Title

Study of NUV-422 in Adults With Recurrent or Refractory High-grade Gliomas and Solid Tumors
Phase 1/2 Dose Escalation, Safety, Pharmacokinetics, and Efficacy Study of NUV-422 in Adults With Recurrent or Refractory High-grade Gliomas and Solid Tumors
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Status

    Terminated
  • Study Participants

    74
At the time of study termination, NUV-422-02 was a first-in-human, open-label, Phase 1 dose escalation study designed to evaluate the safety and efficacy of NUV-422. The study population comprised adults with recurrent or refractory high-grade gliomas (HGGs), metastatic breast cancer (mBC), with and without brain metastases, and recurrent or refractory metastatic castration-resistant prostate cancer (mCRPC). All patients self-administered NUV-422 orally in 28-day cycles until disease progression, toxicity, withdrawal of consent, or termination of the study.
Study Started
Dec 08
2020
Primary Completion
Aug 31
2022
Study Completion
Aug 31
2022
Last Update
Jul 14
2023

Drug NUV-422

NUV-422 is an investigational drug for oral dosing.

Phase 1 Dose Escalation Experimental

NUV-422 will be administered at escalating dose levels until the maximum tolerated dose (MTD) is reached.

Criteria

Key Inclusion Criteria

For All Cohorts:

Recovered from toxicity to prior anti-cancer therapy
Adequate bone marrow and organ function
Appropriate candidate for NUV-422 monotherapy
Life expectancy of > 3 months

Cohort-Specific Inclusion Criteria: In addition to the inclusion criteria listed above, the following criteria apply based on enrollment into specific cohorts.

High-Grade Glioma:

Histologically confirmed diagnosis of high-grade glioma
Evidence of recurrence after treatment (ie, surgery, radiation, or temozolomide) or refractory (or intolerant) to treatment
Measurable or non-measurable disease
Karnofsky Performance Status (KPS) score ≥ 60

HR+HER2- Metastatic Breast Cancer:

Men and women who are not suitable for surgical resection or radiotherapy for the purpose of cure
Diagnosis of locally advanced or HR+HER2- metastatic breast cancer
Evidence of progression as determined by the Investigator per standard criteria
Patients must have endocrine-resistant disease
Prior therapy: At least 1 but not more than 4 prior lines of systemic therapies for locally advanced inoperable or metastatic BC including at least 1 prior line of hormonal therapy in combination with an approved CDK4/6 inhibitor
Have no known active or symptomatic central nervous system (CNS) disease
Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≤ 2

Metastatic Castration-Resistant Prostate Cancer:

Diagnosis of metastatic castration-resistant prostate cancer with disease progression despite castrate levels of testosterone
Evidence of disease progression as determined by Investigator per standard criteria
Have no known active or symptomatic CNS disease
Received prior therapy with anti-androgen(s) and taxane-based chemotherapy for castration-resistant disease
ECOG PS ≤ 2

Key Exclusion Criteria for All Cohorts:

Have received chemotherapy, hormonal therapy (with the exception of ongoing LHRH analogs in male patients and premenopausal women), radiation, or biological anti-cancer therapy within 14 days prior to the first dose of NUV-422
Has a history of or current use of bevacizumab (glioma and brain metastases only)
Received treatment with an investigational agent for any indication within 14 days for non-myelosuppressive agent or 21 days (or < 5 half-lives) for myelosuppressive agent prior to the first dose of NUV-422
Requires systemic corticosteroid therapy > 4 mg/day (> 2 mg/day for Expansion Cohort 2) of dexamethasone or equivalent or increasing doses of systemic corticosteroids during the 7 days prior to enrollment
Requires anti-seizure medications that are known to be strong inducers of CYP3A4/5 enzymes (carbamazepine, phenytoin) or has a recent history of uncontrolled or intermittent seizures
Females who are pregnant or breast feeding
No Results Posted