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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05735080
Registration number
NCT05735080
Ethics application status
Date submitted
9/02/2023
Date registered
21/02/2023
Titles & IDs
Public title
Open-Label Study to Evaluate the Safety, Tolerability, PK, and Efficacy of INX-315 in Patients With Advanced Cancer
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Scientific title
A Phase 1/2, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of INX-315 in Patients With Advanced Cancer
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Secondary ID [1]
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INX-315-01
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Universal Trial Number (UTN)
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Trial acronym
INX-315-01
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast Cancer
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Breast Cancer Metastatic
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Hormone Receptor Positive Tumor
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Human Epidermal Growth Factor 2 Negative Carcinoma of Breast
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Ovarian Cancer
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CCNE1 Amplification
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Solid Tumor
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Advanced Cancer
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Metastatic Cancer
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Condition category
Condition code
Cancer
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - INX-315
Experimental: Part A: Dose Escalation - Multiple doses of INX-315 monotherapy, oral administration
Experimental: Part B: Ovarian Dose Expansion - INX-315 monotherapy, oral administration
Experimental: Part C: ER+/HER2- BC Dose Expansion - INX-315 in combination with CDK4/6i and endocrine therapy, oral administration
Treatment: Drugs: INX-315
Oral administration
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Part A and B: Evaluate the incidents of treatment emergent adverse events and laboratory abnormalities
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Assessment method [1]
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Timepoint [1]
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Up to 12 months
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Primary outcome [2]
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Part A: Evaluate the occurrence of dose-limiting toxicities (DLTs) during Cycle 1
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Assessment method [2]
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Timepoint [2]
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28 days
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Primary outcome [3]
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Part A: Recommend at least two doses of INX-315 to be evaluated in the expansion phase
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Assessment method [3]
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Timepoint [3]
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Up to 12 months
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Primary outcome [4]
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Part B: Overall response rate (ORR)
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Assessment method [4]
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Timepoint [4]
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Up to 36 months
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Primary outcome [5]
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Part B: Selection of Recommended Phase 2 Dose (RP2D)
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Assessment method [5]
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Timepoint [5]
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Up to 36 months
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Secondary outcome [1]
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Part A and B: Characterize the maximum plasma concentration (Cmax)
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Assessment method [1]
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Timepoint [1]
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Cycle 1 Day 1 and Day 15
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Secondary outcome [2]
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Part A and B: Characterize the time to maximum plasma concentration (Tmax)
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Assessment method [2]
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Timepoint [2]
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Cycle 1 Day 1 and Day 15
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Secondary outcome [3]
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Part A and B: Characterize the Area under the plasma concentration versus time curve from time 0 to the end of the dosing interval (AUC0-24h)
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Assessment method [3]
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Timepoint [3]
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Cycle 1 Day 1 and Day 15
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Secondary outcome [4]
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Part A and B: Characterize the terminal half-life (t1/2)
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Assessment method [4]
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Timepoint [4]
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Cycle 1 Day 1 and Day 15
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Secondary outcome [5]
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Part A and B: Characterize the oral clearance (CL/F)
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Assessment method [5]
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Timepoint [5]
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Cycle 1 Day 1 and Day 15
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Secondary outcome [6]
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Part A: Overall response rate (ORR)
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Assessment method [6]
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Timepoint [6]
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Up to 36 months
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Secondary outcome [7]
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Part A and B: Disease control rate (DCR)
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Assessment method [7]
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Timepoint [7]
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Up to 36 months
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Secondary outcome [8]
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Part A and B: Progression free survival (PFS)
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Assessment method [8]
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Timepoint [8]
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Up to 36 months
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Secondary outcome [9]
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Part A and B: Duration of response (DOR)
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Assessment method [9]
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Timepoint [9]
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Up to 36 months
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Secondary outcome [10]
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Part A and B: Time to progression (TTP)
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Assessment method [10]
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Timepoint [10]
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Up to 36 months
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Secondary outcome [11]
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Part A and B: Overall survival (OS)
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Assessment method [11]
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Timepoint [11]
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Up to 36 months
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Eligibility
Key inclusion criteria
1. Advanced unresectable or metastatic ER+/HER2- BC that has progressed following treatment with a CDK4/6 inhibitor
2. Advanced/ metastatic platinum-resistant or platinum-refractory epithelial ovarian cancer (including fallopian tube cancer/primary peritoneal cancer) CCNE1 amplified tumors that progressed after standard systemic therapy
3. Advanced or metastatic solid tumor with known amplification of CCNE1that has progressed after standard therapy, been intolerant to or is ineligible for standard therapy
4. At least one measurable lesion as defined by RECIST v1.1 that has not previously been irradiated
5. ECOG performance status score of 0 or 1.
6. Adequate organ function as demonstrated by the following laboratory values:
1. Hemoglobin = 9.0 g/dL
2. Absolute neutrophil count (ANC) = 1.5 × 109/L
3. Platelet count = 100 × 109/L
4. Estimated glomerular filtration rate (eGFR) of =60 mL/min
5. Total bilirubin = 1.5 × ULN; AST and ALT = 2.5 × ULN; = 5 × ULN in the presence of liver metastases
7. Negative pregnancy test
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Have received previous therapy with a CDK2/4/6 inhibitor, CDK2 inhibitor, PKMYT1 inhibitor, or WEE1 inhibitor.
