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CDK9 inhibitor
TP-1287 for Advanced Cancer
Phase 1
Waitlist Available
Research Sponsored by Sumitomo Dainippon Pharma Oncology, Inc
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
For Dose Expansion: Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of less than or equal to 1
For Dose Escalation: Patients with a histologically confirmed diagnosis of advanced metastatic or progressive solid tumor excluding tumor types with rapid cell turnover
Must not have
Patients with severe chronic obstructive pulmonary disease with hypoxemia (defined as resting 02 saturation of less than or equal to 90% breathing room air)
Patients with a history of congestive heart failure (CHF) greater than New York Heart Association (NYHA) Class III, myocardial infarction within the past 6 months prior to Cycle 1 Day 1, left ventricular ejection fraction (LVEF) less than 45% by echocardiogram (ECHO) or multigated acquisition scan (MUGA), uncontrolled unstable arrhythmia, or evidence of ischemia on electrocardiogram (ECG) within 14 days prior to Cycle 1 Day 1
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 23 months
Awards & highlights
No Placebo-Only Group
Summary
This trial tests TP-1287, an oral medicine that blocks a protein needed by cancer cells to grow. It targets patients with advanced cancers who do not respond to standard treatments. The goal is to find the best dose and see if it helps control the cancer.
Who is the study for?
This trial is for adults with advanced solid tumors who've had 1-3 prior treatments including an anthracycline, are not responding to standard therapy, and have a life expectancy of at least 3 months. Ewing sarcoma patients over 12 years old weighing more than 40 kg can also join. Participants must have acceptable organ function and agree to use contraception.
What is being tested?
TP-1287, an oral drug designed to inhibit CDK9, is being tested in this Phase 1 study. The goal is to find the highest dose patients can take without serious side effects (MTD) by gradually increasing doses among small groups of participants (dose escalation), then giving this dose to more people (dose expansion).
What are the potential side effects?
Potential side effects include those common with cancer drugs targeting cell division such as fatigue, nausea, diarrhea, low blood counts leading to increased infection risk or bleeding problems. Specific side effects related to TP-1287 will be monitored closely due to its experimental nature.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am mostly active and can carry out light work.
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I have an advanced solid tumor, but it's not one that grows very quickly.
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I have Ewing sarcoma that cannot be removed by surgery.
Select...
My liver functions are within the normal range, even if I have liver metastases.
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My kidneys work well enough (creatinine clearance ≥ 30 mL/min).
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have severe COPD with low oxygen levels.
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I do not have severe heart issues or recent heart attacks.
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I have not had major surgery in the last 2 weeks.
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I do not have any active infections needing strong medication.
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I have a condition like Crohn's or had major gut surgery that affects how I absorb food.
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I am on medication for seizures.
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My heart's electrical activity, measured by QTcF, is within a safe range.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 23 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~23 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
During Dose Escalation: Determine maximum tolerated dose (MTD)
During Dose Escalation: Incidence of dose-limiting toxicities (DLTs) and treatment emergent adverse events
During Dose Expansion: Determine preliminary antitumor activity of TP-1287 in terms of clinical benefit rate (CBR) at week 16 when administered at the RP2D in patients with sarcoma.
+1 moreSecondary study objectives
During Dose Escalation: Determine antitumor activity of TP-1287
During Dose Escalation: Recommended Phase 2 Dose of TP-1287
During Dose Expansion: Determine the median progression-free survival (PFS) rate in patients with sarcoma
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Single Arm TP-1287Experimental Treatment1 Intervention
TP-1287 by oral administration
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Common treatments for sarcoma include chemotherapy, targeted therapy, and immunotherapy. Chemotherapy agents like doxorubicin work by damaging the DNA of cancer cells, leading to cell death.
Targeted therapies, such as tyrosine kinase inhibitors (e.g., pazopanib) and mTOR inhibitors (e.g., temsirolimus), interfere with specific molecular pathways crucial for tumor growth and survival. CDK inhibitors, like the investigational CDK9 inhibitor TP-1287, block cyclin-dependent kinases involved in cell cycle regulation, potentially halting tumor proliferation.
These treatments are vital for sarcoma patients due to the complex and aggressive nature of these tumors, often requiring a multifaceted approach to improve outcomes.
Stress Granules in the Anti-Cancer Medications Mechanism of Action: A Systematic Scoping Review.Fifty years of advances in sarcoma treatment: moving the needle from conventional chemotherapy to targeted therapy.
Stress Granules in the Anti-Cancer Medications Mechanism of Action: A Systematic Scoping Review.Fifty years of advances in sarcoma treatment: moving the needle from conventional chemotherapy to targeted therapy.
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Who is running the clinical trial?
Sumitomo Dainippon Pharma Oncology, IncLead Sponsor
41 Previous Clinical Trials
6,695 Total Patients Enrolled
Sumitomo Pharma America, Inc.Lead Sponsor
241 Previous Clinical Trials
51,811 Total Patients Enrolled
Sumitomo Pharma Oncology, Inc.Lead Sponsor
44 Previous Clinical Trials
7,016 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am 18 or older, or I am 12 or older with Ewing sarcoma and weigh at least 40 kg.I have an advanced solid tumor, but it's not a rapidly spreading type or one with extensive liver involvement.I have at least one tumor that can be measured for treatment response.I am mostly active and can carry out light work.I am willing and able to follow the study's required procedures.My condition hasn't improved with standard treatments.I have brain metastases but they are treated and under control.I have an advanced solid tumor, but it's not one that grows very quickly.I have Ewing sarcoma that cannot be removed by surgery.I've had 1-5 treatments before, including one with an anthracycline.I have severe COPD with low oxygen levels.My liver functions are within the normal range, even if I have liver metastases.My kidneys work well enough (creatinine clearance ≥ 30 mL/min).I have signed the consent form and, if under legal age, also provided assent.I've had 1-3 treatments for my condition, including one with an anthracycline.I have at least one tumor that can be measured.I do not have severe heart issues or recent heart attacks.I do not have a serious illness that could interfere with the study.I have or had HIV, hepatitis B, or C, but my hepatitis is not currently active.My liver functions within normal limits, or any bilirubin increase is due to Gilbert's syndrome.I haven't had cancer treatment or surgery in the last 28 days or 6 weeks for certain drugs.I have not had major surgery in the last 2 weeks.I do not have any active infections needing strong medication.I have a condition like Crohn's or had major gut surgery that affects how I absorb food.I am on medication for seizures.My heart's electrical activity, measured by QTcF, is within a safe range.My condition hasn't improved with standard treatments.
Research Study Groups:
This trial has the following groups:- Group 1: Single Arm TP-1287
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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