A Study of VRN101099 in Patients With HER2-Positive Solid Tumors

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorVoronoi, Inc

About this trial

This FIH open-label study aims to investigate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, and antitumor effect of VRN101099 in patients with HER2-positive solid tumors for whom no standard therapies are available.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged ≥ 18 years (patients in Korea must be aged ≥ 19 years).

Able to comprehend and willing to sign an informed consent form and to abide by the study requirements and restrictions.

Has at least 1 evaluable lesion (measurable or non-measurable) based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 (note: metastatic brain lesions will also be assessed using the Response Assessment in Neuro-Oncology - Brain Metastases [RANO-BM] as an exploratory objective).

Has confirmed HER2-positive or mutated cancer as determined by immunohistochemistry (IHC) staining (IHC 1+, 2+, 3+) or next-generation sequencing (NGS) of tissue or circulating tumor DNA (i.e., evaluation of HER2 copy numbers or mutations) (note: documentation of HER2 status is required prior to Screening;

Disqualifiers

Has a confirmed HER2 exon 20 mutation (in the documented NGS test result).

Received any IP, cytotoxic chemotherapy, or other anticancer drugs from a previous treatment regimen or clinical study within 3 weeks of the first dose of the study IP (note: Rescreening will be permitted after a washout period of 3 weeks).

Has been previously treated with systemic anticancer treatment of more than 6 regimens for breast cancer or 3 regimens for other solid tumors (note: local administration of rituximab is allowed but intrathecal methotrexate or concurrent chemoradiotherapy is regarded as systemic therapy).

Has any AEs from previous chemotherapy that have not recovered to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade ≤ 1 (note: Grade ≤ 2 peripheral neuropathy or hair loss is acceptable).

Trial design

Design model

Single group

Treatments tested in this trial

  • VRN101099

    Drug

    Oral capsules

Treatment groups

72 Participants
are divided into 1 treatment group
Group A: VRN101099Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Estimate of Maximum tolerated dose (MTD) of VRN101099

This will be based on dose limiting toxicities (DLT) observed during the DLT evaluation period.

Time frame
Up to 2 years post first dose administration
2

Number of participants with Adverse events (AEs) and Serious Adverse events (SAE) as assessed by Medical Dictionary for Regulatory Activities (MedDRA®).

Time frame
Up to 2 years post first dose administration
3

Number of patients with changes in ECOG performance status from baseline following treatment with VRN101099

Time frame
From Screening to 14 days post last dose
4

Number of patients with changes in physical/ophthalmic examination from baseline following treatment with VRN101099

Time frame
From Screening to 14 days post last dose

Secondary outcomes

1

Plasma PK of VRN101099 and Cycle1 Day 1- Cmax

Cmax- Maximum plasma concentration

Time frame
Blood sampling from pre dose to 24 hours post dose administration on Cycle1 Day 1 and Day 15 (C1D1, C1D15) and pre dose on Cycle 1 Day 8 (C1D8). Each Cycle-28 days. Additionally, on Predose on Cycle 2 Day 1, Cycle 2 Day 8 and Day 1 of subsequent cycles.
2

Plasma PK of VRN101099 and Cycle1 Day 1-AUC0-last

AUC- Area under curve at time 0 to last

Time frame
Blood sampling from pre dose to 24 hours post dose administration on Cycle1 Day 1 and Day 15 (C1D1, C1D15) and pre dose on Cycle 1 Day 8 (C1D8). Each Cycle-28 days. Additionally, on Predose on Cycle 2 Day 1, Cycle 2 Day 8 and Day 1 of subsequent cycles.
3

Plasma PK of VRN101099 and Cycle1 Day 1-AUC0-Inf

AUC- Area under curve at time 0 to Infinity

Time frame
Blood sampling from pre dose to 24 hours post dose administration on Cycle1 Day 1 and Day 15 (C1D1, C1D15) and pre dose on Cycle 1 Day 8 (C1D8). Each Cycle-28 days. Additionally, on Predose on Cycle 2 Day 1, Cycle 2 Day 8 and Day 1 of subsequent cycles.
4

Plasma PK of VRN101099 and Cycle1 Day 1-Tmax

Tmax- Time for maximum concentration

Time frame
Blood sampling from pre dose to 24 hours post dose administration on Cycle1 Day 1 and Day 15 (C1D1, C1D15) and pre dose on Cycle 1 Day 8 (C1D8). Each Cycle-28 days. Additionally, on Predose on Cycle 2 Day 1, Cycle 2 Day 8 and Day 1 of subsequent cycles.

Other outcomes

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