A Study of SHY-ONC6, a Novel Proteasome Inhibitor, in Adults With Advanced or Metastatic Solid Tumors
Purpose
This is a Phase 1, first-in-human (FIH), open-label, multicenter study designed to evaluate the safety, tolerability, PK, and preliminary anti-tumor activity of SHY-ONC6 in participants with advanced or metastatic solid tumors who have progressed on or are intolerant to standard therapies. The study will consist of 2 parts: a dose escalation part (Phase 1a) and a dose expansion part (Phase 1b).
Conditions
- Advanced or Metastatic Solid Tumors
- Triple Negative Breast Cancer (TNBC)
- HR+ Breast Cancer
- Colon Cancer
- Gastric Cancer
- Hepatecellular Carcinoma
- NSCLC (Advanced Non-small Cell Lung Cancer)
- Mesothelioma
- Pancreatic Carcinoma Metastatic
- Hormone Refractory Prostate Cancer
- Soft Tissue Sarcomas
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Male or female ≥18 years of age. - Life expectancy >3 months. - ECOG performance status 0-1. - Histologically/cytologically confirmed advanced or metastatic solid tumors that have progressed on or are intolerant/unsuitable for standard therapies. Eligible tumor types: TNBC, HR+ breast cancer, colon cancer, gastric cancer, HCC, NSCLC (adeno and squamous), mesothelioma, pancreatic cancer, HRPC, soft tissue sarcoma; other tumor types after Medical Monitor discussion. Stable CNS metastases ≥4 weeks post-radiotherapy and off steroids ≥14 days are permitted. - ≥1 measurable lesion per RECIST v1.1 (prostate cancer with bone-only disease and elevated PSA assessed by PCWG3). - Accessible tumor for biopsy - Adequate organ/bone marrow function. - Willingness and ability to provide informed consent. - Negative serum pregnancy test and use of effective contraception through 90 days after last dose for women of childbearing potential. - Male participants must use barrier contraception or abstinence and not donate sperm through 90 days after last dose.
Exclusion Criteria
- High-risk cardiovascular disease. - Concurrent anti-cancer treatment. - Active infection requiring systemic treatment within 2 weeks pre-dose. - History of another malignancy (with standard exceptions for in situ disease, non-melanoma skin cancers, and remission ≥2 years). - Active HBV (HBV-DNA >ULN), HCV (HCV-RNA >ULN), or HIV (well-controlled HIV with CD4 ≥350 cells/µL and undetectable viral load permitted); AIDS-defining opportunistic infection within 12 months. - Compromised pulmonary function within 6 months pre-dose . - Pregnancy or breastfeeding. - Recent radiotherapy, systemic anti-tumor therapy, other investigational therapy without appropriate washout. - Major surgery ≤4 weeks pre-dose. - Unable to swallow tablets or conditions affecting GI absorption. - Any medical or psychiatric disorders affecting compliance and/or interpretation of study results. - Persistent toxicities from prior anti-cancer therapy (exceptions apply) - Clinically significant corneal disease. - Unable to comply with prohibited concomitant medication restrictions.
Study Design
- Phase
- Phase 1
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental SHY-ONC6 |
Participants receive SHY-ONC6 administered orally once daily. Phase 1a, sequential dose levels are evaluated under accelerated titration and BOIN dose-escalation design. In Phase 1b, participants will be evaluated in disease-specific expansion cohorts and receive SHY-ONC6 at the RP2D range identified in Phase 1a. |
|
Recruiting Locations
San Antonio, Texas 78229
More Details
- Status
- Recruiting
- Sponsor
- SHY Therapeutics
Detailed Description
This is a Phase 1, first-in-human (FIH), open-label, multicenter study designed to evaluate the safety, tolerability, PK, and preliminary anti-tumor activity of SHY-ONC6 in participants with advanced or metastatic solid tumors who have progressed on or are intolerant to standard therapies. The study will consist of 2 parts: a dose escalation part (Phase 1a) and a dose expansion part (Phase 1b).