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First-in-Human, Healthy Volunteers Integrated Protocol of ETC-206, an Oral Mnk 1/2 Kinase Inhibitor Oncology Drug
Vincenzo Teneggi1, Veronica Novotny-Diermayr1, Lay Hoon Lee1
1D3 (Drug Discovery and Development), A*STAR, Singapore, Singapore.
Abstract:
In the last decade, drug development has tackled substantial challenges to improve efficiency and facilitate access to innovative medicines. Integrated clinical protocols and the investigation of targeted oncology drugs in healthy volunteers (HVs) have emerged as modalities with an increase in scope and complexity of early clinical studies and first-in-human (FIH) studies in particular. However, limited work has been done to explore the impact of these two modalities, alone or in combination, on the scientific value and on the implementation of such articulated studies. We conducted an FIH study in HVs with an oncology targeted drug, an Mnk 1/2 small molecule inhibitor. In this article, we describe results, advantages, and limitations of an integrated clinical protocol with an oncology drug. We further discuss and indicate points to consider when designing and conducting similar scientifically and operationally demanding FIH studies.
Insights
Integrated clinical protocols and targeted oncology drug studies in healthy volunteers (HVs) increase early study complexity. This study details the results, benefits, and challenges of such a first-in-human (FIH) trial.
Area of Science:
- Clinical Pharmacology
- Drug Development
- Oncology
Background:
- Drug development faces challenges in efficiency and access to novel medicines.
- Integrated clinical protocols and early studies of targeted oncology drugs in healthy volunteers (HVs) are increasingly complex.
- The impact of these integrated approaches on scientific value and study implementation requires further investigation.
Purpose of the Study:
- To describe the results, advantages, and limitations of an integrated clinical protocol for a first-in-human (FIH) study.
- To evaluate the scientific value and implementation of a complex FIH study involving a targeted oncology drug in HVs.
- To provide insights for designing and conducting similar demanding early clinical studies.
Main Methods:
- Conducted a first-in-human (FIH) study in healthy volunteers (HVs).
- Utilized an integrated clinical protocol for the administration of a targeted oncology drug (Mnk 1/2 small molecule inhibitor).
- Analyzed study results, focusing on scientific value and operational implementation.
Main Results:
- The integrated protocol facilitated the study of a targeted oncology drug in HVs.
- Specific advantages and limitations of this approach were identified.
- The study provided valuable data on the drug's profile and the protocol's feasibility.
Conclusions:
- Integrated clinical protocols for targeted oncology drugs in HVs can be scientifically valuable and operationally feasible.
- Careful design and consideration of potential challenges are crucial for demanding FIH studies.
- This approach offers a framework for future complex early-phase drug development studies.
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