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临床试验/NCT04543188
NCT04543188终止1 期

A TWO-PART, PHASE 1A/B, OPEN-LABEL, MULTICENTER TRIAL EVALUATING PHARMACOKINETICS, SAFETY AND EFFICACY OF PF 07284890 (ARRY 461) IN PARTICIPANTS WITH BRAF V600 MUTANT SOLID TUMORS WITH AND WITHOUT BRAIN INVOLVEMENT

Pfizer44 个研究点 分布在 3 个国家目标入组 65 人开始时间: 2021年1月8日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
终止
发起方
Pfizer
入组人数
65
试验地点
44
主要终点
Number of Participants With Dose Limiting Toxicities (DLTs): Phase 1a

研究概览

简要总结

First-in-human study to assess safety, tolerability, PK, and preliminary activity of PF-07284890 as a single agent and in combination with binimetinib in participants with BRAF V600-mutated advanced solid tumor malignancies with and without brain involvement.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
16 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age ≥16 years at the time of consent
  • Histologically confirmed diagnosis of advanced/metastatic solid tumor including primary brain tumor
  • Documented evidence of a BRAF V600 mutation in tumor tissue or blood
  • Confirmation of availability of adequate tumor tissue for submission to the sponsor/central laboratory
  • Presence or absence of brain involvement unless specified below
  • Dose Expansion (Part B)
  • Cohort 1, 2, 3, 4: melanoma with at least 1 parenchymal brain lesion
  • Cohort 1,3: asymptomatic in the brain for at least 14 days prior to start of study treatment
  • Cohort 2,4: symptomatic in the brain within 14 days prior to the start of study treatment
  • Cohort 5: any solid tumor that does not meet requirements for Cohorts 1-4, history of or current leptomeningeal metastases.
  • Optional Cohort 6 (DDI Sub-study) and 7 (Food-Effect): if brain involvement present, must be asymptomatic
  • Disease progression despite prior treatment and no acceptable alternative treatment options available unless specified below
  • Dose Expansion (Part B)
  • Cohort 1, 2: No prior BRAF inhibitor in the metastatic setting or in the adjuvant setting within 6 months of study treatment
  • Cohort 3, 4: Required prior BRAF inhibitor in the metastatic setting or in the adjuvant setting within 6 months of treatment
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

排除标准

  • Brain metastasis/primary brain tumor requiring immediate local intervention
  • History of or current leptomeningeal metastases
  • Any other active malignancy within 2 years prior to enrollment
  • Radiation therapy to visceral metastases within 14 days prior to study treatment. WBRT within 28 days prior to study treatment.
  • Systemic anti-cancer therapy or small-molecular therapeutic(s) within 2 weeks prior to start of study treatment; Antibody based agents within 4 weeks prior to start of study treatment.
  • History or current evidence of RVO or current risk factors for RVO; History of retinal degenerative disease

研究组 & 干预措施

PF-07284890 (Part A monotherapy)

Experimental

Monotherapy dose escalation of PF-07284890

干预措施: PF-07284890 (Drug)

PF-07284890+binimetinib (Part A combo-therapy)

Experimental

Combination dose escalation of PF-07284890 + binimetinib

干预措施: PF-07284890 (Drug)

PF-07284890+binimetinib (Part A combo-therapy)

Experimental

Combination dose escalation of PF-07284890 + binimetinib

干预措施: Binimetinib (Drug)

Expansion Phase (Part B, Cohort 1)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 melanoma, with asymptomatic brain involvement, and no prior BRAF or MEK inhibitor utilization

干预措施: PF-07284890 (Drug)

Expansion Phase (Part B, Cohort 1)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 melanoma, with asymptomatic brain involvement, and no prior BRAF or MEK inhibitor utilization

干预措施: Binimetinib (Drug)

Expansion Phase (Part B, Cohort 2)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 melanoma, with symptomatic brain involvement, and no prior BRAF or MEK inhibitor utilization

干预措施: PF-07284890 (Drug)

Expansion Phase (Part B, Cohort 2)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 melanoma, with symptomatic brain involvement, and no prior BRAF or MEK inhibitor utilization

干预措施: Binimetinib (Drug)

