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Study of Vimseltinib (DCC-3014) in Patients With Advanced Tumors and Tenosynovial Giant Cell Tumor

Phase 1
Active, not recruiting
Conditions
Giant Cell Tumor of Tendon Sheath
Tenosynovial Giant Cell Tumor, Diffuse
Advanced Malignant Neoplasm
Tenosynovial Giant Cell Tumor
Pigmented Villonodular Synovitis
Interventions
Registration Number
NCT03069469
Lead Sponsor
Deciphera Pharmaceuticals, LLC
Brief Summary

This is a multicenter, open-label Phase 1/2 study of vimseltinib in patients with malignant solid tumors and tenosynovial giant cell tumor (TGCT). There will be 2 distinct parts in this study: Dose Escalation (Phase 1) and Expansion (Phase 2). Phase 1 will enroll both malignant solid tumor and TGCT patients. Phase 2 will comprise two cohorts (Cohort A and Cohort B) and will only enroll TGCT patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
120
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Experimental TreatmentVimseltinibDose Escalation Phase: Increasing doses of vimseltinib beginning at 10 milligram (mg) once daily (QD) for 28 day cycles until disease progression or unacceptable toxicity. Expansion Phase: Dosing of different patient cohorts at the dose level determined from the Dose Escalation Phase of the study.
Primary Outcome Measures
NameTimeMethod
Maximum Tolerated Dose (MTD)Day 1 - Day 28 of Cycle 1 for each dose level tested

Determine the maximum tolerated dose.

Number of Patients with Dose-Limiting Toxicities (DLTs)Day 1- Day 28 of Cycle 1 for each dose level tested

Identify the number of patients with DLTs for each dose level tested.

Area under the concentration-time curve (AUC) of VimseltinibCycle 1 Day 1 and Day 8, and Cycle 2 Day 1 (pre-dose and at multiple time points (up to 8 hours) post-dose)

Measure the AUC of vimseltinib.

Time to maximum observed concentration of VimseltinibCycle 1 Day 1 and Day 8, and Cycle 2 Day 1 (pre-dose and at multiple time points (up to 8 hours) post-dose)

Measure the time to maximum plasma concentration of vimseltinib in patients.

Trough observed concentration of VimseltinibCycle 1 Day 1 and Day 8, and Cycle 2 Day 1 (pre-dose and at multiple time points (up to 8 hours) post-dose)

Measure the observed trough concentration of vimseltinib in patients.

Maximum observed concentration of VimseltinibCycle 1 Day 1 and Day 8, and Cycle 2 Day 1 (pre-dose and at multiple time points (up to 8 hours) post-dose)

Measure the maximum observed concentration of vimseltinib in patients.

Objective response rate (ORR= complete response [CR]+partial response [PR]) (Expansion Phase only)At Week 25 (Cycle 7, Day 1)

Assessed by central read using Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1.

Duration of response rate (DOR) (Expansion Phase only)Date from PR or CR to disease progression or death (Estimated up to 24 months)

Measure time from partial response (PR) or complete response (CR) to disease progression or death.

Half life of VimseltinibCycle 1 Day 1 and Day 8, and Cycle 2 Day 1 (pre-dose and at multiple time points (up to 8 hours) post-dose)

Measure half life of vimseltinib in patients.

Secondary Outcome Measures
NameTimeMethod
Worst Stiffness Numeric Rating Scale (NRS) Score (Expansion Phase only)Baseline to Week 25 (Cycle 7, Day 1)

Analysis of patient reported outcomes based upon the Worst Stiffness Numeric Rating Scale (NRS)

Range of Motion (ROM) (Expansion Phase only)Baseline to Week 25 (Cycle 7, Day 1)

Measure mean change from baseline in relative ROM

Patient-reported Outcomes Measurement Information System (PROMIS) Physical Function Score (Expansion Phase only)Baseline to Week 25 (Cycle 7, Day 1)

Analysis of patient reported outcomes based upon the patient-reported outcomes measurement information system (PROMIS) physical function questionnaire

Response rate (Expansion Phase only)At Week 25 (Cycle 7, Day 1)

Assessed by central read using tumor volume score and modified RECIST (mRECIST) Version 1.1

Brief Pain Inventory (BPI) Worst Pain Numeric Rating Scale (NRS) Score (Expansion Phase only)Baseline to Week 25 (Cycle 7, Day 1)

Proportion of responders based on Brief Pain Inventory (BPI) worst pain numeric rating scale (NRS) and narcotic analgesic use by Brief Pain Inventory-30 (BPI-30)

Trial Locations

Locations (24)

Stanford Cancer Institute

🇺🇸

Palo Alto, California, United States

MSKCC

🇺🇸

New York, New York, United States

Peter MacCallum Cancer Centre

🇦🇺

Melbourne, Australia

Princess Margaret Cancer Center

🇨🇦

Toronto, Canada

Gustave Roussy Cancer Campus Grand Paris

🇫🇷

Paris, France

Centre Leon Berard

🇫🇷

Lyon, France

IRCCS Istituto Ortopedico Rizzoli

🇮🇹

Bologna, Italy

Mayo Clinic

🇺🇸

Jacksonville, Florida, United States

McGill University Health Centre

🇨🇦

Montréal, Quebec, Canada

Leiden University Medical Center

🇳🇱

Leiden, Netherlands

M. Sklodowska-Curie Memorial Cancer Center

🇵🇱

Warsaw, Poland

Fondazione IRCCS Istituto Nazionale Dei Tumori

🇮🇹

Milan, Italy

Regina Elena National Cancer Institute

🇮🇹

Rome, Italy

University of Colorado - Denver

🇺🇸

Denver, Colorado, United States

University of Miami

🇺🇸

Miami, Florida, United States

Dana Farber

🇺🇸

Boston, Massachusetts, United States

OHSU

🇺🇸

Portland, Oregon, United States

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

Sarah Cannon Research Institute

🇺🇸

Nashville, Tennessee, United States

Istituto Nazionale dei Tumori

🇮🇹

Milan, Italy

University College Hospital

🇬🇧

London, United Kingdom

Hospital Universitario Virgen del Rocío, Sevilla

🇪🇸

Sevilla, Spain

Hospital Universitario Vall d'Hebron

🇪🇸

Barcelona, Spain

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

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