Title
A Study of WXFL10030390 in Patients With Advanced Solid Tumors or Lymphoma
A Phase Ⅰ Study of PI3K/mTOR Dual Inhibitor WXFL10030390 to Evaluate the Safety, Tolerability and Pharmacokinetics in Patients With Advanced Solid Tumors or Lymphoma
Phase
Phase 1Lead Sponsor
Shanghai Jiatan Pharmatech Co., LtdStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Advanced CancerIntervention/Treatment
WXFL10030390Study Participants
82WXFL10030390 (WX390) is a novel oral small molecular that inhibits phosphoinositide-3 kinase (PI3K) and mammalian target of rapamycin (mTOR) and has demonstrated potent inhibitory effects on multiple human tumor xenografts. The first-in-human study is conducted to assess the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT), to evaluate the pharmacokinetics, safety and preliminary anti-tumor activity of WX390 at single dose and multiple doses.
This study will be an open-lable, phase Ⅰ study and will evaluate the safety and pharmacokinetics of WX390 after a single administration followed by a 28-day continuous course of therapy; evaluate the safety and preliminary efficacy in an open-lable administration of WX390 at the MTD.
WXFL10030390 is a tablet in the form of 0.1mg and 0.5mg, oral, once a day.
WXFL10030390 continuous oral dosing (0.1 mg once a day) WXFL10030390 continuous oral dosing (0.2 mg once a day) WXFL10030390 continuous oral dosing (0.4 mg once a day) WXFL10030390 continuous oral dosing (0.7 mg once a day) WXFL10030390 continuous oral dosing (1.1 mg once a day) WXFL10030390 continuous oral dosing (1.4 mg once a day) WXFL10030390 continuous oral dosing (1.7 mg once a day)
Inclusion Criteria: ≥18 and ≤75 years of age Histological or cytological confirmed advanced solid tumor or lymphoma, standard regimen failed or no standard regimen available Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 Life expectancy of more than 3 months At least one measurable lesion according to RECIST 1.1 or Lugano 2014 Adequate organic function: Absolute neutrophil count (ANC) ≥2.0×109/L,PLT≥100×109/L,Hb≥9g/L hepatic function:TBIL≤1.5×upper limit of normal (ULN),Alanine aminotransferase (ALT) ≤2.5×ULN,aspartate aminotransferase (AST) ≤2.5×ULN; renal function:Cr≤1.5×ULN and>50ml/min; coagulation function: APTT≤1.5 ×ULN,PT≤1.5 ×ULN, INR≤1.5 ×ULN; GLU<7mmol/L and HbA1C<7%; TG≤1.5×ULN,CHOL≤1.5×ULN Subjects who have the fertility should agree to use reliable contraceptive methods during this study and subsequently at least 12 weeks after the last administration; for female subjects, the blood pregnancy test should be negative within 7 days prior to the enrollment Signed and dated informed consent Exclusion Criteria: Anti-cancer therapy within 4 weeks prior to the initiation of investigational treatment Surgery within 4 weeks prior to the initiation of study treatment Use of strong inducers or inhibitors of CYP3A4 within 1 weeks before the first dose of study treatment. See Appendix 5 for a list of such medications Received corticosteroids treatment or other immunodepressant within 2 weeks before the first dose of study treatment Toxicity from a previous anti-tumor treatment that does not return to Grade 0 or 1 (except for alopecia) Patients with clinical symptomatic brain metastases, spinal compression, meningitis carcinomatosa or other evidence that shows uncontrolled brain or spinal metastases Previous treatment with PI3K/mTOR inhibitors Patients who once or being suffer Interstitial lung disease Evidence of ongoing or active infection History of human immunodeficiency virus (HIV) infection History of hepatitis B or C infection Clinically significant cardiovascular disease, including but not limited to acute coronary syndrome, congestive heart-failure, cerebral stroke within 6 months prior to enrollment, New York Heart Association Class ≥II cardiac functional grading or left ventricular ejection fraction (LVEF) < 50% Inability to take medication orally Severe gastrointestinal disease leading to diarrhea Diabetics receiving insulin treatment Patients with active autoimmune disease (including systemic lupus erythematosus, rheumatoid arthritis, nodular vasculitis) Abuse of alcohol or drugs People with cognitive and psychological abnormality or with low compliance Pregnant or lactating women Researchers believe that subjects may not be able to complete the study or may not be able to comply with the requirements of this study