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
- Contact Person Email
- antoine.hollebecque@gustaveroussy.fr
- 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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