Trial Outcomes & Findings for Phase 1/2a Study of VK-2019 in Patients With Epstein-Barr Virus (EBV)-Positive Nasopharyngeal Carcinoma (NPC) (NCT NCT03682055)

NCT ID: NCT03682055

Last Updated: 2023-08-15

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

14 participants

Primary outcome timeframe

24 months

Results posted on

2023-08-15

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1 (Phase 1 Accelerated Titration)
60 mg QD
Cohort 2 (Phase 1 Accelerated Titration)
120 mg QD
Cohort 3 (Phase 1 Accelerated Titration)
230 mg QD
Cohort 4 (Phase 1 Accelerated Titration)
460 mg QD
Cohort 5 (Phase 1 Accelerated Titration)
920 mg QD
Cohort 6 (Phase 1 Rolling 6)
1800 mg QD
Overall Study
STARTED
1
2
1
2
1
7
Overall Study
COMPLETED
0
0
0
0
0
0
Overall Study
NOT COMPLETED
1
2
1
2
1
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1 (Phase 1 Accelerated Titration)
60 mg QD
Cohort 2 (Phase 1 Accelerated Titration)
120 mg QD
Cohort 3 (Phase 1 Accelerated Titration)
230 mg QD
Cohort 4 (Phase 1 Accelerated Titration)
460 mg QD
Cohort 5 (Phase 1 Accelerated Titration)
920 mg QD
Cohort 6 (Phase 1 Rolling 6)
1800 mg QD
Overall Study
Lack of Efficacy
1
2
1
2
1
3
Overall Study
Withdrawal by Subject
0
0
0
0
0
1
Overall Study
Termination of Study by Sponsor
0
0
0
0
0
3

Baseline Characteristics

Phase 1/2a Study of VK-2019 in Patients With Epstein-Barr Virus (EBV)-Positive Nasopharyngeal Carcinoma (NPC)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1 (Phase 1 Accelerated Titration)
n=1 Participants
60 mg QD
Cohort 2 (Phase 1 Accelerated Titration)
n=2 Participants
120 mg QD
Cohort 3 (Phase 1 Accelerated Titration)
n=1 Participants
230 mg QD
Cohort 4 (Phase 1 Accelerated Titration)
n=2 Participants
460 mg QD
Cohort 5 (Phase 1 Accelerated Titration)
n=1 Participants
920 mg QD
Cohort 6 (Phase 1 Accelerated Titration)
n=7 Participants
1800 mg QD
Total
n=14 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
0 Participants
n=147 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=39 Participants
1 Participants
n=41 Participants
1 Participants
n=35 Participants
1 Participants
n=31 Participants
1 Participants
n=146 Participants
7 Participants
n=19 Participants
12 Participants
n=147 Participants
Age, Categorical
>=65 years
0 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
2 Participants
n=147 Participants
Sex: Female, Male
Female
1 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
1 Participants
n=19 Participants
3 Participants
n=147 Participants
Sex: Female, Male
Male
0 Participants
n=39 Participants
1 Participants
n=41 Participants
1 Participants
n=35 Participants
2 Participants
n=31 Participants
1 Participants
n=146 Participants
6 Participants
n=19 Participants
11 Participants
n=147 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
0 Participants
n=147 Participants
Race (NIH/OMB)
Asian
1 Participants
n=39 Participants
2 Participants
n=41 Participants
1 Participants
n=35 Participants
1 Participants
n=31 Participants
1 Participants
n=146 Participants
3 Participants
n=19 Participants
9 Participants
n=147 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
0 Participants
n=147 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
0 Participants
n=147 Participants
Race (NIH/OMB)
White
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
1 Participants
n=147 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
1 Participants
n=19 Participants
1 Participants
n=147 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
3 Participants
n=19 Participants
3 Participants
n=147 Participants
Region of Enrollment
Hong Kong
0 participants
n=39 Participants
0 participants
n=41 Participants
0 participants
n=35 Participants
0 participants
n=31 Participants
1 participants
n=146 Participants
2 participants
n=19 Participants
3 participants
n=147 Participants
Region of Enrollment
United States
1 participants
n=39 Participants
2 participants
n=41 Participants
1 participants
n=35 Participants
2 participants
n=31 Participants
0 participants
n=146 Participants
2 participants
n=19 Participants
8 participants
n=147 Participants
Region of Enrollment
France
0 participants
n=39 Participants
0 participants
n=41 Participants
0 participants
n=35 Participants
0 participants
n=31 Participants
0 participants
n=146 Participants
3 participants
n=19 Participants
3 participants
n=147 Participants

