Actively Recruiting

Phase 1
Age: 18Years - 80Years
All Genders
NCT05495295

First-in-human Trial of PhOx430, a First-in-class Acetylglucosaminyltransferase V Inhibitor, in Advanced Solid Tumours

Led by Phost'In Therapeutics · Updated on 2025-04-08

149

Participants Needed

4

Research Sites

262 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The PhAST Trial is an adaptive first-in-human clinical trial of the acetylglucosaminyltransferase V inhibitor PhOx430 in patients with advanced solid tumours conceived and designed with the contribution of the Gianni Bonadonna Foundation, a non-profit academic research institution aimed at promoting therapeutic innovation in oncology.. The trial includes two parts, a dose escalation phase which will enroll patients with non-selected tumour types, followed by a cohort expansion phase in selected tumour types.

CONDITIONS

Official Title

First-in-human Trial of PhOx430, a First-in-class Acetylglucosaminyltransferase V Inhibitor, in Advanced Solid Tumours

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed diagnosis of cancer.
  • Patients with any solid tumor type or histology for dose escalation phase.
  • Patients with glioblastoma multiforme (GBM) for expansion cohort 1.
  • Patients with triple-negative breast cancer (TNBC) defined by specific receptor negativity for expansion cohort 2.
  • Patients with selected solid tumor types for expansion cohort 3.
  • Radiologically documented disease progression after at least one prior treatment for metastatic or advanced disease.
  • No standard effective treatment options available.
  • Age between 18 and 80 years.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1; for GBM patients, Karnofsky Performance Status ≥ 50%.
  • Recovery from acute reversible toxicities of prior treatment to Grade ≤ 1.
  • Accessible tumor tissue for repeated biopsies, except for GBM patients.
  • For GBM patients: stable corticosteroid dose for more than 5 days before baseline MRI.
  • Measurable disease per RECIST v1.1 for non-GBM patients; per RANO criteria for GBM patients.
  • Adequate bone marrow, liver, renal, and coagulation function as defined by specific laboratory values.
  • Written informed consent obtained.
  • Life expectancy of at least 3 months.
  • Women of childbearing potential must have negative pregnancy tests and agree to effective contraception during and after the study.
  • Male patients must agree to use condoms or remain sexually abstinent during treatment and for 90 days after.
  • Ability to take investigational medicinal product (IMP) at home and properly use dosing device.
Not Eligible

You will not qualify if you...

  • Major surgery, chemotherapy, radical radiotherapy, investigational agents, or other anticancer therapy within 4 weeks before treatment start.
  • Active central nervous system (CNS) metastases, except for stable treated cases without recent symptoms.
  • For GBM patients: disease progression within 3 months after last radiation therapy.
  • Inability or unwillingness to swallow.
  • Gastrointestinal conditions that may affect drug absorption such as ulcers or uncontrolled nausea.
  • Any other cancer within 3 years except certain treated skin or cervical cancers.
  • Significant liver disease including active hepatitis or cirrhosis.
  • History of HIV infection or active hepatitis B or C infection, with some exceptions.
  • Severe infections within 4 weeks prior to enrollment.
  • Significant central nervous system disorders or psychiatric disabilities affecting consent or compliance.
  • Baseline heart function with left ventricular ejection fraction below 50%.
  • Other severe uncontrolled systemic diseases.
  • Treatment with CYP3A4/5 inhibitors shortly before study or unwillingness to avoid during study.
  • Known hypersensitivity to study drug components.
  • Pregnant or breastfeeding women.
  • Patients deprived of liberty or without social security affiliation (for patients enrolled in France only).
  • Adults under legal protection or unable to give informed consent (for patients enrolled in France only).

AI-Screening

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Trial Site Locations

Total: 4 locations

1

Institut du Cancer de Montpellier

Montpellier, France, 34298

Actively Recruiting

2

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy, 20133

Actively Recruiting

3

IRCCS Ospedale San Raffaele

Milan, Italy, 20132

Actively Recruiting

4

Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia

Reggio Emilia, Italy, 42123

Actively Recruiting

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Research Team

K

Karine Chorro, Mrs.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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First-in-human Trial of PhOx430, a First-in-class Acetylglucosaminyltransferase V Inhibitor, in Advanced Solid Tumours | DecenTrialz