A Phase 2 Pilot Study to Evaluate the Safety and the Anti-Tumour Activity of the Myc Inhibitor OMO-103 Administered Intravenously in Patients With Advanced High-Grade Osteosarcoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age12+
SponsorVall d'Hebron Institute of Oncology

About this trial

This is an open-label, unicentric, single-arm Phase 2 pilot study to serve as a proof-of-concept of OMO-103 safety and activity in patients with advanced high-grade osteosarcoma.

Patients will be treated at the RP2D (6.5 mg/kg as a weekly IV infusion) of OMO-103 to estimate anti-tumour activity and further characterise the safety, tolerability, PK, and PD of OMO-103 in advanced high-grade osteosarcoma patients. Ten (10) evaluable patients will be enrolled. At least 30% of patients will be \<18 years old. The first three patients 12-15 years of age will undergo additional safety monitoring.

Patients will be treated until progression by RECIST v1.1 or intolerable toxicity.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Provision of signed and dated informed consent form.

Age ≥12 years at time of informed consent.

Histologically proven, advanced high-grade osteosarcoma not suitable for local treatments with curative intent

Confirmed disease progression by radiological report to at least one line of standard chemotherapy containing cisplatin and anthracycline, and no more than 2 previous lines.

Disqualifiers

Treatment with systemic anti-cancer therapy within three weeks prior to study drug administration for chemotherapy and 5 half-lives for targeted therapies.

Radiation therapy within four weeks prior to study entry. Localised palliative radiotherapy to nontarget lesions is allowed

Low-grade osteosarcoma, parosteal, or periosteal osteosarcoma.

Prior history of other malignancies other than osteosarcoma (except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix) unless the patient has been free of the disease for at least 2 years.

Trial design

Design model

Single group

Treatments tested in this trial

  • OMO-103

    Drug

    OMO-103 administered at the recommended phase 2 dose (6.5 mg/kg as a weekly intravenous infusion in 28-day cycles).

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: OMO-103Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Preliminary anti-tumour activity of OMO-103 monotherapy in patients with high-grade osteosarcoma

Progression-free survival rate at 16 weeks (16-week PFS)

Time frame
16 weeks from start of treatment

Secondary outcomes

1

Further evaluate the anti-tumour activity of OMO-103 monotherapy in patients with high-grade osteosarcoma.

• Objective Response Rate (ORR) is defined as the percentage of patients with a complete response (CR) or a partial response (PR) by Investigator according to RECIST 1.1 in solid tumours.

Time frame
Until disease progression, unacceptable toxicity, patient request, physician's decision to withdraw treatment, subsequent anticancer therapy, or death whichever occurs first, assessed up to 24 months
2

Further evaluate the anti-tumour activity of OMO-103 monotherapy in patients with high-grade osteosarcoma.

• Disease Control Rate (DCR) is defined as the percentage of patients in whom the best overall response is determined as CR, PR, or stable disease (SD) by the Investigator according to RECIST 1.1 in solid tumours.

Time frame
Until disease progression, unacceptable toxicity, patient request, physician's decision to withdraw treatment, subsequent anticancer therapy, or death whichever occurs first, assessed up to 24 months
3

Further evaluate the anti-tumour activity of OMO-103 monotherapy in patients with high-grade osteosarcoma.

• Time to Response (TTR) is defined as the time from start of treatment to the date of first documentation of CR, or PR.

Time frame
Until disease progression, unacceptable toxicity, patient request, physician's decision to withdraw treatment, subsequent anticancer therapy, or death whichever occurs first, assessed up to 24 months
4

Further evaluate the anti-tumour activity of OMO-103 monotherapy in patients with high-grade osteosarcoma.

• Time to Progression (TTP) is defined as the time from start of treatment to the date of first documentation of disease progression.

Time frame
Until disease progression, unacceptable toxicity, patient request, physician's decision to withdraw treatment, subsequent anticancer therapy, or death whichever occurs first, assessed up to 24 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Vall d'Hebron Institute of Oncology

Lead sponsor

Peptomyc S.L.

Collaborator

Osteosarcoma Institute

Collaborator

Curing Kids' Cancer Foundation

Collaborator

Dana-Farber Cancer Institute

Collaborator

Memorial Sloan Kettering Cancer Center

Collaborator

Oregon Health and Science University

Collaborator

The Morgan Adams Foundation

Collaborator

The Kristen Ann Carr Fund

Collaborator