The purpose of this study is to assess the safety, tolerability and preliminary efficacy
of CYH33 in combination with olaprib in patients with DDR gene mutations and/or PIK3CA
mutations, in patients who have progressed on prior PARP inhibitor, and in patients with
recurrent high grade serous ovarian, fallopian tube, or primary peritoneal cancer who are
platinum resistant or refractory. The study will assess if this combination will optimize
anti-tumor activity, block tumor growth and overcome the resistance to PARP inhibitor
treatment. The study consists 2 parts. In Part 1 dose escalation, the objective is to
determine the maximum toleration dose (MTD) of the combination. The final recommended
phase 2 dose (RP2D) of CYH33 in combination with olaparib will be based on the totality
of an overall assessment of available safety, tolerability, pharmacokinetics (PK),
pharmacodynamics (PD), and preliminary efficacy which could be the MTD or a dose level
lower in specific cohorts of patients. In Part 2 dose expansion, the main objective is to
evaluate the efficacy at RP2D.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT04586335.
DNA damage repair (DDR) pathways can modulate cancer risk, progression and therapeutic
responses. Germline mutations in genes encoding key players in the DNA-damage response
(DDR), including BRCA1, BRCA2,BLM, FANCA, TP53, RAD51C, and MSH2, result in cancer
susceptibility syndromes, in part because failure to adequately protect the genome
against endogenous and exogenous sources of DNA damage results in the accumulation of
oncogenic mutations. The mechanistic rationale for the combination of PI3K and PARP
inhibitors is that PI3K inhibition leads to a downregulation of BRCA1/2 proteins, which
increase the degree of HRR deficiency CYH33 is a novel, highly potent and selective
inhibitor of phosphatidylinositol 3-kinase αsignificantly inhibited the activities of
wild-type and mutant PI3Kα kinase as well as the specific mutant of E542K, 1047R or
E545K, On July13, 2018, a Phase I first-in-human dose escalation and expansion
single-agent study of CYH33 (CYH33-101) started in China (ClinicalTrials.gov identifier:
NCT03544905) identify the MTD of CYH33 single agent was 40 mg. The most common treatment
related adverse events (>5%) of Grade 3 was hyperglycemia. No treatment-related Grade 4
adverse event or death was reported in the ongoing trial by the cut-off date. In this
combination study will assess if this combination will optimize anti-tumor activity,
block tumor growth and overcome the resistance to PARP inhibitor treatment. The study
consists 2 parts. In Part 1 dose escalation, the objective is to determine the maximum
toleration dose (MTD) of the combination. The final recommended phase 2 dose (RP2D) of
CYH33 in combination with olaparib will be based on the totality of an overall assessment
of available safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and
preliminary efficacy which could be the MTD or a dose level lower in specific cohorts of
patients. In Part 2 dose expansion, the main objective is to evaluate the efficacy at
RP2D.
Lead OrganizationHaihe Biopharma Co., Ltd.