Clinical trial • Phase I/II • Oncology

3-FLUORO-5-{[(2AR,4S)-1,1,2,2,4-PENTAFLUORO-2A-HYDROXY-2,2A,3,4-TETRAHYDRO-1H-CYCLOPENTA[CD]INDEN-5-YL]OXY}BENZONITRILE for Advanced liver cancer | Hepatocellular carcinoma (HCC)

Phase I/II trial of 3-FLUORO-5-{[(2AR,4S)-1,1,2,2,4-PENTAFLUORO-2A-HYDROXY-2,2A,3,4-TETRAHYDRO-1H-CYCLOPENTA[CD]INDEN-5-YL]OXY}BENZONITRILE for Advanced l…

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Advanced liver cancer | Hepatocellular carcinoma (HCC)
Trial Stage
Phase I/II
Drug Modality
Small molecule | Monoclonal antibody | Peptide/protein/enzyme

Key dates

Initial CTIS Submission Date
01-03-2024
First CTIS Authorization Date
13-05-2024

Trial design

Randomised, open-label, control: atezolizumab and bevacizumab (doses and schedule not specified in the ctis record), adaptive Phase I/II trial across 4 sites in France.

Randomised
Yes
Open Label
Yes
Comparator
Control: Atezolizumab and bevacizumab (doses and schedule not specified in the CTIS record)
Adaptive
True, adaptive elements described: umbrella design with flexibility to open new treatment arms as new treatments become available, close existing treatment arms with minimal activity or unacceptable toxicity, modify the patient population, and introduce additional cohorts; Stage-based assignment with potential for patients to receive different combinations if loss of clinical benefit or unacceptable toxicity occurs
Target Sample Size
280

Eligibility

Recruits 280 Vulnerable population selected for the trial. Informed consent is handled via subject information and informed consent form (SIS and ICF) documents (multiple L1_SIS and ICF documents are listed). Participants must be adults (Age ≥ 18 years); no assent process for minors is described in the record..

Vulnerable Population
Vulnerable population selected for the trial. Informed consent is handled via subject information and informed consent form (SIS and ICF) documents (multiple L1_SIS and ICF documents are listed). Participants must be adults (Age ≥ 18 years); no assent process for minors is described in the record.

Inclusion criteria

  • {"criterion_text":"- 1. Age ≥ 18 years, with an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 within 7 days prior to randomization"}
  • {"criterion_text":"- 2. Locally advanced or metastatic and/or unresectable hepatocellular carcinoma (HCC) with diagnosis confirmed by histology/cytology or clinically by American Association for the Study of Liver Diseases criteria in cirrhotic patients"}
  • {"criterion_text":"- 3. Child-Pugh class A within 7 days prior to randomization"}
  • {"criterion_text":"- 4. Disease that is not amenable to curative surgical and/or locoregional therapies"}
  • {"criterion_text":"- 5. No prior systemic treatment (including systemic investigational agents) for HCC"}
  • {"criterion_text":"- 6. Life expectancy ≥ 3 months, as determined by the investigator and availability of a representative tumor specimen that is suitable for determination of PD-L1 and/or additional biomarker status via central testing"}

Exclusion criteria

  • {"criterion_text":"- 1. Prior treatment with CD137 agonists or immune checkpoint blockade therapies or inhibitors targeting HIF2alpha"}
  • {"criterion_text":"- 2. Treatment with investigational therapy within 28 days prior to initiation of study"}
  • {"criterion_text":"- 3. Treatment with locoregional therapy to liver within 28 days prior to initiation of study, or non-recovery from side effects of any such procedure"}
  • {"criterion_text":"- 4. Untreated or incompletely treated esophageal and/or gastric varices with bleeding or at high risk for bleeding"}
  • {"criterion_text":"- 5. A prior bleeding event due to esophageal and/or gastric varices within 6 months prior to initiation of study"}
  • {"criterion_text":"- 6. AEs from prior anti-cancer therapy that have not resolved to Grade 1 or better, with the exception of alopecia of any grade"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- 1. ORR (determined by the investigator according to RECIST 1.1)","definition_or_measurement_approach":"Objective response rate as determined by the investigator according to RECIST v1.1"}
  • {"endpoint_text":"- 2. Incidence, nature, and severity of adverse events and laboratory abnormalities","definition_or_measurement_approach":"Standard safety assessment via reporting of adverse events and clinical laboratory evaluations (incidence, nature, severity); specific assessment methods not further detailed in the record"}
  • {"endpoint_text":"- 3. Change from baseline in vital signs and ECG parameters","definition_or_measurement_approach":"Assessment of change from baseline in vital signs and ECG parameters; specific measurement schedule not provided in the record"}
  • {"endpoint_text":"- 4. Change from baseline in targeted clinical laboratory test results","definition_or_measurement_approach":"Assessment of change from baseline in targeted clinical laboratory tests; specific tests and schedule not provided in the record"}

Secondary endpoints

  • {"endpoint_text":"- 1. PFS","definition_or_measurement_approach":"Not specified in the CTIS record"}
  • {"endpoint_text":"- 2. OS after randomization","definition_or_measurement_approach":"Not specified in the CTIS record"}
  • {"endpoint_text":"- 3. OS at specific timepoints","definition_or_measurement_approach":"Not specified in the CTIS record"}
  • {"endpoint_text":"- 4. DOR","definition_or_measurement_approach":"Not specified in the CTIS record"}
  • {"endpoint_text":"- 5. Disease control","definition_or_measurement_approach":"Not specified in the CTIS record"}

Recruitment

Planned Sample Size
280
Recruitment Window Months
67
Consent Approach
Informed consent is handled via subject information sheets and informed consent forms (multiple L1_SIS and ICF documents listed). Participants provide their own consent (study requires Age ≥ 18 years). Available consent documents in the record include French-language forms (FR_FR) and recruitment materials indicate FR and EN (K1_Recruitment Arrangements_FR_EN), suggesting consent materials are provided at least in French and potentially English; no assent process for minors is described.

