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Enzyme Inhibitor

BAY 1895344 + Chemotherapy for Bladder Cancer

Phase 1
Waitlist Available
Led By Mamta Parikh
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Eastern Cooperative Oncology Group (ECOG) performance status =< 2 (Karnofsky >= 60%)
Availability of archival FFPE tissue
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights

Study Summary

This trial is testing a new drug, BAY 1895344, to see if it's effective and has minimal side effects when combined with chemotherapy to treat patients with advanced solid tumors or urothelial cancer.

Who is the study for?
Adults with advanced solid tumors or urothelial cancer, including those HIV-positive on effective therapy, and those who've had certain prior treatments. Must have adequate organ function and not be pregnant or breastfeeding. Excludes individuals with significant neuropathy, hearing loss, recent chemotherapy/radiotherapy, other active cancers needing treatment (except some skin/prostate cancers), or psychiatric/social conditions affecting compliance.Check my eligibility
What is being tested?
The trial is testing BAY 1895344 added to usual chemotherapy drugs Cisplatin or Cisplatin plus Gemcitabine for treating advanced solid tumors. It aims to find the best dose of BAY 1895344 and assess its benefits/side effects when combined with these chemotherapies.See study design
What are the potential side effects?
Potential side effects include reactions related to the immune system's response to the drug, nerve damage (neuropathy), hearing issues, as well as typical chemotherapy-related side effects like fatigue, nausea, blood cell count changes leading to increased infection risk.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I can take care of myself but might not be able to do heavy physical work.
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I have a preserved tissue sample available.
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I am 18 years old or older.
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My hepatitis B is under control with treatment.
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My bladder cancer cannot be removed by surgery.
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My advanced cancer is measurable and may be treated with cisplatin.
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I have received less than 300 mg/m^2 of cisplatin.
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I had hepatitis C but have been treated and cured.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of adverse events
Recommended phase 2 dose (RP2D) of BAY 1895344
Secondary outcome measures
ATM expression
Deoxyribonucleic acid (DNA) damage repair (DDR) mutations
PK parameter - area under the concentration-time curve (AUC)
+3 more

Side effects data

From 2012 Phase 3 trial • 256 Patients • NCT01005680
51%
Neutropenia
47%
Leukopenia
46%
Nausea
43%
Vomiting
35%
Anaemia
31%
Decreased appetite
26%
Haemoglobin decreased
26%
Fatigue
25%
Constipation
25%
White blood cell count decreased
24%
Neutrophil count decreased
19%
Alanine aminotransferase increased
13%
Platelet count decreased
12%
Rash
10%
Aspartate aminotransferase increased
10%
Thrombocytopenia
9%
Blood sodium decreased
8%
Hypokalaemia
7%
Insomnia
7%
Pyrexia
6%
Hyponatraemia
6%
Blood creatinine increased
6%
Lymphopenia
6%
Diarrhoea
6%
Dyspepsia
6%
Red blood cell count decreased
6%
Cough
4%
Dizziness
2%
Bone marrow failure
1%
Cerebral infarction
1%
Ischaemic stroke
1%
Dyspnoea
1%
Pulmonary embolism
1%
Embolism venous
1%
Superior vena cava syndrome
100%
80%
60%
40%
20%
0%
Study treatment Arm
Gemcitabine Plus Cisplatin (GC)
Pemetrexed Plus Cisplatin (PC)

Trial Design

2Treatment groups
Experimental Treatment
Group I: Arm II (cisplatin, gemcitabine, elimusertib)Experimental Treatment3 Interventions
Patients receive cisplatin IV over 1-2 hours on day 1 and 8, gemcitabine IV over 30 minutes on days 1 and 8, and elimusertib PO QD on days 2 and 9. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity.
Group II: Arm I (cisplatin, elimusertib)Experimental Treatment2 Interventions
Patients receive cisplatin IV over 1-2 hours on day 1 and 8, and elimusertib PO QD on days 2 and 9. Treatment repeats every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Gemcitabine Hydrochloride
2005
Completed Phase 3
~5420
Cisplatin
2013
Completed Phase 3
~1940

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,654 Previous Clinical Trials
40,933,079 Total Patients Enrolled
Mamta ParikhPrincipal InvestigatorCity of Hope Comprehensive Cancer Center LAO
6 Previous Clinical Trials
172 Total Patients Enrolled

Media Library

BAY 1895344 (Enzyme Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT04491942 — Phase 1
BAY 1895344 (Enzyme Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04491942 — Phase 1
Bladder Cancer Research Study Groups: Arm II (cisplatin, gemcitabine, elimusertib), Arm I (cisplatin, elimusertib)
Bladder Cancer Clinical Trial 2023: BAY 1895344 Highlights & Side Effects. Trial Name: NCT04491942 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

To what extent are individuals put at risk by Cisplatin treatments?

"Since there is limited clinical data on Cisplatin's safety and efficacy, this medication has been assigned a score of 1."

Answered by AI

What is the aggregate amount of individuals involved in this clinical experiment?

"The current study necessitates the inclusion of 74 individuals who meet its predetermined eligibility requirements. These patients can take part in this trial at various sites, including the National Cancer Institute Developmental Therapeutics Clinic in Bethesda, Maryland and NIH Clinical Center in Pittsburgh, Pennsylvania."

Answered by AI

Is this research initiative currently accepting participants?

"As indicated on clinicaltrials.gov, this investigation is actively searching for participants. The trial was originally posted in the beginning of 2021 and it has been revised up until September 23rd 2022."

Answered by AI

Are there any other trials that have studied the efficacy of Cisplatin?

"At present, 1027 active clinical trials are being conducted on Cisplatin with 350 studies in Phase 3. The bulk of the investigations into this drug are occurring within Shanghai; however, there is an extensive network of 53543 medical sites researching it too."

Answered by AI

What are the typical applications of Cisplatin?

"Cisplatin has proven useful in the treatment of neoplasm metastasis and is also used to treat various forms of cancer, including those affecting the urinary bladder, advanced testicular tumors, and small cell lung carcinomas."

Answered by AI

Are there multiple venues providing access to this experiment?

"Patients are being recruited to take part in this trial at the National Cancer Institute Developmental Therapeutics Clinic located in Bethesda, Maryland, along with 8 other sites such as the NIH Clinical Center and University of Pittsburgh Cancer Institute (UPCI) in Sacramento."

Answered by AI

What objectives are being sought through this clinical experiment?

"This experiment, which is to be conducted over a period of 21 days in total, has two primary goals. The first being the assessment of adverse effects and the second involves gauging ATM expression using immunohistochemistry (IHC). Secondary objectives include analyzing pharmacokinetic parameters such as AUC and Cmax, with comparisons made against historical data on gemcitabine. Furthermore, researchers will also consider any changes to BAY 1895344 exposure that can be attributed to cisplatin administration."

Answered by AI
~15 spots leftby Dec 2024