A Phase 1b/2, Subprotocol of DAY101 in Combination With Pimasertib for Patients With Recurrent, Progressive, or Refractory Solid Tumors and MAPK Pathway Aberrations
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 入组人数
- 44
- 试验地点
- 10
- 主要终点
- Number of participants who will report Treatment emergent adverse events (TEAEs) and serious TEAEs
研究概览
简要总结
This is a subprotocol of Master Protocol DAY101-102 and is a Phase 1b/2, multi-center, open label subprotocol of participants ≥12 years of age, with recurrent or progressive solid tumors with alterations in the key proteins of the MAPK pathway, such as tumors that harbor RAS or RAF alterations.
*Note: Study concluded as Phase 1b only.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 —(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Signed informed consent by participant ≥12 years of age; either a Consent or an Assent Form will be provided to the patient based on their capacity, local regulations, and guidelines.
- •Participants must have a report of histologically confirmed diagnosis of tumor and a concurrent MAPK pathway alteration (genomic alterations in RAS, RAF, MEK, or NF1) obtained through a tumor or liquid biopsy as assessed by genomic sequencing, polymerase chain reaction (PCR), fluorescence in situ hybridization (FISH), or another clinically accepted molecular diagnostic method recognized by local laboratory or regulatory agency
- •Participants must have radiographically stable, recurrent or progressive disease that is measurable using the appropriate tumor response criteria eg, (RECIST version 1.1, RANO)
- •Archival tumor tissue should be preferably less than 3 years old. If unavailable, a freshly acquired tumor tissue biopsy or liquid biopsy is required
- •If brain metastases are present, they must have been previously treated and be stable as assessed by radiographic imaging
排除标准
- •Known presence of concurrent activating alterations
- •Participants with current evidence or a history of serous retinopathy (SR), retinal vein occlusion (RVO) or ophthalmopathy present at screening or baseline who would be considered at risk for SR or RVO
- •Participants who have an unstable neurological condition, despite adequate treatment (eg, uncontrolled seizures)
- •Participants with history of acute neurological events (such as intracranial or subarachnoid hemorrhage, stroke, intracranial trauma) within the past 6 months
- •History of second malignancy within 3 years prior to study treatment except for curatively treated cervical cancer in situ, non-melanoma skin cancer, or superficial bladder cancer
研究组 & 干预措施
Experimental Arm
Tovorafenib plus pimasertib
干预措施: Tovorafenib (Drug)
结局指标
主要结局
Number of participants who will report Treatment emergent adverse events (TEAEs) and serious TEAEs
时间窗: Up to 30 days after the last dose of any study drug
Number of participants who will report clinically significant changes in vital signs
时间窗: Up to 30 days after the last dose of any study drug
Number of participants who will report clinically significant changes in clinical chemistry parameters
时间窗: Up to 30 days after the last dose of any study drug
Number of participants who will report clinically significant changes in hematology parameters
时间窗: Up to 30 days after the last dose of any study drug
Number of participants with Dose limiting toxicities (DLTs)
时间窗: Up to 30 days after the last dose of any study drug
次要结局
- Percentage of participants with complete overall response rate (ORR)(Up to 30 months)
- Duration of response (DOR)(Up to 30 months)
- Change in gene expression levels in pre and post treatment samples using RNA sequencing (RNA seq) analysis.(Up to 30 months)
- Progression Free Survival (PFS)(Up to 30 months)
- Overall Survival (OS)(Up to 30 months)
- Time to Response(Up to 30 months)
- Plasma concentration of DAY101(Cycles 1 through Cycle 11 (each cycle is 28 days))
- Maximum drug concentration (Cmax) of DAY101(Cycle 1, Day 1 through Cycle 1, Day 22)
- Area Under the Curve from Time Zero to Last Measurable Concentration (AUC 0-last)(Cycle 1, Day 1 through Cycle 1, Day 22)
- Change in expression levels of phosphorylated ERK (pERK) and Ki67 in pre and post treatment samples using immunohistochemistry methodology.(Up to 30 months)
