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RecruitingLast updated: 2 February 2024

INX-315-01: This study is evaluating how safe and effective a new targeted therapy (INX-315) is in people with recurrent advanced or metastatic solid cancersA Phase 1/2, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of INX-315 in Patients With Advanced Cancer

Clinical summary

Summary

This study will be run in three parts. In all parts, INX-315 will be given orally. Part A (dose escalation) will test six dose levels of INX-315, and will enrol up to 51 people with recurrent advanced/metastatic cancer, including patients with HR+/HER2- breast cancer who progressed on a prior CDK4/6i regimen, and solid cancers, including ovarian cancer with known amplification of CCNE1. Part B will evaluate two dose levels to identify the recommended phase 2 dose (RP2D) in people with platinum-refractory or platinum-resistant advanced/metastatic ovarian cancer with CCNE1 amplifications. Part A patients cannot re-join or continue the study in Part B. Part C will evaluate combination treatment INX-315 plus CDK4/6i and selective oestrogen receptor degrader (SERD) in HR+/HER2- breast cancer patients who have progressed on prior CDK4/6i regimen.

Conditions

This trial is treating patients with advanced solid cancers, plus HR+/HER2- breast cancer and ovarian cancer.

Cancer

Multi-Cancer Multi-Cancer

Age

People18+

Phase

I/II

Trial Acronym

INX-315-01

More information

Trial Identifiers

Use the hyperlinks, where available to access additional clinical trial information.

Trial sponsor

Incyclix Bio

Scientific Title

A Phase 1/2, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of INX-315 in Patients With Advanced Cancer

Eligibility

Inclusion

  1. Advanced unresectable or metastatic ER+/HER2- BC that has progressed following treatment with a CDK4/6 inhibitor
  2. Advanced/ metastatic platinum-resistant or platinum-refractory epithelial ovarian cancer (including fallopian tube cancer/primary peritoneal cancer) CCNE1 amplified tumors that progressed after standard systemic therapy
  3. Advanced or metastatic solid tumor with known amplification of CCNE1that has progressed after standard therapy, been intolerant to or is ineligible for standard therapy
  4. At least one measurable lesion as defined by RECIST v1.1 that has not previously been irradiated
  5. ECOG performance status score of 0 or 1.
  6. Adequate organ function as demonstrated by the following laboratory values:

    1. Hemoglobin ≥ 9.0 g/dL
    2. Absolute neutrophil count (ANC) ≥ 1.5 × 109/L
    3. Platelet count ≥ 100 × 109/L
    4. Estimated glomerular filtration rate (eGFR) of ≥60 mL/min
    5. Total bilirubin ≤ 1.5 × ULN; AST and ALT ≤ 2.5 × ULN; ≤ 5 × ULN in the presence of liver metastases
  7. Negative pregnancy test

Exclusion

  1. Have received previous therapy with a CDK2/4/6 inhibitor, CDK2 inhibitor, PKMYT1 inhibitor, or WEE1 inhibitor.
  2. Have central nervous system (CNS) metastases or spinal cord compression that is associated with progressive neurological symptoms or requires corticosteroids (within 4 weeks of enrollment) to control the CNS disease.
  3. Have known intracranial hemorrhage and/or bleeding diatheses.
  4. Have visceral crisis, lymphangitic spread, or leptomeningeal carcinomatosis.
  5. Have clinically active ongoing interstitial lung disease (ILD) of any etiology, including drug-induced ILD, and radiation pneumonitis within 28 days prior to initiation of study treatment.
  6. Resting QTcF > 470 msec, a history of prolonged QT syndrome or Torsades de pointes, or a familial history of prolonged QT syndrome.
  7. Uncontrolled, cardiovascular disease (including hypertension) with or without medication
  8. History of other malignancies, except for the following: (1) adequately treated basal or squamous cell carcinoma of the skin; (2) curatively treated a) in situ carcinoma of the uterine cervix, b) prostate cancer, or c) superficial bladder cancer; or (3) other curatively treated solid tumor with no evidence of disease for ≥ 3 years.
  9. Known HIV infection, including AIDS-related illness, or have active, uncontrolled infection (viral, bacterial, or fungal), including tuberculosis, hepatitis B virus, hepatitis C virus, or COVID-19 infection (symptoms and a positive test result).
  10. Requires treatment with a prohibited medication or herbal remedy that cannot be discontinued at least 2 weeks before the start of study drug administration.
  11. Have planned or anticipation of the need for major surgical procedure within 28 days of the first dose of study drug (procedures such as central venous catheter placement, tumor needle biopsy, and feeding tube placement are not considered major surgical procedures).
  12. Unwilling or unable to comply with scheduled visits, study drug administration plan, laboratory tests, or other study procedures and study restrictions.
  13. Radical radiotherapy within 28 days prior to study entry or palliative radiotherapy within 2 weeks prior to study entry.
  14. Systemic anti-cancer therapy within 28 days or at least 5 half-lives, whichever is less, prior to the first dose of the study drug
  15. Prior irradiation to >25% of the bone marrow
  16. Previous high-dose chemotherapy requiring prior stem cell transplant
  17. Participation in other studies involving investigational drug(s) within 4 weeks prior to study entry.
  18. Known or suspected hypersensitivity to active ingredient/excipients in INX-315.
  19. Known difficulty in swallowing or tolerating oral medications, or conditions which would impair absorption of oral medications

Inclusion

  • You are able to swallow medication by mouth.
  • You have had treatment, but your cancer has come back.
  • Your cancer has not spread to other parts of the body.
  • Your cancer has spread to other parts of the body.

Exclusion

  • You have been diagnosed with a prior or secondary type of cancer.
  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria.

Ask your doctor if this trial could be right for you.

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