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Gimatecan

Phase 1

Advanced Solid Tumors | Small molecule | Oncology |Novartis AG|Trials Updated: Dec 19, 2020

Gimatecan development status

Highest phase Phase 1
Registered trials 5 across 3 sponsors since Dec 2006

Gimatecan target and mechanism

Molecular targetTOP1
Target classInhibitor
ModalitySmall molecule

Also known as LBQ707

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials5
Total Enrollment187

FDA Designations

No designations recorded

Gimatecan clinical trials

Gimatecan · 5 trials · 4 indications

Phase 1 5
NCT00493571Phase I Study of Gimatecan in Patients With Myelodysplastic SyndromesMyelodysplastic Syndromes
COMPLETED16 Analytics
NCT00487058A Phase I Dose Escalation Study of LBQ707 (Gimatecan) Administered Orally Twice Per Week to Japanese Patients With Advanced Solid TumorsAdvanced Solid Tumors
COMPLETED28 Analytics
NCT00441610An Extension Trial to a Phase I Dose Escalation Study of Gimatecan Administered Orally 5 Consecutive Days to Japanese Patients With Advanced Solid TumorAdvanced Solid Tumors
COMPLETED4 Analytics
NCT00410358A Dose Escalation of Gimatecan Administered Orally to Japanese Patients With Advanced Solid Tumor.Advanced Solid Tumors
COMPLETED19 Analytics
NCT00420485Dose-escalation Study of Gimatecan Administered in Two Different Schedules in Adult Patients With Advanced Solid TumorsSolid Tumors
COMPLETED120 Analytics
PHASE1COMPLETED
Phase I Study of Gimatecan in Patients With Myelodysplastic Syndromes
Myelodysplastic SyndromesUnlock trial analytics
PHASE1COMPLETED
A Phase I Dose Escalation Study of LBQ707 (Gimatecan) Administered Orally Twice Per Week to Japanese Patients With Advanced Solid Tumors
Advanced Solid TumorsUnlock trial analytics
PHASE1COMPLETED
An Extension Trial to a Phase I Dose Escalation Study of Gimatecan Administered Orally 5 Consecutive Days to Japanese Patients With Advanced Solid Tumor
Advanced Solid TumorsUnlock trial analytics
PHASE1COMPLETED
A Dose Escalation of Gimatecan Administered Orally to Japanese Patients With Advanced Solid Tumor.
Advanced Solid TumorsUnlock trial analytics
PHASE1COMPLETED
Dose-escalation Study of Gimatecan Administered in Two Different Schedules in Adult Patients With Advanced Solid Tumors
Solid TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Tolerated Dose (MTD) of Gimatecan
Evaulate with each 28 Day Cycle

For purposes of estimating the MTD, 5 dose levels of Gimatecan initially considered. These dose levels are 3 mg, 5 mg, 7.5 mg, 8.75 mg, and 10 mg orally per cycle. Dose escalation based on toxicities observed through the first cycle.

Safety and tolerability assessed by Adverse Events Characterization of the pharmacokinetic profile of gimatecan Anti-tumor activity assessed by Response Evaluation Criteria in Solid Tumors RECIST)
Safety and tolerability assessed by Adverse Events
2.8 years
Anti-tumor activity assessed by RECIST criteria
2.8 years
Estimated Maximum Tolerated Dose of gimatecan
1.8 years
Presence of dose limiting toxicities in a 56-day treatment period
56 days

Secondary Endpoints

Efficacy in terms of complete remission , complete remission w/ incomplete platelet or neutrophil recovery (CRp and CRn, respectively), partial remission , and hematologic improvement.
Up to 12 Months on Study
Safety assessed by adverse events
1.8 years
Characterization of the pharmacokinetic profile of gimatecan
1.8 years
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
GimatecanEXPERIMENTALGimatecan Starting dose: 0.6 mg capsules administered orally once daily.
LBQ707EXPERIMENTAL -
Daily times five scheduleEXPERIMENTAL -
Continuous schedule, twice dailyEXPERIMENTAL -

Interventions

NameTypeDescription
GimatecanDRUGStarting dose: 0.6 mg capsules administered orally once daily.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Patients with MDS with \>/= 5% blasts or IPSS risk group intermediate (1 or 2) or high (i.e., IPSS score 0.5 or higher). 2. Patients must have failed prior therapy with either chemotherapy (e.g., ara-C-based chemotherapy, etc) or biologic agents (e.g., hypomethylating agents,...

Countries:United StatesJapanCanadaDenmarkFranceGermanyNetherlandsNorwaySpain
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Competitive Landscape -Other Solid Tumors 10 trials (matched to "Advanced Solid Tumors")

Frequently asked questions about Gimatecan

What is Gimatecan used for?

Gimatecan is an investigational small molecule being studied in oncology for advanced solid tumors, solid tumors, and myelodysplastic syndromes. It has been evaluated in Phase 1 clinical trials in patients with these conditions. It is not an approved therapy and remains in clinical development.

What does Gimatecan target?

Gimatecan targets topoisomerase 1 (TOP1) and acts as an inhibitor of this enzyme. By inhibiting TOP1, it interferes with DNA replication and transcription in cancer cells. This mechanism underlies its investigation as an anticancer agent in solid tumors and myelodysplastic syndromes.

Who is developing Gimatecan?

Gimatecan is being developed by Novartis AG, which trades under the ticker NVS. Novartis has sponsored the clinical trials evaluating the drug in advanced solid tumors and myelodysplastic syndromes.

What phase is Gimatecan in?

Gimatecan is in Phase 1 clinical development. All reported trials are Phase 1 studies, and the drug is investigational, meaning it has not been approved by the FDA for any indication.

What clinical trials is Gimatecan in?

Gimatecan has been studied in completed Phase 1 trials including NCT00493571 in myelodysplastic syndromes, NCT00487058 and NCT00441610 in Japanese patients with advanced solid tumors, and NCT00420485 in adult patients with advanced solid tumors across multiple countries.

Is Gimatecan the same as LBQ707?

Yes, Gimatecan is also known as LBQ707. The Phase 1 dose escalation study NCT00487058 refers to the drug as LBQ707 (Gimatecan), confirming they are the same agent.