This phase I trial identifies the best dose, safety, and effect (good or bad) of talazoparib in combination with trifluridine/tipiracil for the treatment of patients with colorectal or gastroesophageal cancer that has spread to nearby tissue or lymph nodes (locally advanced) or other places in the body (metastatic). Drugs used in the chemotherapy, such as trifluridine/tipiracil, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Talazoparib is an inhibitor of PARP, an enzyme that helps repair deoxyribonucleic acid (DNA) when it becomes damaged. Blocking PARP may help keep cancer cells from repairing their damaged DNA, causing them to die. PARP inhibitors are a type of targeted therapy. Giving talazoparib in combination with trifluridine/ tipiracil may be effective in treating patients with locally advanced or metastatic colorectal or gastroesophageal cancer.
Additional locations may be listed on ClinicalTrials.gov for NCT04511039.
Locations matching your search criteria
United States
New York
Buffalo
Roswell Park Cancer InstituteStatus: Active
Contact: Christos Fountzilas
Phone: 716-845-8974
PRIMARY OBJECTIVE:
I. To determine the safety, maximum tolerated dose (MTD), and recommended phase II dose (RP2D) of trifluridine and tipiracil hydrochloride (trifluridine/tipiracil [FTD/TPI]) in combination with talazoparib tosylate (talazoparib) in patients with advanced colorectal (CRC) or gastroesophageal (EGC) adenocarcinoma.
SECONDARY OBJECTIVES:
I. To determine the pharmacokinetics (PK) and pharmacodynamic (PD) markers of activity.
II. To evaluate the preliminary antineoplastic efficacy of the combination.
EXPLORATORY OBJECTIVES:
I. To determine the role of p53 expression and p53 mutations as predictive biomarkers of antineoplastic activity.
II. To determine the significance of somatic and germline deoxyribonucleic acid (DNA) damage repair (DDR) mutations as predictive biomarkers of antineoplastic activity.
III. To determine the dynamics of mutant p53 in circulating tumor (ct)DNA with treatment.
IV. To obtain tissue for, and perform, patient-derived xenograft (PDX) studies.
V. To perform additional evaluation of cell signaling, cell cycle, and immune pathways based on the available future data from Bakin lab and published reports.
OUTLINE: This is a dose-escalation study of talazoparib followed by a dose-expansion phase.
Patients receive trifluridine/tipiracil orally (PO) twice daily (BID) and talazoparib tosylate PO once daily (QD) on days 1-5. Cycles repeat every 14 days in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection, CT or MRI and optional tumor biopsy on study.
After completion of study treatment, patients are followed up at 30 days and then every 3 months for up to 3 years.
Lead OrganizationRoswell Park Cancer Institute
Principal InvestigatorChristos Fountzilas