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Locally Advanced or Metastatic Solid TumorsPhase 1NCT03150810

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

A Phase 1 study testing Pamiparib and Temozolomide in people with Locally Advanced or Metastatic Solid Tumors, run by BeiGene at 22 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial 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… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Pamiparib and Temozolomide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
139 participants
Where
22 sitesin 4 countries
Study dates
28 Jun 2017to 4 May 2023
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.
Show all 10Show fewer
  • 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

Who cannot join

  • 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.

Trial locations and contacts

22 sites in 4 countries.

22 sites in 4 countries

United States7 sites
  • Texas Oncology (Loop) Usor

    Dallas, Texas, 75230

  • Start Midwest

    Grand Rapids, Michigan, 49503

  • The University of Texas Md Anderson Cancer Center

    Houston, Texas, 77030-4009

  • Sarah Cannon Cancer Center

    Nashville, Tennessee, 37203

  • Mount Sinai Prime

    New York, New York, 10029

  • Washington University in St Louis

    St Louis, Missouri, 63110

  • Montefiore Medical Park At Eastchester Einstein Campus

    The Bronx, New York, 10467

Other trials in United States

Spain7 sites
  • Hospital Universitario Vall Dhebron

    Barcelona, 08035

  • Ico H Duran I Reynals

    Barcelona, 08907

  • Hospital Universitario Ramon Y Cajal

    Madrid, 28034

  • Start Madrid Fundacion Jimenez Diaz

    Madrid, 28040

  • Centro Integral Oncologico Clara Campal

    Madrid, 28050

  • Hospital Universitario Virgen de La Macarena

    Seville, 41009

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010

Other trials in Spain

Australia4 sites
  • Chris Obrien Lifehouse

    Camperdown, New South Wales, 2050

  • Saint Vincents Hospital Sydney

    Darlinghurst, New South Wales, 2010

  • Peter Maccallum Cancer Centre

    Melbourne, Victoria, 3000

  • Icon Cancer Centre South Brisbane

    South Brisbane, Queensland, 4101

Other trials in Australia

United Kingdom4 sites
  • Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN

  • Northern Centre For Cancer Care

    High Heaton, NE7 7DN

  • University College Hospital

    London, NW1 2PG

  • Sarah Cannon Research Institute Uk

    London, W1G 6AD

Other trials in United Kingdom

About this study

Official title: A Phase 1b Study to Assess the Safety, Tolerability and Clinical Activity of BGB-290 in Combination With Temozolomide (TMZ) in Subjects With Locally Advanced or Metastatic Solid Tumors

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.

Being tested
Pamiparib, Temozolomide
Keywords
Ovarian cancer, Triple negative breast cancer, Small cell lung cancer, Gastric cancer, temozolomide, BGB-290, antineoplastic agents, alkylating, alkylating agents,, Poly (ADP-ribose) polymerase inhibitors, enzyme inhibitors, Head and neck cancer, Esophageal cancer, Soft tissue sarcoma, Non small cell lung cancer, pamiparib
Medical subject headings
Ovarian Neoplasms, Triple Negative Breast Neoplasms, Small Cell Lung Carcinoma, Stomach Neoplasms, Head and Neck Neoplasms, Esophageal Neoplasms, Sarcoma, Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PamiparibDrug

    Also called BGB-290

    Administered by mouth as a capsule twice daily

  • TemozolomideDrug

    Also called TMZ, temodar

    TMZ at various doses administered by mouth as a capsule once daily.