Expansion Phase (Part B, Cohort 3)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 melanoma, with asymptomatic brain involvement, and prior BRAF inhibitor utilization

干预措施: PF-07284890 (Drug)

Expansion Phase (Part B, Cohort 3)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 melanoma, with asymptomatic brain involvement, and prior BRAF inhibitor utilization

干预措施: Binimetinib (Drug)

Expansion Phase (Part B, Cohort 4)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 melanoma, with symptomatic brain involvement, and prior BRAF inhibitor utilization

干预措施: Binimetinib (Drug)

Expansion Phase (Part B, Cohort 4)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 melanoma, with symptomatic brain involvement, and prior BRAF inhibitor utilization

干预措施: PF-07284890 (Drug)

Expansion Phase (Part B Cohort 5)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 solid tumor; history of or current leptomeningeal metastases; without disease in the brain; with disease in the brain that does not meet Cohorts 1-4; asymptomatic or symptomatic in the brain; primary brain tumors

干预措施: PF-07284890 (Drug)

Expansion Phase (Part B Cohort 5)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib in participants with BRAF V600 solid tumor; history of or current leptomeningeal metastases; without disease in the brain; with disease in the brain that does not meet Cohorts 1-4; asymptomatic or symptomatic in the brain; primary brain tumors

干预措施: Binimetinib (Drug)

Expansion Phase Drug-Drug Interaction Substudy (Part B Optional Cohort 6)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib plus midazolam in participants with BRAF V600 solid tumor

干预措施: PF-07284890 (Drug)

Expansion Phase Drug-Drug Interaction Substudy (Part B Optional Cohort 6)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib plus midazolam in participants with BRAF V600 solid tumor

干预措施: Binimetinib (Drug)

Expansion Phase Drug-Drug Interaction Substudy (Part B Optional Cohort 6)

Experimental

PF-07284890 (at recommended dose from Part A) plus binimetinib plus midazolam in participants with BRAF V600 solid tumor

干预措施: Midazolam (Drug)

Expansion Phase (Part B Optional Cohort 7)

Experimental

PF-07284890 (at the recommended dose for expansion when administered with food) plus binimetinib in participants with BRAF V600 solid tumor

干预措施: PF-07284890 (Drug)

Expansion Phase (Part B Optional Cohort 7)

Experimental

PF-07284890 (at the recommended dose for expansion when administered with food) plus binimetinib in participants with BRAF V600 solid tumor

干预措施: Binimetinib (Drug)

结局指标

主要结局

Number of Participants With Dose Limiting Toxicities (DLTs): Phase 1a

时间窗: Cycle 1 (21 Days)

DLT was defined as any adverse event (AE) or abnormal laboratory value which were related to study treatment and assessed as unrelated to disease (disease progression), occurring during the first 21 days of treatment that met at least 1 of the study specified criteria. DLTs were graded according to the National Cancer Institute- Common Terminology Criteria for Adverse Events (NCI-CTCAE), version (v) 5.0.

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Serious Treatment Related TEAEs, Grade 3 or 4 TEAEs and Grade 5 TEAEs by NCI CTCAE v5.0: Phase 1a

时间窗: From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment or start of new anti-cancer therapy (-1 Day) whichever occurred first (maximum treatment exposure: 542 days; maximum follow-up: 572 days)

An adverse event (AE) was any untoward medical occurrence in participant/ clinical study participant temporally associated with use of study intervention, whether/ not considered related to study intervention. TEAEs were defined as any AE that occurs during on-treatment period. The on-treatment period was defined as period that starts with first dose of study treatment and ends at last dose of study treatment +30 days, or start of new anti-cancer therapy \[- 1 day\], whichever occurred first. Serious TEAEs were any untoward medical occurrence at any dose that: suspected to cause death; life-threatening; required hospitalization; persistent/significant disability/incapacity and might caused congenital anomaly/birth defect. Serious treatment related TEAEs were related to study treatment and relatedness was judged by investigator. TEAEs were graded according to NCI-CTCAE v 5.0 (grade 3= severe, grade 4= life-threatening and grade 5= death related to AE). AEs included SAEs and all non-SAE.

