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NCT04421820PHASE1, PHASE2Recruiting

BOLD-100 in Combination With FOLFOX for the Treatment of Advanced Solid Tumours

Bold Therapeutics, Inc.

Start Date

8/28/2020

Completion Date

9/1/2026

Summary

BOLD-100 is an intravenously administered sterile solution containing the ruthenium-based small molecule. BOLD-100 has been shown to preferentially decrease the expression of GRP78 in tumour cells and ER stressed cells when compared to normal cells. BOLD-100 will be combined with cytotoxic FOLFOX chemotherapy in this study, with a dose escalation cohort to ensure tolerability and safety, followed by a cohort expansion phase.

Detailed Description

BOLD-100 is a novel, targeted anti-cancer therapy which is an intravenously administered small molecule drug. In a previous Phase 1 study (NCT01415297) BOLD-100 showed low toxicity with minimal hematological issues as well as some potential anti-tumour activity. The lack of observed hematological toxicity and neurotoxicity position BOLD-100 well for use in combination with a broad range of standard-of-care (SOC) chemotherapy regimens. This is a prospective, multicenter non-randomized Phase 1b/2a dose escalation \& expanded cohort study of BOLD-100 in patients with advanced gastrointestinal malignancies (colorectal, pancreatic, gastric cancers, and cholangiocarcinoma) receiving standard-of-care FOLFOX chemotherapy. Enrollment in Arms I - VI is closed to enrollment. Colorectal cancer (ARM VII) for patients who are oxaliplatin naïve and have received only 1 prior line of therapy in the metastatic setting. Within this arm, participants will be randomized to one of two dose levels of BOLD-100 - either 500 mg/m2 or 625 mg/m2 in combination with FOLFOX or FOLFOX alone, in a 1:1:1 ratio. Participants enrolled into Arm VII will complete quality of life questionnaires examining general quality of life and neuropathy associated quality of life parameters.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: 1. Be 18 years or older. 2. Be male or non-pregnant females who agree to comply with applicable contraceptive requirements of the protocol. 3. Histologically and/or cytologically confirmed gastrointestinal tumours that are metastatic or unresectable. (ARM VII): Patients must have received only 1 prior line of therapy in the metastatic setting. 4. Have measurable disease according to RECIST v1.1. 5. Have an anticipated survival of at least 16 weeks. 6. Be ambulatory, with an ECOG performance score of 0 or 1. 7. Have adequate organ function. 8. Be on stable doses of any drugs that may affect hepatic drug metabolism or renal drug excretion. 9. Be fully informed about their illness and the investigational nature of the study protocol, and sign a REB-approved Informed Consent Form (ICF). 10. (ARM VII): BRAF wild-type tumour status. Exclusion Criteria: 1. Neuropathy \> grade 2 2. Previous intolerance to or significant reaction secondary to fluorouracil or oxaliplatin. 3. Cerebrovascular accident within the past 6 months before the start of treatment. 4. History or presence of central nervous system (CNS) metastasis or leptomeningeal tumours. 5. Any serious medical conditions that might be aggravated by treatment or limit compliance. 6. Any history of serious cardiac illness. 7. Hemoptysis, cerebral, or clinically significant gastrointestinal hemorrhage in the past 6 months before the start of treatment. 8. Any other known malignancy within 3 years before the start of treatment. 9. Active gastrointestinal tract disease with malabsorption syndrome. 10. Non-healing wound, fracture, or ulcer, or presence of symptomatic peripheral vascular disease. 11. Treatment with radiation therapy or surgery within 4 weeks prior to starting treatment. 12. Recent history of weight loss \> 10% of current body weight in past 3 months before the start of treatment. 13. HIV-positive subjects on combination anti-retroviral therapy due to the potential for PK interactions with the study agent. 14. Concurrent use of another investigational therapy or anti-cancer therapy within 4 weeks before the start of treatment. 15. Currently breastfeeding 16. Dihydropyrimidine Dehydrogenase (DPD) deficiency 17. Current or prior treatment with potent inhibitors of Dihydropyrimidine Dehydrogenase (DPD) 18. (ARM VII): Prior exposure to BOLD-100 19. (ARM VII): Subjects with microsatellite-high (MSI-H) Tumours 20. (ARM VII): Concurrent monoclonal antibody therapy for mCRC (anti-EGFR, anti-VEGF or anti-HER2)

Interventions

DRUG

BOLD-100 +/- FOLFOX Chemotherapy (Arm VII)

DRUG

BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)

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Conditions

Colorectal CancerPancreatic CancerGastric CancersCholangiocarcinoma

Locations

University of California, Los Angeles

Santa Monica, California 90095

United States

Moffitt Cancer Center

Tampa, Florida 33612

United States

Cross Cancer Institue

Edmonton, Alberta

Canada

Juravinski Cancer Centre

Hamilton, Ontario

Canada

The Ottawa Hospital Cancer Centre

Ottawa, Ontario

Canada

Princess Margaret Cancer Centre

Toronto, Ontario

Canada

Jewish General Hospital

Montreal, Quebec

Canada

McGill University Health Centre Glen Site

Montreal, Quebec

Canada

Universitatsklinikum Bonn

Bonn,

Germany

University Hospital of Ulm

Ulm,

Germany

Mater Miserecordiae University Hospital

Dublin,

Ireland

St. James Hospital

Dublin,

Ireland

St. Vincent's University Hospital

Dublin,

Ireland

Fondazione IRCCS "Istituto Nazionale dei Tumori

Milan,

Italy

AOU L. Vanvitelli

Naples,

Italy

Azienda Ospedaliero Universitaria Pisana

Pisa,

Italy

National Cancer Center

Goyang,

South Korea

Kangbuk Samsung Hospital

Seoul,

South Korea

Samsung Medical Center

Seoul,

South Korea

Seoul National University Hospital

Seoul,

South Korea

Severance Hospital - Yonsei University

Seoul,

South Korea

Vall Hebron Institute of Oncology (VHIO)

Barcelona,

Spain

Early Phase Unit FJD START Madrid

Madrid,

Spain

Hospital 12 de Octubre

Madrid,

Spain