Study groups in NCT03150810
Study groupRoleWhat they receive
Dose Escalation: Pamiparib + Temozolomide (TMZ) 40 milligrams (mg) (Days 1-7)ExperimentalPamiparib 60 mg twice daily on Days 1 to 28 in combination with pulse dosing of TMZ 40 mg once daily on Days 1 to 7 within a 28-day cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Escalation: Pamiparib + TMZ 60 mg (Days 1-7)ExperimentalPamiparib 60 mg twice daily on Days 1 to 28 in combination with pulse dosing of TMZ 60 mg once daily on Days 1 to 7 within a 28-day cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Escalation: Pamiparib + TMZ 80 mg (Days 1-7)ExperimentalPamiparib 60 mg twice daily on Days 1 to 28 in combination with pulse dosing of TMZ 80 mg once daily on Days 1 to 7 within a 28-day cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Escalation: Pamiparib + TMZ 100 mg (Days 1-7)ExperimentalPamiparib 60 mg twice daily on Days 1 to 28 in combination with pulse dosing of TMZ 100 mg once daily on Days 1 to 7 within a 28-day cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Escalation: Pamiparib + TMZ 120 mg (Days 1-7)ExperimentalPamiparib 60 mg twice daily on Days 1 to 28 in combination with pulse dosing of TMZ 120 mg once daily on Days 1 to 7 within a 28-day cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Escalation: Pamiparib + TMZ 40 mg (Days 1-14)ExperimentalPamiparib 60 mg twice daily on Days 1 to 28 in combination with pulse dosing of TMZ 40 mg once daily on Days 1 to 14 within a 28-day cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Escalation: Pamiparib + TMZ 20 mg (Days 1-28)ExperimentalPamiparib 60 mg twice daily in combination with TMZ 20 mg once daily administered continuously on Days 1 to 28 within a 28-day cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Escalation: Pamiparib + TMZ 40 mg (Days 1-28)ExperimentalPamiparib 60 mg twice daily in combination with TMZ 40 mg once daily administered continuously on Days 1 to 28 within a 28-day cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Expansion: Gastric CancerExperimentalParticipants with gastric or gastroesophageal junction cancer received TMZ 60 mg administered on Days 1 to 7 in combination with pamiparib 60 mg twice daily on Days 1 to 28 of each cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Expansion: Ovarian CancerExperimentalParticipants with ovarian cancer, fallopian cancer, or primary peritoneal cancer received TMZ 60 mg administered on Days 1 to 7 in combination with pamiparib 60 mg twice daily on Days 1 to 28 of each cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Expansion: SCLCExperimentalParticipants with Small Cell Lung Cancer (SCLC) received TMZ 60 mg administered on Days 1 to 7 in combination with pamiparib 60 mg twice daily on Days 1 to 28 of each cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Expansion: TNBCExperimentalParticipants with triple negative breast cancer (TNBC) received TMZ 60 mg administered on Days 1 to 7 in combination with pamiparib 60 mg twice daily on Days 1 to 28 of each cycle
Receives: Drug: Pamiparib; Drug: Temozolomide
Dose Expansion: Other HRD+ CancersExperimentalParticipants with non-small cell lung cancer (NSCLC), esophageal cancer, squamous head and neck cancer, or soft tissue sarcomas whose tumors are homologous recombination deficiency (HRD)+ received TMZ 60 mg administered on Days 1 to 7 in combination with pamiparib 60 mg twice daily on Days 1 to 28 of each cycle
Receives: Drug: Pamiparib; Drug: Temozolomide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLTs)

    A DLT is defined as one of the following toxicities occurring during the DLT assessment window:

    Grade ≥3 non-hematologic, non-hepatic major organ adverse event (AE) Grade 4 neutropenia lasting >7 days Grade ≥3 febrile neutropenia Grade 3 thrombocytopenia with clinically significant bleeding Grade 4 thrombocytopenia lasting > 3 days and requiring transfusion, or any decreased platelet count <15,000/mm3/ <15.0 x 109/L Grade ≥4 anemia Grade ≥3 total bilirubin or hepatic transaminases (ALT or AST)

    Measured: From first dose of study drug(s) to 28 days post-dose (up to approximately 1 year and 6 months)

  2. Number of Participants Experiencing Adverse Events (AEs)

    Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs), including laboratory values, vital signs, physical examination findings, and electrocardiogram results, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v4.03

    Measured: From the first dose of study drug(s) to 30 days after the last dose; up to approximately 5 years and 10 months

  3. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants who have a best overall response (BOR) of complete response (CR) or partial response (PR) based on investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, where BOR is defined as the best response recorded from the first postbaseline tumor assessment until data cutoff date, disease progression or start of new anticancer treatment.

    Measured: Up to approximately 5 years and 10 months

Secondary outcomes (13)
  1. Maximum Observed Plasma Concentration (Cmax) of Pamiparib

    Pamiparib pharmakokinetic (PK) parameters were assessed in the first 20 participants enrolled in the dose escalation phase after a single dose on Day -2 and at steady state in combination with TMZ on Day 15.