Number of Participants With Hematology Laboratory Abnormalities of Any CTCAE Grade: Phase 1a

时间窗: From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment (maximum treatment exposure: 542 days; maximum follow-up: 572 days)

The following hematology laboratory parameters were assessed: activated partial thromboplastin time prolonged, anemia, hemoglobin increased, international normalized ratio (INR) increased, leukocytosis, lymphocyte count decreased, lymphocyte count increased, neutrophil count decreased, platelet count decreased and white blood cell decreased. Laboratory abnormality events were graded according to NCI CTCAE v5.0; grade 1=mild, grade 2=moderate, grade 3=severe, grade 4=life-threatening consequences and grade 5=death. In this outcome measure, those number of participants are reported who had hematology laboratory abnormality in any parameter of any CTCAE Grades.

Number of Participants With Chemistry Laboratory Abnormalities of Any CTCAE Grade: Phase 1a

时间窗: From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment (maximum treatment exposure: 542 days; maximum follow-up: 572 days)

The following chemistry laboratory parameters were assessed: alanine aminotransferase increased, alkaline phosphatase increased, aspartate aminotransferase increased, blood bilirubin increased, creatine phosphokinase (CPK) increased, creatinine increased, hypercalcemia, hyperkalemia, hypermagnesemia, hypernatremia, hypoalbuminemia, hypocalcemia, hypoglycemia, hypokalemia, hypomagnesemia and hyponatremia. Laboratory abnormality events were graded according to NCI CTCAE v5.0; grade 1=mild, grade 2=moderate, grade 3=severe, grade 4=life-threatening consequences and grade 5=death. In this outcome measure, those number of participants are reported who had chemistry laboratory abnormality in any parameter of any CTCAE Grades.

Number of Participants With Dose Interruptions Due to TEAEs: Phase 1a

时间窗: During study treatment (from first dose of study treatment [Day 1] up to last dose of study treatment [maximum treatment exposure: 542 days])

Dose interruption was defined as a planned dosing day with 0 mg total dose administered. Dose interruptions were applicable to unexpected dose interruptions. In this outcome measure, dose interruptions for any drug were considered.

Number of Participants With Dose Reduction Due to TEAEs: Phase 1a

时间窗: During study treatment (from first dose of study treatment [Day 1] up to last dose of study treatment [maximum treatment exposure: 542 days])

A dose reduction was defined as the day when the actual dose was less than the planned dose at enrollment and the actual dose was greater than 0 mg (ie, missed doses were not counted as a reduction). In this outcome measure, dose reductions for any drug were considered.

Number of Participants With Dose Discontinuations Due to TEAEs: Phase 1a

时间窗: During study treatment (from first dose of study treatment [Day 1] up to last dose of study treatment [maximum treatment exposure: 542 days])

In this outcome measure, dose discontinuations for any drug due to TEAEs were considered.

Extracranial Response Rate by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: Phase 1b

时间窗: From date of first dose until CR or PR (maximum treatment exposure: 400 days)

Extracranial response rate was defined as the percentage of participants with a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) in extracranial lesions by Investigator assessment per RECIST v1.1. CR: disappearance of all target and non-target lesions. Any pathological lymph nodes (non-target) must have reduction in short axis to less than (\<) 10 millimeter (mm). PR: at least a 30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Intracranial Response Rate by mRECISTv1.1: Phase 1b

时间窗: From date of first dose until CR or PR (maximum treatment exposure: 400 days)

Intracranial response rate as assessed using modified RECIST (mRECIST) v 1.1., was defined as the percentage of participants with brain or central nervous system (CNS) involvement who achieved a CR or PR. CR: disappearance of all target and non-target lesions. For target lesions: Any pathological lymph nodes must be \<10 mm in the short axis. For non-target lesions: All lymph nodes identified as a site of disease at baseline must be non-pathological (eg, \<10 mm short axis). PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Overall Response Rate (ORR): Phase 1b

时间窗: From date of first dose until CR or PR (maximum treatment exposure: 400 days)

ORR: percentage of participants with BOR of confirmed CR/PR by investigator assessment in intracranial metastasis (mRECISTv1.1) and extracranial lesions (RECISTv1.1). RECIST v1.1- CR: disappearance of all target and non-target lesions. Any pathological lymph node (non-target) must have reduction in short axis to \<10mm. PR: at least 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters. mRECIST- CR: disappearance of all target and non-target lesion. For target lesion: Any pathological lymph nodes must be \<10 mm in short axis. For non-target lesion: All lymph nodes identified as site of disease at baseline must be non-pathological (eg, \<10 mm short axis). PR: at least 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters.