PRIMARY outcome

Timeframe: 24 months

Outcome measures

Outcome measures
Measure
Cohort 1 (Phase 1 Accelerated Titration)
n=1 Participants
60 mg QD
Cohort 2 (Phase 1 Accelerated Titration)
n=2 Participants
120 mg QD
Cohort 3 (Phase 1 Accelerated Titration)
n=1 Participants
230 mg QD
Cohort 4 (Phase 1 Accelerated Titration)
n=2 Participants
460 mg QD
Cohort 5 (Phase 1 Accelerated Titration)
n=1 Participants
920 mg QD
Cohort 6 (Phase 1 Rolling 6)
n=7 Participants
1800 mg QD
All Cohorts: The Frequency, Severity, and Duration of AEs and DLTs, AEs Leading to Discontinuation, and AEs Leading to Death.
Experienced a DLT
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
All Cohorts: The Frequency, Severity, and Duration of AEs and DLTs, AEs Leading to Discontinuation, and AEs Leading to Death.
Experienced a treatment related AE leading to discontinuation
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
All Cohorts: The Frequency, Severity, and Duration of AEs and DLTs, AEs Leading to Discontinuation, and AEs Leading to Death.
Experienced a treatment-related AE leading to death
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
All Cohorts: The Frequency, Severity, and Duration of AEs and DLTs, AEs Leading to Discontinuation, and AEs Leading to Death.
Experienced an AE
1 Participants
2 Participants
1 Participants
2 Participants
1 Participants
7 Participants

SECONDARY outcome

Timeframe: 24 months

Outcome measures

Outcome measures
Measure
Cohort 1 (Phase 1 Accelerated Titration)
n=1 Participants
60 mg QD
Cohort 2 (Phase 1 Accelerated Titration)
n=1 Participants
120 mg QD
Cohort 3 (Phase 1 Accelerated Titration)
n=1 Participants
230 mg QD
Cohort 4 (Phase 1 Accelerated Titration)
n=2 Participants
460 mg QD
Cohort 5 (Phase 1 Accelerated Titration)
n=1 Participants
920 mg QD
Cohort 6 (Phase 1 Rolling 6)
n=3 Participants
1800 mg QD
Phase 1 Dose Escalation and Dose Expansion Cohorts: ORR
Stable Disease
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
1 Participants
Phase 1 Dose Escalation and Dose Expansion Cohorts: ORR
Progressive Disease
0 Participants
0 Participants
1 Participants
2 Participants
0 Participants
2 Participants
Phase 1 Dose Escalation and Dose Expansion Cohorts: ORR
Partial Response
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Phase 1 Dose Escalation and Dose Expansion Cohorts: ORR
Complete Response
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Phase 1 Dose Escalation and Dose Expansion Cohorts: ORR
Missing / Not Evaluable
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

Cohort 1 (Phase 1 Accelerated Titration)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Cohort 2 (Phase 1 Accelerated Titration)

Serious events: 2 serious events
Other events: 2 other events
Deaths: 1 deaths

Cohort 3 (Phase 1 Accelerated Titration)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Cohort 4 (Phase 1 Accelerated Titration)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 5 (Phase 1 Accelerated Titration)

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Cohort 6 (Phase 1 Rolling 6)

Serious events: 3 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1 (Phase 1 Accelerated Titration)
n=1 participants at risk
60 mg QD
Cohort 2 (Phase 1 Accelerated Titration)
n=2 participants at risk
120 mg QD
Cohort 3 (Phase 1 Accelerated Titration)
n=1 participants at risk
230 mg QD
Cohort 4 (Phase 1 Accelerated Titration)
n=2 participants at risk
460 mg QD
Cohort 5 (Phase 1 Accelerated Titration)
n=1 participants at risk
920 mg QD
Cohort 6 (Phase 1 Rolling 6)
n=7 participants at risk
1800 mg QD
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
0.00%
0/1 • 1 year, 8 months
50.0%
1/2 • Number of events 1 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/7 • 1 year, 8 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour Pain
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
14.3%
1/7 • Number of events 1 • 1 year, 8 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
14.3%
1/7 • Number of events 1 • 1 year, 8 months
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.00%
0/1 • 1 year, 8 months
50.0%
1/2 • Number of events 1 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/7 • 1 year, 8 months
Respiratory, thoracic and mediastinal disorders
Tracheal Stenosis
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
14.3%
1/7 • Number of events 1 • 1 year, 8 months
Infections and infestations
Urinary Tract Infection
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
100.0%
1/1 • Number of events 1 • 1 year, 8 months
0.00%
0/7 • 1 year, 8 months
Injury, poisoning and procedural complications
Gastrostomy tube site complication
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
0.00%
0/2 • 1 year, 8 months
0.00%
0/1 • 1 year, 8 months
14.3%
1/7 • Number of events 1 • 1 year, 8 months

Other adverse events

Other adverse events
Measure
Cohort 1 (Phase 1 Accelerated Titration)
n=1 participants at risk
60 mg QD
Cohort 2 (Phase 1 Accelerated Titration)
n=2 participants at risk
120 mg QD
Cohort 3 (Phase 1 Accelerated Titration)
n=1 participants at risk
230 mg QD
Cohort 4 (Phase 1 Accelerated Titration)
n=2 participants at risk
460 mg QD
Cohort 5 (Phase 1 Accelerated Titration)
n=1 participants at risk
920 mg QD
Cohort 6 (Phase 1 Rolling 6)
n=7 participants at risk
1800 mg QD
Social circumstances
Not Reported
100.0%
1/1 • Number of events 1 • 1 year, 8 months
100.0%
2/2 • Number of events 2 • 1 year, 8 months
100.0%
1/1 • Number of events 1 • 1 year, 8 months
100.0%
2/2 • Number of events 2 • 1 year, 8 months
100.0%
1/1 • Number of events 1 • 1 year, 8 months
100.0%
7/7 • Number of events 7 • 1 year, 8 months

Additional Information

Phill Gallacher

Cullinan Oncology

Phone: +1 617 710 9127

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place