Geography

Total Number Of Sites
4
Total Number Of Participants
280

France

Earliest CTIS Part Ii Submission Date
21-06-2023
Latest Decision Or Authorization Date
05-03-2026
Processing Time Days
988
Number Of Sites
4
Number Of Participants
29

Sites

Site Name
Institut Gustave Roussy
Department Name
Department of Therapeutic Innovation and Early Trials
Contact Person Name
Antoine Hollebecque
Site Name
Centr Georges Francois Leclerc
Department Name
Medical oncology
Contact Person Name
Francois Ghiringhelli
Contact Person Email
fghiringhelli@cgfl.fr
Site Name
Centre De Lutte Contre Le Cancer Eugene Marquis
Department Name
Medical oncology
Contact Person Name
Julien Edeline
Contact Person Email
j.edeline@rennes.unicancer.fr
Site Name
Assistance Publique Hopitaux De Marseille
Department Name
Hepato-Gastroenterology
Contact Person Name
Rene Gerolami
Contact Person Email
rene.gerolami@ap-hm.fr

Sponsor

Primary sponsor

Full Name
F. Hoffmann-La Roche AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Fortrea Inc.
Responsibilities
sponsorDuties codes: ["1","12","15","5","8"] (includes value: "Global CRO")
Name
Icon Development Solutions LLC
Responsibilities
sponsorDuties codes: ["4"]
Name
Almac Clinical Technologies LLC
Responsibilities
sponsorDuties codes: ["3"]

Third parties

  • {"country":"United States","full_name":"Almac Clinical Technologies LLC","duties_or_roles":"sponsorDuties codes: [\"3\"]","organisation_type":"Pharmaceutical company"}
  • {"country":"France","full_name":"Pharmaspecific","duties_or_roles":"sponsorDuties codes: [\"15\"] (value: \"Other Third Party Duty\")","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Icon Development Solutions LLC","duties_or_roles":"sponsorDuties codes: [\"4\"]","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"CellCarta","duties_or_roles":"sponsorDuties codes: [\"4\"]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Frontage Laboratories Inc.","duties_or_roles":"sponsorDuties codes: [\"4\"]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Q Squared Solutions LLC","duties_or_roles":"sponsorDuties codes: [\"4\"]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Fortrea Inc.","duties_or_roles":"sponsorDuties codes: [\"1\",\"12\",\"15\",\"5\",\"8\"] (includes value: \"Global CRO\")","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Precision For Medicine Inc.","duties_or_roles":"sponsorDuties codes: [\"4\"]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Natera Inc.","duties_or_roles":"sponsorDuties codes: [\"4\"]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Netherlands","full_name":"QPS Netherlands B.V.","duties_or_roles":"sponsorDuties codes: [\"4\"]","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
RO7790118
Active Substance
3-FLUORO-5-{[(2AR,4S)-1,1,2,2,4-PENTAFLUORO-2A-HYDROXY-2,2A,3,4-TETRAHYDRO-1H-CYCLOPENTA[CD]INDEN-5-YL]OXY}BENZONITRILE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Investigational (prodAuthStatus: 1)
Investigational Product Name
RO7791094 (IO-108)
Active Substance
HUMAN IGG4 MONOCLONAL ANTIBODY AGAINST LILRB2
Modality
Monoclonal antibody
Routes Of Administration
IV INFUSION
Route
IV INFUSION
Authorisation Status
Investigational (prodAuthStatus: 1)
Investigational Product Name
Tiragolumab
Active Substance
TIRAGOLUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Investigational (prodAuthStatus: 1)
Investigational Product Name
Bevacizumab (Avastin)
Active Substance
BEVACIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Authorized (prodAuthStatus: 2; marketing authorisation present)
Investigational Product Name
RO7247669 (Tobemstomig)
Active Substance
RO7247669
Modality
Monoclonal antibody / protein (listed as protein - other)
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Investigational (prodAuthStatus: 1)
Investigational Product Name
Tecentriq (Atezolizumab)
Active Substance
ATEZOLIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Authorized (prodAuthStatus: 2; marketing authorisation present)
Investigational Product Name
TPST-1120
Active Substance
TPST-1120
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Investigational (prodAuthStatus: 1)
Investigational Product Name
ADG126
Active Substance
ADG126
Modality
Peptide/protein/enzyme (protein - other)
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Investigational (prodAuthStatus: 1)
Investigational Product Name
RoActemra (Tocilizumab)
Active Substance
TOCILIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Authorized (prodAuthStatus: 2; marketing authorisation present)
Combination Treatment
Yes

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