cropped color_logo_with_background.png

Phase 1/2 Study of USL311 +/- Lomustine in Advanced Solid Tumors or Relapsed/Recurrent Glioblastoma Multiforme (GBM)

Study Purpose

This is a multicenter, open-label, Phase 1/2, dose-escalation and dose expansion study of a CXCR4 inhibitor, USL311, alone and in combination with lomustine in subjects with advanced solid tumors (Phase 1) and subjects with relapsed/recurrent GBM (Phase 2). The study is designed to explore the safety, tolerability, pharmacokinetics, and preliminary efficacy of USL311 alone and in combination with lomustine.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

All Subjects: 1. Provide signed and dated informed consent prior to study-specific screening procedures. 2. ≥ 18 years old. 3. Karnofsky performance status (KPS) ≥ 70. 4. Must have adequate bone marrow and renal/hepatic function within protocol specified limits. 5. Disease-free period of > 2 years from any other previous malignancies, excluding curatively treated basal cell carcinoma, squamous cell carcinoma of the skin, or carcinoma in situ of the cervix. Subjects with prostate cancer Stage 1 that do not require treatment may also be included. 6. Women and men must use protocol approved methods of contraception. 7. Must be able and willing to comply with the study visit schedule and study procedures. 8. Must be able to take oral medications. 9. Must have available archived tumor tissue and willing and able to provide consent for study access to such tissue. 10. For subjects with a history of seizures, must be adequately controlled on a stable regimen of anti-epileptic drugs. For Phase 1 Subjects Only: 11. Histologically or cytologically documented diagnosis of solid tumor for which no standard therapy is recognized or have failed or intolerant to the standard-of-care treatment. 12. Inoperable metastatic or locally advanced, unresectable disease. 13. Subjects may have either evaluable or measurable disease. 14. Subjects with treated (surgically excised or irradiated) and stable brain metastases are eligible as long as the subject has adequately recovered from treatment and the treatment was ≥ 28 days prior to initiation of study drug(s) and baseline brain computed tomography (CT) with contrast or magnetic resonance imaging (MRI) ≤ 14 days of initiation of study drug is negative for new brain metastases. For Phase 2 Subjects Only: 15. Histologically confirmed diagnosis of GBM. 16. Subjects must have documented recurrence after first-line treatment. 17. Prior first-line treatment must have included radiation and temozolomide. 18. Subject is suitable for re-resection, per Investigator discretion, as a component of their clinical care. 19. No more than one prior resection (Note: biopsy does not count as prior resection)

Exclusion Criteria:

All Subjects. 1. Subjects who have had recent systemic anticancer therapies, interventional device treatment and/or radiotherapy either within 14 days prior to first dose of study drug(s) or have not recovered (to grade ≤ 1) from all clinically significant toxicities related to prior therapies. 2. Subjects who have had any major surgery (not including re-resection surgery required in Phase 2) within 28 days prior to first dose of study drug(s), or minor surgery within 14 days prior to first day of study drug(s) 3. Subjects taking any strong cytochrome P450 3A4 inducers within 14 days prior to the first dose of study drug(s) 4. Subjects taking any strong cytochrome P450 3A4 inhibitors within 14 days prior to the first dose of study drug(s) 5. Subjects taking any agents with moderate to high risk to prolong QT corrected (QTc) interval or to cause Torsades de Pointes within 14 days prior to the first dose of study drug(s) 6. Subjects who have been treated with an investigational agent or investigational interventional device within 21 days prior to the first dose of study drug(s) 7. Subject is growth factor dependent or transfusion dependent, or has received growth factor support or transfusion support within 14 days prior to the first dose of study drug(s) 8. History of significant cardiac disease. 9. Status epilepticus within 1 year prior to the first dose of study drug(s) 10. Pregnant or breastfeeding. 11. Any other significant co-morbid conditions that in the opinion of the Investigator would impair study participation or cooperation. For Phase 1 Subjects Only: 12. Lymphoma as primary cancer. For Phase 2 Subjects Only: 13. Unable or unwilling to consent to the provision of resected tissue after surgery. 14. Prior treatment with plerixafor or another CXCR4 inhibitor. 15. Prior treatment with bevacizumab. 16. Prior treatment with lomustine and/or carmustine. For All Cohorts Receiving Oral USL311: 17. Any active medical condition or previous major abdominal surgery or procedure that might, in the investigator's opinion, have a significant effect on USL311 absorption

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT02765165
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1/Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Proximagen, LLC
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Tze-Chiang Meng, MD
Principal Investigator Affiliation Proximagen, LLC
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Terminated
Countries Spain, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Solid Tumors (Phase 1), Relapsed/Recurrent GBM (Phase 2)
Arms & Interventions

Arms

Experimental: Dose-Escalation USL311, Solid Tumor, Part 1a

USL311, intravenous, once per week, starting at 60 mg/m˄2

Experimental: Dose-Escalation USL311, Solid Tumor, Part 1b

USL311, oral, daily, starting at 40 mg

Experimental: Dose-Escalation USL311 with Lomustine, Solid Tumor, Part 2

USL311, oral, daily, starting at dose as determined in Part 1b, in combination with lomustine 90 mg/m˄2, oral, once every 6 weeks

Experimental: Dose-Expansion, USL311, GBM, Part 3

USL311, oral, daily, starting at dose determined in Part 1b

Experimental: Dose-Expansion, USL311 with Lomustine, GBM, Part 4

USL311, oral, daily, in combination with lomustine, oral, once every 6 weeks, at dose(s) as determined in part 2

Interventions

Drug: - USL311

Administered once weekly in a 21-day cycle

Drug: - USL311

Administered once daily in a 21-day cycle

Drug: - USL311

Administered once daily in a 42-day cycle

Drug: - Lomustine

Administered once every 6 weeks in a 42-day cycle

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Washington University, Saint Louis, Missouri

Status

Address

Washington University

Saint Louis, Missouri, 63110

Oklahoma City, Oklahoma

Status

Address

University of Oklahoma Stephenson Cancer Center

Oklahoma City, Oklahoma, 73104

Houston, Texas

Status

Address

University of Texas/MD Anderson Cancer Center

Houston, Texas, 77030

San Antonio, Texas

Status

Address

South Texas Accelerated Research Therapeutics (START)

San Antonio, Texas, 78229

UT Health San Antonio Cancer Center, San Antonio, Texas

Status

Address

UT Health San Antonio Cancer Center

San Antonio, Texas, 78229

International Sites

Madrid, Spain

Status

Address

South Texas Accelerated Research Therapeutics (START) - FJD

Madrid, ,