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CompletedNCT03579628DRIIV-1Updated Mar 24, 2022

AsiDNA (a DNA Repair Inhibitor) Administered IntraVenously in Advanced Solid Tumors

A Phase 1 interventional study of AsiDNA in Advanced Cancer, sponsored by Valerio Therapeutics. Completed at 5 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-24.

Sponsored by Valerio Therapeutics · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The aim of the study is to assess:

  • Part A: the safety, pharmacokinetics, pharmacodynamics and preliminary efficacy of AsiDNA in patients with advanced solid tumors.
  • Part B: the safety and preliminary efficacy of AsiDNA in combination with Carboplatin with or without Paclitaxel in patients with Advanced solid tumors.
02

Conditions studied

  • Advanced Cancer
03

In context

Lead sponsor

Valerio Therapeutics is the lead sponsor of 25 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Life expectancy of at least 3 months.
  • Patient with histologically or cytologically documented advanced/metastatic primary or recurrent solid tumors who failed or are not eligible to standard therapy (Part A) and who are candidate to Carboplatin (Part B1) and to Carboplatin and Paclitaxel (Part B2).
  • Part A: Fresh tumor sample from a biopsy
  • Part B: A most recent available tumor sample from a biopsy for all patients will be collected for retrospective analysis of 6 genes expression profile for validation of further stratification approach (exploratory purpose).
  • Prior anticancer therapies (chemotherapy, radiation therapy, hormonal therapy, immunotherapy, biological therapy) are allowed under conditions
  • At least one measurable lesion according to RECIST 1.1; Patient with no measurable lesion can be enrolled, if the tumor evaluation can be properly documented
  • Must meet select hematological and biochemical laboratory indices

Part B only:

  • Patient must be eligible to Carboplatin (Part B1) and to Carboplatin + weekly Paclitaxel (Part B2).
  • Patients must not have received more than 6 prior cycles of platinum-based chemotherapy.

Key Exclusion Criteria:

  • Patient with symptomatic/active central nervous system (CNS) metastases
  • Other tumor location necessitating an urgent therapeutic intervention
  • Patient with uncontrolled disease-related metabolic disorder
  • Patient presenting the following abnormal laboratory values at screening:

    1. hematuria > 1+ on dipstick,
    2. proteinuria > 1+ on dipstick
  • Patient with uncontrolled congestive heart failure defined as New York Heart Association (NYHA) class III or IV, uncontrolled hypertension, unstable heart disease
  • Patient with significant ECG abnormalities defined as any cardiac dysrhythmia (> grade 2)
  • Patient with significant chronic liver disease or active HBV or HCV infection
  • Patients with HIV infection or an active infection requiring specific anti-infective therapy
  • Participation in another clinical trial with any investigational drug within 28 days prior to first study drug administration.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    AsiDNA

    Part A: AsiDNA as a single agent: The study will follow a dose escalation "3 + 3" cohort design (with 6 dose levels). All patients will receive a loading dose of AsiDNA for 3 consecutive days as iv infusion at Day 1 (D1), Day 2 (D2) and Day 3 (D3), followed by iv infusion once a week (at D8 and D15 of a 21 days treatment period (1 cycle = 21 days). Each subsequent cycle will be administered on a weekly basis (D1, D8, D15) of a 21 days treatment period. Part B: AsiDNA combination with Carboplatin with or without Paclitaxel (Background treatments): * Part B1: Combination cohort of AsiDNA at DL3 (600mg) with Carboplatin AUC 5. * Part B2: Combination cohort of AsiDNA at DL3 (600mg) with Carboplatin AUC 5 and weekly Paclitaxel: 80 mg/m2 (full dose).

    Drug: AsiDNA

Interventions

  • DrugAsiDNA

    All patients will receive a loading dose of AsiDNA iv infusion (D1, D2, D3) followed by weekly iv administrations. At cycle 1: Part B1: Carboplatin will be administered by a 1 hour IV infusion at D8, 1 hour after the end of AsiDNA infusion. Part B2: Carboplatin will be administered by a 1 hour IV infusion at D8, 1 hour after the end of AsiDNA infusion and Paclitaxel will be administered by a 1 hour IV infusion at D8, D15, D22 or 1 hour after the end of AsiDNA infusion for weekly administrations. At each other cycle: AsiDNA will be administered on a weekly basis. Part B1: Carboplatin will be administered by a 1 hour IV infusion at D1, 1 hour after the end of AsiDNA infusion. Part B2; Carboplatin will be administered by a 1 hour IV infusion at D1, 1 hour after the end of AsiDNA infusion and Paclitaxel will be administered on a weekly basis by a 1 hour IV infusion. Patients will continue study treatment until disease progression, unacceptable toxicity or patient's refusal to continue.