    Measured: 2 days before Cycle 1 Day 1 (Day -2) at predose, 30 min, 1, 2, 4, 6, 24, and 48 hours after dosing, and on Cycle 1 Day 15 at predose, 1, 2, and 4 hours postdose (each cycle is 28 days)

  2. Plasma Trough Concentrations of Pamiparib (Ctrough)

    Measured: Cycle 1 Day 15 predose

  3. Time to Reach Cmax (Tmax) of Pamiparib

    Measured: 2 days before Cycle 1 Day 1 (Day -2) at predose, 30 min, 1, 2, 4, 6, 24, and 48 hours after dosing, and on Cycle 1 Day 15 at predose, 1, 2, and 4 hours postdose.

  4. Area Under the Curve From Time 0 to 4 Hours (AUC0-4h) of Pamiparib

    Measured: 2 days before Cycle 1 Day 1 (Day -2) at predose, 30 min, 1, 2, and 4 hours after dosing, and on Cycle 1 Day 15 at predose, 1, 2, and 4 hours postdose.

  5. Area Under the Curve From Time 0 to Infinity (AUC0-inf) of Pamiparib

    Measured: 2 days before Cycle 1 Day 1 (Day -2) at predose, 30 min, 1, 2, 4, 6, 24, and 48 hours after dosing

  6. Terminal Elimination Half-life (t1/2) of Pamiparib

    Measured: 2 days before Cycle 1 Day 1 (Day -2) at predose, 30 min, 1, 2, 4, 6, 24, and 48 hours after dosing (each cycle is 28 days)

  7. Apparent Clearance (CL/F) of Pamiparib

    Measured: 2 days before Cycle 1 Day 1 (Day -2) at predose, 30 min, 1, 2, 4, 6, 24, and 48 hours after dosing (each cycle is 28 days)

  8. Apparent Volume of Distribution During Terminal Phase (Vz/F) of Pamiparib

    Measured: 2 days before Cycle 1 Day 1 (Day -2) at predose, 30 min, 1, 2, 4, 6, 24, and 48 hours after dosing (each cycle is 28 days)

  9. Plasma Concentration of Temozolomide (TMZ)

    Measured: Predose (within 30 min prior to dose) and 1 hour post dose on Cycle 1 Day 1 and Cycle 1 Day 7

  10. Disease Control Rate (DCR)

    DCR is defined as the percentage of participants with BOR of CR, PR, or stable disease (SD) based on investigator assessment using RECIST v1.1.

    Measured: Up to approximately 5 years and 10 months

  11. Duration of Response (DOR)

    DOR is defined as the time from the date of the earliest documented CR or PR (that is subsequently confirmed) to disease progression or death due to any cause, whichever occurs earlier, based on investigator assessment using RECIST v1.1. Only responders will be included in the assessment.

    Measured: Up to approximately 5 years and 10 months

  12. Progression Free Survival (PFS)

    PFS is defined as the time (months) from the date of the first dose of combination treatment to disease progression or death due to any cause, whichever occurs first, based on investigator assessment using RECIST v1.1

    Measured: Up to approximately 5 years and 10 months)

  13. Overall Survival (OS)

    OS is defined as the time from the date of the first dose of combination treatment to death due to any cause.

    Measured: Up to approximately 5 years and 10 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 May 2017
  2. Study start28 Jun 2017
  3. Primary completion4 May 2023
  4. Study completion4 May 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
139 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03150810
Sponsor's protocol ID
BGB-290-103
Other IDs
2017-001553-14, 2017
Status last verified
Dec 2024
First submitted
8 May 2017
Last updated
20 Dec 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Stradella A, Johnson M, Goel S, Park H, Lakhani N, Arkenau HT, Galsky MD, Calvo E, Baz V, Moreno V, Saavedra O, Luen SJ, Mu S, Wan Q, Chang V, Zhang W, Barve M. Phase 1b study to assess the safety, tolerability, and clinical activity of pamiparib in combination with temozolomide in patients with locally advanced or metastatic solid tumors. Cancer Med. 2024 Jul;13(13):e7385. doi: 10.1002/cam4.7385.

    PubMed 38970256

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Pamiparib and Temozolomide in people with Locally Advanced or Metastatic Solid Tumors, run by BeiGene at 22 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, Spain, Australia, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Dec 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLTs) (time frame: From first dose of study drug(s) to 28 days post-dose (up to approximately 1 year and 6 months)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03150810, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2024.

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