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A Study to Evaluate KIN-3248 in Participants With Advanced Tumors Harboring FGFR2 and//or FGFR3 Gene Alterations

Phase 1
Active, not recruiting
Conditions
Solid Tumor, Adult
Intrahepatic Cholangiocarcinoma
Urothelial Carcinoma
Interventions
Registration Number
NCT05242822
Lead Sponsor
Kinnate Biopharma
Brief Summary

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of KIN-3248, an oral small molecule FGFR inhibitor, in adults with advanced tumors harboring FGFR2 and/or FGFR3 gene alterations.

Detailed Description

This is a two-part, open label, multi-center, dose escalation and dose expansion study in participants with advanced tumors harboring FGFR2 and/or FGFR3 gene alterations.

Part A (dose escalation) is aimed at evaluating the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of KIN-3248, and determining the maximum tolerated dose (MTD) of daily dosing of KIN-3248.

Part B (dose expansion) may open once either the MTD and/or a biologically active dose of KIN-3248 is identified. Part B is aimed at evaluating the safety and efficacy of KIN-3248 at the recommended dose and schedule in participants with cancers harboring FGFR2 and/or FGFR3 gene alterations, including intrahepatic cholangiocarcinoma (ICC), urothelial cancer (UC), and other solid tumors.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
54
Inclusion Criteria
  • Provide written informed consent prior to initiation of any study-specific procedures
  • Advanced stage solid tumor
  • Known FGFR2 and/or FGFR3 gene alteration, as confirmed by previous genomic analysis of tumor tissue or ctDNA
  • Measurable or evaluable disease according to RECIST v1.1
  • ECOG performance status 0 or 1
  • Adequate organ function, as measured by laboratory values (criteria listed in protocol)
  • Able to swallow, retain, and absorb oral medications
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Exclusion Criteria
  • Known clinically-active or clinically-progressive brain metastases from non-brain tumors
  • History and/or current evidence of abnormal calcium-phosphorous homeostasis, ectopic mineralization or calcification, or corneal or retinal disorder/keratopathy
  • GI tract disease causing an inability to take oral medication, malabsorption syndrome, requirement for intravenous alimentation, or uncontrolled inflammatory GI disease
  • Active, uncontrolled bacterial, fungal, or viral infection
  • Women who are lactating or breastfeeding, or pregnant
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Part A - dose escalationKIN-3248Dose escalation of KIN-3248 in patients with solid tumors
Part B - dose expansionKIN-3248Dose expansion evaluating the recommended dose and schedule of KIN-3248 identified from Part A
Primary Outcome Measures
NameTimeMethod
Part A (dose escalation) - incidence of dose limiting toxicities (DLTs)Initiation of study drug through 28 days
Part A (dose escalation) - incidence of adverse events (AEs)Initiation of study drug through 28 days after last dose (up to approximately 18 months)
Part B (dose expansion) - disease control rate (DCR): the proportion of participants who achieve stable disease, PR, or CRInitiation of study drug until disease progression (up to approximately 36 months)
Part B (dose expansion) - objective response rate (ORR): the proportion of participants who have achieved partial response (PR) or complete response (CR) according to RECIST v1.1Initiation of study drug until disease progression (up to approximately 36 months)
Part B (dose expansion) - duration of response (DOR): the length of time between initial tumor response to documented tumor progressionInitiation of study drug until disease progression (up to approximately 36 months)
Part B (dose expansion) - progression-free survival (PFS): the length of time until documented tumor progressionInitiation of study drug until disease progression (up to approximately 36 months)
Secondary Outcome Measures
NameTimeMethod
Part A (dose escalation) - PK - time to reach maximum plasma concentration (Tmax) of KIN-3248Initiation of study drug through Cycle 5 (up to approximately 4 months)
Part A (dose escalation) - PK - area under the plasma concentration-time curve (AUC) of KIN-3248Initiation of study drug through Cycle 5 (up to approximately 4 months)
Part A (dose escalation) - PK - maximum plasma concentration (Cmax) of KIN-3248Initiation of study drug through Cycle 5 (up to approximately 4 months)

Trial Locations

Locations (21)

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Fox Chase Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Mayo Clinic Florida

🇺🇸

Jacksonville, Florida, United States

Kaohsiung Medical University Hospital

🇨🇳

Kaohsiung, Taiwan

Severance Hospital Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

Veterans General Hospital - Taipei

🇨🇳

Taipei, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

UC San Diego Moores Cancer Center

🇺🇸

La Jolla, California, United States

START Midwest

🇺🇸

Grand Rapids, Michigan, United States

NYU Langone Cancer Center

🇺🇸

New York, New York, United States

MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Beijing Cancer Hospital

🇨🇳

Beijing, Haidian District, China

Seoul National University Hospital (SNUH)

🇰🇷

Seoul, Korea, Republic of

Rigshospitalet (Copenhagen University Hospital) - Finsencentret - Onkologisk Klinik

🇩🇰

Copenhagen, Denmark

START (Fundacion Jimenez Diaz)

🇪🇸

Madrid, Spain

Mayo Clinic Arizona

🇺🇸

Phoenix, Arizona, United States

Sarah Cannon Research Institute - Lake Nona

🇺🇸

Orlando, Florida, United States

Mayo Clinic Rochester

🇺🇸

Rochester, Minnesota, United States

Sarah Cannon Research Institute

🇺🇸

Nashville, Tennessee, United States

University of Wisconsin Carbone Cancer Center

🇺🇸

Madison, Wisconsin, United States

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