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Study of NUV-422 in Adults With Recurrent or Refractory High-grade Gliomas and Solid Tumors

Study Purpose

At the time of study termination, NUV-422-02 was a first-in-human, open-label, Phase 1 dose escalation study designed to evaluate the safety and efficacy of NUV-422. The study population comprised adults with recurrent or refractory high-grade gliomas (HGGs), metastatic breast cancer (mBC), with and without brain metastases, and recurrent or refractory metastatic castration-resistant prostate cancer (mCRPC). All patients self-administered NUV-422 orally in 28-day cycles until disease progression, toxicity, withdrawal of consent, or termination of the study.

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

Key Inclusion Criteria.For All Cohorts: 1. Recovered from toxicity to prior anti-cancer therapy. 2. Adequate bone marrow and organ function. 3. Appropriate candidate for NUV-422 monotherapy. 4. Life expectancy of > 3 months.Cohort-Specific

Inclusion Criteria:

In addition to the inclusion criteria listed above, the following criteria apply based on enrollment into specific cohorts. High-Grade Glioma: 1. Histologically confirmed diagnosis of high-grade glioma. 2. Evidence of recurrence after treatment (ie, surgery, radiation, or temozolomide) or refractory (or intolerant) to treatment. 3. Measurable or non-measurable disease. 4. Karnofsky Performance Status (KPS) score ≥ 60.HR+HER2- Metastatic Breast Cancer: 1. Men and women who are not suitable for surgical resection or radiotherapy for the purpose of cure. 2. Diagnosis of locally advanced or HR+HER2- metastatic breast cancer. 3. Evidence of progression as determined by the Investigator per standard criteria. 4. Patients must have endocrine-resistant disease. 5. Prior therapy: At least 1 but not more than 4 prior lines of systemic therapies for locally advanced inoperable or metastatic BC including at least 1 prior line of hormonal therapy in combination with an approved CDK4/6 inhibitor. 6. Have no known active or symptomatic central nervous system (CNS) disease. 7. Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≤ 2.Metastatic Castration-Resistant Prostate Cancer: 1. Diagnosis of metastatic castration-resistant prostate cancer with disease progression despite castrate levels of testosterone. 2. Evidence of disease progression as determined by Investigator per standard criteria. 3. Have no known active or symptomatic CNS disease. 4. Received prior therapy with anti-androgen(s) and taxane-based chemotherapy for castration-resistant disease. 5. ECOG PS ≤ 2.Key Exclusion Criteria for All Cohorts: 1. Have received chemotherapy, hormonal therapy (with the exception of ongoing LHRH analogs in male patients and premenopausal women), radiation, or biological anti-cancer therapy within 14 days prior to the first dose of NUV-422. 2. Has a history of or current use of bevacizumab (glioma and brain metastases only) 3. Received treatment with an investigational agent for any indication within 14 days for non-myelosuppressive agent or 21 days (or < 5 half-lives) for myelosuppressive agent prior to the first dose of NUV-422. 4. Requires systemic corticosteroid therapy > 4 mg/day (> 2 mg/day for Expansion Cohort 2) of dexamethasone or equivalent or increasing doses of systemic corticosteroids during the 7 days prior to enrollment. 5. Requires anti-seizure medications that are known to be strong inducers of CYP3A4/5 enzymes (carbamazepine, phenytoin) or has a recent history of uncontrolled or intermittent seizures. 6. Females who are pregnant or breast feeding

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.

NCT04541225
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
Lead Sponsor

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

Nuvation Bio Inc.
Principal Investigator

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

N/A
Principal Investigator Affiliation N/A
Agency Class

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

Industry
Overall Status Terminated
Countries United States
Conditions

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

Glioma, Glioma, Malignant, Glioma, Mixed, Glial Cell Tumors, Breast Cancer, Breast Carcinoma, Cancer of Breast, Cancer of the Breast, Breast Tumor, Malignant Tumor of Breast, Advanced Breast Cancer, Advanced Breast Carcinoma, Metastatic Breast Cancer, Metastatic Breast Carcinoma, Prostate Cancer, Prostatic Cancer, Cancer of Prostate, Cancer of the Prostate, Prostate Neoplasm, Castrate Resistant Prostate Cancer, Castration-resistant Prostate Cancer, Castration Resistant Prostatic Neoplasms, Glioblastoma, Recurrent Glioblastoma
Arms & Interventions

Arms

Experimental: Phase 1 Dose Escalation

NUV-422 will be administered at escalating dose levels until the maximum tolerated dose (MTD) is reached.

Interventions

Drug: - NUV-422

NUV-422 is an investigational drug for oral dosing.

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.

Arizona Oncology Associates, Tucson, Arizona

Status

Address

Arizona Oncology Associates

Tucson, Arizona, 85711

Miami Cancer Institute, Miami, Florida

Status

Address

Miami Cancer Institute

Miami, Florida, 33176

Dana-Farber Cancer Institute, Boston, Massachusetts

Status

Address

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215

Memorial Sloan Kettering Cancer Center, New York, New York

Status

Address

Memorial Sloan Kettering Cancer Center

New York, New York, 10065

Carolina BioOncology Institute, Huntersville, North Carolina

Status

Address

Carolina BioOncology Institute

Huntersville, North Carolina, 28078

Prisma Health Cancer Institute, Greenville, South Carolina

Status

Address

Prisma Health Cancer Institute

Greenville, South Carolina, 29605

Texas Oncology P.A. Austin, Austin, Texas

Status

Address

Texas Oncology P.A. Austin

Austin, Texas, 78705

Dallas, Texas

Status

Address

Texas Oncology-Baylor Charles A. Sammons Cancer Center

Dallas, Texas, 75246

Houston, Texas

Status

Address

The University of Texas MD Anderson Cancer Center

Houston, Texas, 77030

Texas Oncology, Tyler, Texas

Status

Address

Texas Oncology

Tyler, Texas, 75702

Salt Lake City, Utah

Status

Address

University of Utah Huntsman Cancer Institute

Salt Lake City, Utah, 84112

Virginia Cancer Specialists, Fairfax, Virginia

Status

Address

Virginia Cancer Specialists

Fairfax, Virginia, 22031