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BOLD-100 in Combination With FOLFOX for the Treatment of Advanced Solid Tumours
NCT04421820 · Bold Therapeutics, Inc.
In plain English
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Official title
A Phase 1b/2a Dose Escalation Study of BOLD-100 in Combination With FOLFOX Chemotherapy in Patients With Advanced Solid Tumours
About this study
BOLD-100 is a novel, targeted anti-cancer therapy which is an intravenously administered small molecule drug. In a previous Phase 1 study (NCT01415297) BOLD-100 showed low toxicity with minimal hematological issues as well as some potential anti-tumour activity. The lack of observed hematological toxicity and neurotoxicity position BOLD-100 well for use in combination with a broad range of standard-of-care (SOC) chemotherapy regimens.
This is a prospective, multicenter non-randomized Phase 1b/2a dose escalation \& expanded cohort study of BOLD-100 in patients with advanced gastrointestinal malignancies (colorectal, pancreatic, gastric cancers, and cholangiocarcinoma) receiving standard-of-care FOLFOX chemotherapy. Enrollment in Arms I - VI is closed to enrollment.
Colorectal cancer (ARM VII) for patients who are oxaliplatin naïve and have received only 1 prior line of therapy in the metastatic setting. Within this arm, participants will be randomized to one of two dose levels of BOLD-100 - either 500 mg/m2 or 625 mg/m2 in combination with FOLFOX or FOLFOX alone, in a 1:1:1 ratio. Participants enrolled into Arm VII will complete quality of life questionnaires examining general quality of life and neuropathy associated quality of life parameters.
Eligibility criteria
Inclusion Criteria:
1. Be 18 years or older.
2. Be male or non-pregnant females who agree to comply with applicable contraceptive requirements of the protocol.
3. Histologically and/or cytologically confirmed gastrointestinal tumours that are metastatic or unresectable. (ARM VII): Patients must have received only 1 prior line of therapy in the metastatic setting.
4. Have measurable disease according to RECIST v1.1.
5. Have an anticipated survival of at least 16 weeks.
6. Be ambulatory, with an ECOG performance score of 0 or 1.
7. Have adequate organ function.
8. Be on stable doses of any drugs that may affect hepatic drug metabolism or renal drug excretion.
9. Be fully informed about their illness and the investigational nature of the study protocol, and sign a REB-approved Informed Consent Form (ICF).
10. (ARM VII): BRAF wild-type tumour status.
Exclusion Criteria:
1. Neuropathy \> grade 2
2. Previous intolerance to or significant reaction secondary to fluorouracil or oxaliplatin.
3. Cerebrovascular accident within the past 6 months before the start of treatment.
4. History or presence of central nervous system (CNS) metastasis or leptomeningeal tumours.
5. Any serious medical conditions that might be aggravated by treatment or limit compliance.
6. Any history of serious cardiac illness.
7. Hemoptysis, cerebral, or clinically significant gastrointestinal hemorrhage in the past 6 months before the start of treatment.
8. Any other known malignancy within 3 years before the start of treatment.
9. Active gastrointestinal tract disease with malabsorption syndrome.
10. Non-healing wound, fracture, or ulcer, or presence of symptomatic peripheral vascular disease.
11. Treatment with radiation therapy or surgery within 4 weeks prior to starting treatment.
12. Recent history of weight loss \> 10% of current body weight in past 3 months before the start of treatment.
13. HIV-positive subjects on combination anti-retroviral therapy due to the potential for PK interactions with the study agent.
14. Concurrent use of another investigational therapy or anti-cancer therapy within 4 weeks before the start of treatment.
15. Currently breastfeeding
16. Dihydropyrimidine Dehydrogenase (DPD) deficiency
17. Current or prior treatment with potent inhibitors of Dihydropyrimidine Dehydrogenase (DPD)
18. (ARM VII): Prior exposure to BOLD-100
19. (ARM VII): Subjects with microsatellite-high (MSI-H) Tumours
20. (ARM VII): Concurrent monoclonal antibody therapy for mCRC (anti-EGFR, anti-VEGF or anti-HER2)
Study design
Enrollment target: 220 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2020-08-28
Estimated completion: 2026-09-01
Last updated: 2026-01-27
Interventions
Drug: BOLD-100 +/- FOLFOX Chemotherapy (Arm VII)Drug: BOLD-100 in combination with FOLFOX Chemotherapy (Arms I-VI)
Primary outcomes
- • Incidence and severity of adverse events ([S]AEs) (Through study completion, approximately 2 weeks after last treatment)
- • Incidence of dose-limiting toxicities (DLT) (Screening to 4 weeks after first treatment)
- • Incidence of clinically significant changes or abnormalities from Physical Examinations, ECGs, Vital Signs, Laboratory Results, ECOG performance status (Through study completion, approximately 2 weeks after last treatment)
Sponsor
Bold Therapeutics, Inc. · industry
Contacts & investigators
ContactMichelle Jones · contact · clinical@bold-therapeutics.com · 604-262-9899
ContactJim Pankovich · contact · jp@bold-therapeutics.com · 604-262-9934
All locations (16)
University of California, Los AngelesCompleted
Santa Monica, California, United States
Moffitt Cancer CenterCompleted
Tampa, Florida, United States
Cross Cancer InstitueRecruiting
Edmonton, Alberta, Canada
Juravinski Cancer CentreRecruiting
Hamilton, Ontario, Canada
The Ottawa Hospital Cancer CentreRecruiting
Ottawa, Ontario, Canada
Princess Margaret Cancer CentreRecruiting
Toronto, Ontario, Canada
Jewish General HospitalRecruiting
Montreal, Quebec, Canada
McGill University Health Centre Glen SiteRecruiting
Montreal, Quebec, Canada
Mater Miserecordiae University HospitalRecruiting
Dublin, Ireland
St. James HospitalRecruiting
Dublin, Ireland
St. Vincent's University HospitalRecruiting
Dublin, Ireland
National Cancer CenterRecruiting
Goyang, South Korea
Kangbuk Samsung HospitalRecruiting
Seoul, South Korea
Samsung Medical CenterRecruiting
Seoul, South Korea
Seoul National University HospitalRecruiting
Seoul, South Korea
Severance Hospital - Yonsei UniversityRecruiting
Seoul, South Korea