A Phase 1, Open-Label, Dose-Escalation Study of NEV801, Administered to Patients With Advanced Cancers

Brief Summary
This study is a first-in-human, multicenter, open-label, nonrandomized, dose-escalation trial to be conducted in 2 sequential parts:

* Part A (Dose Escalation) in subjects with advanced malignancies
* Part B (Dose Confirmation) in subjects with tumor type(s) to be determined by results of Part A
Brief Title
A Phase 1, Open-Label, Dose-Escalation Study of NEV801, Administered to Patients With Advanced Cancers
Detailed Description
In Part A, subjects will be treated with a 30-minute intravenous (IV) infusion of NEV801 on Days 1, 8, 15, and 22 of continuous 28-day cycles. The starting dose of NEV801 will be 20 mg/m2/dose, and the NEV801 dose will be escalated in successive cohorts of 3 subjects per dose level. In Part B, up to 3 expansion cohorts of up to 12 subjects each, defined by tumor type, will be enrolled at or below the MTD (i.e., the RP2D) of NEV801. In both parts, subjects who tolerate the drug and who do not experience progressive disease may continue to receive NEV801 at the discretion of the Investigator for up to 12 cycles. Subjects who tolerate the drug and experience clinical benefit will be eligible for further treatment in an extension protocol or through another means to be determined by the Sponsor.
Central Contacts
Central Contact Role
Contact
Central Contact Email
christopher.herman@prevailinfoworks.com
Completion Date
Completion Date Type
Estimated
Conditions
Advanced Cancer
Solid Tumors
Eligibility Criteria
Inclusion Criteria:

1. Male or female at least 18 years of age
2. Willing and able to provide written informed consent and comply with the requirements of the study
3. Pathologically confirmed advanced malignancy for which standard therapy proven to provide clinical benefit does not exist or is no longer effective
4. Part A only: Evaluable disease, measurable either on physical examination or by imaging according to RECIST v1.1 or by informative tumor marker(s)
5. Part B only: Selected tumor type(s), as determined by results of Part A
6. Part B only: Measurable disease, using RECIST v1.1
7. ECOG performance status of 0 or 1

Exclusion Criteria:

1. Receipt of more than 5 prior regimens of cytotoxic chemotherapy (unless prior approval is granted by the Sponsor)
2. Any chemotherapy, immunomodulatory drug therapy, antineoplastic hormonal therapy, immunosuppressive therapy, corticosteroids \> 20 mg/day prednisone or equivalent (unless administered to prevent contrast material reactions during radiographic procedures), or growth factor treatment (e.g., erythropoietin) within 14 days before first NEV801 dose
3. Presence of an acute or chronic toxicity of prior chemotherapy, with the exception of alopecia, that has not resolved to ≤ Grade 1, according to the NCI CTCAE v4.03
4. Radiotherapy within 28 days before the first NEV801 dose
5. Use within 7 days of the first NEV801 dose, or anticipated use, of agents that are strong inhibitors of CYP3A4, CYP1A2 and CYP2D6 enzymes (unless approved by the Sponsor) - see Section 5.6 for a list of strong CYP3A4, CYP1A2 and CYP2D6 inhibitors
6. Use of any investigational agents within 28 days of the first NEV801 dose
7. Major surgery within 28 days before the first NEV801 dose
8. Life expectancy \< 12 weeks
9. Uncontrolled congestive heart failure (New York Heart Association Classification 3 or 4), angina, myocardial infarction, cerebrovascular accident, coronary/peripheral artery bypass graft surgery, transient ischemic attack, or pulmonary embolism within 3 months before the first NEV801 dose
10. History of or ongoing cardiac dysrhythmias requiring treatment, atrial fibrillation of any grade, or persistent prolongation of the QT corrected by the Fridericia formula (QTcF) interval to \> 450 msec for males or \> 470 msec for females
11. Previous malignancy other than non-squamous-cell carcinoma of skin or carcinoma in situ of the uterine cervix (unless the tumor was treated with curative intent more than 2 years before the first NEV801 dose)
12. Active bacterial, viral, or fungal infection requiring systemic therapy.
13. Known HIV infection or AIDS-related illness
14. Known active viral hepatitis
15. Presence of genetic polymorphism of UGT1A1 leading to reduced glucuronidation
16. Pregnant or lactating female
17. Women of childbearing potential, unless they agree to use 2 contraceptive methods which, in the opinion of the Investigator, are effective and adequate for that subject's circumstances while on study drug and for 3 months afterward
18. Men who partner with a woman of childbearing potential, unless they agree to use 2 effective contraceptive methods (i.e., a condom, female partner using oral, injectable, or barrier method) while on study drug and for 3 months afterward
19. Any severe, acute, or chronic medical or psychiatric condition, or laboratory abnormality that may increase the risk associated with study participation or NEV801 administration; that may interfere with the informed consent process or with compliance with the requirements of the study; or that may interfere with the interpretation of study results and, in the Investigator's opinion, would make the subject inappropriate for entry into this study
Inclusion Criteria
Inclusion Criteria:

1. Male or female at least 18 years of age
2. Willing and able to provide written informed consent and comply with the requirements of the study
3. Pathologically confirmed advanced malignancy for which standard therapy proven to provide clinical benefit does not exist or is no longer effective
4. Part A only: Evaluable disease, measurable either on physical examination or by imaging according to RECIST v1.1 or by informative tumor marker(s)
5. Part B only: Selected tumor type(s), as determined by results of Part A
6. Part B only: Measurable disease, using RECIST v1.1
7. ECOG performance status of 0 or 1

Gender
All
Gender Based
false
Healthy Volunteers
No
Last Update Submit Date
Minimum Age
18 Years
NCT Id
NCT02797795
Org Class
Industry
Org Full Name
Neovia Oncology Ltd.
Org Study Id
NEV801-01
Overall Status
Unknown status
Phases
Phase 1
Primary Completion Date
Primary Completion Date Type
Estimated
Official Title
A Phase 1, Open-Label, Dose-Escalation Study Evaluating the Safety, Pharmacokinetics, and Clinical Effects of Intravenously Administered NEV801 in Subjects With Advanced Malignancies
Primary Outcomes
Outcome Measure
Maximum Tolerated Dose
Outcome Time Frame
12 months
Secondary Outcomes
Outcome Time Frame
24 months
Outcome Measure
Observe any antitumor effects of NEV801
Start Date
Start Date Type
Actual
Status Verified Date
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
999
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
Eric Feldman
Investigator Email
efeldman@montefiore.org