Response Rate Using Response Assessment in Neuro-Oncology (RANO) for Primary Brain Tumors: Phase 1b

时间窗: From date of first dose until CR or PR (maximum treatment exposure: 400 days)

RANO response rate was defined as the percentage of glioblastoma participants who achieved a CR or PR per RANO. CR was defined as complete disappearance of all enhancing measurable and non-measurable disease sustained for more than or equal to (\>=) 4 weeks; no new lesions; stable or improved non-enhancing (T2/ \[fluid attenuated inversion recovery\] FLAIR) lesions; off steroids and neurological condition stable or improved. PR was defined as \>=50% decrease compared to baseline in the sum of the perpendicular diameters of all measurable enhancing lesions sustained for at least 4 weeks; no progression of non-measurable disease; no new lesions; stable or improved non enhancing (T2/FLAIR) lesions on the same or lower dose of corticosteroids compared with baseline scan; the corticosteroid dose at the time of the scan evaluation should be no greater than the dose at the time of the baseline scan and neurological condition stable or improved.

次要结局

  • Maximum Observed Concentration (Cmax) of PF-07284890 and Binimetinib for Single Dose: Phase 1a(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on Cycle 1 Day 1 (C1D1); 24 hours was only for arms where study drug was administered as QD.)
  • Time for Cmax (Tmax) of PF-07284890 and Binimetinib for Single Dose: Phase 1a(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1; 24 hours was only for arms where study drug was administered as QD.)
  • Area Under the Plasma Concentration Time Curve From Time Zero to the Last Time Point of Quantifiable Concentration (AUClast) of PF-07284890 and Binimetinib for Single Dose: Phase 1a(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1; 24 hours was only for arms where study drug was administered as QD.)
  • Terminal Elimination Half Life (t½) of PF-07284890 and Binimetinib for Single Dose: Phase 1a(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1; 24 hours was only for arms where study drug was administered as QD.)
  • Area Under the Plasma Concentration Time Curve From Time Zero Extrapolated to Infinity (AUCinf) of PF-07284890 and Binimetinib for Single Dose: Phase 1a(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1; 24 hours was only for arms where study drug was administered as QD.)
  • Apparent Oral Clearance (CL/F) of PF-07284890 and Binimetinib for Single Dose: Phase 1a(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1; 24 hours was only for arms where study drug was administered as QD.)
  • Apparent Volume of Distribution (Vz/F) of PF-07284890 and Binimetinib for Single Dose: Phase 1a(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1; 24 hours was only for arms where study drug was administered as QD.)
  • Cmax of PF-07284890 and Binimetinib for Multiple Dose: Phase 1a(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • Tmax of PF-07284890 and Binimetinib for Multiple Dose: Phase 1a(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • Area Under the Plasma Concentration Time Curve Over the Dosing Interval (AUCtau) of PF-07284890 and Binimetinib for Multiple Dose: Phase 1a(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • Lowest Concentration Observed During the Dosing Interval (Cmin) of PF-07284890 and Binimetinib for Multiple Dose: Phase 1a(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • CL/F of PF-07284890 and Binimetinib for Multiple Dose: Phase 1a(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • Vz/F of PF-07284890 and Binimetinib for Multiple Dose: Phase 1a(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • t½ of PF-07284890 and Binimetinib for Multiple Dose: Phase 1a(Pre-dose (24 hours post-dose concentration), 1, 2, 4, 6 and 8 hours post dose on C1D15)
  • Accumulation Ratio (Rac) of PF-07284890 and Binimetinib for Multiple Dose: Phase 1a(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D1 and C1D15)
  • Extracranial Response Rate by RECISTv1.1: Phase 1a(From date of first dose until CR or PR (maximum treatment exposure: 542 days))
  • Intracranial Response Rate by mRECISTv1.1: Phase 1a(From date of first dose until CR or PR (maximum treatment exposure: 542 days))
