RE: Info27 Aug 2020 22:40
As brief a summary as is possible I think...
A first-in-human phase I/II trial of SRA737 (a Chk1 Inhibitor) in subjects with advanced cancer.
Elizabeth Ruth Plummer, Rebecca Sophie Kristeleit, Elena Cojocaru, Noor Md Haris, Louise Carter, Robert Hugh Jones, Sarah Patricia Blagden, T.R. Jeffry Evans, Hendrik-Tobias Arkenau, Debashis Sarker, Sarah Danson, Stefan N. Symeonides, Harriet Walter, Joanita Ocen, Manreet Randhawa, Mark Marion Kowalski, Ines Verdon, Andrew Dye, Udai Banerji; Northern Centre for Cancer Care, Newcastle-upon-Tyne, United Kingdom; University College London Hospitals, London, United Kingdom; Gustave Roussy, Arcueil, France; Northern Centre for Cancer Care, Freeman Hospital, Newcastle upon Tyne, United Kingdom; The University of Manchester, Manchester, United Kingdom; Velindre Cancer Centre, Cardiff, United Kingdom; University of Oxford, Oxford, United Kingdom; University of Glasgow, Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom; Sarah Cannon Research Institute, Cancer Institute, University College London, London, United Kingdom; King’s College Hospital, Institute of Liver Studies, London, United Kingdom; Sheffield Experimental Cancer Medicine Centre, Weston Park Hospital, Sheffield, United Kingdom; Edinburgh Cancer Research Centre, University of Edinburgh, Edinburgh, United Kingdom; University of Leicester, Leicester, United Kingdom; South West Wales Cancer Centre, Swansea, United Kingdom; Sierra Oncology, Inc., Brisbane, CA; Sierra Oncology Inc., Vancouver, BC, Canada; Drug Development Unit-The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, Sutton, United Kingdom
Background: SRA737 is a potent, highly selective and orally-bioavailable inhibitor of checkpoint kinase 1 (Chk1). SRA737-01 was designed to investigate the safety and tolerability of continuous, daily dosing with SRA737 and to evaluate preliminary efficacy in expansion cohorts of prospectively-selected genetically-defined subjects with advanced tumors. Methods: The escalation phase employed an accelerated titration design starting at 20 mg administered orally in 28-day cycles. Incremental 100% dose escalations in single-subject cohorts were followed by a rolling-6 design once SRA737- related $ Grade 2 toxicity was observed during Cycle 1. The expansion phase enrolled subjects prospectively selected by next-generation sequencing with: high grade serous ovarian, colorectal, metastatic castration-resistant prostate, non-small cell lung, and head and neck cancers. Results: In escalation, 18 subjects received SRA737 in 9 dose level cohorts, from 20 to 1300 mg QD; median treatment duration 62.5 days (range 1 to 226). Of these subjects, 3 experienced dose limiting toxicity (DLT; inability to receive 75% of the planned dose); 2 at 1300 mg QD due to gastrointestinal intolerability and 1 at 500 mg BID due to thrombocytopenia. The maximum tolerated dose (MTD) was established at 1000 mg QD or 500 mg BID. The Cmax and AUC0-24 at 1000