A Study to Evaluate the Safety and Tolerability of the Covalent Phosphoinositide-3-Kinase (PI3K)-Alpha Inhibitor, TOS-358, in Adult Subjects With Select Solid Tumors

INTRODUCTION

  • Org Study ID: TOS-358-001
  • Secondary ID: N/A
  • NCT ID: NCT05683418
  • Sponsor: Totus Medicines

BRIEF SUMMARY

The goal of this clinical trial is to evaluate the safety and efficacy of TOS-358 in women with HR+ HER2- metastatic breast cancer whose tumors have a mutation in PIK3CA and who meet all other study enrollment criteria. The main questions it aims to answer are:

1. Phase 1a: what is the maximum tolerated dose and recommended dose for phase 2?
2. Phase 1a: how safe and tolerable is TOS-358 at different dose levels when taken orally once or twice per day?
3. Phase 1b: how safe and effective is TOS-358 when given with standard of care medicines for HR+HER2- metastatic breast cancer (fulvestrant and CDK4/6i)

DETAILED DESCRIPTION

This study will be conducted in two parts: a dose finding portion to determine the maximum tolerated dose and recommended phase 2 dose (RP2D) of TOS-358 administered orally on once a day (QD) and twice daily (BID) schedules, and a dose expansion portion to evaluate safety and tolerability in tumor-specific cohorts administered TOS-358 at the recommended phase 2 dose and schedule.

Women with histologically confirmed diagnosis of hormone receptor-positive (HR+), human epidermal growth factor receptor 2 (HER2) negative breast cancer with known PIK3CA mutations or amplifications and who meet all of the eligibility criteria will be enrolled in the study.

In the dose finding portion of the study, TOS-358 will be evaluated as a single-agent at multiple dose levels administered orally until disease progression, unacceptable toxicity, or until meeting any other reason for discontinuation as specified in the protocol. In the Phase 1b portion, TOS-358 will be combined with fulvestrant +/- CDK4/6i.

  • Overall Status
    Recruiting
  • Start Date
    February 15, 2023
  • Phase
    Phase 1
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Determine the rate of dose-limiting toxicities (DLTs)

Primary Outcome 1 - Timeframe: First 21 days of treatment

Primary Outcome 2 - Measure: Incidence and severity of adverse events (AEs) and specific laboratory abnormalities graded according to NCI CTCAE v5

Primary Outcome 2 - Timeframe: Start of treatment to 30 days after last dose

CONDITION

  • HR+/HER2-negative Breast Cancer

ELIGIBILITY

Key Inclusion Criteria
* Locally advanced, recurrent, or metastatic HR +/HER2- breast cancer

- * Up to 3 prior lines of therapy for metastatic disease

- * Willing and able to provide written informed consent for this study

- * Adults ≥ 18 years old at time of consent

- * Known PIK3CA mutations or amplifications as determined at a CAP/CLIA-certified or equivalently accredited diagnostic laboratory using a validated test

- * Measurable or evaluable disease by RECIST 1.1

- * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

- * Life expectancy ≥ 6 months, as determined by the investigator

- * Adequate bone marrow, liver, and kidney function within 14 days prior to first dose of investigational product

- * Fasting plasma glucose <= 140 mg/dL AND hemoglobin A1c (HbA1c) <= 7.0% - * Available archived or fresh tumor tissue sample for detection of PIK3CA mutation by central laboratory test
Key Exclusion Criteria
* Has an established diagnosis of diabetes mellitus type 1 or has uncontrolled diabetes mellitus type 2

- * Known active central nervous system (CNS) metastases

- * PTEN mutations

Gender: Female

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Zelanna Goldberg, MD

Role: Study Director

Affiliation: Totus Medicines

Overall Contact

Name: Clinical Trials

Phone: Please e-mail

Email: [email protected]

LOCATION

Facility Status Contact
Facility: Northwestern Memorial Hospital
Chicago, Illinois 60611
United States
Status: Recruiting Contact: Contact
Essence Baymon
312-695-9361
[email protected]

Contact
Stella Estrella
(312) 695-1102
[email protected]

Principal Investigator
William Gradishar, MD

Facility: Beth Israel Deaconess Medical Center
Boston, Massachusetts 02215
United States
Status: Recruiting Contact: Contact
Victoria Weden
617-975-7489
[email protected]

Contact
Gary Barahona
[email protected]

Principal Investigator
Gerburg Wulf, MD

Facility: Dana-Farber Cancer Institute
Boston, Massachusetts 02215
United States
Status: Recruiting Contact: Contact
Abigail Goldberg
[email protected]

Principal Investigator
Antonio Giordano, MD, PhD

Facility: Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada 89169
United States
Status: Recruiting Contact: Contact
AnaArlene Ramirez, RN, OCN
702-952-3406
[email protected]

Contact
Eidan Gutierrez
[email protected]

Principal Investigator
Liawaty Ho, MD

Facility: University of Pennsylvania
Philadelphia, Pennsylvania 19106
United States
Status: Recruiting Contact: Contact
Anais Iturralde, BSN
215-829-6292
[email protected]

Contact
Study Coordinator
[email protected]

Principal Investigator
Mark Diamond, MD, PhD

Facility: Sarah Cannon Cancer Center
Nashville, Tennessee 37203
United States
Status: Recruiting Contact: Contact
Ethan Trull
(615) 828 - 7996
[email protected]

Contact
Tim Duff
(615) 329-7274
[email protected]

Principal Investigator
Erika Hamilton, MD

Facility: Vanderbilt-Ingram Cancer Center
Nashville, Tennessee 37232
United States
Status: Recruiting Contact: Contact
Jordan Berlin, MD
1-800-811-8480
[email protected]

Principal Investigator
Jordan Berlin, MD

Sub-Investigator
Vandana Abramson, MD

Facility: Texas Oncology - Flower Mound
Flower Mound, Texas 75028
United States
Status: Recruiting Contact: Contact
Sarah Coates
(972) 537-4100
[email protected]

Principal Investigator
Vibha T Thomas, MD

Facility: Virginia Cancer Specialists
Fairfax, Virginia 22031
United States
Status: Recruiting Contact: Contact
Alexander Spira, MD
703-636-1473
[email protected]

Contact
Lilliana Payne
(703) 208-9396
[email protected]