A Study of Oral LOXO-305 in Patients With Previously Treated CLL/SLL or NHL
Status: | Recruiting |
---|---|
Conditions: | Blood Cancer, Lymphoma, Hematology |
Therapuetic Areas: | Hematology, Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 1/27/2019 |
Start Date: | November 16, 2018 |
End Date: | April 2021 |
Contact: | Patient Advocacy |
Email: | clinicaltrials@loxooncology.com |
Phone: | 1-855-LOXO-305 |
A Phase 1/2 Study of Oral LOXO-305 in Patients With Previously Treated Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL) or Non-Hodgkin's Lymphoma (NHL)
This is an open-label, multi-center Phase 1/2 study of oral LOXO-305 in patients with CLL/SLL
and NHL who have failed or are intolerant to standard of care.
and NHL who have failed or are intolerant to standard of care.
This study includes 2 parts: phase 1 (dose escalation) and phase 2 (dose expansion). In phase
1, patients will be enrolled using an accelerated titration design. The starting dose of
LOXO-305 in oral tablet form is 25 mg/day (e.g., 25 mg once daily [QD]). Once the MTD and/or
RP2D is identified, patients will be enrolled to one of six phase 2 dose expansion cohorts
depending on tumor histology, tumor genotype, and prior treatment history. Cycle length will
be 28 days.
1, patients will be enrolled using an accelerated titration design. The starting dose of
LOXO-305 in oral tablet form is 25 mg/day (e.g., 25 mg once daily [QD]). Once the MTD and/or
RP2D is identified, patients will be enrolled to one of six phase 2 dose expansion cohorts
depending on tumor histology, tumor genotype, and prior treatment history. Cycle length will
be 28 days.
Inclusion Criteria:
- Histologically confirmed CLL/SLL or NHL intolerant to standard of care therapies.
- Histologically confirmed CLL/SLL or NHL which has failed standard of care therapies
- ≥ 2 prior lines of therapy.
- No more than 2 lines of prior chemotherapy-containing treatment regimens for initial
phase 1 patients then no restriction.
- For initial phase 1 patients, able to tolerate potentially subtherapeutic doses of
LOXO-305 for the 28-day DLT window in the opinion of the investigator and with
documented sponsor approval.
- Eastern Cooperative Oncology Group (ECOG) 0-2.
- Adequate hematologic, hepatic and renal function.
- Ability to receive study drug therapy orally.
- Willingness of men and women of reproductive potential to observe conventional and
effective birth control.
Exclusion Criteria:
- Transformation (e.g., Richter's transformation, prolymphocytic leukemia, transformed
NHL, blastoid lymphoma) prior to planned start of LOXO-305.
- Investigational agent or anticancer therapy within 2 weeks prior to planned start of
LOXO-305. In addition, no concurrent investigational therapy is permitted.
- Major surgery within 4 weeks prior to planned start of LOXO-305.
- Radiotherapy with a limited field of radiation for palliation within 7 days of the
first dose of study treatment.
- Pregnancy or lactation.
- Patients requiring therapeutic anticoagulation.
- Any unresolved toxicities from prior therapy greater than CTCAE (version 5.0) Grade 2
or greater at the time of starting study treatment except for alopecia.
- History of allogeneic or autologous stem cell transplant (SCT) or chimeric antigen
receptor-modified T-cell (CAR-T) therapy within the past 100 days (180 days before the
PK trigger).
- Known central nervous system (CNS) involvement by lymphoma.
- Active uncontrolled auto-immune cytopenia.
- Clinically significant, uncontrolled cardiac, cardiovascular disease or history of
myocardial infarction within 6 months prior to planned start of LOXO-305.
- Active uncontrolled systemic bacterial, viral, fungal or parasitic infection.
- Tested positive for Human Immunodeficiency Virus (HIV) is excluded.
- Clinically significant active malabsorption syndrome.
- Current treatment with certain strong cytochrome P450 3A4 (CYP3A4) inhibitors or
inducers.
- Treatment with proton pump inhibitors (PPIs) within 7 days of starting LOXO-305.
Active second malignancy unless in remission and with life expectancy > 2 years.
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