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โ† Trials
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HTL0039732 in Participants With Advanced Solid Tumours

RecruitingPhase 1, Phase 2Ages 18 Years - anyAllCancer Research UK
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In plain words

What the trial is, and whether it could suit you

The purpose of this trial is to evaluate a new drug, HTL0039732, that will be administered on its own (as a monotherapy) and in combination with atezolizumab or with other approved anti-cancer therapies, in participants with advanced solid tumours.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: 1. Written (signed and dated) informed consent and capable of co-operating with investigational medicinal product administration and follow-up. 2. Phase 1, dose escalation phase Part A (HTL0039732 monotherapy): * Histologically or cytologically proven advanced solid tumour, refractory to conventional treatment, or for which no further conventional therapy is considered appropriate by the Investigator or is declined by the potential participant. * At least 1 measurable lesion according to RECIST v1.1, which (in the Investigator's opinion) has had objective radiological progression on or after the last therapy, or at least one assessable lesion e.g. pleural or peritoneal thickening that does not fulfil RECIST v1.1 criteria for measurable disease. * Consent to access and analysis of any available archival tissue or a fresh tumour sample at baseline, if archival tissue is unavailable. * Consent for fresh tumour biopsy sample(s) at time of PD, if the participant has accessible disease and is eligible to receive atezolizumab. Optional at time of disease progression. Phase 1 Part B: \- Histologically proven advanced solid tumour where PGE2/EP4 signalling is believed to be more prevalent or significant (such as microsatellite stable colorectal cancer (MSS CRC), gastro-esophageal cancer, head and neck squamous cell carcinoma (HNSCC), mCRPC, pancreatic cancer, lung cancer, bladder cancer, mesothelioma, cervical cancer, renal cancer, sarcoma, pheochromocytoma and cancers with PI3K/AKT/mTOR pathway activating mutations using a clinically-validated assay). Phase 2a: \- Histologically proven advanced solid tumour, in line with indications listed below, refractory to conventional treatment, or for which no conventional therapy is considered appropriate by the Investigator or is declined by the potential participant: 1. MSS CRC with PIK3CA or HER2 mutation/genetic aberration, and/or other driver mutation/genetic aberration as agreed with the Sponsor (genomic alteration to have been previously identified using a validated next-generation sequencing method performed on either tumour tissue or circulating tumour DNA \[ctDNA\]); where applicable, results from validated immunohistochemistry are also acceptable. 2. Gastric or gastro-oesophageal junction (GOJ) adenocarcinoma; 3. Clear cell renal cell carcinoma; 4. mCRPC Phase 1 Part B and Phase 2a: * Consent to access and analysis of any available archival tissue. * Consent for fresh tumour biopsy samples at baseline and on treatment. However, the following exceptions will be permitted if archival tissue is available at the recruiting site: 1. Patients with mCRPC: biopsies are not required for those whose only safely accessible lesions are bone metastases that lack an accessible soft tissue component. 2. For the first 12 participants in each indication: the on-trial biopsy is optional; and the baseline biopsy is mandatory if there is a safely accessible lesion but may be omitted for patients who have no safely accessible lesion, to permit their inclusion in the study. This will continually be assessed through the study. * Disease refractory to conventional treatment, or for which no further conventional therapy is considered appropriate by the Investigator or is declined by the participant. * Except for mCRPC, at least 1 measurable lesion according to RECIST v1.1, which (in the Investigator's opinion) has had objective radiological progression on or after the last therapy. Potential participants with mCRPC may instead have had PD according to PCWG3 criteria. 1. Previously irradiated lesions cannot be counted as target lesions unless clearly progressed after the radiotherapy. 2. Lesions that are intended to be biopsied should not be counted as target lesions (those undergoing biopsy must have at least one target lesion that is not intended to be biopsied). * For indications where anti-PD-1/PD-L1 therapy is standard of care (such as clear cell renal cell carcinoma, or gastric or GOJ adenocarcinoma with elevated PD-L1 expression), patients must have received that therapy and must be considered to have had progressive disease by the Investigator either on, or within 6 months after, that treatment. 3. Life expectancy of at least 12 weeks. 4. Eastern Cooperative Oncology Group performance status of 0 or 1. 5. Haematological and biochemical indices within the protocol specified ranges. 6. Stable thyroid function tests. Stable doses of thyroxine replacement are permitted. 7. Aged 18 years or over at the time consent is given. Exclusion Criteria: 1. Radiotherapy (except for palliative reasons), chemotherapy, non chemotherapy systemic anti-cancer therapy (apart from life-long hormone suppression such as luteinising hormone-releasing agents in participants with mCRPC) or investigational medicinal products during the 4 weeks prior to enrolment; or first dose of an immunotherapy during the previous 12 weeks before first dose of HTL0039732. 2. Ongoing toxic manifestations of previous treatments that are Grade \>1 per CTCAE v5.0. 3. Any central nervous system metastases (unless potential participants have had local therapy and are asymptomatic, radiologically stable and have been off steroids for โ‰ฅ4 weeks prior to enrolment). 4. Women of child-bearing potential (or who are already pregnant or lactating). Exceptions apply. 5. Men with partners of childbearing potential. Exceptions apply. 6. Major thoracic or abdominal surgery from which the potential participant has not yet recovered. 7. At high medical risk because of non-malignant systemic disease, including active uncontrolled infection. 8. Known history of current or latent tuberculosis, HIV or Hepatitis B or C infection. 9. Prior treatment with EP4 inhibitor. 10. Treatment with selective cyclooxygenase-2 inhibitor in the 8 weeks prior to enrolment. 11. Known hypersensitivity or intolerance to hydroxypropyl methylce
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What it tests

  • HTL0039732 Capsules
  • HTL0039732 Capsules or HTL0039732 tablets and atezolizumab infusion
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Where

6 sites
Addenbrooke's Hospital
Cambridge, United Kingdom
Velindre Cancer Centre
Cardiff, United Kingdom
Ninewells Hospital
Dundee, United Kingdom
Clatterbridge Cancer Centre
Liverpool, United Kingdom
Guy's Hospital
London, United Kingdom
The Christie Hospital
Manchester, United Kingdom
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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