A Study of Oral MBQ-167 in Participants With Advanced Breast Cancer

NCT ID: NCT06075810

Last Updated: 2024-12-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-09

Study Completion Date

2025-10-31

Brief Summary

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A Phase 1, open-label, dose-escalation clinical trial of MBQ-167 in participants with advanced Breast Cancer for whom Standard of Care (SOC) has failed or has proven intolerable.

Detailed Description

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The main questions this clinical trial aims to answer are:

* What, if any, are the side effects of different dose levels in humans?
* What is the maximum tolerated dose?
* How does the human body process the drug?
* Does the drug slow, stop or eliminate cancer in human participants?

Participants will be asked to:

* provide informed consent
* be evaluated by physicians and provide laboratory specimens to determine if eligible
* take MBQ-167 orally twice a day for at least 21 days
* may continue dosing, if safe to do so, until not effective or other decision to stop is made
* participate in multiple visits that include additional evaluations, laboratory tests and diary review until after stopping the investigational drug

Conditions

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Breast Cancer Breast Neoplasm Breast Cancer Stage IV

Keywords

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Advanced Breast Cancer Metastatic Breast Cancer Recurrent Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Open-label dose escalation following a standard 3+3 cohort design with a 21 day Dose Limiting Toxicity (DLT) evaluation
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MBQ-167 oral capsule

A dose ranging from 10mg to 400mg BID following a standard 3+3 cohort design

Group Type EXPERIMENTAL

MBQ-167

Intervention Type DRUG

MBQ-167, an inhibitor of Rho GTPases Rac and Cdc42

Interventions

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MBQ-167

MBQ-167, an inhibitor of Rho GTPases Rac and Cdc42

Intervention Type DRUG

Other Intervention Names

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Rac and Cdc42 inhibitor Rac inhibitor Cdc42 inhibitor PAK inhibitor Rac/Cdc42 inhibitor

Eligibility Criteria

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Inclusion Criteria

* The investigator will evaluate these and other criteria to determine whether a participant can be included in this study.
* Histologically and/or cytologically confirmed advanced breast cancer which has progressed after treatment with approved therapies or for which there are no standard therapies available.
* Participants with known brain metastases may be eligible if specific conditions are met.
* Life expectancy ≥6 months, in the opinion of the investigator, after starting MBQ-167.
* Are able to swallow capsules twice daily with a meal.

Exclusion Criteria

* The investigator will evaluate these and other criteria to determine whether a participant should be excluded from this study.
* Inability to take oral medication, or malabsorption syndrome or any other uncontrolled gastrointestinal condition (e.g., nausea, diarrhea, or vomiting) that might impair the bioavailability of MBQ-167.
* Females who are pregnant or breastfeeding.
* Participants who have received any anticancer treatment within 4 weeks or any investigational agent within 28 days prior to the first dose of trial drug or who have not recovered from any acute toxicity greater than Grade 0 or 1 related to previous anticancer treatment.
* Participants who have received any anticancer treatment within 4 weeks or any investigational agent within 28 days prior to the first dose of trial drug or who have not recovered from any acute toxicity greater than Grade 0 or 1 related to previous anticancer treatment.
* Active malignancies other than advanced breast cancer will be excluded from the study.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Congressionally Directed Medical Research Programs

FED

Sponsor Role collaborator

MBQ Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Neil Sankar, MD

Role: STUDY_DIRECTOR

CMO, MBQ Pharma

Locations

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Precision Next Gen Oncology & Research Center

Beverly Hills, California, United States

Site Status RECRUITING

Florida Cancer Specialists / Sarah Cannon Research Institute / SCRI

Sarasota, Florida, United States

Site Status RECRUITING

Sarah Cannon Research Institute/SCRI

Nashville, Tennessee, United States

Site Status RECRUITING

FDI Clinical Research

San Juan, , Puerto Rico

Site Status RECRUITING

Countries

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United States Puerto Rico

Central Contacts

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Scott Houston

Role: CONTACT

Phone: (415) 404 8838

Email: [email protected]

Jose Rodriguez-Orengo, PhD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Rebecca Godin

Role: primary

Francisco Capilla

Role: backup

Judy S Wang, MD

Role: primary

Melissa Sindler

Role: primary

Mirelis Acosta-Rivera, MD

Role: primary

Michelle Echeandia, MT, MSMT

Role: backup

References

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Cruz-Collazo A, Ruiz-Calderon JF, Picon H, Borrero-Garcia LD, Lopez I, Castillo-Pichardo L, Del Mar Maldonado M, Duconge J, Medina JI, Bayro MJ, Hernandez-O'Farrill E, Vlaar CP, Dharmawardhane S. Efficacy of Rac and Cdc42 Inhibitor MBQ-167 in Triple-negative Breast Cancer. Mol Cancer Ther. 2021 Dec;20(12):2420-2432. doi: 10.1158/1535-7163.MCT-21-0348. Epub 2021 Oct 4.

Reference Type BACKGROUND
PMID: 34607932 (View on PubMed)

Medina JI, Cruz-Collazo A, Del Mar Maldonado M, Gascot TM, Borrero-Garcia LD, Cooke M, Kazanietz MG, O'Farril EH, Vlaar CP, Dharmawardhane S. Characterization of Novel Derivatives of MBQ-167, an inhibitor of the GTP-binding proteins Rac/Cdc42. Cancer Res Commun. 2022 Dec;2(12):1711-1726. doi: 10.1158/2767-9764.crc-22-0303. Epub 2022 Dec 29.

Reference Type BACKGROUND
PMID: 36861094 (View on PubMed)

Humphries-Bickley T, Castillo-Pichardo L, Hernandez-O'Farrill E, Borrero-Garcia LD, Forestier-Roman I, Gerena Y, Blanco M, Rivera-Robles MJ, Rodriguez-Medina JR, Cubano LA, Vlaar CP, Dharmawardhane S. Characterization of a Dual Rac/Cdc42 Inhibitor MBQ-167 in Metastatic Cancer. Mol Cancer Ther. 2017 May;16(5):805-818. doi: 10.1158/1535-7163.MCT-16-0442.

Reference Type BACKGROUND
PMID: 28450422 (View on PubMed)

Torres-Sanchez A, Rivera-Robles M, Castillo-Pichardo L, Martinez-Ferrer M, Dorta-Estremera SM, Dharmawardhane S. Rac and Cdc42 inhibitors reduce macrophage function in breast cancer preclinical models. Front Oncol. 2023 Jun 16;13:1152458. doi: 10.3389/fonc.2023.1152458. eCollection 2023.

Reference Type BACKGROUND
PMID: 37397366 (View on PubMed)

Maldonado MDM, Dharmawardhane S. Targeting Rac and Cdc42 GTPases in Cancer. Cancer Res. 2018 Jun 15;78(12):3101-3111. doi: 10.1158/0008-5472.CAN-18-0619. Epub 2018 Jun 1.

Reference Type BACKGROUND
PMID: 29858187 (View on PubMed)

Borrero-Garcia LD, Del Mar Maldonado M, Medina-Velazquez J, Troche-Torres AL, Velazquez L, Grafals-Ruiz N, Dharmawardhane S. Rac inhibition as a novel therapeutic strategy for EGFR/HER2 targeted therapy resistant breast cancer. BMC Cancer. 2021 Jun 1;21(1):652. doi: 10.1186/s12885-021-08366-7.

Reference Type BACKGROUND
PMID: 34074257 (View on PubMed)

Other Identifiers

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CDMRP-BC220292

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

MBQ-ABC001

Identifier Type: -

Identifier Source: org_study_id