06

What researchers measure

Primary outcomes

  1. Determine dose-limiting toxicities (DLTs) and maximum tolerated dose (MTD) of iv infusions of AsiDNA.

    DLTs will be based on the toxicities observed during the first 3 weeks of study treatment (i.e, cycle 1: from Day 1 to Day 21) for Part A and during the 4 weeks of study treatment (i.e, cycle 1: from Day 1 to Day 28) for Part B. MTD is defined as the dose immediately below the unacceptable dose or defined as the highest tested dose if no DLT observed at this dose.

    Time frame: At Cycle 1 (a cycle is 21 days for Part A and 28 days for Part B) for all patients

Secondary outcomes

  1. Collection of new Adverse Events and follow-up of all ongoing Adverse Events assessed

    Adverse Events will be reported and graded based on the National Cancer Institute \[NCI\] Common Terminology Criteria for Adverse Events (AE) \[CTCAE\] scale, version 4.03.

    Time frame: At Cycle 1 (at Day 1; Day 3; Day 8; Day 15) and at Cycle 2 (at Day 1; Day 8; Day 15) and at each subsequent cycles in any (at Day 1; Day 8; Day 15) for all patients

  2. Elimination half-life (t1/2) of iv infusions of AsiDNA

    The following standard plasma PK parameter for IV AsiDNA will be analyzed: elimination half-life (t1/2) in hours

    Time frame: At Cycle 1 (at Day 1; Day 3; Day 8; Day 15) and at cycle 2 (at Day 1) for all patients

  3. ECG evaluation for safety assessment

    12-lead ECG will be performed before each cycle (e.g at Day 1 of cycle 1; Day 1 of cycle 2 and Day 1 of each subsequent cycles if any) per usual center's practice.

    Time frame: Before each cycle (e.g at Day 1 of cycle 1; Day 1 of cycle 2 and Day 1 of each subsequent cycles if any) per usual center's practice.

  4. Peak plasma concentration of iv infusions of AsiDNA

    The following standard plasma PK parameter for IV AsiDNA will be analyzed: peak plasma concentration (Cmax) in ng/mL

    Time frame: At Cycle 1 (at Day 1; Day 3; Day 8; Day 15) and at cycle 2 (at Day 1) for all patients

  5. Time to peak plasma concentration of iv infusions of AsiDNA

    The following standard plasma PK parameter for IV AsiDNA will be analyzed: time to peak plasma concentration (tmax) in hours

    Time frame: At Cycle 1 (at Day 1; Day 3; Day 8; Day 15) and at cycle 2 (at Day 1) for all patients

  6. Area under the curve of iv infusions of AsiDNA

    The following standard plasma PK parameter for IV AsiDNA will be analyzed: area under the curve (AUC) in mg\*h/L.

    Time frame: At Cycle 1 (at Day 1; Day 3; Day 8; Day 15) and at cycle 2 (at Day 1) for all patients

  7. Accumulation factor based on total plasma exposure of iv infusions of AsiDNA

    The following standard plasma PK parameter for IV AsiDNA will be analyzed: accumulation factor between Day 1 and Day 3 based on total plasma exposure.

    Time frame: At Cycle 1 (at Day 1) and at cycle 2 (at Day 1) for all patients

07

Study locations

5 sites
  • Institut Jules Bordet
    Bruxelles, B-1000, Belgium
  • Grand Hôpital de Charleroi
    Charleroi, 6000, Belgium
  • Centre Leon Berard
    Lyon, 69008, France
  • Institut Curie
    Paris, 75005, France
  • Institut Claudius Regaud
    Toulouse, 31059, France
08

References and documents

Publications

  • Le Tourneau C, Delord JP, Kotecki N, Borcoman E, Gomez-Roca C, Hescot S, Jungels C, Vincent-Salomon A, Cockenpot V, Eberst L, Mole A, Jdey W, Bono F, Trochon-Joseph V, Toussaint H, Zandanel C, Adamiec O, de Beaumont O, Cassier PA. A Phase 1 dose-escalation study to evaluate safety, pharmacokinetics and pharmacodynamics of AsiDNA, a first-in-class DNA repair inhibitor, administered intravenously in patients with advanced solid tumours. Br J Cancer. 2020 Nov;123(10):1481-1489. doi: 10.1038/s41416-020-01028-8. Epub 2020 Aug 25. PubMed 32839491 ↗

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 24, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03579628
Lead sponsor
Valerio Therapeutics
Responsible party
Sponsor
First posted
Jul 6, 2018
Start date
Apr 5, 2018
Primary completion
Feb 24, 2021
Completion
Feb 20, 2022
Last update
Mar 24, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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