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Phase 2 N=4 Treatment

Phase 1/2a Study of BAL101553 as 48-hour Infusions in Patients With Advanced Solid Tumors or Recurrent Glioblastoma

Neoplasms

Enrolled (actual)
4
Serious AEs
44.2%
Results posted
Oct 2021
Primary outcome: Primary: Maximum Tolerated Dose (MTD) of BAL101553 — 70 mg/m²

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
BAL101553 (Drug); BAL101553 at MTD (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Basilea Pharmaceutica
Primary completion
Aug 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Tolerated Dose (MTD) of BAL101553
70
SECONDARY
Safety and Tolerability of BAL101553 Treatment Based on Number of Patients With Related Treatment-emergent Adverse Events (TEAEs) in the Phase 1 and Phase 2a Safety Population at Various Dose Levels and Indication
2; 2; 8; 3; 9; 4
SECONDARY
AUC of BAL101553 and BAL27862
1430; 1310; 2260; 1890; 3560; 3550
SECONDARY
Cmax of BAL101553 and BAL27862
43.0; 44.2; 69.3; 60.9; 119; 111
SECONDARY
Tmax of BAL101553 and BAL27862
39.0; 30.0; 29.0; 27.1; 4.00; 1.56
SECONDARY
Bioavailability of Daily Oral BAL101553 Measured by BAL27862 in Phase 1
1.11; 1.32; 0.796; 0.893
SECONDARY
Anti-tumor Activity of BAL101553 by Best Response Rate Per RECIST / RANO Criteria
1; 0; 0; 0; 0; 0

Summary

Single-agent, open-label, multi-center sequential dose escalation and expansion study of BAL101553, administered as an intravenous (IV) infusion over 48 hours to adults with advanced or recurrent solid tumors or recurrent glioblastoma.

Eligibility Criteria

Inclusion Criteria

  • Age ≥ 18 years
  • Phase 1: Patients with either histologically or cytologically confirmed advanced or recurrent solid tumor, who failed standard therapy or for whom no effective standard therapy is available.

Phase 2a: Patients with platinum-resistant/refractory ovarian, fallopian tube or primary peritoneal cancer (high-grade serous, endometrioid, or carcinosarcoma histotypes) or glioblastoma in first relapse.

  • Patients with solid tumors must have measurable disease according to Response Evaluation Criteria in Solid Tumors [RECIST] v1.1.

Patients with recurrent glioblastoma must have measurable disease defined by contrast-enhancing magnetic resonance imaging.

  • Life expectancy ≥ 12 weeks
  • Acceptable organ and marrow function at baseline (protocol defined laboratory parameters)
  • Patients with solid tumors must have an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 and patients with recurrent glioblastoma must have an ECOG performance status ≤ 2.
  • Other protocol-defined inclusion criteria may apply.

Exclusion Criteria

  • Patients with solid tumors who have received chemotherapy, radiotherapy, immunotherapy, or investigational agents within 4 weeks prior to starting study drug or who have not recovered from side effects of prior therapies.

Patients with recurrent glioblastoma who have: received radiotherapy within 12 weeks, unless there is a new area of enhancement consistent with recurrent tumor outside the radiation field, or there is histological confirmation of unequivocal tumor progression; received administration of prior antitumor chemotherapy within 4 weeks, or within 6 weeks for nitrosoureas; undergone surgical resection within 4 weeks or a stereotactic biopsy/core biopsy within 1 week prior to starting study drug, or have been treated previously with bevacizumab.

  • Patients who have had prior exposure to BAL101553.
  • Peripheral neuropathy ≥ CTCAE grade 2.
  • Uncontrolled intercurrent illness that would unduly increase the risk of toxicity or limit compliance with study requirements
  • Systolic blood pressure (SBP) ≥ 140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg at the screening visit.
  • Blood pressure (BP) combination treatment with more than two antihypertensive medications.
  • Women who are pregnant or breast-feeding. Men or women of reproductive potential who are not willing to apply effective birth control.
  • Other protocol-defined exclusion criteria may apply.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02895360). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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