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NCT06084416PHASE1Recruiting

A Study of Sovilnesib in Subjects With Ovarian Cancer

Volastra Therapeutics, Inc.

Start Date

4/4/2024

Completion Date

12/1/2027

Summary

This is a phase 1b study to assess the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of sovilnesib at different dose levels to establish the optimal dose of sovilnesib in subjects with selected advanced solid tumors.

Detailed Description

This is a phase 1b study of sovilnesib in subjects with advanced solid tumors. The focus of the proposed clinical study is to establish the optimal dose of sovilnesib for further clinical development. An adaptive multi-cohort design will be used to assess the safety, tolerability, PK, and efficacy of multiple dose levels in parallel to establish the RP2D of sovilnesib. The study will be conducted in two parts: Part 1 and Part 2. Part 1 is a randomized dose optimization phase in the biomarker-unselected platinum resistant HGSOC patient population. Part 2 is a randomized dose optimization phase in the p16 positive (biomarker-selected) platinum resistant HGSOC patient population. Depending on the emerging data of the Part 1 dose optimization stage, consideration will be given to initiate sub-study cohort(s) in other selected locally advanced or metastatic tumor types to provide additional safety, PK/PD and preliminary efficacy data. Early stopping rules for safety based on a Bayesian Toxicity Monitoring Design and for futility based on a Bayesian Efficacy Monitoring via Predictive Probability Design will be applied. Sovilnesib will be given orally in 28-day cycles at selected dose levels of interest. Dosing will continue until disease progression, unacceptable toxicity, withdrawal of consent, or other stopping criteria are met.

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: * All Parts: Age ≥ 18 years, ECOG Performance Status ≤ 1, at least 1 site of measurable disease evaluable by CT scan or MRI per RECIST 1.1, able to take oral medication without alteration * Histologically confirmed locally advanced, inoperable, or metastatic tumor. * High Grade Serous Ovarian Cancer, Fallopian Tube or Primary Peritoneal Cancer - histologically confirmed; locally advanced, inoperable or metastatic; p16 positive (Part 2 only); platinum resistant (defined as radiographic progression/recurrence \<180 days after last dose of ≥ 4 cycles of platinum containing therapy) or refractory; prior bevacizumab treatment, unless ineligible or intolerant; if germline and/or somatic BRCA1/2 mutation, previously treated with PARP-inhibitor (unless ineligible or intolerant). Key Exclusion Criteria: * Part 1 only: MSI-H, dMMR, POLE gene hotspot mutated, or known hypermutator phenotype * Endometrioid, clear cell, mucinous, sarcomatoid, low-grade/borderline ovarian tumor or mixed tumors containing any of the above histologies * Previously received KIF18A inhibitor * Leptomeningeal disease, or new or progressive CNS metastases or spinal cord compression * Cardiac parameters: MI, PE, CABG, severe/unstable angina or stroke ≤ 6 months, NYHA Class ≥ II, LVEF \< 50% * Any gastrointestinal condition (e.g. malabsorption syndrome, surgical anastomosis, short bowel syndrome) that might affect the absorption of oral medications including the study drug

Interventions

DRUG

Sovilnesib

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Conditions

High Grade Serous Adenocarcinoma of OvaryFallopian Tube CancerPrimary Peritoneal CarcinomaChromosomal Instability

Locations

The University of Alabama at Birmingham

Birmingham, Alabama 35294

United States

University of Arkansas for Medical Sciences

Little Rock, Arkansas 72205

United States

Hoag Memorial Hospital

Newport Beach, California 92663

United States

Georgia Cancer Center Augusta University

Atlanta, Georgia 30912

United States

Johns Hopkins Hospital

Baltimore, Maryland 21287

United States

Dana Farber Cancer Institute

Boston, Massachusetts 02215

United States

Roswell Park Comprehensive Cancer Center

Buffalo, New York 14263

United States

Icahn School of Medicine at Mount Sinai

New York, New York 10128

United States

OU Health Stephenson Cancer Center

Oklahoma City, Oklahoma 73117

United States

MUSC Hollings Cancer Center

Charleston, South Carolina 29020

United States

Fred Hutchinson Cancer Center

Seattle, Washington 98109

United States