A Study of MPT-0118 in Subjects With Advanced or Metastatic Refractory Solid Tumors

Monopteros Therapeutics

Status and phase: Unknown; Phase 1

Conditions: Metastatic Cancer; Advanced Cancer; Solid Tumor, Adult; Refractory Cancer; Advanced Solid Tumor

Treatments: Drug: MPT-0118; Drug: MPT-0118 + pembrolizumab

Study type: Interventional

Funder types: Industry

Identifiers

NCT04859777

MPT-0118-101

Details and patient eligibility

About

This is a Phase 1/1b open-label, dose-escalation, and cohort expansion study with BID (tablet) oral dose of MPT-0118 in subjects with advanced or metastatic refractory solid tumors.

The study will be conducted in 3 parts:

• Part A: MPT-0118 dose-escalation
• Part B: MPT-0118 dose-escalation in combination with pembrolizumab
• Part C: Cohort expansion of MPT-0118 in combination with pembrolizumab

Full description

MPT-0118 will be administered orally twice daily (BID). Pembrolizumab will be administered intravenously (IV) at a dose of 200 mg every 3 weeks.

Enrollment: 70 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

1. Has a histologically- or cytologically-diagnosed solid tumor which is advanced or metastatic and which has progressed on or following at least one systemic therapy regimen administered for advanced or metastatic disease or for which no approved therapy exists. Subject's prior treatment should include all approved regimens that have demonstrated a survival advantage for the subject's disease, stage, and line of therapy.
2. Is aged ≥18 years at the time of signing the ICF
3. Has provided written informed consent
4. Has an ECOG Performance Status of 0 or 1
5. Has measurable disease per RECIST 1.1
6. Has an adequate tumor sample.
7. Has adequate liver, renal, hematologic, pulmonary, cardiac, and coagulation function.
8. Has a negative serum pregnancy test (for women of child-bearing potential) at Screening and a negative urine pregnancy test on Day 1 prior to the first dose of MPT 0118
9. Ability to swallow and retain and absorb oral medications in tablet or crushed form orally or via feeding tube (e.g., nasogastric feeding tube or percutaneous endoscopic gastrostomy feeding tube)

Key Exclusion Criteria:

1. Has received cytotoxic chemotherapy, biologic agent, investigational agent, checkpoint inhibitors, or radiation therapy ≤3 weeks prior to the first dose of MPT-0118
2. Has received small-molecule kinase inhibitors or hormonal agents ≤14 days prior to the first dose of MPT-0118
3. Has been previously treated with a MALT1 inhibitor
4. Has clinically significant AEs that have not returned to baseline or ≤Grade 1 based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0
5. Has received systemic immunosuppressive agents within 14 days of the first dose of MPT-0118
6. Has undergone major surgery ≤6 weeks or minor surgery ≤14 days prior to the first dose of MPT-0118
7. Has clinically significant intercurrent disease
8. Part B and Part C: Has previously been treated with PD-1, PD-L1, or CTLA-4 inhibitors and required dose-interruption, permanent discontinuation, or systemic immunosuppression due to immune-related AEs
9. Has primary central nervous system (CNS) tumors or brain or leptomeningeal metastasis.
10. Has human immunodeficiency virus (HIV) infection
11. Has active hepatitis B or C infection
12. Women who are pregnant or breastfeeding
13. Has an unwillingness or inability to comply with procedures required in this protocol
14. Is currently receiving any other anticancer or investigational agent

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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70 participants in 3 patient groups

Part A:

Experimental group

Description:

Dose-escalation oral MPT-0118 BID

Treatment:

Drug: MPT-0118

Part B:

Experimental group

Description:

Dose-escalation oral MPT-0118 BID + pembrolizumab (IV)

Treatment:

Drug: MPT-0118 + pembrolizumab

Part C:

Experimental group

Description:

Dose-expansion oral MPT-0118 BID + pembrolizumab (IV)

Treatment:

Drug: MPT-0118 + pembrolizumab