  • ORR by RECISTv1.1: Phase 1a(From date of first dose until CR or PR (maximum treatment exposure: 542 days))
  • Overall Response Rate as Per RANO for Brain Tumours: Phase 1a(From date of first dose until CR or PR (maximum treatment exposure: 542 days))
  • Number of Participants With TEAEs, Serious TEAEs, Serious Treatment Related TEAEs, Grade 3 or 4 TEAEs and Grade 5 TEAEs by NCI CTCAE v5.0: Phase 1b(From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment/start of new anti-cancer therapy (-1 Day) whichever occurred first (maximum treatment exposure: 400 days, maximum follow up: 430 days))
  • Number of Participants With Hematology Laboratory Abnormalities: Phase 1b(From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment (maximum treatment exposure: 400 days, maximum follow up: 430 days))
  • Number of Participants With Chemistry Laboratory Abnormalities: Phase 1b(From first dose of study treatment (Day 1) up to 30 days post last dose of study treatment (maximum treatment exposure: 400 days, maximum follow up: 430 days))
  • Number of Participants With Dose Interruptions Due to TEAEs: Phase 1b(During study treatment (from first dose of study treatment [Day 1] up to last dose of study treatment [maximum treatment exposure: 400 days]))
  • Number of Participants With Dose Reduction Due to TEAEs: Phase 1b(During study treatment (from first dose of study treatment [Day 1] up to last dose of study treatment [maximum treatment exposure: 400 days]))
  • Number of Participants With Dose Discontinuations Due to TEAEs: Phase 1b(During study treatment (from first dose of study treatment [Day 1] up to last dose of study treatment [maximum treatment exposure: 400 days]))
  • Cmax of PF-07284890 and Binimetinib for Single Dose: Phase 1b(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1)
  • Tmax of PF-07284890 and Binimetinib for Single Dose: Phase 1b(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1)
  • AUClast of PF-07284890 and Binimetinib for Single Dose: Phase 1b(Pre-dose,1, 2, 4, 6, 8 and 24 hours post-dose on C1D1)
  • Cmax of PF-07284890 and Binimetinib for Multiple Dose: Phase 1b(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • Tmax of PF-07284890 and Binimetinib for Multiple Dose: Phase 1b(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • AUCtau of PF-07284890 and Binimetinib for Multiple Dose: Phase 1b(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • Cmin of PF-07284890 and Binimetinib for Multiple Dose: Phase 1b(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • CL/F of PF-07284890 and Binimetinib for Multiple Dose: Phase 1b(Pre-dose,1, 2, 4, 6 and 8 hours post dose on C1D15)
  • Intracranial Disease Control Rate (DCR) Per mRECIST v1.1: Phase1b(From date of first dose until CR or PR or SD (maximum treatment exposure: 400 days))
  • Overall Disease Control Rate (DCR) Per RECIST v1.1: Phase1b(From date of first dose until CR or PR or SD (maximum treatment exposure: 400 days))
  • Intracranial Progression Free Survival (PFS) by mRECISTv1.1: Phase1b(From date of first dose of study treatment until first documentation of PD or death due to any cause or censoring date whichever occurred first (maximum treatment exposure: 400 days))
  • Overall Progression Free Survival (PFS): Phase1b(From start of study treatment until first documentation of PD or death due to any cause or censoring date (maximum treatment exposure: 400 days))
  • Overall Survival (OS): Phase1b(From start of study treatment until death due to any cause or censoring date (maximum treatment exposure: 400 days))
  • Intracranial Duration of Response (DOR) by mRECIST v1.1: Phase1b(From CR or PR until first documented PD or death due to any cause (maximum treatment exposure: 400 days))
  • Overall DOR by RECIST v1.1: Phase1b(From CR or PR until first documented PD or death due to any cause (maximum treatment exposure: 400 days))
  • Intracranial Time to Response (TTR) by mRECIST v1.1: Phase1b(From date of first dose until CR or PR (maximum treatment exposure: 400 days))
  • Overall TTR by RECIST v1.1: Phase1b(From date of first dose until CR or PR (maximum treatment exposure: 400 days))

研究者

发起方
Pfizer
申办方类型
Industry
责任方
Sponsor

研究点 (44)

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