2. Have central nervous system (CNS) metastases or spinal cord compression that is associated with progressive neurological symptoms or requires corticosteroids (within 4 weeks of enrollment) to control the CNS disease.
3. Have known intracranial hemorrhage and/or bleeding diatheses.
4. Have visceral crisis, lymphangitic spread, or leptomeningeal carcinomatosis.
5. Have clinically active ongoing interstitial lung disease (ILD) of any etiology, including drug-induced ILD, and radiation pneumonitis within 28 days prior to initiation of study treatment.
6. Resting QTcF > 470 msec, a history of prolonged QT syndrome or Torsades de pointes, or a familial history of prolonged QT syndrome.
7. Uncontrolled, cardiovascular disease (including hypertension) with or without medication
8. History of other malignancies, except for the following: (1) adequately treated basal or squamous cell carcinoma of the skin; (2) curatively treated a) in situ carcinoma of the uterine cervix, b) prostate cancer, or c) superficial bladder cancer; or (3) other curatively treated solid tumor with no evidence of disease for = 3 years.
9. Known HIV infection, including AIDS-related illness, or have active, uncontrolled infection (viral, bacterial, or fungal), including tuberculosis, hepatitis B virus, hepatitis C virus, or COVID-19 infection (symptoms and a positive test result).
10. Requires treatment with a prohibited medication or herbal remedy that cannot be discontinued at least 2 weeks before the start of study drug administration.
11. Have planned or anticipation of the need for major surgical procedure within 28 days of the first dose of study drug (procedures such as central venous catheter placement, tumor needle biopsy, and feeding tube placement are not considered major surgical procedures).
12. Unwilling or unable to comply with scheduled visits, study drug administration plan, laboratory tests, or other study procedures and study restrictions.
13. Radical radiotherapy within 28 days prior to study entry or palliative radiotherapy within 2 weeks prior to study entry.
14. Systemic anti-cancer therapy within 28 days or at least 5 half-lives, whichever is less, prior to the first dose of the study drug
15. Prior irradiation to >25% of the bone marrow
16. Previous high-dose chemotherapy requiring prior stem cell transplant
17. Participation in other studies involving investigational drug(s) within 4 weeks prior to study entry.
18. Known or suspected hypersensitivity to active ingredient/excipients in INX-315.
19. Known difficulty in swallowing or tolerating oral medications, or conditions which would impair absorption of oral medications
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/03/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/06/2026
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Actual
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Sample size
Target
81
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Peter MacCallum Cancer Center - Parkville
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Recruitment hospital [2]
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Mater Hospital - South Brisbane
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Recruitment postcode(s) [1]
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3052 - Parkville
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Recruitment postcode(s) [2]
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4101 - South Brisbane
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Georgia
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Country [2]
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United States of America
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State/province [2]
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Massachusetts
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Country [3]
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United States of America
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State/province [3]
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North Carolina
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Country [4]
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United States of America
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State/province [4]
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Ohio
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Incyclix Bio
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Incyclix Bio (Incyclix) is developing INX-315 as an oral, small molecule inhibitor of cyclin dependent kinase 2 (CDK2) for the treatment of human cancers. This first-in-human study is designed to evaluate the safety, tolerability, pharmacokinetics (PK) and preliminary antitumor activity of INX-315 in patients with recurrent advanced/metastatic cancer, including hormone receptor positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) breast cancer who progressed on a prior cyclin-dependent kinase 4/6 inhibitor (CDK4/6i) regimen, and CCNE1-amplified solid tumors who progressed on standard of care treatment. This study will evaluate approximately 6 dose levels of daily INX-315 in Part A, at least two dose levels will be evaluated in Part B to identify the Recommended Phase 2 Dose (RP2D) in patients with ovarian cancer, and Part C will evaluate combination treatment of INX-315 plus a CDK4/6i and selective estrogen receptor degrader (SERD) in HR+/HER2- breast cancer patients who have progressed on prior CDK4/6i regimen.
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Trial website
https://clinicaltrials.gov/study/NCT05735080
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Clinical Director
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Address
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Country
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Phone
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1-919-328-0003
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Supporting document/s available: Study protocol
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When will data be available (start and end dates)?
Data will be shared at the completion of the study, expected release date will be in 2026.
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05735080