator need to be documented and the participant needs to sign a specific consent form; at least 1 measurable tumor lesion per RECIST 1.1. Transitional cell carcinoma of the Urothelium: histologically or cytologically confirmed transitional cell carcinoma (TCC) of the urothelium (urinary bladder, urethra, ureter or renal pelvis) including mixed pathology with predominantly (that is [i.e.], > 50 percent of the histopathology sample) TCC with the exception of neuroendocrine or small cell carcinoma; unresectable, locally advanced (T4b) or metastatic (lymph node or visceral) disease; relapsed or refractory disease after at least 1 prior line of approved systemic therapy; at least 1 measurable tumor lesion per RECIST 1.1.
    • History of malignancy other than the disease under study. Participants who have been disease-free for 5 years, or participants with a history of completely resected non-melanoma skin cancer or successfully treated in situ carcinoma are eligible. Participants with second malignancies that are indolent or definitively treated may be enrolled even if less than 5 years have elapsed since treatment.
    • Primary central nervous system (CNS) tumors, Glioblastoma multiforme (GBM), symptomatic or untreated leptomeningeal or brain metastases or spinal cord compression. Participants previously treated for these conditions that have had stable CNS disease (verified with consecutive imaging studies) for >1 months, are asymptomatic and off corticosteroids, or are on stable dose of corticosteroids for at least 1 month prior to study Day 1 are permitted. Stability of brain metastases must be confirmed with imaging. Participants treated with gamma knife therapy can be enrolled 2 weeks post-procedure as long as there are no post-procedure complications/they are stable.

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    GSK Investigational Site
    Houston, Texas, United States, 77030
    Status
    Study Complete
    Location
    GSK Investigational Site
    Los Angeles, California, United States, 90033
    Status
    Study Complete
    Location
    GSK Investigational Site
    Melbourne, Victoria, Australia, 3000
    Status
    Study Complete
    Location
    GSK Investigational Site
    Newport Beach, California, United States, 92663
    Status
    Study Complete
    Location
    GSK Investigational Site
    Philadelphia, Pennsylvania, United States, 19104-4206
    Status
    Study Complete
    Location
    GSK Investigational Site
    Salt Lake City, Utah, United States, 84112
    Status
    Study Complete
    Showing 1 - 6 of 9 Results

    Study documents

    Protocol
    Available language(s): English
    Statistical analysis plan
    Available language(s): English

    If you wish to request for full study report, please contact - [email protected]

    Results overview

    Results posted on ClinicalTrials.gov

    Recruitment status
    Other
    Actual primary completion date
    2021-04-03
    Actual study completion date
    2021-04-03

    Plain language summaries

    Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

    Additional information about the trial

    Additional information
    Not applicable
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