Clinical Trial

  • Snehwa

    CX-4945

    Snehwa

    A Phase I/II Study of CX-4945 in Combination with Gemcitabine plus Cisplatin in the Frontline Treatment of Patients with Cholangiocarcinoma

    Senhwa
  • Snehwa

    CX-5461 AU

    Snehwa

    A Phase 1, Open-Label, Dose Escalation, Safety, Pharmacokinetic, and Pharmacodynamics Study of Intravenously Administered CX-5461 in Patients with Advanced Hematologic Malignancies

    Senhwa
  • Snehwa

    CX-5461 CA

    Snehwa

    A Phase I Study of CX5461

    Senhwa
  • Snehwa

    CX-4945-07

    Snehwa

    A Phase I, Multi-Center, Open-Label, Treatment Duration Increment, Expansion, Safety, and Pharmacodynamic Study of CX-4945 Administered Orally Twice Daily to Patients with Advanced Basal Cell Carcinoma

    Senhwa
  • Snehwa

    PBTC-053

    Snehwa

    A Pediatric Brain Tumor Consortium Phase I/ II and Surgical Study of CX-4945 in Patients with Recurrent SHH Medulloblastoma

    Senhwa
Study Title
A Phase I/II Study of CX-4945 in Combination with Gemcitabine plus Cisplatin in the Frontline Treatment of Patients with Cholangiocarcinoma
Protocol Number
S4-13-001
Sponsor
Senhwa Biosciences, Inc.
Estimated Enrollment
216
Objective

Phase I (Dose Escalation Phase/Completed with 51 pts enrolled )

Primary endpoint
  • To determine the combination maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of CX-4945

Secondary endpoint
  • To establish the pharmacokinetic (PK) profile

Phase II (Randomized Study Phase/ On-going, estimated recruitment 165 pts)

Primary endpoint
  • Comparison of the Progression-free survival (PFS) between the test and control arms
Secondary endpoint
  • Comparison of the Overall-response rate (ORR) between the test and control arms
  • Comparison of the number of patient who transition to surgical resection between the test and control arms
  • Comparison of the overall survival rates (OS) between the test and control arms 
Study Title
A Phase 1, Open-Label, Dose Escalation, Safety, Pharmacokinetic, and Pharmacodynamics Study of Intravenously Administered CX-5461 in Patients with Advanced Hematologic Malignancies
Protocol Number
PMCC 12/79
Sponsor
Peter MacCallum Cancer Centre Protocol No. PMCC 12/79
Estimated Enrollment
25〜40 subjects
Objective

Primary endpoint

  • To determine the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of intravenously administered CX-5461 when used intravenously in haematologic cancers.

Secondary endpoint

  • To establish the safety profile of CX-5461 at the MTD.
  • To establish the pharmacokinetic (PK) profile of CX-5461.
  • To observe patients for evidence of CX-5461 biological activity using pharmacodynamic (PD) assessments.
  • To observe patients for preliminary antitumor activity of CX-5461.
  • To evaluate the mechanism of action of CX-5461 in haematologic cancers.
  • To identify predictive biomarkers of efficacy in human haematologic cancers.
Study Title
A Phase I Study of CX-5461
Protocol Number
IND.231
Sponsor
Canadian Cancer Trials Group
Collaborators

Senhwa Biosciences, Inc.
Stand Up To Cancer (SU2C) Canada - Canadian Breast Cancer Foundation Grant

Estimated Enrollment
40-60 patients with solid tumors for Dose Escalation stage
10-20 patients with metastatic breast cancer for Expansion stage
Objective

Phase I Escalation (Solid tumors)

Primary Objective:

  • To determine the recommended phase II dose (RP2D) and schedule of CX5461 in patients with solid tumors.

Secondary Objective:

  • To establish the safety and tolerability of CX5461 given intravenously to patients with solid tumors.
  • To determine the pharmacokinetics of CX5461 given intravenously in patients with solid tumors.

Phase I Expansion: (Breast cancer)

Primary Objective:

  •  To explore the relationship between germline HRD aberrations and outcomes of CX5461, including efficacy and toxicity.
  • To evaluate CX5461 drug levels in skin and tumor.
  • To evaluate biomarkers of response to CX5461
       - using ctDNA (all patients after Amendment #3);
       - paired biopsies (all patients after Amendment #3);
       - paired tumour biopsies (mandatory for 6-8 patients at RP2D)
Study Title
A Phase I, Multi-Center, Open-Label, Treatment Duration Increment, Expansion, Safety, and Pharmacodynamic Study of CX-4945 Administered Orally Twice Daily to Patients with Advanced Basal Cell Carcinoma
Protocol Number
CX-4945-07
Sponsor
Senhwa Biosciences, Inc.
Estimated Enrollment
Part I:  3-6
Part II: 20
Objective

Primary Objective: 

  • The primary objective of this study is to determine the recommended phase II dose (RP2D) and schedule of CX-4945 in patients with locally advanced or metastatic basal cell carcinoma (BCC).  
     

Secondary Objective: 

  • To establish the safety and tolerability of CX-4945 in this patient population.
  • To assess preliminary evidence of antitumor effects in this patient population by documentation of objective responses using standardized criteria.
  • To evaluate the effect of CX-4945 treatment on the Hh signaling pathway using qRT-PCR in fresh-frozen tissue from patients with locally advanced BCC obtained at baseline and following CX-4945 treatment.
Study Title
A Pediatric Brain Tumor Consortium Phase I/ II and Surgical Study of CX-4945 in Patients with Recurrent SHH Medulloblastoma
Protocol Number
PBTC-053
Sponsor
Pediatric Brain Tumor Consortium
Collaborators
St. Jude Children's Research Hospital
National Cancer Institute (NCI)
Estimated Enrollment
- Phase I Trial (skeletally-immature patients): 6-10 patients per year  
- Surgical cohort: 2-3 patients per year  
- Phase II Trial (skeletally-mature patients): 10-12 patients per year
Objective

Phase I Trial ( Dose-escalation phase)

   Primary endpoint  
  • To estimate the maximum tolerated dose (MTD) and/or the recommended phase II dose (RP2D).
  • To describe the toxicity profile and define the dose-limiting toxicities (DLTs) and to characterize the pharmacokinetics profile.
   Secondary endpoint  
  • To document preliminary antitumor activity
  • To estimate the maximum tolerated dose (MTD) and/or the recommended phase II dose (RP2D)  

Surgical cohort 

   Primary endpoint  
  • To characterize the concentrations of CX-4945 in tumor after administration of CX-4945 and surgical resection
   Secondary endpoint  
  • To explore the ability of CX-4945 at the MTD/ RP2D to inhibit CK2-mediated signaling in tumor

Phase II Trial (to establish the safety of 1000mg/m2 BID given continuously)  

   Primary endpoint  
  • To establish the safety and characterize the toxicity of 1000mg/m2 BID continuous dosing of CX-4945
  • To estimate the objective response rate
   Secondary endpoint  
  • To characterize the pharmacokinetics
  • To perform a genomic analysis within the confines of a Phase II study