About this trial
This is a single-arm, open-label, dose-escalation and dose-expansion Phase I clinical trial evaluating the safety, tolerability, pharmacokinetics, and preliminary efficacy of FXS887 in patients with advanced solid tumors. FXS887 is a innovative ATR inhibitors of a class of small-molecule inhibitors targeting ATR kinase.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged ≥ 18 years, male or female;
Participants must fully understand the requirements of the study and voluntarily sign the written informed consent;
Participants with histologically/cytologically confirmed advanced solid tumors who have received ≥ 1 line of systemic therapy prior to enrollment in the study and experienced failure of standard therapy (disease progression or intolerance);
Per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, participants must have at least one measurable target lesion;
Disqualifiers
Within the washout period of prior anti-tumor medication treatment (4 weeks or 5 half-lives after the last dose, whichever is longer) prior to the first dose of FXS887;
Have participated in another clinical study within 4 weeks prior to the first dose of FXS887;
Have a history of hypersensitivity to any known components of FXS887 or its analogues;
Have intolerance to ATR inhibitors or have received ATR inhibitors within 4 weeks or 5 half-lives (whichever is longer) prior to the first dose of FXS887;
Trial design
Single group
Treatments tested in this trial
FXS887
DrugFXS887 is an innovative ATR inhibitor targeting ATR kinase.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants with DLTs
DLTs will be assessed during the dose-escalation phase and are defined as toxicities that meet pre-defined DLT criteria and assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, intercurrent illness, or concomitant medications that occurs within the first cycle (28 days) of treatment.
Maximum tolerated dose (MTD) or Maximum administered dose(MAD)
The MTD is defined as the highest dose level at which the proportion of subjects who experience Dose-Limiting Toxicity (DLT) is less than 1/3 during the DLT observation period. If the MTD is not established after the completion of the dose-escalation, the highest safe dose level will be defined as the MAD.
Incidence of Treatment-Emergent Adverse Events (TEAEs)[Safety and Tolerability]
Number and frequency of subjects with adverse events, including changes in vital signs, electrocardiograms (ECGs), physical examinations, and laboratory parameters, graded according to NCI CTCAE v5.0.
Phase 1a: recommended phase 2 dose (RP2D)
The RP2D (Recommended Phase 2 Dose) determined based on comprehensive consideration of safety, tolerability, PK (pharmacokinetics), PD (pharmacodynamics), and efficacy data.
Secondary outcomes
Peak Plasma Concentration (Cmax) of FXS887
Maximum observed plasma concentration of FXS887 following single and multiple doses.
Area under the plasma concentration-time curve (AUC)of FXS887
The area under the plasma concentration-time curve of FXS887 following single and multiple doses.
Time to reach maximum plasma concentration (Tmax) of FXS887
Time to reach maximum plasma concentration of FXS887 following single and multiple doses.
Elimination Half-Life (t1/2) of FXS887
Apparent terminal elimination half-life of FXS887 in plasma.
Sponsors and contacts
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