Phase 1
Completed N=139
Study to Assess Safety, Tolerability and Clinical Activity of BGB-290 in Combination With Temozolomide (TMZ) in Participants With Locally Advanced or Metastatic Solid Tumors
Locally Advanced or Metastatic Solid Tumors
Source: ClinicalTrials.gov NCT03150810 ↗
Enrolled (actual)
139
Serious AEs
36.0%
Results posted
Dec 2024
Primary outcomePrimary: Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLTs) — 0; 0; 0; 2 Participants
Summary
The primary objective of this study was to determine the safety and tolerability of pamiparib, the maximum tolerated dose (MTD) or maximum administered dose (MAD) for pamiparib combined with TMZ, to select the recommended Phase 2 dose (RP2D) and schedule of pamiparib in combination with TMZ, and to determine the antitumor activity of pamiparib in combination with TMZ.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLTs) |
0; 0; 0; 2; 2; 0 | — |
| PRIMARY Number of Participants Experiencing Adverse Events (AEs) |
4; 13; 9; 3; 3; 14 | — |
| PRIMARY Objective Response Rate (ORR) |
0.0; 16.7; 25.0; 0.0; 0.0; 21.4 | — |
| SECONDARY Maximum Observed Plasma Concentration (Cmax) of Pamiparib |
1945.31; 3796.06 | — |
| SECONDARY Plasma Trough Concentrations of Pamiparib (Ctrough) |
2335.6 | — |
| SECONDARY Time to Reach Cmax (Tmax) of Pamiparib |
2.00; 1.83 | — |
| SECONDARY Area Under the Curve From Time 0 to 4 Hours (AUC0-4h) of Pamiparib |
4646.4; 11119.5 | — |
| SECONDARY Area Under the Curve From Time 0 to Infinity (AUC0-inf) of Pamiparib |
25287.0 | — |
| SECONDARY Terminal Elimination Half-life (t1/2) of Pamiparib |
11.82 | — |
| SECONDARY Apparent Clearance (CL/F) of Pamiparib |
2.37 | — |
| SECONDARY Apparent Volume of Distribution During Terminal Phase (Vz/F) of Pamiparib |
38.14 | — |
| SECONDARY Plasma Concentration of Temozolomide (TMZ) |
NA; NA; NA; NA; NA; NA | — |
| SECONDARY Disease Control Rate (DCR) |
33.3; 91.7; 75.0; 100.0; 50.0; 42.9 | — |
| SECONDARY Duration of Response (DOR) |
13.0; 6.4; 9.2; 3.7; 5.4; 3.8 | — |
| SECONDARY Progression Free Survival (PFS) |
2.0; 5.6; 5.3; NA; NA; 2.8 | — |
| SECONDARY Overall Survival (OS) |
7.6; 14.8; 12.7; 12.4; 12.3; 6.3 | — |
Eligibility Criteria
Key Inclusion Criteria
- Age ≥18 years old with advanced or metastatic stage solid tumors
- Eastern Cooperative Oncology Group (ECOG) status ≤ 1
- Have disease either evaluable (dose-escalation cohort) or measurable (dose-escalation and -expansion cohorts) per RECIST V1.1, except for prostate cancer participants
- Agree to provide archival tumor tissue
- Additional inclusion criteria for dose expansion cohorts:
- Participants with homologous recombination deficiency (HRD+) or known BRCA mutant ovarian cancer Previously received at least one line of platinum-containing therapy in the advanced or metastatic setting and No progression or recurrent disease within 6 months from last platinum-containing regimen.
- Participants with HRD+ or known BRCA mutant triple-negative breast cancer Up to one prior platinum-containing treatment in any treatment setting and up to 3 prior lines of therapy in the advanced or metastatic setting
- Participants with HRD+ or known BRCA mutant prostate cancer Chemotherapy-naïve or previously received up to two taxane-based chemotherapy regimens, with documented prostate cancer progression
- Participants with small cell lung cancer and gastric cancer, previously received ≤ 2 prior lines of therapy
- Other HRD+ solid tumors of multiple indications
Key Exclusion Criteria: All participants
- Prior treatment with a poly adenosine diphosphate-ribose polymerase (PARP) inhibitor.
- Refractory to platinum-based therapy (dose-expansion cohort).
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT03150810). 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. Informational only — not medical advice.